Lorna J. Sutcliffe

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OBJECTIVES To quantify the contribution of patient delay, provider delay, and diversion between services to delayed access to genitourinary medicine (GUM) clinics. To describe the factors associated with delay, and their contribution to STI transmission. METHODS Cross-sectional survey of 3184 consecutive new patients attending four GUM clinics purposively(More)
OBJECTIVE To describe the contribution of primary care to the diagnosis and management of sexually transmitted infections in the United Kingdom, 1990-2000, in the context of increasing incidence of infections in genitourinary medicine clinics. DESIGN Population based study. SETTING UK primary care. PARTICIPANTS Patients registered in the UK general(More)
BACKGROUND Partner notification in primary care is problematic and of limited effectiveness despite enthusiasm from primary care providers to engage with sexually transmissible infection (STI) management. Innovative partner notification strategies must be relevant to the primary care context. The aim of the present study was to explore the opinions of(More)
OBJECTIVES Rates of sexually transmitted infections (STIs) in UK young people remain high in men and women. However, the National Chlamydia Screening Programme has had limited success in reaching men. The authors explored the acceptability of various medical, recreational and sports venues as settings to access self-collected testing kits for STIs and HIV(More)
OBJECTIVES To develop two new models of expedited partner therapy for the UK, and evaluate them for feasibility, acceptability and preliminary outcome estimates to inform the design of a randomised controlled trial (RCT). METHODS Two models of expedited partner therapy (APTHotline and APTPharmacy), known as 'Accelerated Partner Therapy' (APT) were(More)
OBJECTIVES To undertake a cost-consequence analysis to assess two new models of partner notification (PN), known as Accelerated Partner Therapy (APT Hotline and APT Pharmacy), as compared with routine patient referral PN, for sex partners of people with chlamydia, gonorrhoea and non-gonococcal urethritis. METHODS Comparison of costs and outcomes alongside(More)
BACKGROUND A key aim of England's National Strategy for Sexual Health is to extend high-quality sexual health services in primary care. OBJECTIVES To explore the expectations and experiences of men and women who initially presented at their general practice with a suspected sexually transmitted infection in order to identify areas where change could(More)
BACKGROUND Primary care is an important provider of sexual health care in England. We sought to explore the extent of testing for chlamydia and HIV in general practice and its relation to associated measures of sexual health in two contrasting geographical settings. METHODS We analysed chlamydia and HIV testing data from 64 general practices and one(More)
Queen Mary University of London, UK (where the research took place) Centre for Sexual Health and HIV Research, University College London, London, UK Blizard Institute of Cell and Molecular Science, Queen Mary, University of London, London, UK Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK Faculty of Population(More)
Partner notification (PN) in the UK is of limited effectiveness. Expedited partner therapy improves PN outcomes but does not comply with existing UK professional guidance. We developed two new strategies, known as accelerated partner therapy (APT), based on elements of PN practice for which there is evidence of efficacy, and which conform to UK prescribing(More)