Draft HSJ deck 00

Sexual health: 24 hours a day

PropositionA new online sexual health service, delivered in partnership with the NHS, providing people with free STI test kits, information and advice 24 hours a day.SH:24 makes it easier for people to get tested for chlamydia, gonorrhoea, syphilis and HIV. The service is quick, discreet and completely confidential.SH:24 is fully integrated with specialist health services and also signposts users to other points of access in primary care and community pharmacy

A new online sexual health service, delivered in partnership with the NHS, providing people with free STI test kits, information and advice 24 hours a day.SH:24 makes it easier for people to get tested for chlamydia, gonorrhoea, syphilis and HIV. The service is quick, discreet and completely confidential.SH:24 is fully integrated with specialist health services and also signposts users to other points of access in primary care and community pharmacyA seamless interface between internet, telephone and clinic based services

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Mission:To improve the health and wellbeing of people in Southwark and Lambeth, through a more accessible, more efficient sexual health service.

Aims:1. To improve the sexual health of the local populationRapid diagnosis and treatment of infectionsRapid access to contraceptionPromotion of self management

2. To improve access and qualityA convenient, discreet, user centred 24/7 service Working with local specialist clinical services - to agreed protocols

3. To increase productivity and reduce costsMove less complex cases online, freeing up capacity in existing specialist services for more complex case managementIncreased and improved activity for the same cost

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users

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Finding a service:

Experience is compromised; awareness of service (where and why to test?)inconvenience (travelling to clinic, finding the time to arrange and (work/life commitments), the wait 3-4hrs or turn awaypublic embarrassment wait for results, sometimes 10-12 days (stress, anxiety)

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Waiting in clinic:

Finding time:

Embarrassment:

Waiting forresults:

Convenience:

User benefits noted:conveniencediscreetnessrapid resultssupport - can be set in the context of the Five Year forward plan for the NHS published in Oct 2014 which talks about 'exploiting the information revolution - while currently 86% of adults using the internet regularly but only 2% use it to contact their GP' - also talks about a radical upgrade in prevention and public health - by making access easier, diagnosis and treatment faster - reduces onward transmission - patients gaining far greater control of their own care

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Confidential:

User benefits noted:conveniencediscreetnessrapid resultssupport - can be set in the context of the Five Year forward plan for the NHS published in Oct 2014 which talks about 'exploiting the information revolution - while currently 86% of adults using the internet regularly but only 2% use it to contact their GP' - also talks about a radical upgrade in prevention and public health - by making access easier, diagnosis and treatment faster - reduces onward transmission - patients gaining far greater control of their own care

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Speed:

User benefits noted:conveniencediscreetnessrapid resultssupport - can be set in the context of the Five Year forward plan for the NHS published in Oct 2014 which talks about 'exploiting the information revolution - while currently 86% of adults using the internet regularly but only 2% use it to contact their GP' - also talks about a radical upgrade in prevention and public health - by making access easier, diagnosis and treatment faster - reduces onward transmission - patients gaining far greater control of their own care

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Instant support:

User benefits noted:conveniencediscreetnessrapid resultssupport - can be set in the context of the Five Year forward plan for the NHS published in Oct 2014 which talks about 'exploiting the information revolution - while currently 86% of adults using the internet regularly but only 2% use it to contact their GP' - also talks about a radical upgrade in prevention and public health - by making access easier, diagnosis and treatment faster - reduces onward transmission - patients gaining far greater control of their own care

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Fast tracked:

User benefits noted:conveniencediscreetnessrapid resultssupport - can be set in the context of the Five Year forward plan for the NHS published in Oct 2014 which talks about 'exploiting the information revolution - while currently 86% of adults using the internet regularly but only 2% use it to contact their GP' - also talks about a radical upgrade in prevention and public health - by making access easier, diagnosis and treatment faster - reduces onward transmission - patients gaining far greater control of their own care

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40%at clinicAsymptomatic users:

Stis upIncresing levels of riskAsymptics at clinics 40%21

Migration:

Stis upIncresing levels of riskAsymptics at clinics 40%22

165 vs 70 Financial savings:

Stis upIncresing levels of riskAsymptics at clinics 40%23

Clinical resource reassigned:

Stis upIncresing levels of riskAsymptics at clinics 40%24

efficiency

Public Health POV; providers and commissioners stress effectiveness 25

The numbers

Constitution:

Stis upIncresing levels of riskAsymptics at clinics 40%29

Developing the minimum:

Develop only what is necessary / Fail fast / Fail cheap

Diverge & converge:

Iterative prototyping:

User centred: user profile

approach agile

Public Health POV; providers and commissioners34

Multidisciplinaryteam:

DesignersCliniciansAcademicsUsersCodersPublic healthProject managers

- User-centred (we develop what users want and need, not what we think they need) / Collaborative / iterative (prototyping saves time, money and manages risk) 37

What cliniciansthink:

the changing landscape of SH / demand outstripping capacity / efficiency drive / current user experience / modern day user preferences 38

Returnrate:

72%

Stis upIncresing levels of riskAsymptics at clinics 40%41

Diagnosticrate:

8%

Stis upIncresing levels of riskAsymptics at clinics 40%42

Asymptomatic:

95%

Stis upIncresing levels of riskAsymptics at clinics 40%43

The future:

InformationPartner notificationEmergency contraceptionChlamydia treatmentPregnancy tests Hormonal contraception CondomsScale

Stis upIncresing levels of riskAsymptics at clinics 40%44

Thats brilliant an amazing service! Well done to all concerned, this will make a lot of people very happy, it will change some peoples lives!

This has renewed my faith in the NHS turns out it can offer decent services online why can you do it so well for this, and so badly, or not at all, for everything else?

Everyone in the UK should have access to this service, its common sense

Ironically, though it's a remote service, it's more personal

the changing landscape of SH / demand outstripping capacity / efficiency drive / current user experience / modern day user preferences 48

Thank

you:

the changing landscape of SH / demand outstripping capacity / efficiency drive / current user experience / modern day user preferences 49