Medway Integrated Sexual Health Service (including HIV Treatment and Care)

The provision of open access sexual health services is a mandated function for Local Authorities under regulation 6 of the Local Authorities (Public Health Function and Entry to premises by local Healthwatch Representatives) Regulations 2013. Medway has an integrated sexual health service that delivers HIV Treatment and Care services in partnership with NHS England.

The service provision is divided into two elements with both elements awarded to one and the same lead provider.

Element 1 – a contract with Medway Council for the provision of Specialist Clinical Service (Sexual and reproductive health) that includes the following services:

• Hub and Spoke clinics offering a full level 1-3 service (STI prevention, detection and treatment, Contraception, and associated functions)
• Self-managed care including health education, online testing, and harm reduction
• Outreach to schools, colleges and other organisations to promote the service
• Outreach to groups who face additional barriers accessing services
• Psychosexual therapies; short to medium term therapy
• National Chlamydia Screening Programme
• Condom scheme
• Long Acting Reversible Contraception fitting and removal in primary care
• Emergency Oral Contraception in Pharmacies
• Pre-Exposure Prophylaxis (PrEP)
• Post Exposure Prophylaxis after sexual exposure (PEPSE)
• Out of Area payments and invoicing (Provider holds the budget within core contract value)

Element 2 – Adult HIV Treatment and Care Services delivered in accordance with the national service specification