Consultation about HIV/STI prevention and support services

Salford City Council ran a consultation on behalf of all of the local authorities of Greater Manchester who are reviewing the models of support for:

  • residents most at risk of sexual ill-health and
  • residents living with diagnosed HIV in order to decide how services should be provided in the future.

We want to improve the sexual and reproductive health of all our residents and believe that it is important that the views and opinions of residents are considered as part of this process.

Local authorities are responsible for commissioning and funding sexual and reproductive health services for their residents. The Health and Social Care Act 2012 states that local authorities must fund HIV testing services, services for the testing and treatment of sexually transmitted infections, and contraception services.

Local authorities can choose to fund other services for their residents such as services for people at high risk of sexual ill-health or for people living with HIV.

Consultation background

The public consultation was carried out for six weeks in October and November 2016 via a link from this website. Paper copies of the survey were also available upon request. The results from this consultation will inform the future HIV and STI prevention and support services in Greater Manchester.

By the end of the consultation period the survey received 173 responses and below is a summary of the most frequent comments. A more detailed breakdown of the information gathered from this consultation is available upon request – please email PHSecretary@salford.gov.uk.

Read the results

Part A: Information and advice

A1. Is it important that all residents are able to obtain information, advice and guidance about sexual and reproductive health?

  • 100% (166 out of 166) of respondents said Yes

A2. How important is it that information and advice is available about the following topics?

  1. Information and advice about contraception
    • 92% (159 out of 167) said this was important
    • 4% (7 out of 167) said it was not important
  2. Information about how to obtain contraception
    • 95% (158 out of 167) said this was important
    • 4% (7 out of 167) said it was not important
  3. Information and advice about sexually transmitted infections
    • 100% (166 out of 166) said this was important
    • 0% (0 out of 166) said this was not important
  4. Information about how to obtain a sexual health check-up
    • 100% (166 out of 166) said this was important
    • 0% (0 out of 166) said this was not important
  5. Information and advice about HIV
    • 100% (165 out of 165) said this was important
    • 0% (0 out of 165) said this was not important
  6. Information about how to obtain an HIV test or treatment
    • 100% (165 out of 165) said this was important
    • 0% (0 out of 165) said this was not important

A3. We propose to launch a new website to make it easier for residents to obtain information and advice about sexual and reproductive health and to find contact details for local services. Is this a good idea?

  • 8% of respondents said Yes (151 out of 161)

Part B: Support for residents at high risk of sexual ill-health

B1. How important is it that additional support is available for residents at high risk of sexual ill-health?

  • 99% (145 out of 146) said this was important

B2. How important is that specific information, advice and support is available for residents from different communities? For example, for gay and bisexual men.

  • 99% (146 out of 147) said this was important

B3. We propose that residents at high risk of sexual ill-health should be able to obtain information and advice from advisors working in local communities. Do you agree?

  • 5% (134 out of 146) said Yes

B4. We think that advisors could offer a range of support to help residents to improve or protect their sexual and reproductive health. We have listed some ideas below. How important is it that advisors should offer the following services? (0-Not Important at all; 5 - Very Important) Average scores from those who responded are presented below:

  1. Online support for individuals: 4.4
  2. Online support for groups of people: 3.7
  3. One-to-one support for individuals (attend in person): 4.6
  4. Information and awareness raising events: 4.4
  5. Workshops about particular issues (attend in person): 4.1

B5. We think that advisors could offer information, advice and guidance, in person and online, to help residents to improve their knowledge and understanding of sexual and reproductive health issues. How important is it that advisors should offer information, advice and guidance about the following topics? (0-Not Important at all; 5 - Very Important)

  1. Online support for individuals: 4.8
  2. Online support for groups of people: 4.8
  3. One-to-one support for individuals (attend in person): 4.2
  4. Information and awareness raising events: 4.5
  5. Workshops about particular issues (attend in person): 4.3

B6. We think that advisors could offer support, in person and online, to help residents to improve or protect their sexual and reproductive health. How important is it that advisors should offer support about the following topics? (0-Not Important at all; 5 - Very Important). Average scores from those who responded are presented below:

  1. Online support for individuals: 4.2
  2. Online support for groups of people: 4.0
  3. One-to-one support for individuals (attend in person): 4.1
  4. Information and awareness raising events: 3.8
  5. Workshops about particular issues (attend in person): 3.8

B7. We think that advisors could work in communities to raise awareness of sexual and reproductive health issues. How important is it that advisors should offer the following services? (0-Not Important at all; 5 - Very Important) Average scores from those who responded are presented below:

  1. Online support for individuals: 3.8
  2. Online support for groups of people: 4.6
  3. One-to-one support for individuals (attend in person): 4.5

Part C: HIV testing

C1. We are proposing that trained advisors w orking in local communities should of fer point of care testing for HIV. Do you agree?

  • 92% (134 out of 148) said Yes

Part D: Support for residents living with HIV

D1. How important is it that additional support is available for adults living with HIV?

  • 99% (138 out of 140) said it was important

D2. How important is it that additional support is available for children and young people living with HIV?

  • 98% (138 out of 141) said it was important

D3. We think that extra support should be available for a) people with a new diagnosis of HIV and b) people with complex needs. Do you agree?

  • 96% (133 out of 138) said Yes

D4. We propose that residents living with HIV should be able to obtain information, advice and support from specialist advisors based in local communities. Do you agree?

