LONDON SEXUAL HEALTH PROGRAMME Sexual Health for the Olympic and Paralympic Games Sexual Health Communications Strategy For Sexual Health Commissioners, Sexual Health Leads and 2012 Leads Page 1 Table of Contents 1. Introduction 2 2. Communications Aims and Objectives 2 3. Themes for Sexual Health at Games Time 3 4. Key Messages 4 The Programme 5 5. 2012 Planning and Assurance Processes 5 6. How to Find Services – Signposting 5 7. NHS Choices 5 8. The Extended Care (GU) Pathway Pilot Proposal 7 9. The National Campaign 7 10. Working with Young People 8 11. Summer of 2012 8 12. Overseas Visitors 8 14. Legacy and Conclusions 9 Appendix One Contact Information Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 10 1 LONDON SEXUAL HEALTH PROGRAMME Sexual Health for the Olympic and Paralympic Games Sexual Health Communications Strategy For Sexual Health Commissioners, Sexual Health Leads and 2012 Leads 1. Introduction This document is an outline of the communications strategy around sexual health for the duration of the Olympic and Paralympic Games. It relates to services nationally affected by the Games activity. It is intended as a working document for commissioners of sexual health services, sexual health leads and 2012 leads. It supports the 2012 Sexual Health Planning Template and assurance processes that will be issued by NHS London. The template outlines a consistent approach for sexual health services to plan for the Games period. Prior to large sporting events, there are always questions about the potential increase in the number of sex workers. In response to this, the template includes a detailed appendix on the needs assessment, service development and commissioning of sexual health services for sex workers. MBARC (formerly Michael Bell Associates) has been commissioned as the delivery agent for the sexual health communications work by NHS London’s Sexual Health Programme, funded by the Department of Health. All enquires about sexual health communications should be addressed to MBARC. Their contact information is at the back of this document. The issues that may affect sexual health services relate to access due to traffic during the Games, pressures of an increased population, and changes in sexual behaviours as London celebrates the Games with visitors to London from the rest of the country and abroad. The Games offer an opportunity to engage with people about health, in particular sexual health. Young people form a very important group and are specifically addressed in the strategy. There is still a great deal of work underway in relation to promoting sexual health services during the Olympic and Paralympic games and updates will be provided at regular intervals. 2. Communication Aims and Objectives The aims and objectives for communications around sexual health are as follows. Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 2 LONDON SEXUAL HEALTH PROGRAMME To signpost UK residents and visitors to appropriate sexual health services if and when required to manage NHS demand To provide key messages to encourage UK residents and visitors to take steps to prevent sexual ill health during the Games. To maximise opportunities to increase the awareness of UK resident of the different sexual health services available to them. To ensure consistency of messaging at Games time across all stakeholders. To ensure all communications support the key London 2012 sexual health programme themes of resilience, transformation, and engagement. A major awareness campaign by Durex and LOCOG (London Organising Committee for the Olympic Games) will give a public profile to sexual health, and sexual health services. The general public will need to understand how and where to access services. NHS Choices and pharmacies will play an important role in directing people to appropriate services or, in the case of pharmacies, providing immediate support when appropriate. It is important that NHS Choices is up to date with local information. It is the responsibility of service providers and sexual health commissioners to ensure this happens to ensure this happens (see www.nhs.uk/yourpages). 3. Themes for Sexual Health at Games Time The three themes which have provided the backbone for the planning and promoting of sexual health services during the games are: Resilience - Safeguarding sexual health services during the games, ensuring lower cost interventions and minimizing the call upon NHS resources. Transformation – Using the development of resilience to transform services and relationships between partners and stakeholders for lasting benefit in line with QIPP (NHS Quality, Innovation, Productivity and Prevention) principles. Engagement - Maximizing public participation, particularly from young people and raising awareness of personal responsibility and positive behavioral changes to ensure good sexual health. Source: MBARC Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 3 LONDON SEXUAL HEALTH PROGRAMME When exploring these three themes with service commissioners and providers it becomes clear that resilience is the theme attracting most focus - ensuring ‘business as usual’ so that sexual health services are not overly disrupted due to the potential of increased demand. Changing clinic locations and times, introducing hub services and generally dealing with challenging logistics around traffic, distribution of supplies to pharmacies, and the unknowns of meeting