Sexual and reproductive health services in Oxfordshire - primary care and pharmacy survey

The Public Health team at Oxfordshire County Council would like to hear your views on the current sexual and reproductive health services that are offered in the county, as well as explore ways that these could be improved to better meet the needs of Oxfordshire’s residents.

This questionnaire is aimed at any pharmacists, GPs and Practice Nurses working to deliver a range of sexual and reproductive health services in Oxfordshire.

The previous full sexual and reproductive health services health needs assessment (HNA) was completed in 2018 and its recommendations were used to guide the council to commission the current Integrated Oxfordshire Sexual Health Services (OSHS); this included significant changes to the previous service model. For example, online STI and HIV testing was introduced in 2019 as well as the introduction of a new targeted Sexual Health Promotion and HIV Prevention Service.

The impact on COVID-19 in March 2020 resulted in a reduction in face-to-face service provision in line with government guidance. The OSHS, and other providers of sexual and reproductive health services, needed to adapt and increased their online consultation provision. Many of these online and/or remote services remain in-situ.

Please complete our online survey, by clicking ‘take survey’ below.

All questionnaire responses will remain confidential and will never be linked to an individual or organisation.

If there are any questions that you feel unable to answer, or would rather not answer, please tick the box don’t know/not sure.

The questionnaire should take around 15 minutes to complete.

Further information

Sexual and Reproductive Health Services in Oxfordshire (OSHS)

Within OSHS, patients are able to attend a ‘one stop shop’, meaning that both testing and treatment for STIs and contraception services can often be accessed in the same appointment. Depending on the type clinic accessed, patients are able to access different types of care:

Via telephone clinics: patients can have an initial discussion with a doctor or nurse to check what they need/want. Based on this they may either:

• Receive appropriate advice support and further supplies of a full range of contraception
• Be sent a postal kit to their home to do any necessary STI tests
• Send in a photo to help diagnose a ‘skin issue’
• Have an appointment booked in one of the ‘face-to-face’ clinics to help diagnose a problem, or to have a method of contraception fitted, removed or replaced, e.g., implants/’depo’ contraceptive injection or coils.

Via specialist face-to-face clinics: in addition to general services, there are a range of specialist services available, including:

• Specialist clinics for more challenging contraceptive coil or implant insertions, removals and replacements.
• Pre-Exposure Prophylaxis for HIV (PrEP) clinics to help prevent people catching HIV
• Specialist clinics to help with more complicated genital problems, e.g., genital skin issues or vulval pain.
• Young person drop-in clinics – run currently at the East Oxford ‘Rectory Road Clinic’
• Clinic-U: a clinic which provides contraception and sexual healthcare to people who need extra support and longer appointment times for whatever reason.
• Clinics providing HIV Care and treatment

Via support services:

• Support around unplanned pregnancy (including referral to abortion/termination services) and sexual assault.

As well as the sexual health clinics, some of these sexual health services are also available through online, pharmacies, GPs, and school and college health nurses. These include:

• A range of contraceptive options (including emergency contraception, coils and implants)
• Free condoms for young people
• Support, information and advice about sex, relationships and unplanned pregnancy

This diagram shows there are several ways to access sexual and reproductive health care across Oxfordshire