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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7342 p350
26 March 2005

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Sexual health services are continuing to deteriorate

Chlamydia

Chlamydia: screening programmes are welcomed by the committee

Rates of sexually transmitted infections are rising, and waiting times for sexual health clinics have continued to deteriorate, according to a report published by the Commons Health Select Committee this week.

The committee welcomes the introduction of a nationwide screening programme for chlamydia. However, it warns that the programme must ensure that men, as well as women, are screened and that only up-to-date screening tests are used.

The report follows publication of standards to improve sexual health services in the NHS by the Department of Health. Within the standards, the DoH recommends:

· Measures to improve detection of sexual health need, including chlamydia screening
· Improving access to, and information on, service provision
· A programme of sexual health promotion to help reduce the risk of STIs and
unwanted pregnancy
· Speedy detection and management of STIs
· Prompt access to contraceptive advice and provision
· Services working together to increase choice for users

The DoH also suggests that wider access to testing for STIs can be achieved by offering services in community pharmacies. However, the report, entitled “Recommended standards for sexual health services”, stresses that where screening for STIs takes place in non-traditional settings (such as pharmacies) that there are clearly defined pathways so that those diagnosed with infection can receive prompt treatment. It also recommends that primary care trusts support direct supply of treatment for STIs at the testing site or by arrangement with community pharmacy services.

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