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Chlamydia Infection: Screening

Volume 464: debated on Wednesday 17 October 2007

To ask the Secretary of State for Health what steps he is taking to encourage primary care trusts to ensure that pharmacies offer chlamydia testing kits as part of the chlamydia screening programme. (156791)

Chlamydia screening programme areas are encouraged to engage a range of screening venues to participate in the National Chlamydia Screening Programme, including pharmacies.

In addition to this, the Department contracted Boots to pilot the potential of community pharmacies as locations for chlamydia screening. Screening started on 14 November 2005. To date, nearly 43,000 screens have been undertaken with a positively rate of around 8 per cent. This pilot is being independently evaluated by TNS Healthcare.

In support of commissioners, the Department is working with the Pharmaceutical Services Negotiating Committee and the national health service to develop a national template for a chlamydia screening local enhanced service through the NHS Community Pharmacy Contractual Framework.

To ask the Secretary of State for Health (1) how many 16 to 24-year-old (a) males and (b) females were tested for chlamydia infection as part of the National Chlamydia Screening Programme broken down by primary care trust in each year since 2003-04; and what proportion of 16 to 24-year-olds this represented in each year; (156793)

(2) how many tests for chlamydia infection have been undertaken in the 16 to 24-year-old age group in the year 2007-08 to date (a) in England and (b) broken down by primary care trust; and what percentage of 16 to 24-year-olds this represents in each case.

For the National Chlamydia Screening Programme, as at March 2007, there were 220,147 females and 49,993 males between the ages of 16 to 24 who provided a primary care trust (PCT) postcode of residence, who were tested for chlamydia in England. PCT data for 2003-04, 2004-05, 2005-06 and 2006-07 have been placed in the Library.

Information is not currently available by PCT or by the number of tests undertaken within genito-urinary clinics. The number of diagnoses of uncomplicated chlamydia infection in 16 to 24-year-olds in genito-urinary clinics in England by strategic health authority and sex for 2006, is given in the following table.

Strategic health authority

Gender

Number of diagnoses

East Midlands

Male

2,473

East Midlands

Female

3,454

East of England

Male

2,184

East of England

Female

3,304

London

Male

4,468

London

Female

6,619

North East

Male

1,774

North East

Female

2,196

North West

Male

4,723

North West

Female

6,121

South Central

Male

1,771

South Central

Female

2,681

South East Coast

Male

1,515

South East Coast

Female

2,041

South West

Male

2,563

South West

Female

3,084

West Midlands

Male

2,476

West Midlands

Female

3,265

Yorkshire and the Humber

Male

3,304

Yorkshire and the Humber

Female

4,434

England

Male

27,251

England

Female

37,199

Notes:

1. Data are only available up to the calendar year 2006.

2. Data are not available at the PCT level.

3. Data on the number of test for chlamydia infection are not available.

4. The data available from the KC60 statutory returns are for diagnoses made in GUM clinics only. Diagnoses made in other clinical settings, such as general practice, are not recorded in the KC60 dataset.

5. The data available from the KC60 statutory returns are the number of diagnoses made, not the number of patients diagnosed. For example, individuals may be diagnosed with several co-infections and each diagnosis will be counted separately.

6. The information provided has been adjusted for missing clinic data.

Sources:

1. KC60 returns.

2. Health Protection Agency.