Sexual and reproductive health services

Request 1

Please state the budget allocated by your local authority for (a) financial year 2016/17 (b) financial year 2017/18 for all sexual and reproductive health services (please give combined budget if within a block contract)

(a) £5.933m

(b) £5.987m

Please note, all values are inclusive of staff costs, and are not just the sub-contracted values.

These values are in the public domain and are published in Devon County Council’s 2017/18 Budget Book, on page 62

Request 2

Please state the budget allocated by your local authority for (a) financial year 2016/17, and (b) financial year 2017/18 for (i) contraception, (ii) HIV prevention and (iii) GUM services

(a) financial year 2016/17 (all sub-contracted spend)

(i) contraception – £2.025m

(ii) HIV prevention – £84,662

(iii) GUM services – £3.739m

(b) financial year 2017/18

(i) contraception – £1.922m (sub-contracted)

(ii) HIV prevention – £50,000 (sub-contracted)

(iii) GUM services – £3.838m (sub-contracted)

Request 3

Please confirm or deny whether your local authority has received invoices for contraceptive services provided to residents of your local authority that have been undertaken outside of your local area in the past 12 months

Yes 

(a) If confirmed, please indicate (i) how many were received and (ii) how many were paid

Not able to retrieve this data

(b) Please supply details of any policy on cross-charging that your local authority has in place

We apply the national guidance:  where a Local Authority has a contract with a sexual health services provider which is paid on a tariff, where a Devon resident accesses that service, and that can be verified, we will pay the tariff amount.

Request 4

Please confirm or deny whether your local authority stipulates in its contracts with providers of contraceptive services provision of (a) all methods of contraception

Yes

(b) long-acting contraceptive methods (intra-uterine systems, intra-uterine devices and implants) to all women regardless of (i) age (ii) place of residence

(i) Yes

(ii) Yes

Request 5

Please confirm or deny if your local authority contracted a lead provider for the fitting and removal of intra-uterine devices (IUD) and systems (IUS) in your area for the financial years (a) 2016/17 and (b) 2017/18

(a) Yes

(b) Yes

If confirm, please provide for each of these financial years (i) the name of the lead provider (ii) the number of sub-contracts they hold for the fitting and removal of IUD and IUS with community services (not general practice) and (iii) the number of sub-contracts they hold for the fitting and removal of IUD and IUS with GP practices

(i) Northern Devon Healthcare Trust (North East Exeter and mid-Devon areas)

Torbay and South Devon NHS Foundation Trust (South Devon area)

(ii) None

(iii) None

If deny, please provide for each of these financial years (i) the number of contracts you hold for the fitting and removal of IUD and IUS with community services (not general practice) and (ii) the number of contracts you hold for the fitting and removal of IUD and IUS with GP practices

Request 6

Please confirm or deny if your local authority contracted a lead provider for the fitting and removal of contraceptive implants in your area for the financial years (a) 2016/17 and (b) 2017/18

Yes – details as reported at Question 5

If confirm, please provide for each of these financial years (i) the name of the lead provider, (ii) the number of sub-contracts they hold for the fitting and removal of implants with community services (not general practice) and (iii) the number of sub-contracts they hold for the fitting and removal of implants with GP practices

None

If deny, please provide for each of these financial years (i) the number of contracts you hold for the fitting and removal of implants with community services (not general practice) and (ii) the number of contracts you hold for the fitting and removal of implants with GP practices

We currently hold 77 contracts with GP Practices for the provision of IUD/IUS. Please note this does not represent the number practices that are currently delivering or able to deliver the service.

Request 7

Please provide the volume of activity contracted or sub-contracted by a lead provider for the fitting and removal of intra-uterine devices (IUD) and systems (IUS) in your area with (a) community services (not general practice) and (b) GP practices for the financial years (i) 2015/16, (ii) 2016/17 and (iii) 2017/18

The only community service that is not GP is the lead provider.

GP activity – contraceptive only

2015/16 – Fit 3,357; Manage 1,150

2016/17 – Fit 2,504; Remove 1,294

2017/18 – demand lead, we await data.

Request 8

Please provide the volume of activity contracted or sub-contracted by a lead provider for the fitting and removal of contraceptive implants in your area with (a) community services (not general practice) and (b) GP practices for the financial years (i) 2015/16, (ii) 2016/17 and (iii) 2017/18

GP

2015/16 – Fit and remove 4,440

2016/17 – Fit 2,960; Remove 2,228

2017/18 – demand lead, we await data

Request 9

Please confirm or deny if there has been a reduction in the number of sites commissioned by your local authority, or a provider sub-contracted by your local authority, to deliver contraceptive services in (a) the financial year 2016/17 and (b) if there are any plans to reduce sites in the financial year 2017/18

(a) No

(b) No

If confirm please (i) confirm or deny whether an impact assessment was undertaken and (ii) if so, share the impact assessment.