P155 “time in clinic” survey to evaluate the potential for use of online registration: Abstract P155 Table 1

Abstract

insight into the type of information patients most prefer to see in order to enhance patient experience. Aim(s)/objectives To conduct a patient survey of preferences for information provided in sexual health clinic waiting rooms. Methods 133 consecutive patients attending the integrated clinic were asked to complete a simple questionnaire covering the following areas: (1) how much attention is given to the information available; (2) Which types of information are most useful; (3) Preference for pictures, written text or a combination; (4) Importance of information that can be taken away. Results 53% looked at most of the information, 32% only read what looked interesting or relevant while 15% took little notice. Facts about STI's were the most useful (64%), followed by prevention messages (51%), contact details of other organisations/ services (49%), information about local/national campaigns (41%) and boards with specific themes (e.g. Valentine's day, Fresher's Week) (33%). 55% preferred a combination of pictures and text, 41% mainly text and 37% mainly pictures. 74% attached a high importance to information which could be taken away. Discussion/conclusion 85% of patients paid significant attention to the information presented in the waiting room. Patients found factual information about STI's to be most useful followed by prevention messages. There was a clear preference for messages that combined text with pictures. -2015-052126.196 Introduction Trichomonas vaginalis (TV) is the commonest curable STI worldwide. UK prevalence is comparatively lower but TV remains an important cause of genital symptoms. National guidelines recommend NAATs for TV testing due to their high sensitivity. Since 2012 we have utilised Gen-Probe APTIMA TV assays for symptomatic females, males with recurrent urethritis and contacts. Aims Assess the effectiveness of our current TV NAAT testing practice. Methods Retrospective casenote review of patients tested for TV in an inner city sexual health clinic between 01/01/14-31/03/14. Results 961 (882F, 79M) patients were included. Median age was 24 (range 15-67), 445 (46.3%) were White British. 6 (7.6%) of the men were MSM. 28 (2.9%) patients were TV NAAT positive (21F, 7M). 5 of them attended as TV contacts. 11 TVinfected females had positive microscopy. Comparing diagnostic modalities microscopy had inferior sensitivity (=0.524) but excellent specificity (=1) and NPV (=0.986). All TV-positive men were either symptomatic (4) or an asymptomatic contact (3). The TV-positive and TV-negative cohorts were compared: TV incidence was significantly associated with increasing age, Black Caribbean ethnicity and attending as a contact; concurrent STI diagnoses and evident symptoms were not. Conclusion Our data demonstrates the superior sensitivity of NAATs over microscopy. Extending screening to asymptomatic patients is not warranted. We continue to focus TV testing on known at-risk populations.

What can be learnt from a qualitative evaluation of implementing a rapid sexual health testing, diagnosis and treatment service?

“…23 24 Although studies suggest a limit of 30 min to wait for results, [25][26][27][28] experience from our service indicates that patients would be prepared to wait longer than 20 min for their result. 29 However, much of the evidence is from modelling and hypothetical views of clinicians and/or patients, 10-12 25-28 30 with little real-life implementation evaluation, 31 and rarely considering the complexity of patients' visits including both asymptomatic and symptomatic patients with multiple needs, for example, female contraception. There is an urgent need to evaluate staff and patient preferences and clinical benefits and cost-effectiveness in practice.…”

Modelling patient flows and resource use within a sexual health clinic through discrete event simulation to inform service redesign

“…Patient waiting time data were compared with those observed with the existing configuration of the service. 10 …”

“…Patient waiting time data were compared with those observed with the existing configuration of the service. 10 Patient and public involvement No patient or public was involved in the design, or conduct, or reporting, or dissemination plans of our research.…”

“…As the workload at Unity continues to increase, booked appointments become increasingly difficult to access and walk-in patients frequently have to queue. 10 This problem is often compounded as the clinic uses the same waiting areas and front desk staff for both walk-in and booked patients. In a recent survey, 10 patients reported spending too long in the clinic.…”

“… 10 This problem is often compounded as the clinic uses the same waiting areas and front desk staff for both walk-in and booked patients. In a recent survey, 10 patients reported spending too long in the clinic. In response to this problem, as part of a wider evaluation of the Unity SHC, we developed a computer simulation model to examine whether introducing an online service for STI and HIV self-sampling for asymptomatic patients, in addition to existing clinic-based services, would decrease patient waiting times and improve resource use compared with the current system without online-based self-sampling.…”