28 Educators providing HIV courses in London

Did you know that: Camden, Islington and Haringey have some of the highest HIV and STI prevalence rates in the UK 66% of people would prefer to use their GP for sexual health services1 but GPs and practice nurses report numerous barriers to offering HIV and STI tests Missed opportunities to diagnose HIV and other STIs have major health implications, including significantly increased mortality rates for HIV2 Why is SHIP training relevant to YOU? Do you want to learn quick simple strategies to assess your patients’ sexual health risk? Find out why the use of speculae is plummeting! Are you all too aware of the reasons NOT to offer an HIV test? Do you worry about how to bring up the topic out of the blue? We will help you become confident in sexual health risk assessment and make meaningful changes to your clinical practice! Session 1a: STI update for Practice Nurses & Nursing Associates Describe the clinical significance of STIs in general practice Outline strategies for STI testing in primary care, including which swabs to use and when Outline management of STIs in the GP setting, including partner notification guidance Describe patterns of STI risk, and prevention methods Session 1b: Talking with patients about sex Formulate and use strategies to bring up sexual health in GP consultations, including when people are not expecting it Demonstrate how to take a rapid sexual health risk assessment tailored for the primary care consultation Formulate clinical management plans drawing on rapid sexual health risk assessment Session 2: Blood borne virus update List the advantages of diagnosing HIV and viral hepatitis in general practice, and the dangers of late diagnoses Recognise the parallels between HIV and viral hepatitis Recognise HIV indicator conditions Overcome barriers to, and normalise, HIV and viral hepatitis testing in your clinical practice Each session provides you with up-to-date resources to take back to your practice to support your consultations.

Did you know that: Lambeth, Southwark and Lewisham have some of the highest HIV and STI prevalence rates in the UK 66% of people would prefer to use their GP for sexual health services1 but GPs and practice nurses report numerous barriers to offering HIV and STI tests Missed opportunities to diagnose HIV and other STIs have major health implications, including significantly increased mortality rates for HIV2 Why is SHIP training relevant to YOU? Do you want to learn quick simple strategies to assess your patients’ sexual health risk? Find out why the use of speculae is plummeting! Are you all too aware of the reasons NOT to offer an HIV test? Do you worry about how to bring up the topic out of the blue? We will help you become confident in sexual health risk assessment and make meaningful changes to your clinical practice! Session 1a: STI update for Practice Nurses & Nursing Associates Describe the clinical significance of STIs in general practice Outline strategies for STI testing in primary care, including which swabs to use and when Outline management of STIs in the GP setting, including partner notification guidance Describe patterns of STI risk, and prevention methods Session 1b: Talking with patients about sex Formulate and use strategies to bring up sexual health in GP consultations, including when people are not expecting it Demonstrate how to take a rapid sexual health risk assessment tailored for the primary care consultation Formulate clinical management plans drawing on rapid sexual health risk assessment Session 2: Blood borne virus update List the advantages of diagnosing HIV and viral hepatitis in general practice, and the dangers of late diagnoses Recognise the parallels between HIV and viral hepatitis Recognise HIV indicator conditions Overcome barriers to, and normalise, HIV and viral hepatitis testing in your clinical practice Each session provides you with up-to-date resources to take back to your practice to support your consultations.

