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Date: 13 August 2008
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• The under-18 conception rate has decreased by 20% since the 1998 baseline. Kensington and Chelsea is amber-green RAG rated.
• Kensington and Chelsea is a borough of extremes, combining areas of affluence with pockets of deprivation. A quarter of the borough ranks among the 20% least deprived parts of England, but two electoral wards in the north of the borough are in the 10% most deprived in the country. Teenage conceptions are generally lower than average, and tend to shadow the more disadvantaged areas.
• Services are generally located in or close to areas where there are higher conception rates.
• There are a number of community contraceptive clinics located around the borough, the majority of which have sessions in the afternoon and evening.
• There is one central integrated sexual and reproductive clinic which offers appointments 5 days a week. Only one of the sessions takes place after 4pm, which is likely to prove difficult for young people in education.
• 5 young people’s services are listed, two of which provide a clinical service. The others offer advice, information and free condoms and are described on the map as condom distribution sites. One of the clinical services offers a Monday-Friday service for one hour per day, in the afternoon.
• The community contraceptive clinics and young people’s services offer pregnancy testing and referral for abortion or ante natal care
• As described above there are a number of advice services which offer free condoms but there is no fully developed condom distribution scheme.
• There is no EHC in pharmacy scheme
Suggestions for future developments
• Consider the full development of a condom distribution scheme and distribution of condoms across a range of settings accessed by young people
• Consider the development of an EHC in pharmacy scheme with participating pharmacies in teenage pregnancy hot-spot areas as a minimum
• Consider the timing of sessions at the sexual and reproductive health service to allow young people in education to attend more easily.
• If long acting methods of contraception are not available at all sessions accessed by young people, consider this as a service development.
