Do enhanced sexual health services meet the needs of men who have sex with men?

Abstract

Enhanced Sexual Health Services (ESHS) have the potential to widen access to sexual health services for populations in England. This study aimed to identify what provision was commissioned in ESHS for men who have sex with men (MSM). We undertook a web-based survey of Primary Care Trust (PCT) commissioners in the southeast of England, exploring what sexual health services were commissioned for MSM and comparing them with published standards. Fourteen of 17 PCTs (82%) responded. All PCTs identified at least one genitourinary (GU) medicine clinic and 13 identified at least one ESHS commissioned for their population. However no single ESHS provided the full range of essential services for MSM. Testing for Chlamydia (84.6% PCTs) and for HIV (69.2% PCTs) were most commonly provided in ESHS, while only 46% and 62% of PCTs had an ESHS commissioned to provide gonorrhoea testing and hepatitis B/syphilis serology testing respectively. Under two-thirds reported training of staff in the sexual health needs of MSM. ESHS are not commissioned to provide the full range of essential sexual health services for MSM. This needs to be addressed by improving staff training in these services and strengthening care pathways between ESHS and GU medicine clinics.

Keywords

sexually transmitted infections HIV testing Enhanced Sexual Health Services England men who have sex with men MSM community health services

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References

HIV in the United Kingdom: 2011 Report. Health Protection Agency, 2011. See http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317131685847 (last accessed 1 May 2012)

Syphilis and Lymphogranuloma Venereum: Resurgent Sexually Transmitted Infections in the UK: 2009 Report. Health Protection Agency 2009. See http://www.hpa.org.uk/Publications/InfectiousDiseases/HIVAndSTIs/0906SyphilisandLGV/ (last accessed 1 May 2012)

Sexually Transmitted Infections and Men who have Sex with Men in the UK: 2008 Report. Health Protection Agency 2008 (last accessed 1 May 2012)

Johnson

, Mercer

, Erens

. Sexual behaviour in Britain: partnerships, practices, and HIV risk behaviours. Lancet 2001; 358: 1835–42

Better prevention, better services, better sexual health – The National Strategy for Sexual Health. Department of Health, 2001. See http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4003133

Olonilua

, Ross

, Mercer

, Keane

, Brook

, Cassell

. The limits of healthcare seeking behaviour: how long will patients travel for STI care? Evidence from England's ‘Patient Access and the Transmission of Sexually Transmitted Infections’ (PATSI) study. Int J STD AIDS 2008; 19: 814–6

Standards for the management of sexually transmitted infections (STIs). Medical Foundation for Aids and Sexual Health (MedFASH), 2010. See http://www.medfash.org.uk/uploads/files/p17abk5ffhld8f15amvq41djulhnu5.pdf

Bailey

, Johnson

, Cassell

. Are primary care-based sexually transmitted infection services in the UK delivering public health benefit? Int J STD AIDS 2010; 21: 39–45

UK National guidelines for HIV testing 2008. See http://www.bhiva.org/HIVTesting2008.aspx (last checked 4 April 2011)

10.

Immunisation against Infectious Disease (Department of Health Updated 2006 edition). See http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_079917 (last checked 4 April 2011)

11.

McHenry

, Macdonald

, Sinka

, Mortimer

, Evans

. National assessment of prevalent diagnosed HIV infections. Commun Dis Public Health 2000; 3: 277–81

12.

Llewellyn

, Pollard

, Miners

. Understanding patient choices for attending sexually transmitted infection testing services: a qualitative study. Sex Transm Infect 2012; 88: 504–9

13.

GUMCAD2: GUMCAD in Non-GUM Commissioned Enhanced Sexual Health Services (ESHSs). Health Protection Agency. See http://www.hpa.org.uk/gumcad/#GUMCAD2:_GUMCAD_in_non-GUM_commissioned_enhanced_sexual_health_services_%28ESHSs%29 (last checked 11 July 2012)

14.

BASHH Sexually Transmitted Infection Foundation (STIF) Course. See http://www.bashh.org/education_training_and_careers/stif (last accessed 1 May 2012)

15.

Public Health in Local Government December 2011. See http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_131904.pdf (last checked 11 July 2012)

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