  • 89% (125 out of 140) said Yes

D5. We think that advisors could offer a range of support to help residents living with HIV to manage their condition and to improve their health and wellbeing. We have listed some ideas below. How important is it that advisors should offer the following services? (0-Not Important at all; 5 - Very Important) Average scores from those who responded are presented below:

  1. Online support for individuals: 4.4
  2. Online support for groups of people: 3.6
  3. One-to-one support for individuals (attend in person): 4.4
  4. Information and awareness raising events: 3.9
  5. Workshops about particular issues (attend in person): 3.9

D6. We think that advisors could offer information, advice and guidance, in person and online, to help HIV-positive residents to improve their knowledge and understanding of HIV and related issues. How important is it that advisors should offer information, advice and guidance about the following topics? (0-Not Important at all; 5 - Very Important) Average scores from those who responded are presented below:

  1. Online support for individuals: 4.5
  2. Online support for groups of people: 4.5
  3. One-to-one support for individuals (attend in person): 4.5
  4. Information and awareness raising events: 4.2
  5. Workshops about particular issues (attend in person): 4.5

D7. We think that advisors could offer information, advice and guidance, in person and online, to help HIV-positive residents to improve their health and social circumstances. How important is it that advisors should offer information, advice and support about the following topics? (0-Not Important at all; 5 - Very Important) Average scores from those who responded are presented below:

  1. Online support for individuals: 4.0
  2. Online support for groups of people: 3.7
  3. One-to-one support for individuals (attend in person): 3.7
  4. Information and awareness raising events: 4.3
  5. Workshops about particular issues (attend in person): 4.0

D8. We think that advisors could offer support, in person and online, to help residents living with HIV to improve or protect their health and wellbeing. How important is it that advisors should offer support about the following topics? (0-Not Important at all; 5 - Very Important) Average scores from those who responded are presented below:

  1. Online support for individuals: 4.3
  2. Online support for groups of people: 4.3
  3. One-to-one support for individuals (attend in person): 4.4
  4. Information and awareness raising events: 4.3
  5. Workshops about particular issues (attend in person): 4.3

D9. How important is it that peer support is available for residents living with HIV?

  • 96% (130 out of 136) said it was important

D10. How important is it that networking opportunities are available for residents living with HIV?

94% (132 out of 140) said it was important

Part E: Condoms

E1. Do you think that it is important that residents should be able to purchase low-cost condoms and lubricants?

  • 94% (131 out of 140) said it was important

E2. Do you think that it is important that residents at high risk of sexual ill-health should be able to obtain free condoms and lubricants?

  • 100% (139 out of 139) said it was important

Themes

In addition to the results of the survey questions in the consultation, several themes emerged from an analysis of the responses which are summarised below.

Proposed model

  1. Online:
    • most respondents who mentioned online services agreed that information, advice and guidance should be available online (as an additional not a replacement channel)
    • a couple of respondents talked about the increasing use of apps
  2. Prevention services:
    • most of the respondents who mentioned prevention agreed that one-to-one support should be available
    • a couple of respondents talked about the need to reach the most at-risk individuals
    • a couple of respondents thought that advisors would be ineffective
    • a couple of respondents mentioned the need for appropriate training for advisors
    • several respondents reported a need to increase knowledge and understanding of Pre Exposure Prophylaxis (PrEP) and Post Exposure Prophylaxis (PEP) and terms such as ‘viral load’ and ‘undetectable’
    • several respondents mentioned the importance of providing information and advice about other STIs and Blood Borne Viruses (BBVs).
    • a couple of respondents stated the importance of engaging with individuals and communities
  3. Support services:
    • most of the respondents who mentioned a specific organisation offered positive feedback or expressed their appreciation
    • several of the respondents mentioned the importance of being able to obtain support following diagnosis
    • several of the respondents referred to the need for emotional support
    • several of the respondents mentioned issues that can have a detrimental impact on health and wellbeing (e.g. immigration status, stigma etc)
    • several respondents stated the importance of peer support / networking
    • a respondent mentioned the need to ensure that mainstream services understand and meet the needs of HIV-positive residents
    • a respondent argued that effort is needed to minimise the risk of dependence on a particular organisation
  4. A few respondents stated that clinical services should take the lead for this agenda

Point of care testing for HIV

  1. There were a couple of comments about point of care testing for HIV:
    • a respondent talked about the need for robust governance
    • a respondent stated the need for careful consideration of venues / times (to ensure that follow-up support is available)
    • a couple of respondents mentioned HIV testing in other settings (e.g. GPs)

Condoms

  1. There were a number of comments about the provision of condoms and lubricants:
    • most of the respondents who mentioned condoms thought that it was important that people at high risk of sexual ill-health should be able to obtain free condoms
    • a couple of respondents stated that low-cost condoms should be available in addition to free condoms
    • a couple of respondents stated that free condoms should be available for all

Pre Exposure Prophylaxis (PrEP) for HIV

  1. There were a small number of comments about PrEP including:
    • several respondents asked for PrEP to be made available on the NHS
    • a few respondents argued that the remit of HIV prevention services should be reviewed if the routine commissioning of PrEP is agreed

Chemsex

  1. There were a small number of comments about chemsex:
    • a couple of respondents mentioned the importance of addressing chemsex
    • a respondent talked about the risks associated with sharing needles
    • a couple of respondents expressed satisfaction with the Reach clinic

Other issues

  1. There were a number of comments about provision for other groups:
    • sex workers
    • young people
    • trans people
    • MSM from black African communities
  2. There were a number of comments about other issues:
    • a request for a sexual health clinic to be located in Manchester city centre
    • other comments about sexual health clinics (e.g. opening times)
    • a request for prescription charges to be reviewed
    • a couple of comments about terminology
  3. There were a number of comments about Manchester-based services from people who live outside of Greater Manchester

This page was last updated on 22 December 2016

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