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The Sexual Health and Blood Borne Virus Framework 2011-2015

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Chapter 8: Governance and Accountability

Advice and Expertise

Advice and expertise will be provided to support the Framework through the following mechanisms:

  • National Sexual Health and Blood Borne Virus Advisory Committee ( NSHBAC): A Ministerial led, multi-agency Committee will provide national Ministerial leadership.
  • Professional Support: A small number of national networks will support the effective delivery of Framework Outcomes by providing and facilitating:
    • Professional advice and guidance to the Scottish Government;
    • Peer support, the sharing of expertise and best practice across national and local partners;
    • National and local clinical, prevention and executive leadership and expertise; and
    • Third Sector and service-user involvement nationally.

National Networks will be developed during the initial implementation of the Framework in Autumn 2011. Each network will nominate a Chair who will be a member of the Sexual Health and Blood Borne Virus Advisory Committee.

Governance and Performance Management

The Scottish Government will performance manage the Framework through:

  • the multi-agency outcomes and indicators, in conjunction with supporting contextual information;
  • multi-agency local visits, which will seek to explore how agencies have taken forward work to support the delivery of outcomes and how Framework recommendations have been progressed; and
  • Local Authority Single Outcome Agreements ( SOAs) and indicators.

A Sexual Health and Blood Borne Virus Governance Board, Chaired by the Scottish Government, will review progress against outcomes and address high-level risks, issues and challenges affecting Framework delivery. The Governance Board will comprise representatives of the Lead Organisations, notably NHS Board Sexual Health and Blood Borne Virus Executive Leads and national organisation leads.

Monitoring and Reporting

Information and data required to monitor outcomes will be generated nationally and broken down by local area when feasible and where appropriate.

A National Sexual Health and Blood Borne Virus Monitoring and Assurance Group will support the Scottish Government in monitoring outcomes by providing an independent view of the effectiveness of delivery and underpinning interventions. This will include developing, refining or adapting national data systems to support the Framework. The Chair(s) of the National Monitoring and Assurance Group will report to the Governance Board and be represented on the Advisory Committee.

Executive Leads

NHS Boards will be asked to identify an Executive Lead for sexual health and an Executive Lead for blood borne viruses, jointly or individually, in line with local circumstance. The lead(s) will be accountable for the co-ordination, planning and monitoring of Framework delivery and spend at a local level.

National Organisations with specific Framework responsibilities will be asked to nominate a lead representative. Representation from National Local Authority Associations encompassing disciplines key to Framework delivery ( e.g. education, social care) will be sought.

Executive Leads and Lead Representatives will represent their organisations and associations on the Framework Governance Board.

National Co-ordinators

The Scottish Government will appoint, a 'National Co-ordinator for Sexual Health and HIV' and a 'National Co-ordinator for Viral Hepatitis' to support the implementation of the Framework as part of its Sexual Health and Blood Borne Virus Policy Team.

The National Co-ordinators will:

  • co-ordinate and oversee the Framework nationally;
  • support the implementation of the strategy;
  • act as key link between Ministers, NHS Boards, Local Authorities, Third Sector Organisations and other partners; and
  • gather and retain knowledge and understanding on organisations' progress through Framework multi-agency visits and regular discussion and communication with stakeholders.

Framework Governance Structure

Framework Governance Structure

Framework OutcomeIndicators
Sexual HealthHIVHepatitis CHepatitis B
1. Fewer newly acquired blood borne viruses and STIs; fewer unintended pregnanciesSH 1.1 Diagnoses of genital Gonorrhoea in heterosexual men and women
Acc: NHS Boards/ Local Authorities Mon: HPS
HIV 1.1 Rates of transmission of HIV acquired by residents in Scotland; overall and by risk group
Acc: NHS Boards/Local Authorities/Third Sector Mon: HPS in association with BBV Specialist Laboratories
HCV 1.1 Rates of transmission of HCV acquired by residents in Scotland; overall and by risk group
Acc: NHS Boards/ Local Authorities / Third Sector Mon: HPS in association with BBV Specialist Laboratories
HBV 1.1 Rates of transmission of HBV acquired by residents in Scotland; overall and by risk group
Acc: NHS Boards/ Local Authorities / Third Sector Mon: HPS in association with BBV Specialist Laboratories
SH 1.2 Diagnoses of rectal gonorrhoea in MSM
Acc: NHS Boards/ Local Authorities Mon: ISD
HBV 1.2 Proportion of babies born to HBV infected mothers vaccinated and immunised
Acc: NHS Boards Mon: HPS
SH 1.3 The rate of terminations of pregnancy
Acc: NHS Boards/ Local Authorities Mon: ISD
SH 1.4 The rate of repeat terminations of pregnancy
Acc: NHS Boards/ Local Authorities Mon: ISD
SH/ BBV1.5 The delivery of evidence-informed Relationships, Sexual Health and Parenthood education and blood borne virus education in line with Curriculum for Excellence in all schools and wherever learning takes place.
Acc: Local AuthoritiesMon: Scottish Government* in association with Education Scotland