Access to genitourinary medicine clinics needs urgent improvement, says fpa UK

Main Category: Sexual Health / STDs
Article Date: 29 Jul 2004 - 12:00 PDT


A new survey for fpa's (Family Planning Association's) Sexual Health Week (2-8 August 04) shows little expansion in the provision of NHS (UK) genitourinary medicine (GUM) services since 2002 despite record levels of attendance for diagnosis of sexually transmitted infections (STIs).

The survey by fpa (Family Planning Association) of GUM services found that over half (54%) of the 256 clinics across the UK advertised opening times of less than 21 hours a week. Over 20% of clinics had increased access by adding new sessions, but a further 16% had cut sessions leading to a net gain of just 31 sessions across the country. Just two new clinics had opened since 2002.

During the week fpa is calling for the inclusion of a maximum wait of 48 hours for access to GUM services in the Government's targets for primary care trusts, to ensure waiting times are prioritised at local level.

Anne Weyman, fpa Chief Executive said: "Treating STIs and their consequences costs the NHS an estimated £1billion per year. Fast access to treatment is essential to prevent the spread of infection and makes economic sense, yet waiting times can be as long as six weeks. A performance indicator for PCTs combined with substantial ring-fenced investment would ensure sexual health is given the priority it so urgently needs."

An encouraging 66% of GUM clinics held at least one session a week after 5pm to make access more convenient but only one clinic in the survey was open on a Saturday. More than 1 in 10 clinics had adapted sessions to suit the needs of young people and over two-thirds supported STI prevention work by providing free condoms to personal callers as well as clinic users.

A separate survey conducted for fpa by NOP World into attitudes towards STIs and services amongst 18-30 year olds showed a lack of understanding of the basics of getting help. Over 50% of those questioned were unaware they could go to a GUM clinic without consulting their GP first, and over 80% did not know that NHS prescriptions are free when receiving treatment from a GUM clinic.

The shame still associated with STIs was highlighted very clearly by respondents. Over a quarter (28%) reported the embarrassment of having an infection would be enough to prevent or delay them from seeking advice or medical treatment, and nearly one in five would be deterred by the prospect of having to have a medical examination. A further one in eight were worried enough about the opinion of health professionals to avoid seeking immediate help.

"The secrecy and stigma that surrounds STIs is a threat to the nation's health," remarked Anne Weyman. "Worries about being judged by health professionals or the treatment process are unfounded, yet these myths persist. If ignored, STIs can have serious consequences to health. All treatment at GUM clinics is free and confidential. Anyone who thinks they have been at risk of infection should seek advice as soon as possible."

Over 80% of those questioned thought it essential they should receive an information leaflet after a consultation about STIs. During Sexual Health Week, fpa will launch a new leaflet on HIV to complete its series of 10 on infections. The leaflet was consumer tested and found to be 'comprehensive, relevant and thought-provoking' by potential users.

"With rates of all STIs on the increase it's important people are aware of the risks and how to protect themselves", said Anne. "fpa's excellent leaflets provide high quality back-up information for men and women to read in their own time after discussion with a health professional."

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For further information please contact fpa's press office on (UK) 020 7923 5202/5201 or 07958 921060
FPA (Family Planning Association, UK)

Notes to editors:

Sexual Health Week began in 1997 and highlights issues affecting patients and services.

Single copies of leaflets on STIs are available free from fpa's helpline (UK) 0845 310 1334 Mon-Fri 9am-6pm.

Campaign activity:

-- A campaign pack has been sent to selected health professionals. Colour visuals available on request.

-- Postcards about STIs will be included in 35,000 'Don't Panic' information packs handed out in bars, clubs and cinemas to 17-29 year olds during the week in London, Brighton, Birmingham and Manchester.

-- Four billboard sites in London will display the campaign poster for the week.

-- Campaign images will be driven around London by Look Media.

-- New fpa policy document on STIs.

fpa thanks Roche Diagnostics for supporting the campaign pack for Sexual Health Week.

FPA (Family Planning Association, UK)

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