HC2210 Integrated Sexual Health_PSR

Lot 1 – Specialist Sexual and Reproductive Health Service includes:

• Open-access, all-age, specialist service (Levels 1–3)
• Hub and spoke model across the county
• Key components:
• STI testing and treatment (including complex cases)
• Contraception (including long-acting reversible contraception (LARC))
• HIV prevention (pre-exposure prophylaxis (PrEP) / post-exposure prophylaxis (PEP)) and management pathways
• Psychosexual support (SRH-related)
• Clinical leadership and service oversight
• Provides clinical leadership across relevant cross-lot pathways and interfaces

Lot 2 – Digital Sexual Health Service includes:

• Confidential, digital-first service for Wiltshire residents
• Key components:
• Online triage and self-assessment
• STI/HIV self-sampling kits and results
• Remote prescribing and partner notification
• Condom provision, and PrEP initiation, continuation and pathway management
• Key access benefits:
• Rural populations
• Those facing stigma or access barriers
• Reduces demand on face-to-face services through appropriate triage and self-management

Lot 3 – Community Outreach and Prevention Service (COPS) includes

• Prevention-focused, non-clinical service
• Key components:
• Targeted outreach to priority populations
• Communications and campaigns
• Workforce training and system capacity building
• Condom distribution schemes
• Primary focus:
• Improving sexual health literacy
• Increasing service uptake
• Tackling inequalities and barriers to access
• Supports prevention, awareness and access across the wider sexual health service model