GUM clinic waiting times May 2005

Transcription

1 GUM clinic waiting times May 2005 National, Regional and residence-based results Prepared by: HIV and Sexually Transmitted Infections Department Health Protection Agency Communicable Disease Surveillance Centre 61 Colindale Avenue London NW9 5EQ United Kingdom Tel Website:

2 Index Page Introduction 2 Methods 2 Results 3 Limitations and biases 5 References 5 Appendix 1: Study questionnaire 6 Appendix 2: May 2005 summary tables. 7 Page 1

3 Introduction Sexual health is one of the key priorities identified in the Public Health White Paper, Choosing Health, published in Improvements in sexual health require a number of approaches ranging from improved sex education and information for the general population through to the provision of effective and accessible services for the diagnosis and treatment of sexually transmitted infections and for contraception. Until recently there were no routine data on access to sexual health services, but survey data suggested problems in many parts of the country. In a survey of lead clinicians in genitourinary medicine (GUM) clinics undertaken in late 2000, the waiting times for male and female urgent appointments were 1 working day in 54% of clinics, 2 days in 31%, 3-4 days in 7%, 5-7 days in 3% and over a week in 5% 1. Two thirds of clinics reported having to turn walk-in patients away at least sometimes, and a small minority did so on a regular basis. One clinic reported turning 1600 patients away over 1 year, another 5000 over 5 years. Foley et al also provided evidence of access problems in a simulated patient study 2. The researchers showed that when patients telephoned and described symptoms of an acute STI requiring immediate treatment, 22% were not offered an appointment within 48 hours. Even with a national list of opening times, only 45% of clinics audited could be contacted by repeated calls on the day identified. The audit reported here was developed in response to these problems, with the aim of providing clinicians, primary care trusts and the public with information on the length of waiting times for GUM services. The first two audits took place in May and November 2004 and have been reported previously. Following the publication of Choosing Health, waiting times for GUM services have become indicators for performance management in the sphere of sexual health. Eventually these will be continuously monitored with development of electronic systems, but in the short term it has been agreed that a quarterly waiting times audit will provide data. The Health Protection Agency (HPA) carries out the audit in collaboration with the British Association for Sexual Health and HIV (BASHH). The aims of the audit are to generate age and gender specific waiting times at clinic, Primary Care Trust (PCT), Strategic Health Authority (SHA), regional, and national levels. Methods Sampling frame and sample design. The design is a cross sectional survey with GUM clinics as the primary sampling units. All GUM clinics in England are included. For a period of one week, all patients registering for the first time or with a new episode were invited by clinic registration staff to complete the short waiting times questionnaire. For the purposes of the survey a new registration was defined as anyone who had not been seen for six weeks. Patients registering for follow-up visits were excluded from the study. Study questionnaire: A questionnaire was designed to obtain the relevant information for the audit; its effectiveness had been assessed with a pilot study and qualitative interviews. In the finalized questionnaire clinic staff were asked to complete the appointment type. Patients were asked to provide information on gender; age group; postcode of residence; and waiting time (measured by the question When did you first try to contact this clinic to be seen or make an appointment ) (Appendix 1). The questionnaire was designed and the data verified and exported to a database, using a Cardiff teleform data software package. Page 2

4 Changes to the questionnaire Following the first two audits, feedback was received from a range of people about limitations of the audit. The steering group discussed these comments and agreed to amend the questionnaire in an attempt to improve the quality of the data. Firstly, there were concerns that the 48 hour wait may include weekends. We therefore added a question about the day of the week, and can now adjust the results so that they only refer to working days. This means that the new data are adjusted. For purposes of comparison with the previous audits we also present the unadjusted data for the 48 hour target. Secondly, there were concerns that patient may be choosing not to take appointments within 48 hours, or may be advised by staff to wait for longer before being screened. We therefore added a question about the reason for not being seen within 48 hours. Statistical analysis Analysis was undertaken by staff at the Health Protection Agency. Particular outcome measures relate to: Overall waiting times, adjusted for day of the week For patients waiting longer than 48 hours, the proportion due to lack of an available clinic appointment or slot Unadjusted 48 hour waiting time to allow comparison with the previous 2 audits Gender and age-specific waiting times by GUM clinic Overall, gender and age specific waiting times by PCT of residence Overall waiting time by SHA and PCT Weighting based on the number of eligible patients attending the GUM clinic was used to derive unbiased estimates of waiting times per region and England. Results Summary Overall waiting times have remained similar over the past 12 months Less than half of patients (45%) are being seen within 48 hours, and a quarter are waiting more than 2 weeks There is considerable regional variation, with the proportion seen within 48 hours ranging from only 29% in the North East to 62% in London To tackle these waiting times, it is essential that PCTs and SHAs invest in GUM services, using the substantial additional resources available through Choosing Health and the further 15 million announced in July 2005 Key results (see appendix 2) Note: due to changes in data collection methods (see above), the main results are not directly comparable with the previous two audits. Figures for 48 hour wait are now adjusted to reflect working days. Unadjusted data are also presented in the tables to permit comparison with previous audits. Clinic Participation 97% (199/205) clinics participated in the May 2005 audit The estimated response rate from patients was 81% (16658/20499) Overall GUM clinic based waiting times in England Only 45% of patients were seen within 48 hours of first approaching the service (adjusted for day of the week). Page 3

