WOMEN’S HEALTH NEEDS ASSESSMENT

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  "date": "2025-11-17T16:08:17Z",
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        "locality": "Cardiff",
        "postalCode": "CF14 3UZ",
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        "email": "Gracie.westlake@wales.nhs.uk",
        "name": "Gracie Westlake",
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    "description": "In December 2024, the National Strategic Clinical Network for Women\u0027s Health published\nthe first \u0027NHS Wales Women\u0027s Health Plan\u0027 (the Plan). The Plan is a ten-year vision\n(2025-2035) that outlines an NHS Wales approach to improving the health outcomes for\nwomen in Wales. Women\u0027s Health Plan for Wales launched - NHS Wales Performance\nand Improvement\nThe 10-year plan has been two years in the making and follows the publication of the\nWelsh Government\u0027s Quality Statement for Women\u0027s and Girls\u0027 Health in 2022. This made\nclear that approaches to healthcare need to change so women can access the care they\nneed in a timely way; that the health service is responsive to their choices and needs and\nthat research and development reflects women and girls\u0027 lived experiences. \nIt is an NHS Plan, which has been co-ordinated and led by the National Strategic Clinical\nNetwork for Women\u0027s Health (the Women\u0027s Health Network) with involvement from NHS\nstaff, colleagues, experts in the field, and third sector organisations. It builds upon the\nwork of the \u0027Discovery Report\u0027, which captured the voices of 4000 women and girls in\nWales.The Plan will be delivered over ten years, through 64 short, medium and long- term\nactions. It will follow a life course approach, with a focus on delivery of services from 16\nyears of age, often an important time of transition within health services for girls. The Plan\nhas 8 priority areas:\n1. Menstrual Health\n2. Endometriosis and Adenomyosis\n3. Contraception, Post-Natal Contraception and Abortion Care\n4. Preconception Health\n5. Pelvic Health and Incontinence\n6. Menopause\n7. Violence Against Women, Domestic Abuse and Sexual Violence\n8. Ageing Well and Long-term Conditions Across the Life Course\nThe Plan outlines the key health inequalities experienced by women in Wales at a\npopulation level, and highlights some of the disparities in health that are emerging. It also\nhighlights opportunities for closing the gender gap, improving health across our NHS\nservices.\nThe Plan will be delivered locally by the Cardiff and Vale University Health Board. To\nsupport and complement this national workstream, two Health Needs Assessments are\nrequired to ensure that the needs of our population are understood and addressed\nappropriately - a Sexual Health Needs Assessment, and a Women\u0027s Health Needs\nAssessment.\nThe two reports are closely linked and inter-dependent with regards to topics, key\nstakeholders and populations of interest. There will likely be overlap with regards to the\nproduction of the report (e.g. focus groups) and areas of discussion (e.g. contraception)\nwhich could create unnecessary duplication from two separate providers. However, due to\nthe current service arrangements, it is required to have these two reports separately to\nallow all aspects of sexual health services to be reviewed, as recommendations on one\nelement of the service would impact the whole service. Therefore, a single provider will be\nsought to produce both reports as outlined below.\nThe aim of the Health Needs Assessments will be to:\n\u2022 Understand the met and unmet needs of residents across Cardiff and the Vale of Glamorgan in relation to the 8 priority areas of the Women\u0027s Health Plan for Wales, using\na range of methodologies\n\u2022 Understand what services are currently being delivered for the defined population to\naddress these\n\u2022 Assess the gaps in services in meeting the identified needs of the population\n\u2022 Develop evidence-based recommendations to support strategic planning to meet the\nneeds of the local population, in alignment with local, regional and national priorities\nThe Requirement\nThe awarded bidder will:\n\u2022 Participate and engage in regular progress meetings with key stakeholders\n\u2022 Work with key stakeholder to agree the scope, data, key literature and priorities to\ncreate the reports\n\u2022 Provide regular updates to key stakeholders and promptly escalate any issues or\nchallenges with the delivery of the reports\n\u2022 Produce annotated outlines, interim and final reports as per agreed timelines (see\nbelow)\nThe scope of the two Health Needs Assessments are outlined below\na. Sexual health needs assessment (SHNA)\n\u2022 Sexual health outcomes, behaviours, and service usage in Cardiff and the Vale of\nGlamorgan\n\u2022 Access to contraception, Sexually Transmitted Infections (STI) testing and treatment,\nand sexual health education\n\u2022 Priority populations include\no young people (under 25 years of age);\no women of reproductive age (15-54 years old)\no LGBTQ+ communities.