Director of Public Health Annual Report 2011 - NHS North Somerset
Director of Public Health Annual Report 2011 - NHS North Somerset
Director of Public Health Annual Report 2011 - NHS North Somerset
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Director</strong> <strong>of</strong> <strong>Public</strong> <strong>Health</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2011</strong><br />
Emily’s story<br />
Emily (not her real name) is a 15 year<br />
old girl in care who has a support<br />
worker. Her support worker<br />
accompanied her to the WISH (Weston<br />
Integrated Sexual <strong>Health</strong>) Centre,<br />
explaining that Emily had told her that<br />
she’d had sex and was worried about<br />
infections.<br />
Emily was quiet and reluctant to talk<br />
but with reassurance she expressed her<br />
concerns around sexually transmitted<br />
infections and wanted a check up. Emily<br />
shared concerns around her relationship<br />
with her boyfriend age 16 as they<br />
weren’t reliably using condoms and she<br />
wanted a contraceptive implant.<br />
Sex was consensual but strategies<br />
around negotiating condom use and<br />
reducing her alcohol intake were<br />
discussed and encouraged as part <strong>of</strong><br />
increasing her own self esteem.<br />
The nurse suggested she start the pill<br />
with a view to having an implant fitted<br />
in the near future. Emily mentioned that<br />
she had been having counselling but<br />
hadn’t been seen recently. Following a<br />
phone call by the nurse to Emily’s social<br />
worker, these counselling sessions were<br />
rearranged. Emily responded positively<br />
to the nurse.<br />
GP practices are the biggest provider <strong>of</strong> LARC<br />
in <strong>North</strong> <strong>Somerset</strong>. In 2010/11, GP practices in<br />
<strong>North</strong> <strong>Somerset</strong> increased LARC usage by 9%<br />
compared to the previous year 16 . At the same<br />
time, prescribing <strong>of</strong> the oral contraceptive pill<br />
reduced by 5%. However, there are large<br />
variations in prescribing between GP practices<br />
(Figure 4), and some practices do not <strong>of</strong>fer<br />
the full range <strong>of</strong> LARC. LARC methods are also<br />
available from the Weston Integrated Sexual<br />
<strong>Health</strong> (WISH) Centre and ‘No Worries!’<br />
Teenage <strong>Health</strong> Services.<br />
A service has been developed to support and<br />
follow-up young women who have had a<br />
termination. ‘Clinic in a Box’ is a free,<br />
confidential, informal, mobile contraception<br />
and sexual health service and can be delivered<br />
in a range <strong>of</strong> settings to meet the needs <strong>of</strong><br />
vulnerable young people in <strong>North</strong> <strong>Somerset</strong>.<br />
16<br />
Injectable contraceptives (DEPO) are given around four times<br />
per year and prescription data adjusted to allow comparisons<br />
16
Change language