Common use of Local Context Clause in Contracts

Local Context. 1.2.1 Overview of sexual health data for Bury Improving the sexual health and wellbeing of the population is one of the public health priorities for Bury. Sexual ill-health is a particular issue for Bury with high rates of under 18 conceptions and abortions. Although Bury does not have high prevalence rates of HIV when compared with other areas, there has been a steady increase in the number of residents that have contracted HIV in the past six years The Chlamydia diagnosis rate per 100,000 eligible population in Bury (15-24 year olds) was 1,862 against a target of ≥2,300 in 2016. The positivity rate was 11.5% compared to the England rate of 9.1% and the percentage of the eligible population tested was 16.2%, lower than the England rate of 20.7%. This demonstrates that targeting of screening is good in Bury but that the coverage needs to increase in order to meet and exceed the diagnostic target. Rates of most sexually transmitted infections are highest amongst young people aged 16-24; rates of selected sexually transmitted infections are also high amongst men who have sex with men and women and men from black African and black Caribbean communities living in the UK. Uptake of contraception amongst residents is good. Residents can obtain contraception from general practices, pharmacies (EHC only) and from contraception and sexual health clinics. The proportion of women opting for long-acting reversible contraception (LARC) is increasing. The rate per 1,000 women of total prescribed LARC (excluding injections) was 50.1 in Bury; 44.2 in the NW and 46.4 in England in 2016. The rate of abortions among female residents aged 15-44 has been falling since the late 2000s, down from 24 per 1,000 in 2008 to 21 per 1,000 in 2011. The abortion rate in 2016 for Bury was 21.5 per 1,000 (England rate 16.7). The teenage conception rate in Bury continues to fall and is lower than the NW. In 2016 the teenage conception rate in Bury for under 18’s was 23.8 per 1000 15–17 year olds. This is higher than the England rate of 20.8%. Among the under 18 conceptions, the proportion of those leading to abortion was 51.3%, while in England the proportion was 51.2%. Bury Council is committed to improving access to contraception, sexual health and abortion services. Residents can obtain contraception from their GP practice, from some pharmacies (EHC only) and from contraception and sexual health clinics including dedicated clinics for young people. For up to date information on this see xxx.xxxxxxxxxxxxxxxxxx.xx.xx Ruclear (xxx.xxxxxxx.xx.xx ) is an established STI screening service. 48 hour access to GUM clinics has been achieved. However, ongoing work is required to promote the use of condoms and to increase the use of contraception including long acting reliable methods such as the Nexplanon implant, in order to control the transmission of sexually transmitted infections and to reduce the numbers of unintended conceptions among women of all ages.

Local Context. 1.2.1 Overview of sexual health data for Bury Improving the sexual health and wellbeing of the population is one of the public health priorities for Bury. Sexual ill-health is a particular issue for Bury with high rates of under 18 conceptions and abortions. For an overview of the Sexual Health Profile for Bury please visit PHE Fingertips. Although Bury does not have high prevalence rates of HIV when compared with other areas, there has been a steady increase in the number of residents that have contracted HIV in the past six years The Chlamydia diagnosis rate per 100,000 eligible population in Bury (15-24 year olds) was 1,862 1,734 against a target of ≥2,300 in 20162017. This is lower than both the regional average of 2120 and the England average of 1882. The positivity rate was 11.5% compared to the England rate of 9.1% and the percentage of the eligible population tested was 16.217.1%, lower than the England rate of 20.719.3%. This demonstrates that targeting of screening is good in Bury but that the coverage needs to increase in order to meet and exceed the diagnostic target. Rates of most sexually transmitted infections are highest amongst young people aged 16-24; rates of selected sexually transmitted infections are also high amongst men who have sex with men and women and men from black African and black Caribbean communities living in the UK. Uptake of contraception amongst residents is good. Residents can obtain contraception from general practices, pharmacies (EHC only) and from contraception and sexual health clinics. The proportion of women opting for long-acting reversible contraception (LARC) is increasing. The rate per 1,000 women of total prescribed LARC (excluding injections) was 50.1 46.7 in Bury; 44.2 44.8 in the NW and 46.4 47.4 in England in 20162017. The rate of abortions among female residents aged 15-44 has been falling since the late 2000s, down from 24 per 1,000 in 2008 to 21 per 1,000 in 2011. The abortion rate in 2016 2017 for Bury was 21.5 21.2 per 1,000 (England rate 16.717.2). The teenage conception rate in Bury continues to fall and is lower than the NW. In 2016 2017 the teenage conception rate in Bury for under 18’s was 23.8 18.6 per 1000 15–17 year olds. This is higher than similar to the England rate of 20.818.8%. Among the under 18 conceptions, the proportion of those leading to abortion was 51.361.7%, while in England the proportion was 51.251.8%. Bury Council is committed to improving access to contraception, sexual health and abortion services. Residents can obtain contraception from their GP practice, from some pharmacies (EHC only) and from contraception and sexual health clinics including dedicated clinics for young people. For up to date information on this see xxx.xxxxxxxxxxxxxxxxxx.xx.xx Ruclear (xxx.xxxxxxx.xx.xx ) is an established STI screening service. 48 hour access to GUM clinics has been achieved. However, ongoing work is required to promote the use of condoms and to increase the use of contraception including long acting reliable methods such as the Nexplanon implant, in order to control the transmission of sexually transmitted infections and to reduce the numbers of unintended conceptions among women of all ages.