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436The service in Teesside offers a range of full sexual health and contraceptive facilities this includes screening for chlamydia human immunodeficiency virus HIV testing STI treatment and testing it also offers contraception long acting contraception LARC screening for cervical cancer smear and sterilization and vasectomy psychosexual counselling is also available to patients Schools colleges and other educational settings are also available to provide education regarding sexual health services to young people and high risk groups such as homeless people Public Health England 2014 Some groups of people are not able to attend regular GP appointments or clinics therefore work from the outreach team is essential to all people who are unable to have access to regular sexual health clinics The outreach team provides information and advice on various topics such as contraception STIs emergency hormonal contraception condoms and chlamydia testing Tees Valley Public Health Shared Service 2014 Middlesbrough offers many services within the sexual health clinics such as HIV and STI testing Chlamydia testing and the C card The service is free with open access In the Middlesbrough clinic they work with Teesside Positive Action to offer rapid HIV testing and several satellite clinics Public Health England 2014 When a patient needs further treatment that is either not available from a GP or requires specialist treatment then they are referred to a secondary care specialist Secondary care is defined as medical care that is specialized by a medical professional following a referral from a primary care physician as the medical problem requires more specialized knowledge skill and equipment than available from a primary care practitioner Webster M 2017
As well as the general practices thirty seven community pharmacies are also providing emergency sexual health services such as emergency contraception the morning after pill and chlamydia testing NICE 2014 The access to the services in central and East Middlesbrough is very good however in the South the access does not meet the needs of the individuals who need to have access to sexual health services Young people and vulnerable groups who need access to sexual health groups often struggle as there are limited provisions within schools colleges and settings that would reach the vulnerable this means that provisions for these services are going to need more attention in the future to provide education and prevent the increase of sexually transmitted diseases Public Health England 2015