Megan O''Connell
Published: 2017
Total Pages:
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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.