5 25% waited more than 2 weeks For patients waiting more than 48 hours, 67% were due to lack of an earlier available clinic appointment or slot There has been no substantial change over the past year, with 38%, 41% and 40% of patients being seen within 48 hours in May 04, Nov 04 and May 05 respectively (unadjusted figures). GUM clinic waiting times by sex Women waited longer than men: only 43% of women were seen within 48 hours compared with 47% of men. GUM clinic waiting times by age There were some differences in waiting times by age group. For people under 16, 47% were seen within 48 hours, 27% waited longer than 2 weeks. GUM clinic waiting times by appointment type 76% of patients attending for emergency access were seen within 48 hours, 6% waited more than two weeks 26% of people making routine appointments were seen within 48 hours, 36% waited longer than 2 weeks. 81% of people attending walk-in clinics were seen on within 48 hours, 7% had to wait longer then 2 weeks. Regional variations In London 32% of GUM attenders were seen with 48 hours and only 13% waited longer than 2 weeks Less than a third were seen within 48 hours in the North East (29%), the North West () and the West Midlands (31%). 86% of GUM attenders in London were seen within 2 weeks. Less than 70% of attenders were seen within 2 weeks in Eastern (67%), North East (56%), West Midlands (58%), and Yorkshire and Humberside (69%). Page 4

6 Study limitation and possible biases Sample size, response rates and questionnaire completion Whilst there is a large sample size overall, at clinic level and PCT level there are some small numbers and therefore estimates of the proportion seen within 48 hours will not be very precise and are likely to fluctuate. Response rates were difficult to calculate as in most cases the number of new and rebook patients attending the clinic was not known, and had to be estimated using the KH09 attendance data from the previous year. These estimates suggest that some clinics had poor response rates. Personal communication with some clinics indicates that this was due to pressure on reception staff to distribute questionnaires rather than patient non-compliance. Only one clinic reported problems with compliance, suggesting that response bias was minimal. Interpreting waiting times results This audit measures waiting times from the perspective of the patient, and does not measure factors that could extend waiting times, for example whether the patient chose a later appointment rather than the first offered. Therefore the results may not directly reflect time to first available appointment from the clinic perspective, and results should therefore be interpreted with caution and in association with other local information on access to services. References 1) Djuretic T, Catchpole M, Bingham JS, Robinson A, Hughes G, Kinghorn G. Genitourinary medicine services in the United Kingdom are failing to meet current demand. Int J of STD & AIDS 2001; 12: ) Foley E, Patel R, Green N, Rowen D. Access to genitourinary medicine clinics in the United Kingdom. Sex Trans Infect 2001; 77: Acknowledgements We would like to thank the following people for time and effort they have put into this study: Audit leads at the participating GUM clinics Members of the steering committee: Immy Ahmed; James Bingham; Jackie Cassell; Lesz Lancucki; Alan Lodwick; Kathy Lowndes; Kevin Fenton; Angela Robinson, Helen Ward HPA scientists: Antoinette Righarts, Laura James, Sarika Desai, Bevan Loon Page 5

7 Appendix 1: Audit questionnaire Page 6

8 Appendix 2: May Summary Tables Page National Tables 8 Regional tables, by service provider - East of England 10 - East Midlands 12 - London 14 - North East 16 - North West 18 - South East 20 - South West 22 - West Midlands 24 - Yorkshire & Humberside 26 Regional tables, by residence (STHA & PCT level data) - East of England 28 - East Midlands 30 - London 31 - North East 33 - North West 34 - South East 36 - South West 38 - West Midlands 40 - Yorkshire & Humberside 42 Page 7

9 Summary of waiting times for patients attending Genitourinary Medicine clinics in England, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 199 of 205 (97%) Estimated response rate: of (82%) Section B: Waiting times to attend GUM Clinics in England Table 1: Summary of overall GUM clinic waiting times % 25% 67% 38% 41% 40% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 23% 66% 40% 42% 42% Female % 29% 28% 67% 36% 40% 39% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years % 26% 27% 67% 53% 53% 44% years % 29% 27% 67% 38% 42% 40% years % 28% 68% 36% 38% 37% years % 24% 67% 38% 40% 42% years % 21% 63% 42% 44% 43% 45 years and over % 29% 27% 63% 37% 42% 40% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access % 18% 6% 70% 72% 76% 70% Routine appointment % 39% 36% 69% 18% 22% 21% Walk-in clinic % 11% 7% 45% 79% 78% 77% Table 5: Overall GUM clinic waiting times (by region) Region * East Midlands % 25% 29% 64% 42% 43% 42% East of England % 31% 67% 28% 33% 33% London % 25% 13% 61% 54% 57% 58% North East % 27% 43% 70% 21% 27% 25% North West % 64% 28% 26% South East % 25% 27% 66% 37% 40% 43% South West % 26% 69% 42% 40% 39% West Midlands % 26% 42% 72% 28% 28% 26% Yorkshire & Humberside % 32% 75% 27% 33% 31% Page 8

10 Percentage (%) 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 6% 7% 18% 36% 11% 76% 39% 81% 26% Emergency access Routine appointment Walk-in clinic Audit Percentage (%) 100% 90% 80% 70% 60% 50% 40% 10% 0% 29% 31% 25% 46% East Midlands 39% East of England Figure 2: GUM clinic waiting times by region <48 hrs 3 days- 2 wks > 2 weeks 13% 25% 62% 43% 27% 50% 29% 27% 26% 25% 49% 44% 42% 26% 31% London North East North West South East South West West Midlands Audit 32% 38% Yorkshire & Humberside Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier appointment/ slot but could not attend 535 7% Patient was advised to wait for clinical reasons 295 4% Multiple reasons 68 1% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services in England % 27% 67% 35% 39% 39% Page 9

