We are testing a new beta website for gov.scot go to new site

The Sexual Health and Blood Borne Virus Framework 2011-2015

Listen

Appendix 1: Outcomes and Indicators

Acc: Accountability for delivery Mon: Accountability for monitoring

*The Scottish Government will work with key stakeholders to examine and develop options for collecting national survey data

Framework OutcomeIndicators
Sexual HealthHIVHepatitis CHepatitis B
2. A reduction in the health inequalities gap in sexual health and blood borne virusesSH 2.1 The rate of teenage pregnancy in areas of highest deprivation
Acc: Local Authorities/ NHS Boards Mon: ISD
HIV 2.1 Rate of HIV diagnosed population accessing specialist services by population* group
Acc: NHS Boards/ Local Authorities/ Third Sector Mon: HPS in association with BBV Specialist Laboratories
HCV 2.1 Rate of HCV diagnosed population accessing specialist services by population* group
Acc: NHS Boards/ Local Authorities/ Third Sector Mon: HPS in association with BBV Specialist Laboratories
HBV 2.1 Rate of HBV diagnosed population accessing specialist services by population* group
Acc: NHS Boards/ Local Authorities / Third Sector Mon: HPS in association with BBV Specialist Laboratories
SH 2.2 The rate of termination of pregnancy in areas of highest deprivation
Acc: NHS Board/ Local Authorities Mon: ISD
SH 2.3 Chlamydia indicator [awaits recommendations of Chlamydia working group]
SH 2.4 The uptake of contraception amongst female IDUs**, where appropriate
Acc : NHS Board/ Local Authorities Mon: HPS in association with the University of the West of Scotland

Acc: Accountability for delivery Mon: Accountability for monitoring *to be defined by the Data Monitoring and Assurance Group

** Whilst the document refers to 'people who inject drugs', the Framework data tables and indicators tables refer to IDU population(s) as a recognised epidemiological term.

Framework OutcomeIndicators
Sexual HealthHIVHCVHBV
3. People affected by blood borne virus(es) lead longer, healthier livesRefer to NHS Quality Improvement Scotland Sexual Health Criteria 1.4 and Standard 5DiagnosisHIV 3.1 Number of people diagnosed and this number as a proportion of the estimated infected population
Acc: NHS Boards Mon: HPS
in association with BBV Specialist Laboratories
DiagnosisHCV 3.1 Number of people diagnosed and this number as a proportion of the estimated infected population
Acc: NHS Boards Mon: HPS in association with BBV Specialist Laboratories
DiagnosisHBV 3.1 Number of people diagnosed and this number as a proportion of the estimated infected population
Acc: NHS Boards Mon: HPS in association with BBV Specialist Laboratories
Late Diagnosis:HIV 3.2 Number of people newly diagnosed with late HIV disease (indicated by a CD4 count less than 350).
Acc: NHS Boards Mon: HPS

Late Diagnosis / Burden of Disease:HIV 3.3 Annual number of people hospitalised, or having died, with advanced HIV-related disease; total and within 1 year of diagnosis
Acc: NHS Boards Mon: HPS
Late Diagnosis / Burden of Disease:HCV 3.3 Annual number of hepatitis C diagnosed persons hospitalised, or having died with end-stage liver disease; total and within 1 year of diagnosis
Acc: NHS Boards Mon: HPS
Late Diagnosis / Burden of Disease:HBV 3.3 Annual number of hepatitis B diagnosed persons hospitalised, or having died with end-stage liver disease; total and within 1 year of diagnosis
Acc
: For national purposes to establish baseline. Mon: HPS(Subject to epidemiological findings and the current HBV landscape, yet to be determined).
Treatment:HIV 3.4 Proportion of diagnosed HIV infected people, for whom treatment is clinically indicated*, receiving treatment
Acc: NHS Boards Mon: HPS
Treatment:HCV 3.4 Ratio of the diagnosed HCV chronically infected population to the annual and total number of people initiated onto antiviral therapy
Acc: NHS Boards Mon: HPS
Treatment:HBV 3.4 Proportion of diagnosed highly infectious (eAntigen positive/high viral load) HBV chronically infected persons, who are receiving antiviral therapy
Acc: NHS Boards Mon: HPS
Treatment:HIV 3.5 The proportion of the treated HIV population achieving an 'optimal treatment response' (viral load <50 copies per ml within 12 months of commencing treatment)

Acc: NHS Boards Mon: HPS
Treatment:HCV 3.5 The proportion of the treated HCV population that completes treatment and the proportion achieving a sustained viral response
Acc: NHS Boards Mon: HPS
Treatment:HBV 3.5 The proportion of the treated HBV population achieving an 'optimal treatment response'
Acc: NHS Boards Mon: HPS

* To be defined by National Monitoring and Assurance Group

Framework OutcomeSexual Health Indicators
4. Sexual relationships are free from coercion and harm.SH 4.1 Levels of sexual regret (nationally) Acc: Local Authorities/ NHS Boards Mon: Scottish Government*
SH 4.2 Levels of sexual wellbeing (nationally) Mon: Scottish Government*
SH 4.3 Levels of gender based violence, as recorded within specialist sexual health services Mon: ISD (via Na SH)

Acc: Accountability for delivery Mon: Accountability for monitoring

* The Scottish Government will work with key stakeholders to examine and develop options for collecting national survey data

Framework OutcomeIndicators
Sexual HealthHIVHepatitis CHepatitis B
5. A society whereby the attitudes of individuals, the public, professionals and the media in Scotland towards sexual health and blood borne viruses are positive, non-stigmatising and supportive5.1 Acceptability of services to those living with, or vulnerable to, poor sexual health and/or blood borne viruses (including prevention, treatment, care and support services)
Acc: NHS Boards, Third Sector, Local Authorities Mon: Scottish Government*
SH 5.2 Awareness and understanding in the general population of the positive and life enhancing aspects of sex and good sexual health
Acc: NHS Boards, Third Sector, Local Authorities, Scottish Government Mon: Scottish Government*
BBV 5.2 Awareness and understanding in the general population of blood borne viruses including transmission, treatment and complex long-term health issues of living with blood borne viruses, to support those living with and at risk of blood borne viruses to feel a sense of inclusion and equality in society
Acc: NHS Boards, Third Sector, Local Authorities, Scottish Government. Mon: Scottish Government *
SH/ BBV 5.3 Positive portrayal of sexual health and blood borne virus issues in the media, including the portrayal of gender stereotypes, nationally and locally Mon: Scottish Government

Acc: Accountability for delivery Mon: Accountability for monitoring

*The Scottish Government will work with key stakeholders to examine and develop options for collecting national survey data