\no ethnic minority groups.\no health inclusion groups including asylum seekers, those experiencing homelessness;\nthose in contact with the criminal justice system; Gypsy, Roma and Traveller\ncommunities; those affected by sex work\no people living in areas of high deprivation as described by the Welsh Index of Multiple\nDeprivation\n\u2022 Integration with broader public health initiatives (e.g. mental health, substance use,\nsafeguarding, chemsex)\nb. Women\u0027s Health Needs assessment (WHNA)\n\u2022 The needs of the population and the current services addressing these around\no Menstrual Health\no Endometriosis and adenomyosis\no [Contraception, post-natal contraception and abortion care] - will be drawn from the\nSHNA\no Preconception health\no Pelvic Health and Incontinence\no Menopause\no Violence against Women, Domestic Abuse and Sexual Violence - elements to be drawn\nfrom the SHNA as appropriate\no Long term conditions across the life course\n? Mental health and wellbeing\n? Cardiovascular disease and diabetes\n? Dementia\n? Musculoskeletal health\n? Cancer\nThe key stakeholders for both HNAs include (but are not limited to):\n\u2022 Cardiff and Vale University Health Board\n\u2022 General Practitioners and Primary Care\n\u2022 Public Health Wales\n\u2022 Cardiff Council and Vale of Glamorgan Council\n\u2022 Local schools, colleges and youth services\n\u2022 Community leaders and service users\n\u2022 Third sectors groups\nAdditional stakeholders for the SHNA may include:\n\u2022 YMCA Cardiff, Terrence Higgins Trust Cymru, Brook Cymru\n\u2022 LGBTQ+ support groups\n\u2022 Fast Track Cardiff and Vale\nA range of local, regional and national data sources will be expected to be used to\ndevelop the two HNAs. Quantitative data sources will include demographic assessment of\nthe population, epidemiological assessment of disease and conditions incidence and\nprevalence, local and national audit data, healthcare service utilisation, prescribing data,\nand relevant health outcome data. Qualitative data will include focus groups with relevant\npopulation groups as discussed with the stakeholder group; interviews with key service\ndelivery professionals, online surveys of public and staff; particular focus on seeking\nqualitative data from under-represented groups.\nLiterature reviews will be undertaken for both HNAs. This will identify the current evidence\nbasis for the interventions and services which best meet the identified needs of the\npopulation. The literature reviews will need to encompass academic and \u0027grey\u0027 literature.\nA mixed methodology will be expected to be used, incorporating epidemiological,\ncomparative and corporate health needs assessment approaches to ensure a\ncomprehensive and robust analysis is undertaken. This will require:\n\u2022 Review of local and national data sets\n\u2022 Reviews of services offered elsewhere in Wales/UK with comparable population needs \u2022 Stakeholder engagement and feedback through online and in-person routes, including\ninterviews, focus groups and surveys\n\u2022 Literature and evidence review\nA key theme for both HNAs will be to understand the health inequalities experienced by\ndifferent populations. This will need to be prominent within the data collection, analysis,\npresentation and final report production.\nFunding of up to \u00a3100,000.00 (including VAT) is available to develop the two Health\nNeeds Assessments and deliver this work within 5 months of project initiation.\nThe value of the contract will include all associated costs to the provider e.g. venue,\naccommodation and travel (if needed).\nIt is anticipated this work can be delivered predominantly remotely. However some\nactivities required in the production of this report e.g. qualitative data collection from focus\ngroups may require in-person attendance. If the awarded bidder is within reasonable\ntravel distance, there may be value in holding an initial project inception meeting or key\nstakeholder consultation in-person.",
