treatments - issue 87

STATE of EMERGENGY?

feedback process were raised and this resulted in the Department of Health (DoH) publishing another document -

positive nation

The Implementation Action Plan - in the Summer of 2002, acknowledging these concerns.
A major criticism from those involved in the strategy feedback was simply that the strategy itself was ‘woolly’ and descriptive, rather than prescriptive; and some felt it was non-committal about action to achieve change.
The Implementation Action Plan also included the DoH’s 27-point action plan with a clear timetable for introducing the main interventions of the original strategy and has been included in the latest document. This clarifies many aspects of the original strategy and when objectives should be implemented. How the

changes are going to be resourced is still unclear.
While the DoH had previously announced that £47.5 million would be made available over two years to support implementation of specific initiatives within the Sexual Health strategy, this amount is not adequate to fund all the necessary resources - treatments, screening tests, extra staff and staff training.
Whether the targets set out in the strategy would further stretch already overburdened GPs and sexual health services without providing the extra funding was another key concern expressed as part of the consultation exercise.
This reinforces doubts that the strategy will be able to influence health service commissioning and service provision, because the strategy has not been given the priority of an NSF.
On the positive side, the DoH’s new national Safer Sex media campaign has finally been launched and adverts and tv coverage around raising national sexual health awareness are beginning to filter through. But again, concerns have been voiced about how this might further strain resources in sexual health clinics and on phone helplines.
Services stretched to breaking point

illustration: john clarkson

GUM clinics - the main providers of sexual healthcare - are currently stretched to near breaking point. In

an article published on 5 December in The Telegraph, Dr Colm O’Mahony, President of the Association of Genito-Urinary Medicine, said: “Our access surveys show that more than 40,000

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