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Sandyford Services and East Dunbartonshire

Dr. Urszula BankowskaClinical DirectorThe Sandyford

The Sandyford …provides Sexual, Reproductive and emotional health

services for Greater Glasgow & Clyde

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Sandyford – Basic Statistics

Client contacts 100,000 (former Glasgow)23,000 (former Clyde)123,000 Total

Population served : 1.4millionTotal budget : around 13 million

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Sandyford - Philosophy

Public health role.Importance of partnership work with local authorities, other health services, and local communities.Social model.Emphasis on health & inequalities.

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Service Model

Sandyford CentralClinical services

-----------------------------Centre for Admin,

Education & Governance

Geographical Hubs Specialist Hubs

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Sandyford Central Provides:

Clinical GovernanceProtocolsComplaintsLogisticsSupplies etc.

Staff Governance ContractsPDPsJob Plans/Appraisals etc.Education Programme etc.

Support ServicesWeb-siteTelephone HelplineITResults texting etc.

Board-wide ProjectsC CardEC & PharmacyPrisonsPostal Chlamydia testing etc.

Director of Sandyford

Clinical Lead for Strategic &

Operational Developments

Clinical Director

Head of Nursing

Head of Planning &

Partnerships

General Manager

(Business & Development)

Operations Manager

(Business & Admin)

Library Team

IT Dept

Communications Team

C CardTraining

Crèche

Admin Service

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Clinical Leadership

14 Consultants:7 SRH background6 GUM background1 Psychiatrist

Lead Nurse (senior executive)Specialist Sexual Health nurses Hub lead nurses

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Sandyford staffing

Staffing levels (whole time equivalents) for the whole of Sandyford are:

Medical 43.32Nursing (incl Health Advisers) 62.28A&C 61.51Counsellors 4.50

Consultants and lead nurses work across geographical area, but have special responsibility for particular services and/or governance issues.

HomelessnessTOP

Hub Development

e.g. IT, HIV Services & SRP

Base 75Gender Dysphoria

Psychosex

Gyn MenopauseVasectomy

Sexual AssaultYoung People

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Workforce Issues

New MTAS system re medical recruitment for training posts New medical contracts Agenda for Change Competency Training for Nurses - capacity

Sexual Health PIG for Glasgow & Clyde

•Lead Officer Sexual Health•Currently Director for West CHCP

The Sandyford Initiative

Local CHP/CHCP based Strategy Groups including Health & Local Authorities

Clinical Services Sub-group•Chaired by Lead Clinician

•Primary Care•Gynae•Labs

•Sandyford•Pharmacy

BBV Forum

Board-wide Governance

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Glasgow & Clyde Model

Strong central framework with flexible local servicesbased on CHCP areas.

Avoid duplication of work but allow local flexibility.

Consultants provide leadership within defined remit andare well supported so can cover large geographicalareas.

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Specialist Hubs

Base 75

Sexual Health Homeless Service

Steve Retson Project (MSM)

Archway (Sexual assault)

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Geographical Hubs (under development)

Based on 10CHPs/CHCPs

Former FPC+ new services(Strategy funds)

2 – 5 day week

S & R health services for men, women and young people

“Sandyford Hub”

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Geographical Hubs

Glasgow South East 2005Glasgow East 2006 (new build)Inverclyde 2006Glasgow North 2006Glasgow South West 2007East Renfrewshire 2007Renfrewshire 2008 West Dunbartonshire 2008East Dunbartonshire 2009

Each Hub uses specialist service framework, but adopts accordingly to local need.