11 Summary of waiting times for patients attending Genitourinary Medicine clinics in the East of England, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 21 of 21 (100%) Estimated response rate: 1768 of 1789 (99%) Section B: Waiting times to attend GUM Clinics in the East of England Table 1: Summary of overall GUM clinic waiting times % 31% 67% 28% 33% 33% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 33% 28% 64% 29% 36% 33% Female % 27% 33% 68% 27% 31% 33% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 15 60% 75% 37% 50% 40% years % 29% 28% 62% 31% 38% 37% years % 34% 70% 24% 27% 31% years % 31% 32% 68% 26% 32% 32% years % 32% 25% 62% 38% 37% 35% 45 years and over % 26% 33% 69% 23% 39% 35% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access 82 76% 21% 4% 53% 72% 79% 70% Routine appointment % 34% 36% 68% 14% 23% 23% Walk-in clinic % 15% 8% 56% 73% 66% 73% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * Bedfordshire & Hertfordshire % 28% 22% 60% 40% 13% 43% Essex % 40% 28% 69% 21% 19% 29% Norfolk, Suffolk & Cambridgeshire % 26% 37% 70% 26% 10% 31% Page 10

12 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 4% 8% 21% 36% 15% 34% 76% 78% 29% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 22% 28% 37% 28% 40% 26% 50% 32% 37% Bedfordshire & Hertfordshire Essex Norfolk, Suffolk & Cambridgeshire Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier time but could not go 67 7% Patient was offered an earlier appointment/ slot but could not attend 37 4% Patient was advised to wait for clinical reasons 11 1% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 31% 32% 67% 25% 33% 32% Page 11

13 Summary of waiting times for patients attending Genitourinary Medicine clinics in the East Midlands, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation Clinic participation rate: 12 of 13 (92%) Estimated response rate: 966 of 1443 (67%) Section B: Waiting times to attend GUM Clinics in the East Midlands Table 1: Summary of overall GUM clinic waiting times % 25% 29% 64% 42% 43% 42% Table 2: Overall GUM clinic waiting times (by sex) Sex * Males % 24% 26% 64% 41% 42% 46% Females % 25% 32% 64% 44% 45% 39% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 13 54% 23% 23% 50% 22% 36% 54% years % 26% 64% 44% 49% 40% years % 26% 28% 70% 43% 40% 41% years % 21% 32% 58% 46% 44% 43% years % 24% 25% 60% 35% 41% 45% 45 years and over 50 42% 38% 65% 45% 40% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access 77 57% 27% 16% 70% 81% 77% 45% Routine appointment % 47% 66% 22% 23% 21% Walk-in clinic % 17% 7% 54% 75% 73% 71% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * Leicestershire, Northamptonshire & Rutland % 25% 14% 59% 63% 50% 56% Trent % 25% 41% 66% 24% 39% Page 12

14 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 16% 7% 17% 27% 47% 76% 57% 23% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 14% 41% 25% 25% 61% 34% Leicestershire, Northamptonshire & Rutland Trent Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier appointment/ slot but could not attend 33 7% Patient was advised to wait for clinical reasons 18 4% Multiple reasons 7 2% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 26% 31% 63% 38% 42% 39% Page 13

15 Summary of waiting times for patients attending Genitourinary Medicine clinics in London, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 32 of 34 (94%) Estimated response rate: 4398 of 6593 (67%) Section B: Waiting times to attend GUM Clinics in London Table 1: Summary of overall GUM clinic waiting times % 25% 13% 61% 54% 57% 58% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 25% 11% 59% 58% 59% 60% Female % 24% 16% 63% 51% 55% 56% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 36 64% 22% 14% 55% 61% 71% 61% years % 19% 12% 56% 60% 69% 66% years % 24% 14% 62% 55% 60% 58% years % 26% 14% 65% 52% 52% 57% years % 28% 11% 58% 55% 57% 57% 45 years and over % 25% 18% 51% 53% 55% 53% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access % 6% 3% 54% 76% 77% 87% Routine appointment % 47% 21% 70% 19% 25% 26% Walk-in clinic % 8% 9% 31% 83% 82% 81% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * North Central London % 38% 72% 33% 6% 36% North East London % 11% 16% 49% 70% 8% 70% North West London % 27% 11% 55% 53% 4% 58% South East London % 23% 15% 68% 57% 3% 61% South West London % 7% 59% 60% 5% 69% Page 14

16 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 3% 6% 9% 21% 8% 47% 91% 83% 32% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 16% 11% 15% 7% 11% 27% 23% 38% 73% 62% 62% 72% 41% North Central London North East London North West London South East London South West London Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier appointment/ slot but could not attend 88 6% Patient was advised to wait for clinical reasons 62 4% Multiple reasons 11 1% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 25% 16% 60% 49% 53% 55% Page 15

