4) Discuss safe sex and signpost
In this section (select to jump to):
Always ask if the client/young person is sexually active and what type of sex they engage with so that you can determine the best advice to give - More information on types of sex
Always talk through the risks and what to do after condomless sex or when a condom fails/breaks
Discuss and signpost into local STI/HIV testing sites, contraception providers and other relevant services
Offer chlamydia screening / HIV testing if applicable in your service
Ask if they have any questions/would like to discuss anything in-particular
What To Do If The Condom Fails or You Have Condomless Sex
STIs / HIV
Always advise that the client/young person should go for a full STI check after condomless sex, when a condom fails and when changing partner/s. For more information on STIs visit the Brook website and for a list of services in Hackney use our signposting guide
After any incident where there is a risk of HIV infection PEP (post exposure prophylaxis) is available up to 72 hours after the incident from sexual health clinics and A&E. PEP is a course of treatment that greatly reduces the chance of HIV infection. For more information on PEP visit the THT website.
Emergency Contraception (EC)
There are 3 types of emergency contraception that can be used if a contraceptive method fails or if a contraceptive method was not used. The methods are most effective when used as soon as possible after sex.
Within 72 hours: Levonelle is available for free from pharmacies, clinics and GPs.
It is the most commonly available emergency hormonal contraceptive pill, sometimes called the Morning After Pill. It is not an abortion pill. It can stop an egg being released (ovulation), delay ovulation or stop a fertilised egg from settling in the Uterus (implanting).
Within 120 hours: these two methods are available free from the clinics:
ellaOne is an emergency contraceptive pill that can be taken within five days (120 hours) of having unprotected sex
Intrauterine device (IUD) is a small plastic and copper device that is fitted in the uterus up to five days (120 hours) after unprotected sex or within five days of the earliest time you could have released an egg
Signposting simply means telling young people about other services available to them and where to go to find them.
Why Do We Signpost?
To Other Outlets
It is important to tell people about other outlets they can visit so they know where they can go if for example your service is closed or busy. Some outlets i.e. pharmacies provide additional services such as Emergency Contraception, Chlamydia screening packs and/or HIV/BBV testing and some outlets may operate different or longer opening times which may be beneficial for the service user.
To Clinics & Services
As well as being outlets for the Come Correct & The Free Condom Project Scheme, clinical services in Hackney (CHYPS+, John Scott Health Centre, The Ivy and the Department of Sexual Health) offer a wide range of services that are free to young people, these include:
STI screening services,
Contraception services including the provision of LARC (Long Acting Reversible Contraceptives e.g. Implant, Injection, IUS, IUD)
Counselling or Listening Services
Support for younger young people
•Packs are for Under 25s who live in City and Hackney.
young people living outside of the area should be referred to www.checkurself.org.uk
25 year olds and older should be referred to local sexual health clinics or their GP
•Sample type: urine for males, vaginal swap for females
•Samples are tested for Chlamydia and Gonorrhoea
All test packs contain:
•Leaflet: ‘The Chlamydia and Gonorrhoea test’ (a ‘How to do the test’ instruction leaflet)
•Test Request Form
•Padded postage paid envelope
Male Packs (blue ‘Male Pack’ sticker): urine pot within tube container (instructions inside pack)
Female Packs (yellow ‘Female Pack’ sticker): vaginal swab (instructions inside pack)
Postal packs sent to outlets => Pack explained and given to young person =>Young person completes Test Request Form, Labels sample tube and provides sample => Sample put into prepaid envelope and posted as soon as possible => Sample received by laboratory => Sample tested for Chlamydia and Gonorrhoea
Negative - Text message sent by laboratory directly to young person
Positive (including equivocal, test failures):
Sent to Chlamydia Screening Office => Health Advisor phones young person with result, arranges treatment and agrees partner notification => Health Advisor follow-up with young person to ensure adherence to treatment, support any partner notification needs and advise test-of-cure in 6 weeks
When giving out a pack always explain that:
•the yellow section of the request form must be filled out
•one of the stickers should be attached to the sample tube.
•they will get their test result by text or phone
•that completed forms and samples should be placed into the padded envelope and posted off via Royal Mail (postage is already paid).
•that samples should be posted as soon as possible.
Packs for professionals to distribute can be obtained by contacting Emma Bowtell on 020 7683 4327 or email@example.com