Increasing uptake of chlamydia screening in general practice

Abstract

Chlamydia screening rates remain sub-optimal in the UK, but awareness raising using multi-media, plus training and education for clinicians, can improve uptake. Karen Strivens outlines findings of a pilot study to determine practical solutions in general practice. Chlamydia infection poses a huge challenge to public health and to the NHS, hence current policies to enhance screening in 15–24 year olds, the highest risk group ( Department of Health, 2009 ; National Chlamydia Screening Programme 2012 ; Public Health England, 2014 ). Despite efforts to reduce infection rates through mass media campaigns encouraging routine screening, rates remain sub-optimal and chlamydia infection continues to rise ( NHS Choices, 2010 ; Gobin et al, 2013 ). To address this, a pilot study was undertaken by a large general practice in north west England to improve screening uptake, using a three-pronged approach: raising awareness of chlamydia infection and available screening services via posters and text messages and online; providing practice staff with education and training to encourage uptake of screening in contraceptive and sexual health appointments; and initiating an evening drop-in service. Although the drop-in service did not achieve the anticipated attendance rate, findings highlighted a significant increase in chlamydia screening following the awareness-raising local multi-media campaign and education and training of staff.