17 Summary of waiting times for patients attending Genitourinary Medicine clinics in the North East, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 11 of 11 (100%) Estimated response rate: 748 of 716 (104%) Section B: Waiting times to attend GUM Clinics in the North East Table 1: Summary of overall GUM clinic waiting times % 27% 43% 70% 21% 27% 25% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 29% 40% 73% 25% 26% 26% Female % 27% 46% 70% 15% 26% 24% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 8 50% 13% 38% 67% 0% 40% 50% years % 26% 45% 72% 16% 32% 24% years % 28% 45% 66% 19% 22% 22% years % 46% 74% 25% 23% 27% years 75 36% 25% 39% 73% 25% 40% 29% 45 years and over 37 24% 43% 32% 67% 22% 27% 19% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access 73 82% 10% 8% 70% 74% 74% 77% Routine appointment % 53% 69% 14% 15% 14% Walk-in clinic 54 69% 24% 7% 67% 57% 69% 61% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * County Durham & Tees Valley % 43% 69% 17% 3% 22% Northumberland, Tyne & Wear % 27% 43% 71% 24% 4% 27% Page 16

18 Percentage (%) 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 8% 7% 10% 24% 53% 82% 69% 17% Emergency access Routine appointment Walk-in clinic Percentage (%) 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 43% 43% 27% 27% 31% County Durham & Tees Valley Northumberland, Tyne & Wear Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait 96 21% The clinic was too busy % Patient was offered an earlier appointment/ slot but could not attend 26 6% Patient was advised to wait for clinical reasons 9 2% Multiple reasons 0 0% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 27% 44% 71% 26% 25% Page 17

19 Summary of waiting times for patients attending Genitourinary Medicine clinics in the North West, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 30 of 30 (100%) Estimated response rate: 2175 of 2230 (98%) Section B: Waiting times to attend GUM Clinics in the North West Table 1: Summary of overall GUM clinic waiting times % 64% 28% 26% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 49% 18% 63% 28% 29% Female % 49% 22% 63% 28% 25% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 21 43% 33% 24% 82% 71% 27% 43% years % 51% 62% 29% 27% 27% years % 50% 22% 63% 24% 28% 24% years % 50% 18% 66% 29% 31% 28% years % 48% 17% 61% 35% 33% 28% 45 years and over % 25% 68% 26% 40% 28% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access % 25% 9% 70% 69% 71% 60% Routine appointment % 57% 23% 64% 16% 17% Walk-in clinic % 7% 9% 56% 72% 75% 82% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * Cheshire & Merseyside % 55% 16% 59% 32% 2% 27% Cumbria & Lancashire % 38% 36% 72% 31% 3% 21% Greater Manchester % 52% 14% 62% 23% 2% 29% Page 18

20 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 9% 9% 23% 7% 25% 57% 85% 66% 21% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 16% 14% 36% 55% 52% 38% 29% 25% 34% Cheshire & Merseyside Cumbria & Lancashire Greater Manchester Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier appointment/ slot but could not attend 103 8% Patient was advised to wait for clinical reasons 57 4% Multiple reasons 5 0% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 23% 64% 25% 28% 26% Page 19

21 Summary of waiting times for patients attending Genitourinary Medicine clinics in the South East, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 35 of 36 (97%) Estimated response rate: 2663 of 3043 (88%) Section B: Waiting times to attend GUM Clinics in the South East Table 1: Summary of overall GUM clinic waiting times % 25% 27% 66% 37% 40% 43% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 24% 25% 66% 39% 42% 45% Female % 25% 29% 68% 34% 38% 41% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 28 54% 25% 21% 70% 77% 74% 50% years % 21% 27% 66% 40% 44% 47% years % 24% 31% 71% 35% 35% 40% years % 28% 25% 64% 36% 38% 41% years % 23% 24% 61% 37% 45% 47% 45 years and over % 24% 27% 65% 36% 39% 45% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access % 13% 4% 83% 77% 87% 79% Routine appointment % 33% 40% 68% 17% 22% 21% Walk-in clinic % 11% 5% 48% 77% 77% 78% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * Hampshire & Isle of Wight % 22% 17% 53% 29% 2% 56% Kent & Medway % 27% 33% 68% 47% 3% 35% Surrey & Sussex % 29% 28% 65% 39% 2% 37% Thames Valley % 19% 29% 72% 32% 1% 47% Page 20

22 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 4% 5% 13% 11% 40% 83% 33% 84% 27% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 17% 33% 28% 29% 22% 19% 29% 27% 61% 40% 43% 52% Hampshire & Isle of Wight Kent & Medway Surrey & Sussex Thames Valley Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier appointment/ slot but could not attend 73 6% Patient was advised to wait for clinical reasons 40 3% Multiple reasons 12 1% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 25% 28% 66% 34% 38% 41% Page 21

23 Summary of waiting times for patients attending Genitourinary Medicine clinics in the South West, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 19 of 19 (100%) Estimated response rate: 1214 of 1426 (85%) Section B: Waiting times to attend GUM Clinics in the South West Table 1: Summary of overall GUM clinic waiting times % 26% 69% 42% 40% 39% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 31% 22% 66% 42% 40% 41% Female % 29% 32% 71% 42% 41% 35% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 16 50% 6% 44% 67% 31% 71% 50% years % 26% 32% 75% 47% 48% 35% years % 31% 25% 72% 41% 38% 39% years % 31% 26% 69% 39% 40% 39% years % 32% 23% 57% 46% 36% 39% 45 years and over 80 45% 35% 53% 43% 36% 43% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access 47 70% 26% 4% 77% 69% 69% 68% Routine appointment % 36% 37% 71% 17% 22% Walk-in clinic % 17% 6% 55% 77% 79% 71% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * Avon, Gloucestershire & Wiltshire % 29% 23% 65% 36% 2% 43% Dorset & Somerset % 35% 23% 68% 48% 2% 35% South West Peninsula % 27% 33% 73% 43% 1% 36% Page 22