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Services in Sandyford Hub

Contraception Sexual Health screeningSymptoms of STIContacts of STIMedical Gynae (including ultrasound) TOPARCounselling and Support services Specialist youth service PlaceSexual Problems counselling & transgender VasectomySpecialist information Education & Training

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Hub Model

Locally accessible Sexual & Reproductive Health Services (GUM, FP, RH)Service for all sexually active individuals Confidential (including from other Primary Care if user wishes)Links to other health, education and social servicesAdaptable to local needs

GP out of Hours Service

Community Groups

Youth Teams

Practise Nurses/GPs

Mental HealthPartnership

Addiction Teams

Health Promotion

Hospital Gynaecology

Local Libraries Schools

Health Visitors

Social Work

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Specialist Sexual Health Services in East Dunbartonshire

Family Planning clinic in Kirkintilloch has averaged c.1700 attendances per year

4585 attendances from East Dunbartonshire postcodes residents at central Sandyford per year –total 5845 across service Many clients will not travel to central services

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Kirkintilloch FPC

6.30 – 9.30 Tuesday and ThursdayAppointments only140 women attended in March 2008 c.20%under 20 yrs old Vast majority for contraception and well women services

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Specialist Sexual Health Services comparing East Dunbartonshire and South East Glasgow

East Dunbartonshire

South East Glasgow

Total POP 106,550 101,020POP aged 16-64

67,813 69,778

Sexual Health Attendances in CHP area in march

141 623 + 200

Nature of Attendance

FPC & WW only Full range GUM, FP, RH for men, women & young people.

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Sandyford South-East CHCP

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East Dunbartonshire CHCP

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Sandyford SE Hub (at Govanhill)

March2008

9.00 – 7.00pm Monday9.00 – 7.00pm Wednesday9.00 – 4pm FridayWalk-in and appointmentsMale & FemaleYouth priorityTotal Attendances at Govanhill Hub & Castlemilk FPC = 864/month

Reasons include:-

Contraception Sexual Health ScreeningSymptoms of STIContacts of STI Gynae (including ultrasound)TOPCounselling/listening earSpecialist youth session Specialist information

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Sandyford South-East Total Attendance Oct-Dec 2007

Male %

Female %

Total

October 126 20.22% 497 79.78% 623

November 122 22.02% 432 77.98% 554

December 101 22.20% 354 77.80% 455

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Youth Priority Map

The Place @ Clarkston

The Place @Sandyford East RenfrewshireLead Nurse: Mairi Stewart Tel: 314 0885

Sandyford East YHSLead Nurse :Pauline Caulfield Tel: 232 7413

YHS @ Sandyford NorthLead Nurse: Aileen Speirs Tel: 531 6703

The Place@ Govan

The Place@ Sandyford South WestLead Nurse: Moira Young Tel: 531 6807

The Place@ Sandyford InverclydeLead Nurse: Anne Burns. Tel: 01475504978

The Place @ Sandyford RenfrewshireLead Nurse: Rosie McCluskey

Sandyford South East YHSLead Nurse: Jackie Blair Tel 5318349

The Place @ Boglestone

The Place @ Sandyford CentralLead Nurse Young People’s Services:Bev Wilson-Brown, Tel 211 8600

The Place @ Youth Connections

The Place @ Castlemilk

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The Place – Key Priorities

To work towards equitable & accessible youth priority service provision in CH(C)P areas & further develop partnerships with local agencies to facilitate this.To target specific at-risk groups within each of these areas depending on local priorities.To continue to encourage uptake of Chlamydia testing in young people under 20 & support treatment & partner notification. To improve uptake of LARC in young people under 20 across the service as a way of reducing unintended pregnancy rates.To support the East end education curriculum pilot.To investigate the feasibility of wider use of brief interventions for young people at risk of problem drinking.

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Sandyford Youth Priority Services –Total Attendances Oct-Dec 2007

Total attendances for <16 years

0100200300400500600700800900

11 12 13 14 15 Total

FemaleMale

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Youth Priority Attendances <16

Attendances of clients under 16 by age & gender – all services October-December 2007

Age Female Male Total11-13 44 14 5814 246 55 30115 559 90 649Total 849 159 1008

*It is important to note that clients access Sandyford’s youth priority services for advice about a range of issues, and attendance at a service does not imply that a young person is sexually active.

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Work so far …

Kirkintilloch Initiative scheduled to be completed March 2009Lead nurse for Sandyford Hub appointed-Fiona Durham- funding for 2 days a week Planning for services and opening hoursLinks development work beginning

– Youth links – Operational development group– Sexual Health Strategy group