Description of web-survey respondent services and current intervention and triage approaches reported by Level-2 and Level-3 services in England
| Level-3 (N=80) | Level-2 or Level-1 (N=20) | |
| Service description | ||
| Services provided | ||
| Contraceptives | 80 (100%) | 19 (95%) |
| STI testing | 79 (99%) | 18 (90%) |
| Postal STI testing | 34 (43%) | 12 (60%) |
| Post-exposure prophylaxis | 75 (94%) | 3 (15%) |
| Drug/alcohol clinic | 14 (18%) | 5 (25%) |
| Young person’s clinic | 54 (68%) | 11 (55%) |
| MSM clinic | 29 (36%) | 1 (5%) |
| Staff available | ||
| Health advisors | 66 (86%) | 6 (32%) |
| Counsellors | 20 (25%) | 2 (15%) |
| Psychologists | 26 (33%) | 4 (20%) |
| Drug/alcohol advisor | 15 (19%) | 2 (20%) |
| Outreach | 30 (38%) | 3 (15%) |
| Current EPR and triage* | ||
| Clinic has an EPR system | 54 (82%) | 14 (88%) |
| EPR has ever been amended | ||
| Never tried | 3 (5%) | 6 (38%) |
| Unsuccessful attempt | 4 (6%) | 0 |
| Not sure | 9 (14%) | 1 (6%) |
| Amended | 38 (58%) | 7 (44%) |
| Risk triaging is conducted | 53 (80%) | 10 (63%) |
| Timing of triage† | ||
| Online | 7 (13%) | 2 (20%) |
| At reception | 12 (23%) | 3 (30%) |
| During consultation | 51 (96%) | 10 (100%) |
| Key variables considered in triage | ||
| Age | 16 (30%) | 3 (30%) |
| Gender | 0- | 0 |
| Sexual orientation | 23 (43%) | 4 (40%) |
| Ethnicity | 0- | 0 |
| Prior STI diagnosis | 8 (15%) | 1 (10%) |
| Number of partners | 29 (55%) | 8 (80%) |
| Condom use | 12 (23%) | 4 (40%) |
| Alcohol use | 11 (21%) | 2 (20%) |
| Drug use | 18 (34%) | 3 (30%) |
| Triage approach | ||
| Healthcare provider | 22 (42%) | 3 (30%) |
| Proforma | 3 (6%) | 2 (20%) |
| Provider and proforma | 26 (49%) | 5 (50%) |
| Patient preference | 1 (2%) | 0 |
| Algorithm | 1 (2%) | 0 |
| Behavioural interventions | ||
| Currently offered | ||
| Leaflets | 65 (81%) | 15 (75%) |
| Videos | 3 (4%) | 1 (5%) |
| Online | 8 (10%) | 5 (25%) |
| App | 2 (3%) | 0 |
| One to one‡ | 56 (70%) | 11 (55%) |
| Multiple one to ones | 38 (48%) | 2 (10%) |
| Group sessions | 7 (9%) | 5 (25%) |
| No longer offered (but used to be) | ||
| Videos | 4 (5%) | 1 (5%) |
| Online | 0 | 1 (5%) |
| App | 1 (1%) | 0 |
| One to one | 2 (3%) | 0 |
| Multiple one to ones | 3 (4%) | 2 (10%) |
| Group sessions | 5 (6%) | 1 (5%) |
*N=82 as not all respondents completed the survey.
†Categories are not mutually exclusive.
‡Refers to either face to face or via telephone, and these categories were not distinguished in the survey.
EPR, electronic patient record; MSM, men who have sex with men; STI, Sexually transmitted infection.