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Reductions to Sexual Health and Contraception (S01)

Cuts

Portfolio: Health and Partnerships Portfolio

Description

  • Sexual Health Services – Contracted GUM service offering STI advice, testing and treatment and HIV advice and testing. Via a Consultant led clinic delivered from Darlington Memorial Hospital. Triage system in place to prioritise those in greatest need.
  • Provision of contraceptive advice, treatment and support where indicated to those accessing the GUM service.

Sexual Health – GUM Clinic £25,000 5% reduction in CDDFT service & £1,980 5% reduction in non-contract activity budget.

Link

S1 - Cut Sexual Health Services

Your Say

8 comment(s)

This table lists comments from the public about this proposal

Comment

Cut S01 (Sexual Health services)

Under PMS general practice was paid to do sexual health screening. All practices in Darlington have been changed to a GMS contract. The GMS contract does not include sexual health screening. Our practice is facing significant cuts and as we will have to review if we can provide this service if we are not going to be paid for it.

Cut S01 (Sexual Health services)

Any cuts to sexual health services are detrimental in our view. The provision of this service is vital to the community and cutting such a service will mean that people will not get quick access to services they need at a very difficult time in their lives.

Cut S01 (Sexual Health services)

Triage in sexual health is a ridiculous idea and will see a fall in attendance by the young people who have plucked up courage to attend leading to a massive increase in STI's and teenage pregnancies. I must point out that in primary care we have worked very hard over the last few years to improve these figures and have succeeded only to have our efforts dismissed.

Cut S01 (Sexual Health services)
Cut S05 (Public Mental Health)
Cut S07 (Sanctuary Scheme)

Reductions to Sexual Health and Contraception - This will reduce capacity and resource for the Darlington population which will increase the pregnancy rates (particularly teenage) which will in turn increase pressure on other services. Reducing the availability of procedures and access, can only be negative. Reductions to Public Mental Health - Not enough Mental Health resources anyway let alone with any further reductions. This is one area with little support already and to reduce it further, will be catastrophic. Sanctuary Scheme - This will just increase the numbers of DV and homelessness.

Cut S01 (Sexual Health services)
Cut S05 (Public Mental Health)

Reductions to sexual health - likely to increase teenage pregnancy rate Reductions to Public Mental Health - Likely to increase suicide rate

Cut S01 (Sexual Health services)
Cut S05 (Public Mental Health)
Cut S09 (Obesity Management)

Reductions to Sexual Health and Contraception - I am very concerned this will increase teenage pregnancy rate. In the past I was the lead for paediatrics for Darlington CCG. As a GP I have many teenagers who struggle to take the pill and need LARC. National guidelines say hormonal implant should be considered first line. If GP no longer will be fitting them this will negatively affect their use. I am also concerned that the proposed model will fragment the service. Any barriers will result in decrease uptake of contraception. Children should have a choice of how they can access contraception I cannot understand the concept of triaging sexual health screening to those most in need. Primary care is not funded to do sexual health screening (we were until our contracts changed). Women should have a choice of either Gum or GP for sexual health screening so we have good uptake Reductions to Public Mental Health - As a GP I am concerned that decreasing support to a vulnerable group may have a negative effect. Reductions to Obesity funding - I am extremely concerned regarding this proposal. There has been a lot of work done to address childhood obesity. Children will be identified as having problems with their BMI through the national measurement programme. Children age 5 have not made the lifestyle choices with calorie intake and the amount of exercise they take. They are unable to take themselves to a GP. To tackle children obesity we need programs that have an evidence base and are generally a combination of exercise and dietary advice. Even if a child is brought to a GP medicalising the issue has not been shown to be effective in tackling the issue. Failing to support children will cause increasing health problems for them in the future

Cut S01 (Sexual Health services)
Cut S07 (Sanctuary Scheme)
Cut S08 (Public Health Other)
Cut S09 (Obesity Management)
Cut S10 (MARAC)

Reductions to Sexual Health and Contraception - Young people are the highest risk of STI’s Young people are the highest risk of pregnancy Young people are the most unlikely to access services Negative impact on 0-19 service and remaining service providers Sanctuary Scheme - Several of our most vulnerable families have worked with Sanctuary which has enabled them to remain in their homes. Disruption to family life Negative impact on emotional health and well-being Negative impact on schooling Negative impact on other services The health and well-being of children, young people and families is likely to be at risk of significant harm Public Health Other (S08)Home Improvement Agency - Significant impact on vulnerable families to fund own needs or go without. Reductions to Obesity funding - No services available to support obese children and families following NCMP screening. Proposals from DBC are unrealistic to vulnerable and hard to reach families Negative impact on 0-19 service to provide sustainable support. Negative impact on physical health of children, young people and families. Increased demand on remaining services. The future health and well-being of children and young people is likely to be at risk. Reductions to Multi Agency Risk Assessment Conference - Added pressures to other remaining services. Children, young people and families in Darlington are likely to be at greater risk of harm

Cut S01 (Sexual Health services)
Cut S05 (Public Mental Health)
Cut S07 (Sanctuary Scheme)
Cut S08 (Public Health Other)
Cut S09 (Obesity Management)
Cut S10 (MARAC)

For me as a GP all of the proposed public health reductions will have a negative impact