24 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 4% 6% 26% 37% 17% 36% 70% 77% 27% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider <48 hrs 3 days- 2 wks > 2 weeks 23% 23% 33% 29% 35% 27% 47% 42% 40% Avon, Gloucestershire & Wiltshire Dorset & Somerset South West Peninsula Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier time but could not go 43 7% Patient was offered an earlier appointment/ slot but could not attend 19 3% Patient was advised to wait for clinical reasons 10 2% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 31% 28% 69% 37% 37% 37% Page 23

25 Summary of waiting times for patients attending Genitourinary Medicine clinics in the West Midlands, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 19 of 21 (90%) Estimated response rate: 1296 of 1419 (91%) Section B: Waiting times to attend GUM Clinics in the West Midlands Table 1: Summary of overall GUM clinic waiting times % 26% 42% 72% 28% 28% 26% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 27% 41% 72% 29% 31% 27% Female % 26% 44% 72% 27% 25% 26% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 18 17% 33% 50% 60% 31% 25% 17% years % 46% 74% 28% 25% 29% years % 26% 45% 73% 25% 23% 25% years % 29% 40% 72% 33% 24% years % 26% 37% 71% 28% 31% 31% 45 years and over 95 27% 33% 40% 67% 28% 22% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access % 14% 3% 80% 74% 85% 74% Routine appointment % 28% 49% 72% 19% 23% 18% Walk-in clinic 43 70% 19% 12% 77% 81% 65% 65% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * Birmingham & the Black Country % 22% 46% 76% 31% 1% 27% Coventry, Warwickshire, Herefordshire & % 24% 36% 77% 35% 2% 35% Worcestershire Shropshire & Staffordshire % 34% 42% 65% 16% 1% Page 24

26 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 3% 12% 14% 19% 49% 84% 28% 70% 23% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider 46% 22% 33% Birmingham & the Black Country <48 hrs 3 days- 2 wks > 2 weeks 36% 24% 40% Coventry, Warwickshire, Herefordshire & Worcestershire 42% 34% 24% Shropshire & Staffordshire Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier time but could not go 57 7% Patient was advised to wait 23 3% Multiple reasons 6 1% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 44% 72% 25% 27% 25% Page 25

27 Summary of waiting times for patients attending Genitourinary Medicine clinics in Yorkshire and Humberside, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question were not included in the analyses. Any difference in total numbers between summary waiting time and waiting times by age, sex or appointment type are due to non-response these questions. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Clinic Participation (May 2005) Clinic participation rate: 20 of 20 (100%) Estimated response rate: 1430 of 1585 (90%) Section B: Waiting times to attend GUM Clinics in Yorkshire and Humberside Table 1: Summary of overall GUM clinic waiting times % 32% 75% 27% 33% 31% Table 2: Overall GUM clinic waiting times (by sex) Sex * Male % 74% 31% 33% 31% Female % 35% 73% 23% 33% Table 3: Overall GUM clinic waiting times (by age group) Age group * less than 16 years 25 28% 44% 28% 73% 60% 56% 28% years % 31% 78% 25% 35% 33% years % 31% 34% 74% 26% 29% 28% years % 32% 33% 72% 22% years % 25% 29% 78% 32% 40% 36% 45 years and over 85 44% 28% 28% 73% 35% 37% 35% Table 4: Overall GUM clinic waiting times (by appointment type) Appointment type * Emergency access % 24% 5% 70% 63% 72% 66% Routine appointment % 42% 76% 21% 21% Walk-in clinic 73 75% 18% 7% 81% 57% 76% 70% Table 5: Overall GUM clinic waiting times (by Strategic Health Authority) SHA * North & East Yorkshire & Northern Lincolnshire % 25% 71% 59% 1% 49% South Yorkshire % 45% 75% 2% 18% West Yorkshire % 39% 16% 73% 1% 37% Page 26

28 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 1: GUM clinic waiting times by appointment type <48 hrs 3 days- 2 wks > 2 weeks 5% 7% 24% 42% 18% 72% 75% 28% Emergency access Routine appointment Walk-in clinic 100% 90% 80% 70% 60% 50% 40% 10% 0% Figure 2: GUM clinic waiting times by SHA of service provider 25% 54% North & East Yorkshire & Northern Lincolnshire <48 hrs 3 days- 2 wks > 2 weeks 45% 25% South Yorkshire 16% 39% 45% West Yorkshire Table 6: Reasons for not attending within 48 hours Reasons N % Patient decided to wait % The clinic was too busy % Patient was offered an earlier time but could not go 45 6% Patient was offered an earlier appointment/ slot but could not attend 30 4% Patient was advised to wait for clinical reasons 6 1% Section C: waiting times to attend any sexual health service Table 7: Summary of overall waiting times for any sexual health service * Overall waiting times for sexual health services % 35% 74% 24% 31% 29% Page 27

