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Introduction: The prevalence of non-volitional sex is higher in those with a sexual debut before the age of 16. BASHH therefore advocates the use of a Young Personu2019s Proforma (YPP) to detect signs and concurrent risk factors of child sexual exploitation (CSE), intending to safeguard this vulnerable group of attenders.Objectives: To investigate the adherence to BASHH guidelines relating to the care of young people accessing sexual health services, specifically the use of the YPP. Methods: A retrospective, service evaluation audit analysing 150 case notes of patients under-16yrs, attending between 1st July 2014 and 1st June 2015. Notes were extracted from a central clinic (n=50), and 4 community sexual health clinics (n=100).Results: Centrally, all patients had a proforma completed, compared with 81% of community patients. Proformas were completed in 67% of male community patients. 19 patients had experienced involuntary sexual activity. 19% of patients had 1 or more significant risk factor for CSE. In total, 83 further referrals (57% safeguarding) were made. Risk factors were reassessed in 79% of patients. 71% attended primarily for contraception (central=46%, community=83%), with 79% offered STI screening.Discussion: The central clinic achieved all BASHH targets, whereas the community clinics failed to do so; discrepancies debatably a result of adapting services to patientsu2019 needs. Proforma completion is pivotal in safeguarding patients, however consistency between sexes is needed. Extending proforma use for reassessment and 16-17 year olds may also be beneficial. Improvements that facilitate the creation of an equitable service are needed, specifically regarding communication between central and community clinics.
Our community based integrated service caters to a diverse population within the Slough area with pockets of high deprivation and rising rates of CSE. It is of paramount importance that clinicians are able to identify and risk assess those vulnerable have a valuable tool for documentation.Aims and Objectives: This audit was based on the BASHH standards on u201cManagement of STIs and related conditions in children and young people (BASHH 2010)u201dMethods: Retrospective data collection of the first 100 new patients who accessed the service from July u2013 Aug 2014 aged 18 and under from all three sites. The standards of the audit are: Offer of full STI screen (CT, GC, HIV, STS) to sexually active young people -100% .Uptake of STI screen-90%. Completions of CSE risk assessment proforma- 100%. Documentation of decision for referral (100% of under 13s, 90% of those aged 16 and under)-100-90%.Results: 75% of the attendees were girls and had primarily contraception needs.STI screening was offered to all however the uptake of a full screen was less than 50%. Overall documentation was less than satisfactory and decision to refer was documented in only 15%.u2022Conclusions: There are high rates of STIu2019s among young people and risk taking behaviour was noticed in the attendances. Poor attendances among boys and MSM were identified. 50 % refused to have screening for BBV and the need of alternative testing methods like the saliva testing was highlighted. A CSE proforma was introduced and all referrals are discussed with the safeguarding lead and audited on a regular basis.