Post on 22-Aug-2020
Paper 08/35d1
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