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              "description": "To support and complement the local delivery of the national Women\u2019s Health Plan workstream, two Health Needs Assessments are required to ensure that the needs of our population are understood and addressed appropriately \u2013 a Sexual Health Needs Assessment, and a Women\u2019s Health Needs Assessment.\nThe two reports are closely linked and inter-dependent with regards to topics, key stakeholders and populations of interest. There will likely be overlap with regards to the production of the report (e.g. focus groups) and areas of discussion (e.g. contraception) which could create unnecessary duplication from two separate providers. However, due to the current service arrangements, it is required to have these two reports separately to allow all aspects of sexual health services to be reviewed, as recommendations on one element of the service would impact the whole service. Therefore, a single provider will be sought to produce both reports as outlined below.\nThe awarded bidder will:\n1.\tBe responsible for planning the HNA, engaging with stakeholders for the HNA, analysing all data for the HNA, reporting the findings of the HNA and planning for and managing risks associated with timely completion of the HNA\n2.\tParticipate and engage in regular (at least fortnightly) progress meetings with key stakeholders to outline and update on the progress of the HNA\n3.\tWork with key stakeholder to agree the scope, data, key literature and priorities to create the reports\n4.\tProvide regular updates to key stakeholders and promptly escalate any issues or challenges with the delivery of the reports\n5.\tProduce annotated outlines, interim and final reports as per agreed timelines (see below)\n6.\tEnsure they have developed a process by which to provide feedback from the HNA to stakeholders and those wider members of our communities who fed into the HNA.\n7.\tEnsure all data collected for the HNA is handed over to C and V UHB and no data or part of the HNA is published or used by the bidder in the future, unless with the express permission of the UHB.  \nThe aim of the Health Needs Assessments will be to:\n\u2022\tUnderstand the met and unmet needs of residents across Cardiff and the Vale of Glamorgan in relation to the 3 priority areas of the Women\u2019s Health Plan for Wales, using a range of methodologies\n\u2022\tUnderstand what services are currently being delivered for the defined population to address these\n\u2022\tAssess the gaps in services in meeting the identified needs of the population\n\u2022\tDevelop evidence-based recommendations to support strategic planning to meet the needs of the local population, in alignment with local, regional and national priorities\nThe scope of the two Health Needs Assessments are outlined below\na)\tSexual health needs assessment (SHNA)\n-\tSexual health outcomes, behaviours, and service usage in Cardiff and the Vale of Glamorgan\n-\tAccess to contraception, Sexually Transmitted Infections (STI) testing and treatment, and sexual health education\n-\tPriority populations include \no\tyoung people (under 25 years of age); \no\twomen of reproductive age (15-54 years old); \no\tLGBTQ+ communities.\no\tethnic minority groups. \no\thealth inclusion groups including asylum seekers, those experiencing homelessness; those in contact with the criminal justice system; Gypsy, Roma and Traveller communities; those affected by sex work\no\tpeople living in areas of high deprivation as described by the Welsh Index of Multiple Deprivation\n-\tIntegration with broader public health initiatives (e.g. mental health, substance use, safeguarding, chemsex)\nb)\tWomen\u2019s Health Needs assessment (WHNA)\n-\tThe needs of the population and the current services addressing these around\no\tPriority 1 Menstrual Health (To include Endometriosis, Dysmenorrhea, Heavy Menstrual Bleeding, PMDD and PCOS). \no\tPriority 3 Contraception, Post-natal Contraception and Abortion Care (To include preconception health, abortion care and initial fertility assessments). \no\tPriority 6 Menopause (To include Premature Ovarian Insufficiency (POI), management of unscheduled bleeding on HRT and Testosterone).