Project information

About STI Training through CATTE

CATTE (ChlamydiA Testing Training in Europe) STI training is a European project to develop training packages for general practice staff delivering chlamydia screening and other sexual health services to young adults.

The project is led by Public Health England’s Primary Care Unit in conjunction with partners from Estonia, France and Sweden. It is funded by a Leonardo da Vinci grant from Ecorys.

Why train GP staff in delivering sexual health services?

Chlamydia remains the most common STI in Europe within the young adult population, but testing rates are low. Young adults (under 25 years) visit general practice regularly and it therefore provides an ideal opportunity to test and provide other sexual health services (such as HIV testing, contraceptive advice, provision of condoms, gonorrhoea testing) where appropriate.

Project aims

The project aimed to deliver a comprehensive training resource for each country in the project, in their main language.

The training packages have been devised from an education-based intervention that was evaluated in a randomized controlled trial in England. The intervention significantly improved chlamydia testing rates in general practice.

The original intervention has been developed further to ensure it fits the context of the country it has been delivered in. Researchers have identified barriers to providing chlamydia testing and other appropriate sexual health services by interviewing GP staff and patients as well as stakeholders in sexual health in each country.
A 2 tier system of training has been developed. Firstly trainers of GP staff receive training themselves in delivering the resources. They then contact GP surgeries and arrange local delivery. This Train the Trainer system ensures a sustainable model of delivery is achieved, with each country developing a network of well-resourced trainers available to deliver the training to GP staff.

Interested in our project? Would you like to implement the training in your area or country? If yes, just speak to us through our “Contact Us” form.

Click here for Relevant STI News


New ECDC report: Sexually Transmitted Infections in Europe 2012
Data from this new report from the European Centre for Disease Prevention and Control (ECDC) show that chlamydia is the most commonly reported sexually transmitted infection across Europe, with 65% of diagnoses among young women. Rates for gonorrhoea and syphilis are also on the rise in many European countries.
>ECDC – News – July 2014
>STI surveillance report 2012

ECDC: Chlamydia control in Europe – a survey of Member States, 2012
This report presents the results of a second ECDC survey, carried out in 2012. It describes chlamydia prevention and control activities, changes in activities between 2007 and 2012, and suggests recommendations to improve chlamydia prevention and control in EU/EEA Member States.
>ECDC – Chlamydia control in Europe technical report


17 June, 2014; PHE Press Release; Sexually transmitted infection risk in England is greatest in gay men and young adults
Annual STI data compiled for England from genitourinary clinics, and from other community-based settings screening for chlamydia showed that “number of STI cases diagnosed in 2013 remain close to 2012 figures.

There were 446,253 sexually transmitted infections (STIs) diagnosed in England in 2013,[] close to the number diagnosed in 2012 (448,775 cases).

Chlamydia was the most common STI, making up 47% of all diagnoses (208,755), while gonorrhoea diagnoses saw a large rise, up 15% from 2012 to 2013 (29,291).

Among heterosexuals diagnosed in genitourinary medicine (GUM) clinics in 2013, young people (15 to 24 years) experienced the highest STI rates: 63% of chlamydia cases (56,034), 54% of genital warts (36,312), 42% of genital herpes (12,450) and 56% of gonorrhoea (8,122).

Gay men were also disproportionately affected, accounting for 81% of syphilis (2,393) and 63% of gonorrhoea (13,570) cases in male GUM clinic attendees. Gonorrhoea diagnoses rose 26% in this group, nearly double the national rate, which is of particular concern as harder to treat gonorrhoea strains emerge.”

You can find more information here;

LGA: A councillor’s guide to the health system in England
This Local Government Association guide for councillors gives an overview of the new health and social care system and includes sections on the role and potential contribution of elected members to health and the ‘must knows’ for councillors with different roles.
TIP; There is a good clear table on page 6.
>LGA Guide for councillors – May 2014

Interactive map on Health & Wellbeing Board priorities
This Local Government Association (LGA) interactive map allows you to search the priorities of health and wellbeing boards across England. Themes can be selected including sexual health, and the map will highlight all areas citing it as one of their health and wellbeing priorities.
TIP; Interesting to see how many areas have sexual health as a priority.
>LGA Interactive HWB map

AGC report – Sex, lives and commissioning II
This report from the Advisory Group on Contraception (AGC) provides a detailed picture of how local authorities are commissioning contraceptive services in England today. It looks at how local authorities are assessing contraceptive need, as well as funding and delivering comprehensive, open access services. Based on the findings, it makes a series of recommendations (to local authorities, commissioners, relevant government departments and national agencies) on how services can be improved to meet the needs of women of all ages.
TIP; Gives recommendations based on LA information:
>Our work « The Advisory Group on Contraception
>Sex, lives, commissioning II report – May 2014

AYPH research update on sexual health and under-18 conceptions
The Association for Young People’s Health (AYPH) has produced a useful sexual health summary which includes the latest data from the National Survey of Sexual Attitudes and Lifestyles (NATSAL). It also provides links to relevant reports, reviews and research.
>AYPH Summary – May 2014

PHOF data tool updated
The Public Health Outcomes Framework data tool is refreshed quarterly, with recent updates to the Chlamydia diagnoses indicator (3.02i) and the Under 18 conceptions indicator (2.04).
TIP; Chlamydia figures available for comparison.
>PHOF data tool update – May 2014