the needs of a large and temporary change in population have presented the most immediate concern. Over and above this, basic supply and demand issues such as the provision of condoms and emergency hormonal contraception are also being considered. Within this challenge lies opportunity and services and service commissioners are looking at innovation and new alliances as solutions. Self-management is becoming increasingly important in terms of the ‘transformation’ theme which can vary from encouraging people to use pharmacies and NHS Choices as a key portal to healthcare, to suggesting Apps which can help with selfdiagnosis. GUM clinics are encouraged to work synergistically and plan services and clinic times across clusters. Finally, there is a duty to engage with young people during this high profile time, and MBARC has produced an engagement campaign that focuses on Sex Factor Ideas 2012, a competition targeting young people. This also affords an opportunity to engage the general public, and is an extra component of the work underway. 4. Key Messages The key messages around sexual health that will appear on materials about staying healthy during the Games are: 1. Carrying condoms with you and using them all the time and every time you have sex will help protect against sexually transmitted infections (STIs), HIV and pregnancy. 2. If you are worried about unplanned pregnancy, STIs or HIV, visit a pharmacy or check on NHS Choices for information about local sexual health services and treatment. 3. Early testing and treatment for HIV can help survival rate. An estimated one in four people who have HIV do not know they have it. Have a test. . Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 4 LONDON SEXUAL HEALTH PROGRAMME THE PROGRAMME 5. 2012 Planning and Assurance Processes NHS London is circulating the 2012 sexual health planning template which provide useful guidance in planning for the Games This template can be used to feed into the 2012 assurance process to provide assurance that sexual health services are Games ready.. . Recommendation Sexual health commissioners and sexual health leads to liaise with their 2012 lead to feed their priorities and course of action to prepare for the Games into the wider organisational planning. 6. How to Find Services – Signposting 2012 leads, sexual health commissioners and sexual health leads are geared up to ensure that sexual health services can deal with the pressures that hosting the Games may place on them. In order to make sure that people with concerns about their sexual health are dealt with appropriately, the main signposting for sexual health services will bevia NHS Choices and pharmacies. Bespoke 2012 pages on NHS Choices have been developed to provide initial information, symptom checking and details of where to access sexual health services. Recommendations Both NHS Choices and pharmacies should be promoted as the first place for the general public who are asymptomatic to go for information. Those who are symptomatic, should be referred for testing at the most appropriate community sexual health or GUM service as soon as possible. 7. NHS Choices All central communications materials will direct residents and visitors to NHS Choices 2012 pages www.nhs.uk/london2012 for their health concerns. Visitors to the site with questions about sexual health will be able to access: - Access to NHS Direct symptom checkers which will direct them to pharmacies or services, depending on their symptoms. Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 5 LONDON SEXUAL HEALTH PROGRAMME - Information about the different sexual health services and what they provide to help people to choose the most appropriate service for their needs. - Information about local sexual and reproductive health services including opening times and venues. NHS London soon will be circulating a planning template. These will include information and actions to update NHS Choices. Recommendation Sexual health commissioners and sexual health leads to liaise with their 2012 lead to feed their priorities and course of action to prepare for the Games into the wider organisational planning. Identify who will have responsibility for updating NHS Choices. 8. The Extended Care (GU) Pathway Pilot Proposal Pharmacies NHSL and the London Sexual Health Programme are currently scoping out this pilot proposal. Pharmacies would play a key role in this arrangement for London during June, July, August and September. As part of this, Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 6 LONDON SEXUAL HEALTH PROGRAMME pharmacists would receive training in providing increased sexual health services. Recommendation All communications work around sexual health to direct individuals to NHS Choices and pharmacies in the first instance. As well as the general messaging around staying healthy during Games time, you may wish to do some promotional work explicitly encouraging people to go to pharmacies as the ‘first stop’ for anyone needing condoms, emergency hormonal contraception, testing for chlamydia or advice about symptoms. Individuals may then be referred to GUM services or hub services (times and clinic venues can be checked on NHS Choices).. 