DAPL Reopening - Primary Care Services - i1429

The NHS Health Check Programme is a nationwide intervention that aims to prevent the prevalence of CVD (heart disease, stroke, type 2 diabetes and kidney disease) and raise awareness of dementia both across the population and within high risk and vulnerable groups. This can be achieved by: Promoting and improving the early identification and management of the Service User behavioural and physiological risk factors for CVD and the other conditions associated with these risk factors. Supporting individuals to effectively manage and reduce behavioural risks and associated conditions through information, behavioural and evidence based clinical interventions. Helping to reduce inequalities in the distribution and burden of behavioural risks, related conditions, and multiple morbidities. The aim is to deliver the Service locally to Service Users on behalf of the Council. The Service Provider will achieve this by delivering the Service in line with the Service Pathway.

The aim of the Service is to provide IUCD and Subcutaneous Implants fittings and removal to women of all ages within community settings (outside of specialist SRH services) for contraceptive indications only, including a fitting service for post-coital contraception as a method of emergency contraception. Service objectives include: Promoting LARC as an effective non-user dependent method of contraception. Increasing the access, uptake and on-going use of LARC across all groups, thereby contributing to reducing unintended conceptions, including in teenagers, and to a decrease in abortion rates. Reduce inequalities in access, by making the Services available in as many local venues as possible - with the aim of reducing travelling distances and waiting times. Providing emergency IUD fittings service as a method of emergency contraception in order to reduce unintended conceptions. Assessing a Service Users risk of STIs, including HIV and the need for STI testing or pre-exposure prophylaxis (PrEP) provision, with access and or referral to STI testing services where appropriate. This includes, when appropriate as opportunistic health promotion for non-contraceptive purposes, and for all 15-24-year olds receiving this service for contraceptive purposes, signposting to age appropriate STI testing. Providing sexual health information and advice in order to develop increased knowledge, especially in high-need communities. Ensuring that Services are acceptable and accessible to all Service Users disproportionately affected by unwanted pregnancy and sexual ill health. Signposting to other services and Making Every Contact Count (MECC).

The principle aim of the Service in the clinical context is to provide a treatment service for opioid dependent people that will: Reduce drug-related harm and potential for overdose and death Keep people engaged in services Support sustained maintenance of a drug-free lifestyle Prevention of transmission of blood borne viruses associated with drug use Prepare people to move towards abstinence and recovery from the use of illicit opioid substances Assist people to remain healthy (physically and mentally) Respond to the changing epidemiology of drug use