RESOLVED:

A. That Cabinet approved the extension of the contract with Central London Community Healthcare NHS Trust (CLCH) for the provision of the Integrated Sexual Health (ISH) Service within the boroughs of Merton, Richmond upon Thames and Wandsworth for a period of 18 months, from 01 October 2022 until 31 March 2024.

B. That  Cabinet approved the variation of the existing contract to enact the following: 1. To move from an activity based to a block payment mechanism constituted of the elements outlined in Table 1at  6.1.5 below.

2. Addition of a service development fund with the aim of beginning to shape future service delivery post 31st March 2024. Payment will only be made if actions in the agreed action plan are achieved.

3. To re-allocate resources so that patients are seen at Wideway Medical Practice which allows better access to routine contraception and aligns with the future direction of sexual health services.

4. To maintain four day per week provision at Patrick Doody clinic in Wimbledon by providing a small additional payment.

5. Amendment to the age range for bespoke young people’s clinics from 21 and under to 19 and under based on patient feedback regarding access for the most vulnerable.

6. To note the removal of the ‘aligned’ community based services from the contract. Approval was given by Procurement Board in December 2021 to commission these under a wider South West London contract for those at highest risk of poor sexual health. The same resources have been allocated.

C. That Cabinet approved the financial contribution from Merton Local Authority which is in part 2 of this report.