North Yorkshire Integrated Specialist Sexual Health Services – Section 75 Partnership Agreement

30 day public consultation in to the Section 75 agreement between North Yorkshire County Council and York and Scarborough Teaching Hospitals NHS Foundation Trust.

We wish to put in place a formal partnership (referred to as a “Section 75 Partnership Agreement”) with York and Scarborough Teaching Hospitals NHS Foundation Trust to work collaboratively to deliver the fully integrated Sexual Health Service responsibility on behalf of us.

This partnership agreement will delegate sexual health services to York and Scarborough Teaching Hospitals NHS Foundation Trust.

The NHS and Local Authorities Partnership Arrangements Regulations 2000 stipulate that “the partners may not enter into any partnership agreements [under Section 75 (S75) of the NHS Act 2006] unless they have consulted jointly such persons as appear to them to be affected by such arrangements”.

The partners consider the integrated sexual health S75 benefits residents of North Yorkshire. The draft S75 is proposed to commence on 1 April 2022.

The draft S75 Agreement is for 10 years, broken down as follows: initial term of 4 years (1 April 2022 – 31 March 2026), with two option to extend for further periods of 3 years.

Local Authorities are mandated nationally to provide sexual health services, funded through the Public Health Grant for their local area.

The key areas of service are: 

  • sexual health promotion and information
  • full range of contraceptive services
  • sexually Transmitted Infections (including HIV) services
  • clinical and Community Outreach Service (under 25’s and those of greatest need)
  • sexual Health Counselling and Wellbeing Support Service for HIV
  • training

We as well as York and Scarborough Teaching Hospitals NHS Foundation Trust have undertaken two public consultations to date regarding the delivery of the integrated specialist sexual health service.

The first was a 30 day consultation between September and October 2019 that sought feedback on whether to enter in to the formal Section 75 agreement with York and Scarborough Teaching Hospitals NHS Foundation Trust. The responses to this initial public consultation were resoundingly in favour of entering in to this agreement (38 in favour, 1 against).

The second public consultation was a 60 day consultation that took place between 4 August 2021 and 4 October 2021. This consultation asked stakeholders to feedback on proposed changes to the delivery of the Integrated Sexual Health service. In addition to the online survey, there were also two workshops held for professionals working in the wider Sexual Health system in North Yorkshire. The consultation received positive responses, with some of the headline figures being:

  • 83% of respondents support additional online and virtual support within the sexual health service, to complement face to face delivery.
  • 87% of respondents support a personalised offer to STI testing based on an individual’s level of risk and history
  • 93% were in support of a coordinated approach between the sexual health counselling and HIV support services
  • 89% of respondents support a more responsive joined up clinical and community approach, engaging with those at greater levels of risk or need in relation to sexual and reproductive health. 

We and York Teaching Hospital NHS Foundation Trust are now jointly consulting on entering into and the content of the proposed collaborative arrangement via the Section 75 agreement. This is a 30-day consultation beginning on 4 January 2022 and ending on 3 February 2022.

For any questions about this consultation please email nypublichealth@northyorks.gov.uk

A  full version of the Section 75 agreement (including all schedules) (pdf / 3 MB) between us and York and Scarborough Teaching Hospitals Foundation Trust  is available as well as a summary report of the previous 60 day consultation in to the proposed changes to the delivery of the Integrated Sexual Health service.

You can tell us your views in the following ways: 

Complete the online survey

Please do not include any personal identifiable information in any of your answers that could identify yourself or another individual. 

An easy read version of this survey is available on request.

If you would like to request any paper copies of the survey, or require information about the consultation in a different language or a more accessible format please contact nypublichealth@northyorks.gov.uk or call our customer service centre on 01609 780780.

You can also send your views on the proposals by email to nypublichealth@northyorks.gov.uk.

Or write to us at:

Sexual Health Service Consultation,
Central Admin Team,
North Yorkshire County Council,
County Hall,
Northallerton,
North Yorkshire,
DL7 8AE