29 Summary of waiting times for sexual health services for East of England residents, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question or did not provide a valid postcode were not included in the analyses. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Waiting times for sexual health services for residents of the region Summary of overall waiting times for sexual health services for East of England residents Overall waiting times for sexual health services % 31% 31% 68% 26% 31% 31% Section B: Waiting times by SHA and PCT of residence Strategic Health Authority: Bedfordshire and Hertfordshire Bedford 62 48% 47% 5% 32% 17% 25% 39% Bedfordshire Heartlands 58 10% 26% 29% 67% 27% 33% 38% Dacorum 32 50% 22% 28% 81% 63% 41% 41% Hertsmere 21 62% 19% 19% 50% 33% 35% 57% Luton 90 42% 34% 23% 68% 41% 42% 36% North Hertfordshire & Stevenage 51 27% 39% 33% 66% 28% 38% Royston, Buntingford & Bishop's S 17 18% 59% 24% 67% 40% 33% 18% South East Hertfordshire 42 24% 31% 45% 65% 24% 19% 17% St Albans & Harpenden 36 67% 19% 14% 78% 67% 31% 61% Watford & Three Rivers 61 54% 21% 25% 63% 43% 52% 49% Welwyn Hatfield 32 38% 38% 25% 78% 15% 23% 38% SHA Total % 32% 24% 64% 34% 34% 37% Strategic Health Authority: Essex Basildon 32 41% 44% 16% 61% 18% 33% 31% Billericay, Brentwood & Wickford 18 33% 28% 39% 80% 50% 32% 33% Castle Point & Rochford 36 28% 17% 56% 68% 23% 22% 22% Chelmsford 21 19% 19% 62% 79% 23% 22% 14% Colchester 43 49% 40% 12% 62% 19% 37% Epping Forest 33 52% 18% 68% 34% 32% 24% Harlow 35 26% 69% 6% 45% 19% 36% 26% Maldon & South Chelmsford 8 25% 0% 75% 100% 25% 25% 25% Southend On Sea 39 26% 28% 46% 60% 23% 26% 26% Tendring 19 47% 21% 32% 60% 10% 35% 42% Thurrock 41 24% 49% 27% 70% 48% 22% Uttlesford 14 7% 86% 7% 77% 15% 21% 0% Whitam, Braintree & Halstead 26 50% 35% 15% 85% 19% 67% 50% SHA Total % 39% 28% 67% 22% 32% 28% Page 28

30 Strategic Health Authority: Norfolk, Suffolk and Cambridgeshire Broadland 25 24% 24% 52% 61% 38% 15% Cambridge City 59 25% 29% 46% 72% 14% 14% 17% Central Suffolk 24 58% 33% 8% 88% 6% 54% 50% East Cambridgeshire & Fenland 26 23% 19% 58% 73% 36% 18% 23% Great Yarmouth 33 12% 58% 80% 17% 24% Huntingdonshire 49 24% 55% 80% 18% 14% Ipswich 57 68% 25% 7% 73% 28% 61% 47% North Norfolk 22 14% 23% 64% 63% 21% 7% 14% North Peterborough 38 50% 11% 39% 69% 28% 46% 45% Norwich 59 14% 27% 59% 77% 24% 15% 10% South Cambridgeshire 37 41% 24% 35% 88% 16% 32% South Peterborough 29 52% 28% 21% 64% 28% 52% 52% Southern Norfolk 54 31% 28% 41% 85% 12% 24% 24% Suffolk Coastal 30 60% 64% 9% 44% 50% Suffolk West 50 26% 48% 26% 53% 35% Waveney 28 32% 4% 64% 75% 9% 23% 29% West Norfolk 38 39% 50% 11% 45% 24% 34% 32% SHA Total % 26% 38% 72% 23% 29% 29% Page 29

31 Summary of waiting times for sexual health services for East Midlands residents, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question or did not provide a valid postcode were not included in the analyses. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Waiting times for sexual health services for residents of the region Summary of overall waiting times for sexual health services for East Midland residents Overall waiting times for sexual health services % 25% 32% 63% 35% 40% 39% Section B: Waiting times by SHA and PCT of residence Strategic Health Authority: Leicestershire, Northamptonshire & Rutland Charnwood & North West Leiceste 63 57% 19% 24% 56% 47% 62% 54% Daventry & South Northamptonshi 17 35% 35% 29% 38% 33% 18% Eastern Leicester 46 74% 17% 9% 55% 63% 73% 70% Hinckley & Bosworth 19 47% 37% 16% 60% 50% 44% 42% Leicester City West 49 73% 16% 10% 73% 65% 59% 69% Melton, Rutland & Harborough 20 60% 35% 5% 75% 36% 40% 60% Northampton 65 34% 26% 40% 82% 67% 16% 28% Northamptonshire Heartlands 72 64% 26% 10% 35% 31% 40% 60% South Leicestershire 24 75% 13% 13% 17% 80% 47% 75% SHA Total % 23% 18% 59% 53% 45% 54% Strategic Health Authority: Trent Amber Valley 26 50% 19% 31% 58% 0% 31% 38% Ashfield 17 12% 29% 59% 71% 15% 48% 6% Bassetlaw 36 47% 44% 8% 53% 31% 44% Broxtowe & Hucknall 12 17% 33% 50% 70% 52% 17% Central Derby 33 36% 6% 58% 71% 15% 28% 27% Chesterfield 17 6% 35% 59% 75% 19% 18% 6% Derbyshire Dales & South Derbysh 37 11% 19% 70% 67% 22% 12% 11% East Lincolnshire 41 27% 34% 39% 73% 22% 24% 22% Erewash 14 29% 21% 50% 100% 36% 29% Gedling 14 64% 21% 14% 0% 64% 57% Greater Derby 53 25% 9% 66% 76% 19% 24% 21% High Peak & Dales 19 32% 32% 37% 50% 9% 15% 26% Lincolnshire South West Teaching 39 33% 41% 26% 57% 23% 43% 33% Mansfield District 37 41% 24% 35% 62% 23% 5% 38% Newark & Sherwood 21 5% 48% 48% 35% 14% 56% 5% North Eastern Derbyshire 28 18% 32% 50% 80% 10% 14% Nottingham City 55 47% 24% 29% 62% 33% 55% 42% Rushcliffe 12 58% 8% 33% 60% 0% 42% 58% West Lincolnshire 9 67% 11% 22% 0% 25% 50% 67% SHA Total % 26% 42% 65% 37% 28% Page 30

