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The past 3 years have seen significant changes for sexual health services in England. The Health and Social Care Act 2012 transferred responsibility for commissioning most of specialist sexual and reproductive health (SRH) services from primary care trusts to local government alongside responsibility for other public health initiatives.1
Since the transition, local government has paid for SRH clinical services and HIV prevention activities from a ring-fenced public health programme grant.2 In the summer of 2015, the government announced that the public health grant would be reduced by £200M3 as part of the national programme of deficit reduction, which is followed by further planned reduction of 3.9% per year until 2020.4 These reductions in the total public health grant will invariably affect the commissioning of local sexual health services and will require local collaboration, innovation and leadership to ensure continuity and improvement to the provision of high-quality services. An intelligent use of available data can help inform efficient and effective commissioning decisions that will support the response to the financial challenges and also ensure the provision of high-quality services. The …
Contributors All authors were involved in the proposal and editing of this manuscript. JKD and GH drafted the manuscript. All authors revised and approved the present version of the manuscript.
Competing interests None.
Provenance and peer review Commissioned; externally peer reviewed.
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