BCCG PRISON SEXUAL HEALTH SERVICES SURVEY Name of person completing form & job title: Name: Job title: Contact telephone and/or email address in case of queries: Telephone: Email: Please select your region from the menu below.  A new menu will then appear, and please select your clinic from that. Region: Anglia Merseyside North Thames North West Northern Northern Ireland Oxford Scotland South Thames South West Trent Wales Wessex West Midlands Yorkshire   Yes No Not sure Do you provide an outreach GUM service to a prison establishment? Are services provided by another non-GUM provider? Are there prisons on your patch which do NOT have an outreach service? Do you see prisoners for any reason in your GUM clinic? Do you see prisoners in your HIV clinic?