Evaluation of the pilot SHRINE programme
In 2022 and 2023, the Sexual and Reproductive Health, Rights, Inclusion and Empowerment (SHRINE) programme piloted the delivery of monthly in-house sexual reproductive health (SRH) clinics.
These were delivered to patients in three wards at the Bethlem Royal Hospital, with the support of NCCMH Quality Improvement (QI) coaches. NCCMH researchers then evaluated the outcomes and impact of the pilot.
The SHRINE project was a King's Health Partners initiative, involving a multidisciplinary team of SRH and psychiatric healthcare professionals from Guy’s and St Thomas, King's College Hospital and South London and Maudsley NHS Foundation Trusts.
Twenty SRH clinics were delivered by trained ward staff to patients at River House and the Mother and Baby Unit at the Bethlem Royal Hospital. Wards were supported to implement the clinics by QI coaches.
NCCMH researchers evaluated the pilot using data on referral and attendance, and patient and staff feedback (from questionnaires and surveys).
First, the following training was delivered to ward staff:
- A general session on the basics of SRH, delivered to all wards.
- A session on contraception, delivered to the mother and baby unit and the female ward at River House.
- A session on male sexual health for male patients, delivered to River House and including input from a lived experience advisor.
A staff survey was administered to staff at three time points between June 2022 and April 2023, to assess their confidence, knowledge and experience of discussing SRH with patients.
A modified Normalisation MeAsure Development (NoMAD) questionnaire was administered to staff at River House at the end of the project. It was used to assess:
- how far change ideas had been implemented into routine ward practice, for increasing conversations with patients about SRH, and
- how this had impacted on their work, and
- how much staff expected this to become a routine part of their job.
You can view and download the SHRINE pilot evaluation report and appendices below.