Integrating Sexual Health Integrating Sexual Health ServicesServices

Helen LumbHelen Lumb

Claire MajorClaire Major

Existing Services – need for Existing Services – need for changechange

• GUM & Family Planning provided by GUM & Family Planning provided by separate Trust and 3 management separate Trust and 3 management teamsteams

• Increasing patient demandIncreasing patient demand

• Single handed consultantsSingle handed consultants

• Limited scope for expansionLimited scope for expansion

• Duplication of service deliveryDuplication of service delivery

• Paper based systemsPaper based systems

The ‘Vision’The ‘Vision’

To provide a holistic and equitable To provide a holistic and equitable sexual health service to all clients by sexual health service to all clients by the most appropriately trained the most appropriately trained professional, regardless of professional, regardless of background, and in the most background, and in the most appropriate place, within agreed appropriate place, within agreed resource boundariesresource boundaries

Process of ChangeProcess of Change

• WAG direction & fundingWAG direction & funding

• Shared visionShared vision

• Senior buy in and leadershipSenior buy in and leadership

• Commissioners agreementCommissioners agreement

• Public & Staff involvementPublic & Staff involvement

Process of Change ContProcess of Change Cont

• Project planProject plan

• Local service specificationLocal service specification

• New IT systemNew IT system

• Revised clinic structureRevised clinic structure

• Roles & responsibilitiesRoles & responsibilities

• TrainingTraining

What has worked wellWhat has worked well

• Project structureProject structure

• CommunicationCommunication

• Delegation of tasksDelegation of tasks

• Scope for service developmentScope for service development

• Increasing understanding of servicesIncreasing understanding of services

• Increased skill baseIncreased skill base

Integration barriersIntegration barriers

• Lack of dedicated project timeLack of dedicated project time

• Decision over lead TrustDecision over lead Trust

• Commissioning LeadsCommissioning Leads

• Realistic/stringent deadlinesRealistic/stringent deadlines

• Funding restrictionsFunding restrictions

• Changing rolesChanging roles

• Clinic availabilityClinic availability

• Designing the unknownDesigning the unknown

Next StepsNext Steps

• IT systemIT system

• Agree Clinic TimetableAgree Clinic Timetable

• KPIsKPIs

• Public Launch – PR programmePublic Launch – PR programme

• Further development of Primary CareFurther development of Primary Care

• Mainstreaming outlying servicesMainstreaming outlying services

• A well earned rest!A well earned rest!

Contact DetailsContact Details

• Olwen Williams – Olwen Williams – Director of Sexual Health Director of Sexual Health Services, Tel: 01745 534798 Services, Tel: 01745 534798

Email: Email: Olwen.Williams@cd-tr.wales.nhs.ukOlwen.Williams@cd-tr.wales.nhs.uk

• HelenHelen LumbLumb - -Assistant Director of Commissioning Assistant Director of Commissioning and Performance, Tel: 01978 346535and Performance, Tel: 01978 346535

Email: Email: Helen.Lumb@wrexhamlhb.wales.nhs.ukHelen.Lumb@wrexhamlhb.wales.nhs.uk

• Claire MajorClaire Major – Assistant General Manager, Tel: 01745 – Assistant General Manager, Tel: 01745 534618, Email: 534618, Email: claire.major@CD-tr.wales.nhs.ukclaire.major@CD-tr.wales.nhs.uk

• Yvette Drysdale – Yvette Drysdale – Assistant General Manager, Assistant General Manager, Tel: 01745 443182 Tel: 01745 443182

Email: Email: Yvette.Drysdale@cd-tr.wales.nhs.ukYvette.Drysdale@cd-tr.wales.nhs.uk