@article {O{\textquoteright}ConnellA78, author = {Megan O{\textquoteright}Connell and Nicola Lomax}, title = {P175 Service Evaluation of the Use of the Young Person{\textquoteright}s Proforma in Relation to Central and Community Sexual Health Clinics}, volume = {92}, number = {Suppl 1}, pages = {A78--A79}, year = {2016}, doi = {10.1136/sextrans-2016-052718.225}, publisher = {The Medical Society for the Study of Venereal Disease}, abstract = {Background/introduction The prevalence of non-consensual sex is higher in those with a sexual debut before the age of 16. BASHH therefore advocates the use of a Young Person{\textquoteright}s Proforma (YPP) in sexual health clinics to detect signs of, and concurrent risk factors for, child sexual exploitation (CSE), intending to safeguard this vulnerable group of attendees.Aim(s)/objectives To investigate the adherence to BASHH guidelines relating to the care of young people accessing sexual health services, specifically the use of the YPP.Methods A retrospective review analysing 150 case notes of patients under 16yrs, attending between 1st July 2014 and 1st June 2015. Notes were extracted from a central clinic (n = 50), and 4 community sexual health clinics (n = 100).Results Centrally, all patients had a proforma completed, compared with 81\% of community patients. Proformas were completed in 67\% of male community patients. 19 patients had experienced involuntary sexual activity. 19\% of patients had 1 or more significant risk factor for CSE. In total, 83 further referrals (57\% safeguarding) were made. Risk factors were reassessed in 79\% of patients. 71\% attended primarily for contraception (central = 46\%, community = 83\%), with 79\% offered STI screening.Discussion/conclusion The central clinic achieved all BASHH targets, whereas the community clinics failed to do so, highlighting the need for a consistent approach to assessment of safeguarding concerns across all sites. Proforma completion is pivotal in safeguarding patients, however consistency between sexes is needed. Extending proforma use for reassessment and 16{\textendash}17 year olds may also be beneficial. Improvements to ensure an equitable service are needed.}, issn = {1368-4973}, URL = {https://sti.bmj.com/content/92/Suppl_1/A78.3}, eprint = {https://sti.bmj.com/content/92/Suppl_1/A78.3.full.pdf}, journal = {Sexually Transmitted Infections} }