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Date: 05 August 2008
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• The under-18 conception rate has decreased by 15% since the 1998 baseline. Southwark is amber-red RAG rated.
• In Southwark there is a very clear north-south split. The north sees the highest levels of deprivation and teenage conceptions, with the majority of wards having super-output areas in the 20% most disadvantaged. Teenage conception rates follow the same pattern, with many wards having conception rates amongst the highest 10% in London. In the south there are still areas of high deprivation and teenage conception rates in the 50% highest for London. The only exception to this is Village ward which covers Dulwich village.
• There are four community contraceptive clinics in Southwark, including one that is described as a family planning and youth clinic. Two are open Monday-Friday with sessions throughout the day and evening. The family planning and youth clinic has sessions Monday- Thursday and the fourth clinic has two short sessions each week. There are no services after 3.30pm on a Friday or on a Saturday.
• One GUM service is listed which has a mixture of walk-in and appointment only clinics Monday-Friday.
• There are two young people’s services; one of which is Brook and open Monday-Saturday. The second is open on a Wednesday afternoon. The family planning and youth clinic (see above) has sessions Monday-Thursday but it is not clear which of these are young people specific.
• All community contraceptive clinics and young people’s clinical services offer pregnancy testing and referral for abortion or ante natal care.
• There is an EHC in pharmacy scheme with more participating pharmacies in the disadvantaged north.
• There is no condom distribution scheme.
Suggestions for future developments
• Consider the development of a condom distribution scheme and distribution of condoms across a range of settings accessed by young people
• If long acting methods of contraception are not available at all sessions accessed by young people, consider this as a service development
• Ensure that service information is clear and that in particular the family planning and youth clinic times are clarified and publicised to young people
• Consider reviewing the timing of community contraceptive clinics to allow for the establishment of a clinic on a Friday afternoon and Saturday.