9. The National Campaign Durex and LOCOG will be running a high profile national campaign around sexual health during the Olympics targeting the general population and linked to the Olympic sites. Recommendation Consider whether to increase promotional activity around sexual health during the time of the Olympics and Paralympic games, and how. For example, it might be beneficial to increase health promotion work that targets young people and supports their exposure to the national campaign. Concentrate on engagement with Durex campaign and focus on raising awareness of appropriate service access and self-care. Further information about the Durex/LOCOG campaign will be circulated by NHS London nearer the time. 10. Working with Young People - Sex Factor Ideas 2012 There is considerable emphasis on engagement with young people during the Olympic and Paralympic games. MBARC is running a major national competition targeting young people. Young people have been asked for their creative suggestions for improving young people’s sexual health and sexual health services. The winning ideas will be made into a reality, and the runners-up will receive an internship at a major employer. Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 7 LONDON SEXUAL HEALTH PROGRAMME While entries to the competition are London based, young people across the UK have been encouraged to vote for their winners. A media campaign about the shortlisted winners will begin in March 2012 and continue until the winning products are promoted at Pride House in July 2012. Recommendation 2012 leads, sexual health commissioners and sexual health leads to encourage local support for the Sex Factor winning ideas. 11. Summer 2012 At 75,000 square metres on Clapham Common, Pride House is the second largest Olympic house at the London Olympic and Paralympic games. MBARC is working in partnership with a range of sponsors (including the London Sexual Health Programme and the Pan London HIV Prevention Partnership) and other service providers to deliver a Health and Wellbeing Lounge at Pride House, which offers opportunities for health promotion activity around sexual health and other health initiatives such as drug and alcohol misuse and smoking cessation. While the main target will be the LBGT community, there will be health support available to the wider community. The Health and Wellbeing Lounge will also provide signposting to existing service provision across London. Recommendation Check with your 2012 lead to see if there are any health promotion activities or materials that you would like included in the Pride House Health and Wellbeing Lounge. Think about other events in your during the summer and how to ensure sexual health messaging is included. 12. Overseas Visitors Overseas visitors will receive information about staying healthy before and during the Games that directs them to NHS Choices for more information. As at any other time overseas visitors can access sexual health services free of charge, however, any medical follow-up service required will be chargeable. Recommendation Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 8 LONDON SEXUAL HEALTH PROGRAMME 2012 leads, sexual health commissioners and sexual health leads to liaise to ensure that service providers operate a ‘business as usual’ approach during Games time and the summer of 2012. 13. Legacy and Conclusions There are several strands to the legacy that the 2012 Olympics and Paralympic games hopes to leave in terms of London’s sexual health. The first is: no legacy. Ideally, the sexual health of the general population will not decline during Games time as it seems to have at the Sydney and Beijing Olympics. This means no increase in unplanned pregnancy and no increase in STIs or HIV rates. The main work of the communications campaign is that of signposting and prevention. The other legacy is that of innovation. This is an opportunity to explore using NHS Choices and pharmacies as a point of triage, work with developing the role of pharmacists and also venture into technological approaches like apps to check symptoms. Service planning is also demonstrating innovation. NHS clusters are exploring working together to deliver out of hours coverage, put in place hub services and overcome the challenges placed on their infrastructure. These can provide useful lessons for the future. Finally, and most optimistically, it is an opportunity to improve young people’s sexual health. Being healthy and fit, understanding what good sexual health is and how life enhancing this can be is a great gift. Young people have responded with a number of innovative and fun ideas to the Sex Factor Ideas 2012 Competition. The Games offer a chance for all of us to aspire to physical health and well being, and sexual health is a major reward - as well as a key component - of those two things. Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 9 LONDON SEXUAL HEALTH PROGRAMME APPENDIX 1 CONTACT INFORMATION MBARC produces a regular monthly newsletter giving an overview about sexual health promotion and the Olympic and Paralympic Games. To receive a copy please email Jennifer Reiter at jennifer.reiter@mbarc.co.uk. MBARC (formerly Michael Bell Associates) MBARC MBARC 94 White Lion Street London N1 9PF Head of Sexual Health Programmes Stephen Bitti Stephen.Bitti@mbarc.co.uk Telephone: 020 7407 4010 Sexual Health Manager Gareth Davies Gareth.Davies@mbarc.co.uk Telephone: 020 7407 4010 Sexual Health Projects Coordinator Jennifer Reiter Jennifer.Reiter@mbarc.co.uk Telephone: 020 7407 4010 Communications Strategy – 2012 leads, SH leads and commissioners Redraft 24/2/2 Kate Vick 10