Scotland’s Sexual Health Information
CHAPTER 1 - Policy and Workload Policy
HIV: Treatment and care needs assessment
Respect and Responsibility
Scotland’s sexual health strategy, Respect and Responsibility: A Strategy and Action Plan for Improving Sexual Health, published by the Scottish Government in January 2005, is now in the second phase of funding, 2008-2011.1 www.scotland.gov.uk/ Resource/Doc/35596/0012575.pdf.
This strategy was supported by an extra investment of £15 million over the three financial years April 2005 to March 2008. An additional £15 million has been invested, from within the Scottish Government’s Better Health, Better Care: Action Plan (2007), to support the strategy until 2011. Following a stock taking review of the strategy in 2007, the next phase will continue to support sexual health service provision in addition to tackling/developing cultural and behavioural change. This latter issue will be addressed during 2009/10 through social marketing campaigns led by the Scottish Government’s ‘Health Improvement Social Marketing Strategy’ and NHS Health Scotland.
Respect and Responsibility: sexual health outcomes
In the second phase of Respect and Responsibility, the focus is shifting towards achieving cultural and behavioural change. A document, Respect and Responsibility: Delivering improvements in sexual health outcomes 2008-2011 details actions across four broad themes: (i) knowledge and awareness; (ii) leadership, co-ordination and performance management; (iii) standards and service provision and, (iv) young people. These actions are designed to improve the sexual health and wellbeing of people in Scotland by achieving long term objectives such as: a reduction in levels of regret and coercion, a reduction in levels of unintended pregnancy, a reduction in sexually transmitted infections (STIs) and in HIV transmission, and increased access to sexual health information and to sexual health services. http:// www.healthscotland.com/uploads/documents/8411- R&Routcomes200820011_final.pdf
The Scottish Public Health Network (ScotPHN) was commissioned by the Scottish Government to perform a health care needs assessment (HCNA) for people living with HIV in Scotland. The report, Treatment and Care Needs Assessment: People living with HIV, following a stakeholder event held in 2008 and having completed its consultation process, will be published during 2009. http://www.healthscotland. com/resources/networks/scotphn/projects/HIV.aspx2 The HCNA recommends a number of improvements that will allow services to meet the current and future complex demands of people living with HIV. Key recommendations have informed the HIV Action Plan.
HIV Action Plan
An HIV Action Plan for Scotland will be published by the Scottish Government in December 2009. The aim of this plan is primarily to prevent HIV transmission and to provide high quality treatment and care to all those who require it.
In anticipation of the national HIV Action Plan, NHS Health Scotland is working with key voluntary and statutory agencies to develop HIV key messages and visual materials targeted at men who have sex with men (MSM).
Sexual Health Services Standards (NHS Quality Improvement Scotland)
Sexual health services standards were developed and published in April 2008 by NHS Quality Improvement Scotland (NHS QIS) and can be accessed at http://www.nhshealthquality.org/nhsqis/files/ SEXHEALTHSERV_STANF_MAR08.pdf3
NHS QIS have developed a self assessment framework tool to support NHS boards in providing information to achieve the standards. Each NHS board will receive a visit which is intended to monitor their performance against the standards.