Sandyford Services and East Dunbartonshire
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1 Sandyford Services and East Dunbartonshire Dr. Urszula Bankowska Clinical Director The Sandyford 1
2 The Sandyford provides Sexual, Reproductive and emotional health services for Greater Glasgow & Clyde
3 Sandyford Basic Statistics Client contacts 100,000 (former Glasgow) 23,000 (former Clyde) 123,000 Total Population served : 1.4million Total budget : around 13 million 3
4 Sandyford - Philosophy Public health role. Importance of partnership work with local authorities, other health services, and local communities. Social model. Emphasis on health & inequalities. 4
5 Service Model Sandyford Central Clinical services Centre for Admin, Education & Governance Geographical Hubs Specialist Hubs 5
6 Sandyford Central Provides: 6 Clinical Governance Protocols Complaints Logistics Supplies etc. Staff Governance Contracts PDPs Job Plans/Appraisals etc. Education Programme etc. Support Services Web-site Telephone Helpline IT Results texting etc. Board-wide Projects C Card EC & Pharmacy Prisons Postal Chlamydia testing etc.
7 Director of Sandyford Clinical Lead for Strategic & Operational Developments Head of Nursing General Manager (Business & Development) Operations Manager (Business & Admin) Clinical Director Head of Planning & Partnerships Library Team IT Dept Training C Card Communications Team Crèche Admin Service
8 Clinical Leadership 14 Consultants: 7 SRH background 6 GUM background 1 Psychiatrist Lead Nurse (senior executive) Specialist Sexual Health nurses Hub lead nurses 8
9 Sandyford staffing Staffing levels (whole time equivalents) for the whole of Sandyford are: Medical Nursing (incl Health Advisers) A&C Counsellors
10 Consultants and lead nurses work across geographical area, but have special responsibility for particular services and/or governance issues. e.g. IT, HIV Services & SRP Sexual Assault Young People Homelessness TOP Hub Development Base 75 Gender Dysphoria Psychosex Gyn Menopause Vasectomy
11 Workforce Issues New MTAS system re medical recruitment for training posts New medical contracts Agenda for Change Competency Training for Nurses - capacity 11
12 Board-wide Governance 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
13 Glasgow & Clyde Model Strong central framework with flexible local services based on CHCP areas. Avoid duplication of work but allow local flexibility. Consultants provide leadership within defined remit and are well supported so can cover large geographical areas. 13
14 Specialist Hubs Base 75 Sexual Health Homeless Service Steve Retson Project (MSM) Archway (Sexual assault) 14
15 Geographical Hubs (under development) Based on 10 CHPs/CHCPs Former FPC + new services (Strategy funds) 2 5 day week S & R health services for men, women and young people Sandyford Hub 15
16 Geographical Hubs Glasgow South East 2005 Glasgow East 2006 (new build) Inverclyde 2006 Glasgow North 2006 Glasgow South West 2007 East Renfrewshire 2007 Renfrewshire 2008 West Dunbartonshire 2008 East Dunbartonshire 2009 Each Hub uses specialist service framework, but adopts accordingly to local need. 16
17 Services in Sandyford Hub Contraception Sexual Health screening Symptoms of STI Contacts of STI Medical Gynae (including ultrasound) TOPAR Counselling and Support services Specialist youth service Place Sexual Problems counselling & transgender Vasectomy Specialist information Education & Training 17
18 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 services Adaptable to local needs 18
19 Hospital Gynaecology Local Libraries Schools GP out of Hours Service Health Visitors Community Groups Social Work Youth Teams Health Promotion Practise Nurses/ GPs Mental Health Partnership Addiction Teams
20 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 20
21 Kirkintilloch FPC Tuesday and Thursday Appointments only 140 women attended in March 2008 c.20%under 20 yrs old Vast majority for contraception and well women services 21
22 Specialist Sexual Health Services comparing East Dunbartonshire and South East Glasgow 22 East Dunbartonshire South East Glasgow Total POP 106, ,020 POP aged Sexual Health Attendances in CHP area in march Nature of Attendance 67,813 69, FPC & WW only Full range GUM, FP, RH for men, women & young people.
23 Sandyford South- East CHCP 23
24 East Dunbartonshire CHCP 24
25 Sandyford SE Hub (at Govanhill) March pm Monday pm Wednesday pm Friday Walk-in and appointments Male & Female Youth priority Total Attendances at Govanhill Hub & Castlemilk FPC = 864/month Reasons include:- Contraception Sexual Health Screening Symptoms of STI Contacts of STI Gynae (including ultrasound) TOP Counselling/listening ear Specialist youth session Specialist information 25
26 Sandyford South-East Total Attendance Oct-Dec 2007 Male % Female % Total October % % 623 November % % 554 December % %
27 Youth Priority Map The Sandyford Central Lead Nurse Young People s Services: Bev Wilson-Brown, Tel Sandyford North Lead Nurse: Aileen Speirs Tel: The Place@ Sandyford Inverclyde Lead Nurse: Anne Burns. Tel: The Youth Connections Sandyford East YHS Lead Nurse :Pauline Caulfield Tel: The Boglestone The Place@ Sandyford South West Lead Nurse: Moira Young Tel: The Place@ Govan The Sandyford Renfrewshire Lead Nurse: Rosie McCluskey Sandyford South East YHS Lead Nurse: Jackie Blair Tel The Castlemilk 27 The East Renfrewshire Lead Nurse: Mairi Stewart Tel: The Clarkston
28 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. 28
29 Sandyford Youth Priority Services Total Attendances Oct-Dec 2007 Total attendances for <16 years Total Female Male
30 Youth Priority Attendances <16 Attendances of clients under 16 by age & gender all services October-December 2007 Age Female Male Total Total *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.
31 Work so far Kirkintilloch Initiative scheduled to be completed March 2009 Lead nurse for Sandyford Hub appointed-fiona Durham- funding for 2 days a week Planning for services and opening hours Links development work beginning Youth links Operational development group Sexual Health Strategy group 31
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