Complexities of Adult Nursing: Exploring Chlamydia's Impact on Young People in Southwark, London

In this document we will discuss about Complexities of Adult Nursing and below are the summary points of this document:- The paper focuses on the health issue of Chlamydia and its impact on young people in Southwark, London. Sociocultural influences, psychosocial factors, and political factors contribute to the pathway of Chlamydia in this population. Current services include internet-based screening, GP contraceptive services, and health promotion initiatives, but there is a need for better integration of health and social services.

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Title: Condition:
Age:
local area:
Chlamydia
15 – 30yrs
Southwark in London
Introduction, What is
the condition and the
client group (and make
sure that you define it
and explain the
condition) Identify a
client group with a health
need or a pathway
Identify the individual
cultural/psychosocial/pol
itical influences that can
have an impact on this
client group or someone
on this pathway
What is your rationale
for choosing this topic
– make sure that this is
supported by relevant
evidence i.e. statistics
supporting your approach
This paper looks at the health issue of Chlamydia and the
immediate health needs for young people between the age group
of 15-30 years in Southwark London.
Chlamydia is a type of sexually transmitted disease which is
transferred by having sex with people who have Chlamydia
(Lanjouw et al. 2016). Unprotected sex is the main cause behind
Chlamydia associated with symptom of painful urination, vaginal
discharge in females and painful sexual intercourse. The socio-
cultural influences that might be leading to diagnosis of
chlamydia in the youths of Southwark include poverty, limited
knowledge about Chlamydia and lack of access to adequate
service. The psychosocial factors that lead people to this pathway
include poor attitude towards safety during sexual behaviour,
intimate partner violence and binge drinking. Political factors that
may drive people to this pathway include lack of access to
sponsored health services and lack of focus on sexual education
in the community (O’leary et al. 2015). Hence, evaluating risk
and required service for the client group will be important.
Youths living in Southwark have been selected for this paper as
youths in this region has been reported to have high rate of
Chlamydia. The region is ranked third as per 2017 statistics on
new diagnosis of sexually transmitted infection (STI). In 2017, the
rate of reported rate of Chlamydia diagnosis in Southwark was
double than of London (Public Health Departments 2018). This
justified the rational for choosing the topic.
Identify how the

required services are
commissioned for this
condition/pathway and
whether this is
supporting the needs
of your chosen client
group/ condition.
Identify current
services provided for
this client group or
health need and
critically evaluate
whether the provided
services empower
individuals to seek
support or to self-
manage their
condition. Firstly tell us
how the commissioning is
done for this condition/.
Support with relevant
evidence. Identify where
there is any integration of
health and social care and
whether it is effective or
NOT pathway - it can be
good to use 2 providers
as comparators – one
good and one not so
good. This should then
lead you neatly on to the
fragmentation of care
The commissioning for Chlamydia screening is done by including
provider of internet-based Chlamydia screening in
commissioner’s contract. Partner notification standards and
turnaround time are also included in the commissioning (Public
Health England 2015).
GP contraceptive service and health promotion initiatives are
needed to prevent Chlamydia in the target group. In case of
Southwark, Sexual and Reproductive Health services are
focussing on meeting health needs of the target group. However,
the gap in service is that there is lack of integration of health and
social services for the group and this is leading to social isolation
and multiple deprivations for the target group (Walker, 2016).
Health and social services working together can address
challenges by supporting people to mitigate adversities in their
life and increase their access to all methods of contraception.
Demonstrate a
comprehensive
The selected client group is suffering from health inequalities
compared to people living in other borough because of

awareness of the
impact of fragmented
care delivery
Firstly tell us in what
way care is fragmented
for this
condition/pathway and
then explain why this
fragmented service is
having an impact on the
client group with the
chosen condition
fragmentation of current service provision due to lack of access
to service and this is said because primary care services are not
accessible to the group. There is no integration of service and no
response has been taken to address financial challenges for the
group. This fragmented service is having an impact on the youths
with Chlamydia because lack of access to high quality service is
leading to additional complications and mental health issues for
the client group (Southwark Clinical Commissioning Group 2018).
Critically appraise the
current position of
service provision for
this health need,
critically examine their
efficacy in the context
of contemporary
changes and provide
recommendations to
optimise outcomes for
this health need.
Conclusion - What is
your message? What
are your key
recommendations? –
So summarise what is
wrong with the current
pathway/commissionin
g and what do you think
we should do about it –
this is the basis for your
Currently, only Sexual and Reproductive Health services and
young people sexual health services present in Southwark to
meet the needs of the client group. However, services like the
‘Wise Up to Sexual Health (WUSH) are not effective in reducing
disparities because no locally commissioned young people
services exist in the community. This may hamper efforts to
prevent unplanned pregnancy (Southwark Clinical Commissioning
Group 2018
).
To improve current services in Southwark, it is recommended to
engage in efforts to create sustainable health service in the
future. By focusing on early identification and diagnosis,
expensive treatment and high cost can be avoided. Development
of more number of integrated services can also aid in offering
patient-centred response. For health care professionals working
in these services, there is a need to bring a change in attitude so
that values of patient-centered care are embraced. This would
help to actively identify the needs of the target population and
work differently to coordinate care in response to specific needs.

poster. So what can we
do about it –
remember there is no
extra money, so money
may have to be
diverted or it is about
working differently
What are your main
resources/ evidence References:
Lanjouw, E., Ouburg, S., De Vries, H.J., Stary, A., Radcliffe, K. and
Unemo, M., 2016. 2015 European guideline on the management
of Chlamydia trachomatis infections. International journal of STD
& AIDS, 27(5), pp.333-348.
O’leary, A., Jemmott III, J.B., Jemmott, L.S., Teitelman, A., Heeren,
G.A., Ngwane, Z., Icard, L. and Lewis, D.A., 2015. Associations
between psychosocial factors and incidence of sexually
transmitted disease among South African adolescents. Sexually
transmitted diseases, 42(3), p.135.
Public Health Departments 2018. Lambeth, Southwark and
Lewisham Sexual and Reproductive Health Strategy 2018-23.
Retrieved from:
https://www.lambeth.gov.uk/sites/default/files/co-lambeth-
southwark-and-lewisham-sexual-and-reproductive-health-
strategy-2018-23-summary-of-evidence.pdf
Public Health England (2015). Internet-Based Chlamydia
Screening Guidance for commissioning. Retrieved from:
https://assets.publishing.service.gov.uk/government/uploads/sys
tem/uploads/attachment_data/file/769005/
Internet_based_chlamydia_screening.pdf
Southwark Clinical Commissioning Group 2018. Southwark’s
Primary and Community Care Strategy. Retrieved from:
http://moderngov.southwark.gov.uk/documents/s41348/Southw
ark%20CCG%20Primary%20and%20Community%20Care

%20Strategy.pdf
Walker, C. 2016. A TALE OF TWO SOUTHWARKS A needs analysis
of the London Borough of Southwark. Retrieved from:
http://southwarkgiving.org/wp-content/uploads/2016/12/A-
Tale-of-Two-Southwarks.pdf