1. “Please state:-
(a) the total public health budget allocated (including for GP and pharmacist services) by your local authority for all sexual and reproductive health services.
| Year | Devon County Council: Total Contraception & Sexual Health Budget (£) |
| 2015/16 | 5,994,000 |
| 2016/17 | 5,933,000 |
| 2017/18 | 5,987,000 |
| 2018/19 | 6,219,000 |
| 2019/20 | 6,227,000 |
(b) budget allocated to general practice for all sexual and reproductive health services.
| Year | Devon County Council: General Practice Contraception & Sexual Health Budget (£) |
| 2015/16 | 528,000 |
| 2016/17 | 633,000 |
| 2017/18 | 515,000 |
| 2018/19 | 503,000 |
| 2019/20 | 503,000 (estimate) |
(c) budget allocated to specialist community sexual and reproductive health service providers (including integrated sexual health providers) for all sexual and reproductive health services.
| Year | Devon County Council: Total Contraception & Sexual Health Budget: Specialist Integrated Community SRH Service Providers (£) |
| 2015/16 | 4,891,000 |
| 2016/17 | 4,928,000 |
| 2017/18 | 4,968,000 |
| 2018/19 | 5,178,000 |
| 2019/20 | 5,178,000 (estimate) |
(d) budget allocated out of area for all sexual and reproductive health services.
| Year | Devon County Council Out of Area: Contraception & Sexual Health Budget (£) |
| 2015/16 | 100,000 |
| 2016/17 | 106,000 |
| 2017/18 | 140,000 |
| 2018/19 | 140,000 |
| 2019/20 | 140,000 (estimate) |
2. Please provide the number of sites commissioned by your local authority, or a provider subcontracted 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, (d) the financial year 2018/19 and (e) plans for the financial year 2019/20.
If your organisation has taken a decision to reduce the number of sites, please (i) provide the reason why this decision was taken, (ii) confirm or deny whether an impact assessment was undertaken and (iii) if confirm, share the impact assessment
| Year | Devon County Council area: Number of sites commissioned by your local authority, or a provider subcontracted by your local authority, to deliver contraceptive services |
| 2015/16 | 11 |
| 2016/17 | 11 |
| 2017/18 | 11 |
| 2018/19 | 11 |
| 2019/20 | 11 |
3.Please provide the total volume of activity that your organisation has contracted for the fitting and removal of LARC methods of contraception (excluding injection) in your area in:-
a) sexual and reproductive health services (excluding general practice)
Devon County Council does not hold information for sexual and reproductive health services.
b) GP practices (see below)
| Year | Total volume of activity that your organisation has contracted for the fitting and removal of LARC methods of contraception (excluding injection) in your area in GP practices | |||
| Contraceptive Implants | Intrauterine Device/Intrauterine System | |||
| Fitting | Removal | Fitting | Removal | |
| 2015/16 | 4440 (aggregate total) | 3357 (aggregate total) | ||
| 2016/17 | 2384 | 2006 | 2265 | 1201 |
| 2017/18 | 2434 | 2067 | 2495 | 1412 |
| 2018/19 | 2544 | 2016 | 2595 | 1437 |
| 2019/20(estimates) | 2544 | 2016 | 2595 | 1437 |
4. Please confirm or deny whether the local authority stipulates and/or monitors waiting time requirements in contracts with (a) general practice and (b) sexual and reproductive health services for (i) sexual health appointments, (ii) contraception appointments and (iii) appointments for fitting LARC.
If confirm, for each please release corresponding data on a) average waiting times and b) the longest waiting time in the most recent year for which figures are available.
