Agenda and draft minutes

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A member with a personal interest in a matter who attends a meeting of the authority at which the matter is considered must disclose to that meeting the existence and nature of that interest at the commencement of that consideration, or when the interest becomes apparent.

A member with a personal interest in a matter also has a prejudicial interest in that matter if the interest is one which a member of the public with knowledge of the relevant facts would reasonably regard as so significant that it is likely to prejudice the member's judgment of the public interest and if this interest affects their financial position or the financial position of a person or body as described in paragraph 8 of the Code of Conduct and/or if it relates to the determining of any approval, consent, licence, permission or registration in relation to them or any person or body described in paragraph 8 of the Code of Conduct.

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The Chair will consider the admission of any late items of urgent business.  Late items will be considered under the agenda items where they appear.  New items will be dealt with at item X below.

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To approve the draft scope and terms of reference for the review (attached).

The Panel considered the draft scope and terms of reference for the review and made the following comments:

·        Looking at best practice elsewhere would be particularly helpful in view of the good performance that had been achieved by some neighbouring boroughs with similar challenges to Haringey

·        It was suggested that the following additional individuals/organisations be invited to contribute to the review:

Ø      Mike Davis (PSHE/Citizenship/Participation Manager – Children and Young People's Service)

Ø      Adrian Kelly (Regional Teenage Pregnancy Co-ordinator – Government Office for London)

Ø      Exposure, who had undertaken a particular exercise promoting chlamydia screening

It was noted that the GP who acted as the sexual health collaborative lead was likely to require considerable notice before attending a panel meeting and flexibility might need to be exercised in order to accommodate her.  This was due to the need for cover arrangements for her surgery.

It was noted that Cllr Newton was unable to attend the date that had previously been set for the second meeting of the Panel and agreed that an alternative would be sought. 

AGREED:

1. That, subject to incorporation of the above mentioned comments, the draft scope and terms of reference for the review be approved and recommended to the Overview and Scrutiny Committee.

2. That, in consultation with members of the panel, an alternative date be sought for the second meeting of the Panel.

To receive a presentation from the Health, Well Being and Sustainability Manager, Children and Young People’s Service and the Associate Director of Public Health, NHS Haringey on the following:

·        How the Council and its partners currently aim to reduce the prevalence of sexually transmitted diseases and teenage conceptions within the Borough

·        The outcome of the sexual health needs assessment

·        Progress made and any issues arising that relate to the prevention of conception from the previous teenage pregnancy scrutiny review

Background papers and supporting information are attached.

Susan Otiti, Associate Director of Public Health at NHS Haringey, gave a presentation to the Panel on:

·        How the Council and its partners currently aimed to reduce the prevalence of sexually transmitted infections (STIs) and teenage conceptions within the Borough

·        The emerging findings of the current sexual health needs assessment

·        Progress made and any issues arising relating to the prevention of conception arising from the previous teenage pregnancy scrutiny review.

The World Health Organisation definition of sexual health was as follows:

“A state of physical, emotional, mental and social well-being, related to sexuality; it is not merely the absence of disease, dysfunction or infirmity.  Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence.”

Sexual health outcomes were relatively poor in Haringey and there were higher levels of need in the east of the borough.  Sexual health was also not distributed equally amongst the population. Poorer outcomes were experienced by women, gay men, teenagers, young adults and black and minority ethnic groups. A range of social, economic and cultural influences determined the sexual well-being of individuals

Sexual health services were commissioned to achieve the following outcomes:

·        Prevention of unwanted pregnancy

·        Detection and treatment/management of cases of sexually transmitted infections, including HIV as a long term condition

·        Prevention of onward transmission of STI/HIV through primary and secondary prevention interventions

·        Improvements in psycho-sexual well-being

Young people (16-24 year old) were most at risk of being diagnosed with a sexually transmitted infection.  Whilst young people represented 12% of the population, they accounted for half of all sexually transmitted infections (STIs) diagnosed in the UK (2007):

·        65% of all Chlamydia

·        50% of genital warts

·        50% of gonorrhoea infections

Chlamydia, gonorrhoea, genital warts and genital herpes are most common STIs amongst young people.

In terms of teenage conceptions, Haringey had:

·        The 8^th. highest teenage pregnancy rate in England (70 per 1000 women under 18); and

·        The 4^th. highest rate in London

65% of conceptions led to abortion (2007 & 2008) and 28% were repeat abortions, including under 19s (highest regional level (2008)).  Of boroughs classified as inner London, Haringey was the only borough showing an increase in teenage conceptions when compared to the 1998 baseline.   However, provisional data for the first two quarters of 2008 showed an improvement in the rates of teenage pregnancy and could indicate that progress was being made.  The rates were 52.1 per 1000 for the 1^st quarter and 57.2 for the second. 

Genital Chlamydia infection was currently the most commonly diagnosed STI in the UK. Women aged 16-19 years and men aged 20-24 years had the highest rates of positive diagnoses.  Untreated Chlamydia could cause pelvic inflammatory disease (PID) which could lead to infertility and ectopic pregnancies.   In terms of Chlamydia screening, the borough had not hit its target for 2007/8 but had been successful in meeting all its targets  ...  view the full minutes text for item 5.

·        3 November at 5:30 p.m.;

·        16 November at 6:15 p.m.; and

·        11 January at 6:15 p.m.