Key PCT indicators
A sub set of the wide range of indicators presented in this toolkit have been identified as key indicators. These are a focussed set of key sexual health process and outcome indicators to compare and measure progress at PCT level. They are based on the recommended 'high-level indicator set' proposed in the recent review of the sexual health and HIV strategy and also Department of Health interest in indicators relating to younger people. See Background for further details.
Note that some values may be suppressed due to small number disclosure constraints. Further details on the current indicators are provided either via the Indicator Guide, Download Data Tables or the icon to the left of the indicator name in the Display tools. See also notes below regarding planned key indicators.
Current key indicators
Teenage Conceptions
Percentage change in rate age under 18 conceptions (LA partners) since 1998
Abortions
Percentage all age NHS-funded abortions <10 weeks
Percentage age under 18 abortions <10 weeks
Percentage age under 18 repeat abortions, (3 years combined)
Contraception
Rate GP prescribed long acting reversible contraception (LARC)1
Percentage age under 18 choose LARC at community and sexual reproductive health (CSRH) services (PCT host)
Sexually Transmitted Infections and HIV
Percentage age 15–24 screened for Chlamydia measured through the National Chlamydia Screening Programme (NCSP)
Percentage HIV diagnosed late (low CD4 cell count)
Prevalence rate of diagnosed HIV2
Percentage GUM clinic attendees offered appointment within 2 working days
Percentage GUM clinic attendees seen within 2 working days
Planned key indicators
Sexually Transmitted Infections and HIV
Rate of new diagnoses of Gonorrhoea in GUM clinics3
Rate of new diagnoses of Syphilis in GUM clinics3
Percentage age 15–24 screened for Chlamydia in GUM clinics3
Rate of new diagnoses of Chlamydia (all settings)4
Uptake of HIV testing in GUM clinics3
Uptake of HIV testing in all settings excluding antenatal services5
Uptake of HIV testing in antenatal services settings5
Sexual Assault
Percentage of those reporting sexual assault seen at Sexual Assault Referral Centres (SARCs)6
The indicators will be updated and developed further on an ongoing basis.
Notes:
1. 'Rate GP prescribed long acting reversible contraception (LARC)': note that the underlying data available via Download Data Tables provides a breakdown of PCT data by type of LARC.
2. 'Prevalence rate of diagnosed HIV' has been included to provide important contextual information for the other indicators rather than providing a PCT measure of progress as this will be affected by a combination of rates of new infections, testing and survival due to new treatments.
3. It is anticipated that the proposed genito-urinary medicine (GUM) clinic indicators will become available in March/April 2010 once the data from the new 'GUMCAD' collection system has been quality assured.
Note that the 'percentage age 15–24 screened for Chlamydia' will initially be measured separately in GUM and non-GUM settings until there is a significant improvement in population coverage in non-GUM settings — see 3.
4. Once chlamydia screening coverage is sufficient to impact on population prevalence, the Rate of new diagnosis of chlamydia (all settings) indicator will be developed.
Note that the potential for generating gonorrhoea and syphilis infection rates based on data from all settings using GUM and microbiology laboratory data will also be explored in the long term.
5. Monitoring 'uptake of HIV testing' in non-GUM clinic settings will depend on improvements to laboratory recording and reporting of information. Uptake of HIV testing in antenatal services is of particular importance, however at present we are unable to obtain a PCT level indicator and may need to rely on a region-level indicator in the meantime.
6. 'Proportion of those reporting sexual assault seen within Sexual Assault Referral Centres (SARCs)'’ indicator — the current development of the 'Paloma' system should enable access to relevant data to generate this indicator in future.