32 Summary of waiting times for sexual health services for London residents, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question or did not provide a valid postcode were not included in the analyses. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Waiting times for sexual health services for residents of the region Summary of overall waiting times for sexual health services for London residents Overall waiting times for sexual health services % 26% 16% 61% 49% 52% 54% Section B: Waiting times by SHA and PCT of residence Strategic Health Authority: North Central London Barnet % 27% 22% 69% 49% 47% 46% Camden 154 4% 31% 26% 64% 37% 39% 42% Enfield % 44% 25% 60% 36% 34% 27% Haringey Teaching % 25% 19% 65% 45% 46% 54% Islington % 21% 67% 45% 52% 45% SHA Total % 31% 22% 65% 42% 45% 44% Strategic Health Authority: North East London Barking & Dagenham 57 51% 18% 32% 86% 36% 33% 40% Chingford, Redbridge, Wanstead & 53 47% 26% 26% 55% 38% 42% 47% City & Hackney Teaching % 27% 16% 66% 62% 56% 54% Havering 51 35% 18% 47% 82% 26% 17% 27% Newham % 14% 17% 33% 66% 70% 67% Tower Hamlets % 11% 16% 52% 66% 62% 70% Walthamstow, Waltham Forest, & L 75 56% 21% 23% 63% 56% 38% 53% SHA Total % 18% 22% 61% 55% 51% 57% Strategic Health Authority: North West London Brent Teaching % 19% 10% 48% 57% 66% 66% Ealing % 27% 17% 40% 45% 61% 54% Hammersmith & Fulham % 41% 11% 56% 32% 38% Harrow 69 78% 14% 7% 33% 39% 64% Hillingdon 64 63% 23% 14% 59% 34% 39% 58% Hounslow % 26% 13% 48% 42% 47% 58% Kensington & Chelsea % 40% 16% 66% 48% 52% 43% Westminster % 18% 14% 61% 62% 71% 64% SHA Total % 27% 13% 53% 46% 53% 55% Page 31

33 Strategic Health Authority: South East London Bromley 87 26% 47% 26% 83% 28% 24% 25% Greenwich 62 69% 15% 16% 75% 53% 53% 63% Lambeth % 18% 11% 63% 60% 63% 67% Lewisham % 27% 18% 62% 51% 51% 53% Southwark % 18% 15% 50% 56% 57% 65% SHA Total % 23% 16% 67% 52% 53% 57% Strategic Health Authority: South West London Croydon % 34% 13% 73% 51% 53% 48% Kingston 74 66% 4% 61% 34% 49% 66% Richmond & Twickenham 91 64% 22% 14% 56% 32% 54% 63% Sutton & Merton % 23% 12% 46% 62% 64% 57% Wandsworth % 27% 11% 72% 51% 63% 58% SHA Total % 27% 11% 63% 50% 59% 58% Page 32

34 Summary of waiting times for sexual health services for North East residents, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question or did not provide a valid postcode were not included in the analyses. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Waiting times for sexual health services for residents of the region Summary of overall waiting times for sexual health services for North East residents Overall waiting times for sexual health services % 26% 45% 72% 26% 24% Section B: Waiting times by SHA and PCT of residence Strategic Health Authority: County Durham & Tees Valley Darlington 36 42% 47% 11% 58% 10% 17% 42% Derwentside 21 29% 24% 43% 64% 32% 14% 24% Durham & Chester-Le-Street 49 18% 29% 53% 72% 14% 16% 16% Durham Dales 16 19% 56% 25% 91% 18% 11% 13% Easington 12 17% 8% 75% 70% 7% 11% 17% Hartlepool 17 18% 6% 76% 92% 18% 0% 12% Langbaurgh 4 50% 25% 25% 0% 6% 40% 50% Middlesbrough 27 41% 4% 56% 73% 27% 11% 33% North Tees 23 13% 13% 74% 76% 22% 25% 9% Sedgefield 25 8% 44% 48% 70% 13% 13% 4% SHA Total % 27% 48% 72% 16% 14% 21% Strategic Health Authority: Northumberland, Tyne & Wear Gateshead 57 32% 21% 47% 88% 29% 34% 28% Newcastle % 22% 43% 72% 42% North Tyneside 76 38% 28% 34% 56% 25% 31% Northumberland 58 31% 26% 43% 66% 29% 31% 24% South Tyneside 41 24% 29% 46% 93% 12% 18% 24% Sunderland Teaching 66 18% 33% 48% 69% 17% 17% SHA Total % 26% 43% 73% 23% 32% 26% Page 33

