MYHEALTHNETS 10-YEAR STRATEGIC PLANS FOR SERVICE TRANSFORMATION AGENDA.

MyHealthnet is:

Calling on the local government commissioners, grant-making bodies, and private sponsors to support our service long-term, so we can deliver a more sustainable, nationally available sexual and reproductive (SRH) and training strategy that sets out our bold ambitions to prioritise health promotion, prevention, tackle sexually transmitted infections (STIs) including HIV and Mpox, and improve access to free sexual, reproductive, and psychosexual health service and resource. 

To promote recognition of the importance of funding MyHealthnet service and strengthening their support with investment in MyHealthnet to bridge gaps in current and future service needs and ensure our sustainability for the next 10 years.

Teenage Pregnancies and Abortions:

Demographic challenges over the next 10 years

Over the next decade, societal changes such as decreasing birth rates and longer individual lifespans necessitate adjustments in care delivery based on age and needs. By 2034:

• The population as a whole is projected to increase by 9.9 per cent.
• The population aged 15-29 has the highest burden for STIs and overall delivery is expected to increase by 6.28 per cent.
• Women aged 15-44 and thus eligible for LARC will increase by 4.69 per cent.
• Population aged over 45 who are high burden for STI rates and treatment - will increase by 11 per cent.

Development of the national 10-year sexual and reproductive health strategy

There has not been a government-produced comprehensive national sexual and reproductive health strategy since 2001.

MyHealthnet strategies are thus divided into

Our proposed strategic priorities for supporting national sexual and reproductive strategy are with adequate funding and support:

To prioritise the following activities:

• - Contributing towards reducing the spread and onward transmission of STIs/HIV.
• - Improving multi-access to youth sexual and reproductive health services and reducing unintended, underage pregnancies, and repeated abortions.
• - Make an impactful contribution towards ending all new HIV transmissions by 2030 and reducing HIV-associated stigma, and isolation.
• - Prioritising prevention and health promotion interventions that support informed choices. This includes delivering quality assured online training, and statutory Relationship and Sex Education (RSE) in communities, schools, colleges, and other institutions.
• - Promoting equality and equity in accessing sexual health and positive outcomes through a better understanding of our underserved communities.

The progress made, and the outcomes of all priorities achieved will be comprehensively measured by a set of metrics.

Alongside MyHealthnet’s service strategies, we will continue to align our priorities with the National Sexual and Reproductive Health Strategy subject to funding success.

Our Direction this year

The direction for the strategic service development and delivery of a cohesive youth sexual reproductive and psychosexual health strategy depends on adequate government funding and support, adopting quality standards of practice, and innovative ideas in achieving set goals. Review

• 1. Funding Opportunities
• 2. Access to Commissioning framework and funding competition
• 3. Quality standards and performance management of all sexual and reproductive health and training support services
• 4. Sexual and reproductive health workforce recruitment and development strategy
• 5. Education, Prevention workshop and outreach
• 6. Technology and innovation resource development

Funding Review

MyHealthnet's resilience and adaptability are key. As we face challenges, we’ll stay connected with our communities and celebrate each milestone together. However, MyHealthnet must secure long-term, sustainable funding to ensure sexual and reproductive health is accessible to meet the growing demand for services, reduce inequalities, and stay abreast of technological advancements and potential shifts in sexual behaviours.

We are facing challenges in maintaining our primary and secondary clinical services and may struggle to meet future demands without investing in workforce, service delivery, and a clear strategy to support the recommendations in this paper.

The lack of investment in public health will weaken access to youth healthcare systems, leading to more clinics struggling or failing to serve their users, resulting in poor health outcomes. Without proper support, we will be unable to effectively respond to or manage future significant STI outbreaks.

Conclusion

MyHealthnet has remained passionate and innovative about providing services that meet user needs. We are working through our strategies and we are using creative means to manage resources while learning from good practices from similar organisations. In this report, we outline how we can further develop the existing good work to create a comprehensive strategic framework for sexual and reproductive health. How we plan to raise funds for developing and managing our service. We discussed and shared recommendations with the government and partners on how to enhance the current system across all locations and support MyHealthnet.

We support the calls from the LGA, ADPH, and the EHSHCG, urging the government to increase funding for sexual and reproductive health services for councils in the next Spending Review.

Specifically, we advocate for increased support for MyHealthnet service partnerships. By collaborating as equal partners across the healthcare system with a common set of goals, we can address the significant long-term sexual and reproductive health challenges in our communities. Supporting the funding effort for MyHealthnet will help save lives.