Sexual health: 24 hours a day

Transforming sexual health with technology

Gillian Holdsworth, Paula Baraitser

2

17,000 people turned away

each year

1. Finding a

service:

The 6 pain points in getting a sexual health test

Finding

time:

Waiting

in clinic:

Embarrassment:

Waiting for

results:

Finding treatment:

Access and testing:

Sexual health:

24 hours a day

Understanding impact

Results

Intervention

Group

(n=1031)

Control Group

(n=1032)

Risk Ratio

(95% CI)

P value

Primary Analysis 1.87

(1.63, 2.15)<0.0001

SH:24 doubled the rate of STI testing

Self reported completion of an STI test at 6 weeks, verified by patient health

records

Number of simple STI tests performed at Camberwell Sexual Health Centre and

SH:24 by quarter.

Innovation Adoption Life Cycle

Migration:

ConvenienceNormalisation

Self efficacy

Triage in clinic and signpost online:

Age group Clinic users Signposted online users

Spontaneous online users

Age group

16-19 201 (8.9%) 55 (6.2%) 194 (4.6%)

20-24 472 (20.8%) 205 (23.0%) 1282 (30.1%)

25-29 509 (22.5%) 262 (29.4%) 1605 (37.6%)

35-34 366 (16.2%) 146 (16.4) 650 (15.2%)

Gender

Female 1344 (59.3%) 416 (46.7) 2746 (64.4)

Male 922 (40.7%) 474 (53.3) 1516 (35.6)

Ethnicity

Black/British 941 (41.5%) 270 (30.3%) 768 (18%)

Moving users from clinic to online:

Changes to clinic activity as a result of triage in clinic and signpost online

Complex care STI test only

70%

75%

17%

12%

Monday

AM Walk-in Clinic 8.30–11

PM Appointments only

Tuesday

AM Appointments only

PM Walk-in Clinic 2-4

Wednesday

AM Appointments only

PM Young person only Walk-in 2-4

Thursday

Appointments all day.

Friday

AM Walk-in Clinic 8.30–11

PM Appointment only

Saturday

Not open

Sexualhealthclinic

MondayAMWalk-inClinic8.30– 11.00PMAppointmentsonlyTuesdayAMAppointmentsonlyPMWalk-inClinic2.00- 4.00WednesdayAMAppointmentsonlyPMYoungpersononlyWalk-in(18andunder)- 2.00- 4.30ThursdayAppointmentsallday.FridayAMWalk-inClinic8.30– 11.00PMAppointmentonlySaturdayNotopen

1busanhour,takes1hour

1busanhour,takes1hour

1trainanhour,takes20minutes

1train/busanhour,takes20-40minutes

How would you integrate online services into this system?

Are all areas the same?

Test and treat at home:Free up capacity in specialist clinics

0

2

4

6

8

10

12

14

16

18

24 to 48hours

48 to 72hours

72 to 96hours

96 to 120hours

120+ hours 7+ days

Time from diagnosis to treatment

Changing sexual health conversations:Supporting people around their sexual health

Hello, thank you for your order. When reviewing

your file I noticed that you had a test with us recently.

Is there anything concerning you and causing

you to re-test so soon?

Well, I had unprotected sex 2 weeks ago and was

warned to get checked. So I thought it was better to get checked for peace of mind.

Thank you.

QUIZ

1. Online services pull simple STI testing out of clinics?

2. The proportion of young people using online services is higher in London than in rural areas?

3. Most people using online services are asymptomatic?

4. 76% of people can prick their finger and drop 16 drops of blood into a tiny container?

Sexual health:

24 hours a day