Gonorrhoea diagnostic rate - WMCA

All gonorrhoea diagnoses among people accessing sexual health services* in England who are also residents in England, expressed as a rate per 100,000 population. Data is presented by area of patient residence and include those residents in England and those with an unknown residence (data for those residents outside of England is not included).*Sexual health services providing STI related care (Levels 2 and 3). Further details on the levels of sexual healthcare provision are provided in the  https://www.bashh.org/about-bashh/publications/standards-for-the-management-of-stis/ .RationaleGonorrhoea causes avoidable sexual and reproductive ill-health. Gonorrhoea is used as a marker for rates of unsafe sexual activity. This is because the majority of cases are diagnosed in sexual health clinics, and consequently the number of cases may be a measure of access to sexually transmitted infection (STI) treatment. Infections with gonorrhoea are also more likely than chlamydia to result in symptoms.Definition of numeratorThe number of gonorrhoea diagnoses among people accessing sexual health services in England who are also residents in England.Episode Activity codes (SNOMED or Sexual Health and HIV Activity Property Types (SHHAPT)) relating to diagnosis of gonorrhoea were used. The clinical criteria used to diagnose the conditions are given at  https://www.bashh.org/guidelines .Data was de-duplicated to ensure that a patient received a diagnostic code only once for each episode. Patients cannot be tracked between services and therefore de-duplication relies on patient consultations at a single service.Definition of denominatorThe denominators for 2012 to 2022 are sourced from Office for National Statistics (ONS) population estimates based on the 2021 Census.Population estimates for 2023 were not available at the time of publication – therefore rates for 2023 are calculated using estimates from 2022 as a proxy.Further details on the ONS census are available from the https://www.ons.gov.uk/census .CaveatsEvery effort is made to ensure accuracy and completeness of GUMCAD data, including web-based reporting with integrated checks on data quality. However, responsibility for the accuracy and completeness of data lies with the reporting service.Data is updated on an annual basis due to clinic or laboratory resubmissions and improvements to data cleaning. Data may differ from previous publications.Figures reported in 2020 and 2021 are notably lower than previous years due to the disruption to SHSs during the national response to the COVID-19 pandemic.

英格兰性健康服务访问者中所有淋病诊断病例，以每10万人中的发病率表示。数据按患者居住区域展示，包括英格兰居民以及居住状态不明的个体（不包括居住在英国境外居民的数据）。性健康服务提供性传播感染（STI）相关护理（二级和三级）。有关性健康医疗服务提供级别的更详细信息请参阅https://www.bashh.org/about-bashh/publications/standards-for-the-management-of-stis/ 。淋病作为一种指标，用于衡量不安全性行为的比率。这是因为大多数病例都是在性健康诊所被诊断的，因此病例数可能成为性传播感染（STI）治疗可及性的衡量指标。淋病感染相对于沙眼衣原体感染，更有可能导致症状出现。

分子定义：英格兰性健康服务访问者中淋病诊断病例数。用于诊断淋病的SNOMED或性健康与HIV活动属性类型（SHHAPT）的病例活动代码被使用。用于诊断条件的临床标准在https://www.bashh.org/guidelines上给出。数据去重以确保患者在每个病例中仅获得一次诊断代码。由于无法追踪患者在服务之间的移动，因此去重依赖于患者在单一服务中的咨询。

分母定义：2012年至2022年的分母数据来源于基于2021年人口普查的英国国家统计局（ONS）人口估计。2023年的人口估计在出版时不可用，因此2023年的比率使用2022年的估计值作为代理。有关ONS人口普查的更详细信息请参阅https://www.ons.gov.uk/census 。

注意事项：尽最大努力确保GUMCAD数据的准确性和完整性，包括基于网络的报告以及数据质量的集成检查。然而，数据准确性和完整性的责任在于报告服务。由于诊所或实验室的重提交以及数据清洗的改进，数据每年更新一次。数据可能与以前的出版物不同。2020年和2021年报告的数字明显低于往年，这是由于对COVID-19大流行的国家响应期间性健康服务（SHS）的干扰所致。