Health Heart



Information component Pg 4 Health Summary. Indicator Number 30
Subject category / domain(s) Health and ill health in Our Community
Indicator name (* Indicator title in health profile) New diagnoses of gonorrhoea (*Sexually transmitted infections)
PHO with lead responsibility SWPHO
Date of PHO dataset creation n/a
Indicator definition
Geography n/a
Timeliness n/a
Rationale:What this indicator purports to measure New diagnoses of uncomplicated gonorrhoea in GUM clinics is a proxy measure for population sexual health
Rationale:Public Health Importance This would be one of the better indicators of population sexual health as gonorrhoea is a common infection and is less affected by variations in service delivery and screening compared to other infections. Since 1995, diagnoses of gonorrhoea have risen considerably in England, Wales and Northern Ireland; increasing by 111% between 1995 and 2004. Gonorrhoea is the second most common bacterial sexually transmitted infection diagnosed in GUM clinics. Untreated infection can lead to serious health problems, particularly for women. Complications of gonorrhoea include pelvic inflammatory disease, ectopic pregnancy and infertility. Sexual health programmes can reduce the incidence of sexually transmitted diseases in the community.
Rationale: Purpose behind the inclusion of the indicator To reduce the prevalence of gonorrhoea and other sexually transmitted diseases. To monitor the effectiveness of sexual health programmes.
Rationale:Reason for Gap This data is not available at Local Authority level. Current PCT monitoring based on ‘Local Delivery Plan lines’ is unreliable as this is still mostly based on estimated proportion of GUM clinic activity relating to PCT residents. This arises due to GUM clinics’ inability to report activity by area of residence and from the fact that there is often significant ‘cross boundary flow’ of PCT residents to clinics situated in neighbouring PCTs. However, there is a current national initiative to improve GUM clinic computer systems and reporting. It is anticipated that data will be available for next year.
Rationale:Policy relevance National Strategy for Sexual health and HIV, implemented in 2002, aims to reduce the transmission of gonorrhoea by 25%.Primary Care Trust Local Delivery Plans require the monitoring of rates of new diagnoses of gonorrhoea and demonstration of a reduction in rates from 2002 by 2008. The White Paper, ‘Choosing Health’ identifies sexual health as one of the key national priorities for action.
Interpretation: What a high / low level of indicator value means As this is a gap indicator there are no indicator values present in the health profiles.
Interpretation: Potential for error due to type of measurement method N/A – Gap indicator
Interpretation: Potential for error due to bias and confounding N/A – Gap indicator
Confidence Intervals: Definition and purpose N/A – Gap indicator


Indicator definition: Variable New diagnoses of uncomplicated gonorrhoea in GUM clinics.
Indicator definition: Statistic Possibility of age-standardised rates to be confirmed
Indicator definition: Gender Persons
Indicator definition: age group All ages – to be confirmed
Indicator definition: period n/a
Indicator definition: scale Per 100,000 resident population
Geography: geographies available for this indicator from other providers n/a
Dimensions of inequality: subgroup analyses of this dataset available from other providers n/a
Data extraction: Source Health Protection Agency
Data extraction: source URL n/a
Data extraction: date n/a
Numerator: definition New diagnoses of cases of uncomplicated gonorrhoea made in GUM clinics (KC60 data) in respective calendar year.
Numerator: source Health Protection Agency (HPA)
Denominator: definition 2001 Census based mid-year resident population estimate for the respective year. All ages to be confirmed.
Denominator: source Office for National Statistics (ONS)
Data quality: Accuracy and completeness n/a.

Posted in: Indicators