|
Devon County Council Out of Area Please confirm or deny whether the local authority stipulates and/or monitors waiting time requirements in contracts |
|
| (a) general practice | Currently, Devon County Council does not monitor this as part of the contract arrangement with GPs |
| (b) sexual and reproductive health services | (i) sexual health appointments: These contracts have always included the indicator for 48hr access to the service. Due to the current provision of a mainly open access sit and wait service, this indicator has been recently removed from the reporting schedule. There is a system for dealing with sexual health (or contraception) emergencies. |
| (ii) contraception appointments: See response at (i) above | |
| (iii) appointments for fitting LARC: See response at (i) above | |
5. Please provide information on (a) the number of contracts to deliver sexual and reproductive health services, including the delivery of contraceptive services, that have been terminated earlier than planned and (b) the reasons for each withdrawal or early termination of contract in:-
| Year | Devon County Council area: Number of the number of contracts to deliver sexual and reproductive health services, including the delivery of contraceptive services, that have been terminated earlier than planned |
| 2015/16 | None |
| 2016/17 | None |
| 2017/18 | None |
| 2018/19 | None |
6. Please confirm or deny whether the local authority collects data on the number of complaints received relating to the provision of contraceptive services in (a) general practice and (b) community and integrated sexual health providers
If confirm, please provide information on the number of complaints received relating to the provision of contraceptive services in (a) general practice and (b) sexual and reproductive health services in the financial years (i) 2016/17, (ii) 2017/18 and (iii) 2018/19
If deny, please provide information on who does collect this data for your area.
| Devon County Council area: whether the local authority collects data on the number of complaints received relating to the provision of contraceptive services | |
|
General Practice
|
Information not held. |
| Sexual and reproductive health services | Information not held. |
| Please provide information on who does collect this data for your area | |
| General Practice | Prior to 1 April 2019 patient complaints would be escalated to NHS England. Following the new commissioning arrangements implemented from 1 April 2019, complaints will be escalated to NHS Devon CCG. There is a requirement in the GP contract for practices to notify commissioners of any significant events relating to the provision of commissioned contraceptive services. |
| Sexual and reproductive health services | Patient complaints relating to sexual and reproductive contraception services will be monitored and escalated through the appropriate governance pathways in either of the two acute trusts commissioned to provide services to Devon residents: Northern Devon Healthcare Trust or University Hospitals Plymouth. Significant events are reported by exception through contract meetings. |
7. Please provide information on the number of community outreach sites (targeting groups or populations who are not effectively reached by traditional health services) commissioned by the local authority to deliver (a) sexual and reproductive health services, (b) contraceptive services and (c) LARC fittings in:
| Year | Devon County Council area: Number of community outreach sites (targeting groups or populations who are not effectively reached by traditional health services) commissioned by the local authority | |||
|
SRH services: number of sites CCard condom scheme for 13-24 years |
Number of community HIV outreach sessions (public sex/sex on premises environments) | Contraceptive services: community pharmacy EHC & Chlamydia screening 13-24 years | Implants/IUD/IUS: | |
| 2015/16 | Information not held | 41 | 68 | None other than GP practices |
| 2016/17 | 77 | Information not held. | 67 | None other than GP practices |
| 2017/18 | 80 | 25 | 63 | None other than GP practices |
| 2018/19 | 88 | 33 (estimate) | 90 | None other than GP practices |
| 2019/20 | 93 (estimated) | 33 (estimate | 84 (estimated) | None other than GP practices |
8. Please confirm or deny whether the local authority commissions standalone sites directed towards young people aged 25 or younger providing sexual and reproductive health services, including the delivery of contraceptive services
If confirm, please provide information on (a) any age restrictions for accessing these services, (b) the number of standalone services directed towards young people providing sexual health services and (c) the number of standalone services directed towards young people providing contraceptive services commissioned by the local authority (i) in the financial year 2017/18, (ii) in the financial year 2018/19, and (iii) plans for the financial year 2019/20
All sexual and reproductive health services commissioned by Devon County Council may be accessed by young people under 25, and people of all ages. The only stand-alone service directed at young people between 13-24, is the emergency contraception and chlamydia screening service offered in community pharmacies.
9.Please provide information on the number of conceptions resulting in live birth in (a) looked after children aged 19 or younger, (b) care leavers aged 19 or younger and (c) children who are home educated in:
(i) the financial year 2015/16
(ii) the financial year 2016/17
(iii) the financial year 2017/18
(iv) the financial year 2018/19
Devon County Council does not hold this information.
10. Please confirm or deny whether the local authority has a contract in place to deliver digital services for (a) sexual and reproductive health support (b) contraceptive provision and (c) sexually transmitted infection testing
If confirm, please state who is commissioned to provide these services
Currently, the only digitally accessed service is for Chlamydia screening and this provides:
- Online access to Chlamydia screening kits for young people aged 16-24
- Chlamydia screening kits to community pharmacies and other targeted sites for young people under 25.
If deny, please state whether the local authority has plans to commission such services in the future
A digital offer is part of the service specification for our current providers.