
Sexual Health Service Response to COVID-19 Pandemic Progress Report
Learn about the UK Sexual Health Service's response to the COVID-19 pandemic, including communication strategies, open sharing initiatives, surveys, and outputs to address the challenges faced in the sexual health sector. Dr. John McSorley provides insights into the coordinated efforts and support systems put in place since February 2020 to ensure continued care provision during this global crisis.
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UK Sexual Health Service Response to COVID-19 pandemic Progress Report June 2020 Dr John McSorley Consultant Sexual Health & HIV Medicine British Association of Sexual Health & HIV BASHH President 2020-2
Sexual Health : COVID-19 Response : Communication & Open Sharing : Where we were & what we had Feb/March: Open sharing of development of Business Continuity Plans across BASHH ; drafts to COVID-19 page on website (NI & RoI) March: Commissioners/BASHH Officers/Leads Service Providers (London)/ Online Service Providers OPEN Share Daily Teleconference 7/7 for 2 weeks then Monday to Friday (now weekly) Reproductive & Sexual Health Sector Teleconference weekly: (England) : led by PHE & DHSC with LGA / ADPH /English Commissioners /BASHH /FSRH /BHIVA /National Sexual Health Helpline BASHH Internal Branches: NI, Scotland, Wales & English Regions Clinical Governance Committee: WhatsApp Groups : Team of Teams BASHH National : Northern Ireland, Scotland, Wales & England
Sexual Health : COVID-19 Response : Communication & Open Sharing : Surveys & Outputs 1 Open sharing Draft BCPlans & SOPs on COVID-19 Webpage Immediate Plans & created a BASHH Survey of shared intentions plus ideas, with responses collated and posted immediately on Website COVID-19 Pandemic Response Document (1) Joint BASHH/FSRH/BHIVA request to Government March 2020 BASHH Survey #1 & Clinical Thermometer April 2020 Impact of change ; workforce, demand, footfall, switch to distance care Preservation of Essential functions or not Risk Assessment & care provision to vulnerable & complex care needs BASHH Vulnerability & Complexity Teleconference Adolescent SIG, Sexual Violence (& Domestic Violence)SIG, Gender and Sexual Minorities SIG, Health Advisers, NAT (VSO Rep) London Met Police etc. BASHH VSO Sector Update & Support TC: hosted by NAT (National AIDS Trust: UK Forum)
Sexual Health : COVID-19 Response : Communication & Open Sharing : Surveys & Outputs 2 PHE SRH Vulnerability & Complexity Working Group (BASHH/ FSRH/ English Commissioners /Brook/National Sexual Health Helpline to produce immediate, short term, medium and long term support strategies and resources) Comms on We re Open, Here for you, just Phone First Community Partnership Cascade: Remapping and Relinking Services Top Tips for Triage, Telemedicine & Support for Practitioners LGA Generic Guidance & ADPH Guidance alignment through services KNOWLEDGE HUB for Sexual Health Sector: Site for ALL Sexual Health Resources PHE Evaluation Toolkit: to support services assessing change, magnitude and impact: to collate and describe issues to feed into subsequent New Sexual Health Strategy TELEMEDICINE Working Group DIGITAL HEALTH Working Group
Sexual Health : COVID-19 Response : Communication & Open Sharing : Surveys & Outputs 3 BASHH Survey #2 & Clinical Thermometer June 2020 evidence of significant shift in activity; most services 15% baseline footfall though now with adaptations 45% (range 10 to 90%) activity: Access to Online Testing & Treatment for STIs and enablement for Contraception LARC remains suspended (though exploration) BASHH Recovery Principles Consultation & Draft Prioritise Vulnerability & Complexity for access to Face to Face care Telemedicine first: attendance by exception Local collaborative decision making : Capacity & Capability Address health inequality wellbeing at the heart of local, regional and national planning and strategy Evaluate, Evolve ?Restore, Retain & Reject (Marmot 2020 10 year Review) Put health equity and Future Planning
CORE GROUPS VULNERABLE Young People People with history of experiencing violence and/or abuse, or in coercive relationships BAME populations MSM & other GSM Children/Adults Registered Vulnerable CSWs & others involved in transactional sex People with Drug & Alcohol Problems People with Mental health issues Where there is evidence of higher risk of acquisition of STIs and/ or disconnection from local services & need not met by telemedicine People with physical or other disabilities Looked after children/Care Leavers POOR ACCESS TO CARE CLINICAL COMPLEXITY Homeless people People with complex contraception needs including seeking LARC People with no phone/internet access People with complex GUM needs Non-English Speakers People with ongoing Chem sex issues Migrants or asylum seekers People with specialised dermatological issues e.g. Lichen sclerosus & VIN People with no recourse to public funds PLWH with active sexual health needs Rural people with limited access to care People over 65 with additional co- morbidities Travellers (Minceiri)
Sexual Health : COVID-19 Response : Communication & Open Sharing : Links BASHH Website https://bashh.org/covid-19-resources/ BASHH COVID-19 Pandemic Response Document https://members.bashh.org/Documents/COVID- 19/Pandemic%20COVID%2019%20Sexual%20Health%20Services%20Priorities %20v0.5%20BASHH.pdf BASHH Principles of Recovery for Outpatient GUM, Sexual Health & HIV Services COVID-19 Pandemic 2020 https://members.bashh.org/Documents/COVID- 19/Principles%20for%20Recovery%20of%20Sexual%20Health%20Draft%2008 .06.2020%20-%20for%20website%20upload.pdf