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Challenges facing nurse-led STI care and sexual and reproductive health: education, education, education!
  1. Claudia Estcourt1,2,
  2. Claire Tyler3,
  3. Magnus Nelson4,
  4. Jane Bickford5
  1. 1Centre for Infectious Disease: Sexual Health & HIV, Blizard Institute of Cell and Molecular Science, Barts & The London School of Medicine & Dentistry, Barts Sexual Health Centre, Kenton & Lucas Wing, St Bartholomew's Hospital, London, UK
  2. 2Barts and the London NHS Trust, St Bartholomew's Hospital, London, UK
  3. 3Wensum Consulting Ltd, Norfolk, UK
  4. 4North East London Sexual Health & HIV Clinical Network, London, UK
  5. 5Barts and the London NHS Trust, London, UK
  1. Correspondence to Dr Claudia Estcourt, Barts and the London School of Medicine and Dentistry, Centre for Immunology and Infectious Disease, London EC1A 7BE, UK; c.s.estcourt{at}qmul.ac.uk

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Nurse-delivered, consultant-led sexual health services are viewed by UK clinicians and commissioners as cost-effective service models that could widen access to sexual healthcare. Nurse-delivered care has a long tradition within sexual and reproductive health (SRH), while more recently there has been considerable advancement of the nursing role in genitourinary medicine settings and within primary care, prompted, in England at least, by the National Strategy for Sexual Health & HIV1 and heavily supported by the Department of Health.2

However, there are insufficient nurses within the current NHS workforce with the appropriate training and clinical competence to deliver independent sexually transmitted infection (STI) and SRH care. Although family planning courses and …

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