Sexual Health in Practice (SHIP) training for GPs in a high prevalence London borough leads to sustained increase in HIV testing rates
PHE ePoster Library. GARDNER M. 09/13/17; 186637; 38
Dr. Melissa GARDNER
Dr. Melissa GARDNER
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Abstract
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Abstract IntroductionSHIP training is an educational intervention, closely tailored to the GP setting, delivering peer-developed and peer-led training for GPs and practice nurses to improve quality of sexual health care. A central focus of SHIP is rapid risk assessment for sexual and reproductive health and BBVs. From 2010 to 2015 SHIP training was commissioned in Haringey: a London borough with high HIV prevalence (7 per 1000 adult population in 2014). MethodsPractice-level fixed effects analysis of monthly HIV testing numbers by practice and attendance at training. Registered practice population sizes were recorded. Monthly HIV test numbers and results by practice were obtained from relevant laboratories from 2008 to 2016. ResultsSHIP significantly increased HIV testing; for every additional GP trained practice HIV testing rates increase by 16% (p value 0.004) and this is sustained over the observation period. This increase was driven by practices in high prevalence areas (>2 per 1000). GP HIV testing rates rose 600% during the observation period. Compared with that expected from population screening, HIV tests used in routine clinical care in general practice in Haringey have high positivity (approximately 1% positive average). ConclusionSHIP is an educational intervention that produces significant, sustained increases in HIV testing in primary care for each individual doctor trained in a high prevalence area of the UK. This evaluation is a 'real life' measure of the impact that commissioners of SHIP can expect. Impact may be explained by the components of SHIP training that distinguish it from ineffective interventions.
Abstract IntroductionSHIP training is an educational intervention, closely tailored to the GP setting, delivering peer-developed and peer-led training for GPs and practice nurses to improve quality of sexual health care. A central focus of SHIP is rapid risk assessment for sexual and reproductive health and BBVs. From 2010 to 2015 SHIP training was commissioned in Haringey: a London borough with high HIV prevalence (7 per 1000 adult population in 2014). MethodsPractice-level fixed effects analysis of monthly HIV testing numbers by practice and attendance at training. Registered practice population sizes were recorded. Monthly HIV test numbers and results by practice were obtained from relevant laboratories from 2008 to 2016. ResultsSHIP significantly increased HIV testing; for every additional GP trained practice HIV testing rates increase by 16% (p value 0.004) and this is sustained over the observation period. This increase was driven by practices in high prevalence areas (>2 per 1000). GP HIV testing rates rose 600% during the observation period. Compared with that expected from population screening, HIV tests used in routine clinical care in general practice in Haringey have high positivity (approximately 1% positive average). ConclusionSHIP is an educational intervention that produces significant, sustained increases in HIV testing in primary care for each individual doctor trained in a high prevalence area of the UK. This evaluation is a 'real life' measure of the impact that commissioners of SHIP can expect. Impact may be explained by the components of SHIP training that distinguish it from ineffective interventions.
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