Online sexual health services are an emerging area of service delivery. Theory change critically analyses programmes by specifying planned inputs and articulating the causal pathways that link these to anticipated outcomes. It acknowledges changing contested nature relationships.We developed two versions a theory for online service. The first articulated presented in original programme proposal second documented its development early stages implementation through interviews with key...

The objective of this study was to evaluate a service improvement project offering HIV testing through either self-testing or self-sampling in an online sexual health by measuring type test chosen and the reason for choice. We created web-page choice with information on advantages disadvantages both methods. Anyone aged over 18 years resident England, Scotland Wales could order test. describe characteristics users, tests reasons A total 1502 orders were placed 1466 (97.6%) kits dispatched...

To describe the outcomes of user-led, choice test within an online sexual health service.We analysed routinely collected data from a free, service in Essex, UK that enabled users to select their tests. The website provided information on all sexually transmitted infections, recommended testing package based sexuality and ethnicity, invited modify this if they chose. Data orders were for 6 months before (May-October 2016) after (October-April 2017) implementation.We compared 7550 6253 9785...

<h3>Background/introduction</h3> There are many barriers to accessing sexual health and HIV testing services. Novel service models could address this. On-line may provide a solution. <h3>Aim(s)/objectives</h3> To evaluate the acceptability potential impact of on-line STI testing. <h3>Methods</h3> We developed dedicated, secure website for free Website content process was iteratively designed in response user feedback. Simple questions identify those most at risk or symptomatic signpost local...

Background Web-based services for testing of sexually transmitted infections are widely available across the United Kingdom. Remote prescriptions with medications posted home may support prompt treatment; however, absence face-to-face contact clinicians raises clinical safety issues as medical history not be accurately provided. Objective This service evaluation aimed to capture use and explore 3 remote communication strategies employed within a web-based offering antibiotics, delivered via...

Objectives To evaluate the feasibility and acceptability of a pilot, free, online photodiagnosis service for genital herpes warts with postal treatment delivered by specialist digital sexual health service. Setting An available free charge in South East London, UK. Participants Routinely collected data from 237 users pilot during study period qualitative interviews purposive sample 15 users. Intervention A Primary secondary outcome measures Proportion who successfully uploaded photographs...

Introduction Online sexual health services can transform systems through increased access and self-management. They are one element of the whole economy. Best practice facilitates appropriate movement users between online clinic according to their need. Methods Using routinely collected, anonymised service activity data, SHHAPT codes, interviews with users/providers we studied options for system transformation in two London Boroughs high rates ill health. We focused on: Total sexually...

Introduction Choice is an increasingly important element of health care. We introduced choice test into online sexual service. Methods Users were offered testing based on their risk profile (table 1) with option to request additional tests. Routinely collected anonymised data test. Abstract P121 Table 1 Results from Choose &lt;24 24+ BME MSM Genital GC/CT* Yes Oral No Anal Syphilis HIV 2550 users ordered tests (30/10/16 – 19/12/16). 56% &lt;24, 10% black or ethnic minority (BME) groups and...

Introduction Sexual health services lead innovative thinking in the NHS with integrated service provision, online access and testing non-traditional venues. Agile design-led creates that are intuitive, easy to use valued by users (both staff patients). It offers an alternative pre-specifying a whole system (waterfall approach) frequently associated unpredicted problems, identified late requiring costly fixes. Methods SH:24 uses agile, approach development delivering value by: Focusing on...

Introduction Online sexual health services could shift demand for asymptomatic testing from clinics to relieve pressure and reduce cost. An online service collaborated with clinicians in two London boroughs facilitate this through new pathways. One clinic developed a triage system directing attenders order directly via the using tablets self-sampling packs prepared immediately take away. Two offered ‘weblink’ card signposting those attending during busy periods service. This study describes...

Regular testing and rapid treatment for sexually transmitted infections (STIs) are important strategies control. – Lambeth Southwark London boroughs with high rates of STI prevalence. Sexual health services provide excellent clinical care but demand outstrips capacity. SH:24 (www.sh24.org.uk) is a collaboration designers, public clinicians working to develop scale solutions improve access services. has pioneered online sexual reproductive services, delivered in partnership the NHS developed...

<sec> <title>BACKGROUND</title> Web-based services for testing of sexually transmitted infections are widely available across the United Kingdom. Remote prescriptions with medications posted home may support prompt treatment; however, absence face-to-face contact clinicians raises clinical safety issues as medical history not be accurately provided. </sec> <title>OBJECTIVE</title> This service evaluation aimed to capture use and explore 3 remote communication strategies employed within a...