Did you know that: An estimated 55% of pregnancies in the UK are planned; the remainder are unplanned or associated with ambivalence1 12% of women aged 15–44 in heterosexual relationships report not using any method of contraception2 NICE guidance (2016) stipulates that women asking for contraception are given information about, and offered a choice of, all methods including long-acting reversible contraception (LARC)2 Over 1/3 of all women in England and Wales have ever an abortion3 Of all woman in England and Wales who had an abortion in 2021, 43% had had a previous abortion4 Why is SHIP training relevant to YOU? Do you worry about how to bring up the topic of contraception out of the blue? Find out how to outline key points about different methods of contraception to patients in a concise and time-efficient way Learn how to assess women to safely reissue combined hormonal contraception, progesterone only pill and injections Do you know what to do if you see a woman has had a recent abortion? Learn quick simple strategies to work out which methods of emergency contraception you should offer women We will help you become confident in bringing up and discussing contraceptive choices and make meaningful changes to your clinical practice! Basic Contraception 1 Differentiate between methods of contraception, including LARCs (long acting reversible contraception) Practice how to bring up contraception & promote LARC appropriately Establish guidelines for re-issuing combined hormonal contraception & progesterone only pill Establish guidelines for administering & re-issuing the contraceptive injection Basic Contraception 2 Manage requests for emergency contraception Outline and practise applying Fraser Guidelines Assess whether a woman is at risk of pregnancy and identify criteria for ‘near patient’ pregnancy testing Understand your role as general practice nurse in abortion referrals & aftercare Each session provides you with up-to-date resources to take back to your practice to support your consultations. References: Wellings K, Jones KG, Mercer CH et al. (2013) The prevalence of unplanned pregnancy and associated factors in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).Lancet 382: 1807–16 NICE Contraception Quality standard Published: 8 September 2016 nice.org.uk/guidance/qs129\ UK Government Abortion statistics, England and Wales https://www.gov.uk/government/statistics/report-on-abortion-statistics-in-england-and-wales-for-2016 Abortion Statistics, England and Wales: 2021, Office for Health Improvement and Disparities https://www.nice.org.uk/sharedlearning/sexual-health-in-practice-training-increases-hiv-testing-in-primary-care Pillay TD, Mullineux J, Smith CJ, et al. Unlocking the potential: longitudinal audit finds multifaceted education for general practice increases HIV testing and diagnosis. Sexually transmitted infections 2013;89(3):191-6. doi: 10.1136/sextrans-2012-050655 Click here to see how SHIP training in Haringey led to increases in testing & changes in practice

FOUR DAY ATTENDENCE AND TRAINING GUIDELINE: DAY ONE AND TWO - INTRODUCTION TO DERMAL FILLERS Day one Arrive and coffees (10.00) Registration, introduction and expectations (10.00-10.15) Structure of the training (10.15-10.30) Break (10.30-11.00) Lectures and interactive workshops / simulation (11.00 - 1230pm) Health and safety in the workplace Sharps injury and disposal The consultation process and prescriptions LUNCH (1300-1730) with a coffee break Basic life support Anaphylaxis - recognition and management Emergency kits - what it should contain and how to buy one Your doctors on call - how to contact our on call doctors for emergency advice How to use Hyalase safely - when to use it / recognise mechanism of action, how prescription in an emergency works and how to give the hyalase Practical and to include demonstration of Hyalase injection Our added benefits services for safety and convenience Day two Arrive and coffees (10.00) introduction and expectations (10.00-10.30) Structure of the training (10.30-11.00) Formal written examination covering key areas of THEORY for Dermal Filler injections: Anatomy, Physiology, Products and Complications. This will highlight early on if any important areas need to be covered in more detail for the students (11.00 - 1200) - Break for lunch - Practical session commences - (12.30 - 1800) - and in total on average we have scope for one model per 30 minutes on both of the Dermal filler days, so that’s a potential for 10 in total for a class size of maximum 4, which will give good hands on experience, as the way we train is to allow several people the opportunity to be involved with each patient - e.g. splitting into the phases of treatment, which allows the trainees to understand the concept of the treatment process. That would be - consultation, consent, marking up, readying equipment, performing the injection, providing advice and aftercare. DAY THREE AND FOUR BOTOX FOUNDATION COURSE Day three Arrive and coffees (10.00) introduction and expectations (10.00 – 10.30) Structure of the training (10.30 – 11.00) Formal written examination covering key areas of THEORY for Botox Application: Anatomy, Physiology, Products and Complications. This will highlight early on if any important areas need to be covered in more detail for the students (11.00 - 1200) - Break for lunch - Practical session commences - (12.30 - 1800) - and in total on average we have one model per 30 minutes on both the botox and days, so that’s a potential of 10 in total for a class size of 4, which will give good hands on experience, as the way we train is to allow several people the opportunity to be involved with each patient - e.g. splitting into the phases of treatment, which allows the trainees to understand the concept of the treatment process. That would be - consultation, consent, marking up, readying equipment, performing the injection, providing advice and aftercare. Day four Observed Treatment Process Examination The participants will be tested on the following key facets of safe practical care: Consultation process - rapport and understanding what the client wants Safe consent Marking and photographs Technical skill of injection Atercare provision and safety netting (eg if this happens do this / call me) 1 model will be provided for Botulinum (3 area) treatment and 1 - 2 clients for filler to ensure that each of the key anatomical areas covered are observed. Morning = Botulinum (0900 - 1230) Afternoon = Botulinum and Option Dermal fillers (1330 - 1630) Conclusion Candidates given session and refreshments and discussion regarding Case Studies and further support. (1700 - 1800)