Sexual and reproductive health services budgets for 2017/18 – 2018/19

We have an information request -see below –

Request 1:
· Please state the budget allocated (as opposed to outturn) by your local authority for the (a) financial year 2017/18 and (b) financial year 2018/19 for all sexual and reproductive health services (please give combined budget if within a block contract). This includes services commissioned via GPs and pharmacists.

We can confirm the allocated budget as follows:

2017/18: £5.987m
2018/19: £6.219m

Request 2:
· Please state the budget allocated by your local authority for (a) financial year 2017/18, and (b) financial year 2018/19 for (i) contraception, (ii) GUM services and (iii) HIV prevention.
o Please do state if your sexual and reproductive health services are integrated and you are unable to separate spend.

Our services are a combination of integrated and not, however we keep the costing separate:

 

17/18  18/19
HIV Prevention  £112k  £225k
Contraception  £1.98m  £2.129m
GUM  £3.895m £3.864m

 

Request 3:
· Please provide 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 2015/16, (b) the financial year 2016/17, (c) the financial year 2017/18 and (d) plans for the financial year 2018/19.

Devon County Council currently have 3 core specialist sexual and reproductive health service providers delivering at clinics across Devon. The number of clinics has not changed during the times quoted:

a) for financial year 2015/16: 13 specialist community contraception sites
(b) for financial year 2016/17: 13 specialist community contraception sites
(c) for financial year 2017/18: 13 specialist community contraception sites
(d) for financial year 2018/19: No closures or new clinics are planned, but we now have reduced the number of contracted core providers to 2 following an open procurement process. As part of the contract implementation process there will be a review of existing clinics and current service provision.

GPs: We have 83 contracted GP organisations (some of which are multiple site) which deliver contraceptive services on behalf of PH.

All GPs and Pharmacies are given the opportunity to provide contraceptive services.

Request 4:
· 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 2017/18 and (b) if there are any plans to reduce sites in the financial year 2018/19.
• If confirm, please (i) confirm or deny whether an impact assessment was undertaken and (ii) if so, share the impact assessment.

We can confirm that there has been no reduction. Please see response to request 3 above.

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) 2017/18 and (b) 2018/19.
o 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.

• 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.

We can confirm that we have not contracted a lead provider. We instead hold 3 specialist community sexual and reproductive health service contracts at present (soon to reduce to 2 due to a re-procurement exercise).

Further, 83 GP organisations (some multiple site) are contracted to deliver IUD/IUS services on behalf of PH across Devon.

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) 2017/18 and (b) 2018/19.
o 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.

• 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 can confirm that we have not contracted a lead provider. We instead hold 3 specialist community sexual and reproductive health service contracts at present (soon to reduce to 2 due to a re-procurement exercise).

Further, we hold 76 contracts with GP organisations (some of which are multiple site) to deliver sub-dermal contraceptive implants.