35 Summary of waiting times for sexual health services for North West residents, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question or did not provide a valid postcode were not included in the analyses. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Waiting times for sexual health services for residents of the region Summary of overall waiting times for sexual health services for North West residents Overall waiting times for sexual health services % 23% 65% 25% 29% 26% Section B: Waiting times by SHA and PCT of residence Strategic Health Authority: Cheshire & Merseyside Bebington & West Wirral 30 80% 10% 10% 25% 76% 82% 80% Birkenhead & Wallasey 58 10% 10% 5% 50% 63% 74% 79% Central Cheshire 38 24% 39% 37% 74% 17% 23% 21% Central Liverpool % 69% 16% 64% 14% Cheshire West 63 37% 43% 21% 38% 29% 37% 29% Eastern Cheshire 43 26% 53% 21% 74% 16% 23% 21% Ellesmere Port & Neston 16 63% 25% 13% 60% 23% 60% 56% Halton 25 44% 36% 56% 18% 8% 44% Knowsley 33 21% 52% 27% 79% 13% 19% 21% North Liverpool 36 11% 69% 19% 71% 21% 35% 8% South Liverpool 26 12% 69% 19% 55% 15% 12% 12% South Sefton 41 12% 73% 15% 61% 17% 7% 12% Southport & Formby 35 6% 77% 17% 55% 4% 33% 6% St Helens 28 32% 43% 25% 35% 32% 9% 29% Warrington 41 15% 63% 22% 77% 19% 33% 15% SHA Total % 51% 19% 62% 28% 32% 28% Strategic Health Authority: Cumbria & Lancashire Blackburn With Darwen 38 29% 29% 42% 73% 48% 42% 21% Blackpool 62 21% 47% 32% 57% 14% 42% 19% Burnley, Pendle & Rossendale 47 26% 34% 40% 90% 47% 51% 19% Carlisle & District 26 38% 23% 38% 100% 6% 25% 38% Chorley & South Ribble 54 22% 43% 35% 63% 24% 19% 17% Eden Valley 8 25% 13% 63% 100% 0% 8% 25% Fylde 27 26% 48% 26% 67% 0% 0% 26% Hyndburn & Ribble Valley 29 14% 62% 24% 76% 43% 42% 10% Morecambe Bay 55 16% 35% 49% 59% 13% 25% 11% Preston 46 37% 43% 64% 11% 22% 11% West Cumbria 34 56% 12% 32% 87% 38% 52% 56% West Lancashire 31 39% 35% 26% 67% 23% 37% 32% Wyre 28 21% 46% 32% 63% 22% 0% 14% SHA Total % 37% 37% 70% 27% 36% 21% Page 34

36 Strategic Health Authority: Greater Manchester Ashton, Leigh & Wigan 58 38% 47% 16% 72% 2% 18% 28% Bolton 93 46% 38% 16% 31% 33% 14% 42% Bury 57 23% 56% 21% 61% 16% 24% 21% Central Manchester 94 29% 52% 19% 88% 25% 24% 24% Heywood & Middleton 20 45% 50% 5% 100% 24% 45% North Manchester 52 29% 56% 15% 58% 29% 27% Oldham 58 24% 69% 7% 37% 21% 22% 21% Rochdale 62 32% 52% 16% 54% 14% 29% 27% Salford 47 19% 70% 11% 61% 17% 15% 17% South Manchester 55 31% 42% 27% 81% 33% 23% 29% Stockport 65 43% 31% 26% 55% 15% 12% 32% Tameside & Glossop 64 50% 74% 18% 24% 25% Trafford North 31 23% 55% 23% 84% 28% 23% Trafford South 27 33% 48% 19% 92% 31% 43% SHA Total % 50% 18% 65% 21% 23% 28% Page 35

37 Summary of waiting times for sexual health services for South East residents, May 2005 Notes on these summaries: Any respondents who did not answer the waiting times question or did not provide a valid postcode were not included in the analyses. For May 2005 proportions seen within 48hrs have been adjusted to take into account weekends unless otherwise stated. Section A: Waiting times for sexual health services for residents of the region Summary of overall waiting times for sexual health services for South East residents Overall waiting times for sexual health services % 25% 29% 66% 34% 38% 41% Section B: Waiting times by SHA and PCT of residence Strategic Health Authority: Hampshire & Isle of Wight Blackwater Valley & Hart 55 44% 44% 13% 52% 29% 34% 36% East Hampshire 52 12% 13% 10% 45% 19% 21% 65% Eastleigh & Test Valley South 23 48% 9% 43% 80% 48% Fareham & Gosport 46 72% 13% 15% 25% 22% 50% 70% Isle of Wight 23 13% 9% 78% 94% 25% 19% 13% Mid-Hampshire 60 37% 37% 27% 70% 50% 33% 35% New Forest 11 64% 36% 0% 0% 40% 65% 55% North Hampshire 61 57% 31% 11% 36% 48% 56% 51% Portsmouth City Teaching 99 71% 21% 8% 31% 23% 64% Southampton City 51 22% 35% 43% 81% 12% 29% 22% SHA Total % 26% 21% 58% 35% 48% Strategic Health Authority: Kent & Medway Ashford 6 50% 17% 33% 100% 86% 59% 50% Canterbury & Coastal 43 33% 33% 35% 40% 26% 35% 33% Dartford, Gravesham & Swanley 53 23% 51% 26% 63% 21% 65% 19% East Kent Coastal 58 48% 24% 28% 74% 80% 40% 47% Maidstone Weald 44 23% 9% 68% 80% 38% 14% Medway 69 45% 35% 73% 19% 25% 36% Shepway 21 81% 14% 5% 33% 85% 77% 76% South West Kent 35 17% 29% 54% 81% 56% 73% 17% Swale 30 23% 57% 83% 8% 14% 17% SHA Total % 26% 38% 70% 42% 45% 31% Page 36