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Advanced clinical practitioners in integrated sexual health and HIV
  1. Matthew Grundy-Bowers1,2,
  2. Felicity Young3,
  3. Fiona Dickson4,
  4. Michelle Croston5
  1. 1 The Jefferiss Wing, Imperial College Hospital NHS Trust, London, UK
  2. 2 School of Health Sciences, City University of London, London, UK
  3. 3 Sexual Health Services—Isle of Wight, Solent NHS Trust, Southampton, UK
  4. 4 Waldron Health Centre, Lewisham and Greenwich NHS Trust, London, UK
  5. 5 Faculty of Health, Psychology and Social Care, Manchester Metropolitan University—All Saints Campus, Manchester, UK
  1. Correspondence to Dr Matthew Grundy-Bowers, The Jefferiss Wing, Imperial College Hospital NHS Trust, London W2 1NY, UK; matthew.grundybowers{at}

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The National Health Service is facing rising demands for services, issues of funding, variations in quality and safety, and labour challenges.1 2 These challenges are felt acutely within genitourinary medicine, which has one of the lowest fill rates nationally,3 one-third of sexual and reproductive consultants are due to retire in the next 5 years and sexual health services face budget cuts of more than 20%.4

A range of solutions have been proposed, including new models of care and modernisation of the workforce.1 2 5 Modernising the workforce will involve securing the supply of staff, creating a flexible workforce, widening participation and broadening career pathways5 and the development of extended and advanced practice roles.1 2 5 It is anticipated these solutions will increase efficiency and efficacy, facilitate professionals to work at the top of their licence, thus reducing variations in practice and improve standards of care.5

To support …

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  • Contributors Initial draft written by MG-B. FY, FD and MC worked on revising subsequent iterations.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.