\n-\t\nThe key stakeholders for both HNAs include (but are not limited to):\n-\tCardiff and Vale University Health Board\n-\tGeneral Practitioners and Primary Care \n-\tPublic Health Wales\n-\tCardiff Council and Vale of Glamorgan Council\n-\tLocal schools, colleges and youth services\n-\tCommunity leaders and service users\n-\tThird sectors groups\nAdditional stakeholders for the SHNA may include:\n-\tYMCA Cardiff, Terrence Higgins Trust Cymru, Brook Cymru\n-\tLGBTQ+ support groups\n-\tFast Track Cardiff and Vale\nA range of local, regional and national data sources will be expected to be used to develop the two HNAs. Quantitative data sources will include demographic assessment of the population, epidemiological assessment of disease and conditions incidence and prevalence, local and national audit data, healthcare service utilisation, prescribing data, and relevant health outcome data. Qualitative data will include focus groups with relevant population groups as discussed with the stakeholder group; interviews with key service delivery professionals, online surveys of public and staff; particular focus on seeking qualitative data from under-represented groups.\nLiterature reviews will be undertaken for both HNAs. This will identify the current evidence basis for the interventions and services which best meet the identified needs of the population. The literature reviews will need to encompass academic and \u2018grey\u2019 literature.\nA mixed methodology will be expected to be used, incorporating epidemiological, comparative and corporate health needs assessment approaches to ensure a comprehensive and robust analysis is undertaken. This will require:\n-\tReview of local and national data sets\n-\tReviews of services offered elsewhere in Wales/UK with comparable population needs\n-\tStakeholder engagement and feedback through online and in-person routes, including interviews, focus groups and surveys. This will be undertaken in partnership with third sector organisation separately commissioned as the local facilitator for patient and community engagement and co-production as part of the wider women\u2019s health plan work locally\n-\tCollection and analysis of primary qualitative data related to this topic, to include gathering of information from both the general population, as well as a particular focus on seeking qualitative data from the groups listed above. \n-\tExpectation would be a minimum of two focus groups for each HNA and two surveys for each HNA\n-\tLiterature and evidence review\nA key theme for both HNAs will be to understand the health inequalities experienced by different populations. This will need to be prominent within the data collection, analysis, presentation and final report production.\nFunding of up to \u00a350,000.00 (including VAT) is available to develop the two Health Needs Assessments and deliver this work within 5 months of project initiation.\nThe value of the contract will include all associated costs to the provider e.g. venue, accommodation and travel (if needed).\nIt is anticipated this work can be delivered predominantly remotely. However some activities required in the production of this report e.g. qualitative data collection from focus groups may require in-person attendance. If the awarded bidder is within reasonable travel distance, there may be value in holding an initial project inception meeting or key stakeholder consultation in-person.\nProject phases include:\n\u2022\tProject planning and initiation\n\u2022\tTeam and stakeholder coordination\n\u2022\tData collection and analysis\n\u2022\tRapid evidence review and review of relevant documentation\n\u2022\tKey stakeholder engagement\n\u2022\tReporting and dissemination\n\u2022\tQuality assurance\n\u2022\tFinal deliverable production\nOutput Requirement\n1.\tDraft annotated outline of both HNAs following project inception meeting with key stakeholders\n2.\tGANTT chart outlining timelines for completion of the work\n3.\tInterim advanced draft of the written content of the reports with sufficient time for stakeholder consultation (minimum 3 weeks) so that feedback can be incorporated into a final draft\n4.\tFinal draft of the written content with Executive Summary and references (using an agreed formal reference style), hyperlinks and proofreading for each report.\n5.\tA presentation of the final report to stakeholders, with opportunity for questions and answers.\n6.\tA prepared presentation and summary written report that is available for dissemination in easy read format to feedback and update wider stakeholders that have been involved in developing the HNAs."
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