HC2210 Integrated Sexual Health_PSR

Lot 1 – Specialist Sexual and Reproductive Health Service includes: • Open-access, all-age, specialist service (Levels 1–3) • Hub and spoke model across the county • Key components: • STI testing and treatment (including complex cases) • Contraception (including long-acting reversible contraception (LARC)) • HIV prevention (pre-exposure prophylaxis (PrEP) / post-exposure prophylaxis (PEP)) and management pathways • Psychosexual support (SRH-related) • Clinical leadership and service oversight • Provides clinical leadership across relevant cross-lot pathways and interfaces

Lot 2 – Digital Sexual Health Service includes: • Confidential, digital-first service for Wiltshire residents • Key components: • Online triage and self-assessment • STI/HIV self-sampling kits and results • Remote prescribing and partner notification • Condom provision, and PrEP initiation, continuation and pathway management • Key access benefits: • Rural populations • Those facing stigma or access barriers • Reduces demand on face-to-face services through appropriate triage and self-management

Lot 3 – Community Outreach and Prevention Service (COPS) includes • Prevention-focused, non-clinical service • Key components: • Targeted outreach to priority populations • Communications and campaigns • Workforce training and system capacity building • Condom distribution schemes • Primary focus: • Improving sexual health literacy • Increasing service uptake • Tackling inequalities and barriers to access • Supports prevention, awareness and access across the wider sexual health service model