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School Based Health Clinics

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					School Based
Health Clinics
      Tool Kit
     for setting up a
   School Based Health
    Clinic in Somerset
        Why have a Health Clinic?

• “All young people are entitled to receive
  appropriate healthcare wherever they access it.”
  Department of Health 2007

• Department of education and skills 2006
  identified that young people need:
  –   Services specifically designed for them
  –   Right to confidentiality
  –   Services close to where they live
  –   Open at convenient times
  –   Informal and relaxed
  –   Friendly staff who will treat them with respect
      Why have a Health Clinic?
              (cont.)
• The Department for Children, schools and
  Families 2007:
  – Endorses the value and legitimacy of on-site health
    services in schools.


• Schools have a legal duty to promote the well-
  being of young people in their care – onsite
  health services help to fulfil their duty for
  promoting pupil well-being.
     Why have a Health Clinic?
              Cont.
• Young people are the group least likely to
  access contraceptive and sexual health
  advice, putting them at high risk of
  unplanned pregnancy and/or contracting a
  sexually transmitted infection. DFES 2007

• “Between a quarter and a third of young
  people have had sex by the time they are
  16.” Wellings et al 2001
        Why have a Health Clinic?
                 Cont.
• Provision of PHSE and easy access to sexual health
  services have been key factors in areas with reducing
  teenage pregnancy rates. DfES 2006
• Access to a health professional on school site improves
  school attendance by addressing some of the barriers to
  learning. Cummings et al 2004
• “Not all young people will need to use a health service at
  school, but providing one is the best way of making sure
  those young people who need the service can use it”
  Emmerson 2009
       Why have a Health Clinic?
                Cont.
• The Sexual Health Integration Project Rapid
  Review of Service Specification October 2008
  (NHS Somerset) agreed the minimum level of
  service offered at a school clinic regarding
  sexual health should be:
  –   Sexual health promotion
  –   Signposting to other sexual health tiers
  –   Condom card
  –   Emergency hormonal contraception
  –   Free pregnancy testing
  –   Chlamydia screening for young men & women
   Decision to start a school based
                 clinic
• Who needs to be involved in starting the process?
   –   School Health Advisor
   –   Personal Advisor
   –   Youth Worker
   –   School representative
• What information needs to be collected in advance of the
  consultation process?
   – How easy is it to access sexual health services and other health
     services?
   – What are the local teenage pregnancy rates?
   – What are the health statistics like in the area e.g. obesity figures,
     heart disease, etc?
• Who needs to be consulted?
   –   School governing body
   –   Parents
   –   Teachers
   –   Students
      Consultation Process
• Discussion with senior management team
• Consultation with the school board of
  governors or pastoral sub-group
• Parent Consultation
• Young person Consultation
Setting up a Steering Group
• Steering Group membership:
  – Senior school staff member
  – School health adviser
  – Youth Worker
  – LST Personal Adviser
  – Others could include – Contraceptive and
    sexual health service, governor and young
    people
  Functions of a Steering Group
• Set aims and objectives of the clinic
• Minutes of the meeting should always be taken and
  distributed to all steering group members
• Complete partnership agreements where roles and
  responsibilities are formalised on both sides
• Make clear the arrangements for the implementation and
  delivery of the clinic
• Agree timings of the clinic and make arrangements for
  times when some students may need to access the clinic
  during lesson time
• Agree length of the clinic and make arrangements for the
  clinic having protected time for students in following
  taught period
• Continual evaluation of clinic and changes decided
      Marketing and Publicity
• The clinic can be promoted through:
  – Sex Directory
  – School intranet
  – PHSE lessons
  – School or college websites
  – E-mail bulletins
  – Local youth websites (Connexions or Somerset
    Youth)
  – Local radio if appropriate
  – www.somersetcsh.co.uk
 Marketing and Publicity (cont.)
• The publicity must explain to young
  people:
  – What the clinic offers
  – How to access the clinic
  – What will happen if they do access the clinic
  – How to make suggestions about the clinic
  – Their entitlement to a confidential service
  – Which professionals are available at the clinic
       Running of the Clinic
• Signposting

• Information and Literature

• Workshops

• Availability of one to one consultation
       Issues to address?
• In a small group, discuss potential issues
  and concerns that may arise in the
  process of setting up and running a health
  clinic
  Professional Considerations
• Confidentiality contract and code of
  practice
• Information Sharing
• Record Keeping
• Fraser Guidelines
• Evaluation
         Workshop Ideas
• In a group, discuss what areas should be
  covered in the health clinic workshops
                   Workshop Ideas
•   September
    – Clinic taster sessions – outlining services, staff running the clinics
    – Sexual health

•   October
    – Women’s health Breast Cancer Awareness Week
    – World Mental Health Day (October 10th)

•   November
    – Alcohol and drugs

•   December
    – World AIDs Day (December 1st)
    – Sexually transmitted infections

•   January
    – New Years resolutions – healthy lifestyles, stop smoking, exercise
        Workshop Ideas (cont.)
•   February
     – Exam stress and relaxation

•   March
     – No Smoking Day /smoking cessation (2nd Wednesday in the month)

•   April
     – World Health Week

•   May
     – Asthma and Special medical needs
     – World Asthma Day (May 1st)

•   June
     – Physical Activity
     – Male cancer awareness month – Everyman
     – Men’s Health Week

•   July
     – Sun safety
                  Respect Award
• RESPECT is a Somerset wide award that aims to:

• Support primary care and other organisations working with young
  people in the development and delivery of young people friendly
  health services.
• Enable young people to be able to clearly identify health services
  that are appropriate to their needs and that they can access and
  trust.
• Clinics who have received the award are able to display the
  RESPECT logo as a sign that young people will be able to
  recognise and feel confident that the service is:
    –   Friendly
    –   Trustworthy
    –   Non Judgmental
    –   Confidential
    –   Welcoming
              Next Steps
• Individually, write down your bullet-points
  of actions for setting up a clinic in your
  setting.
Questions??
Long term benefits of School
     based health clinics
“Early positive experiences in using health
                  services are
        likely to give young people
     the confidence to access a wide
              range of services
                in the future.”
           National Youth Agency
              Useful Contacts
• Sarah Davies (Young Person’s Clinic nurse
  practitioner)
  sarah.davies@somcomhealth.nhs.uk
• Phil Wells (Professional lead for School nursing)
  phillip.wells@somcomhealth.nhs.uk
• Julie Husband (Teenage Pregnancy Co-ordinator)
  jhusband@somerset.gov.uk
• Andrew Wilson (Health Promotion Manager for Sexual
  Health)
  andrew.wilson@somerset.nhs.uk

				
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