Sexual health

National and local strategies (best practice)


As detailed in the introduction, The Department of Health released A Framework for Sexual Health Improvement in England in March 2013

In addition to the framework, the Department of Health developed Commissioning Sexual Health services and interventions: Best practice guidance for local authorities in March 2013.

The Public Health Outcomes Framework sets out key indicators for local areas. The three specific indicators related to sexual health are;

  • Under 18 conceptions
  • Chlamydia detection rate (15-24 year olds)
  • People presenting with HIV at late stage of infection
  • Reduce the rates of STIs, excluding chlamydia

The further related public health indicators are;

  • Violent crime (including sexual violence)
  • Employment for those with long term health condition including those with learning difficulty/disability or mental illness- includes those with HIV
  • Access to non-cancer screening programmes- includes ante natal HIV screening


Following a comprehensive sexual health needs assessment looking at all sexual health service provision across Central Bedfordshire and Bedford Borough the recommendation was to move towards an integrated model of delivering sexual health services, which has been implemented locally from 1st November 2016. This model has been adopted nationally and regionally and evidence suggests it will increase patient access to the full range of contraception and sexual health services from a single location. Benefits will include; better integrated pathways, increased opportunities for joint working and increased opportunities for co-ordinated work with GPs, Pharmacy and the third sector (Hall et al., 2015).

Last updated Tuesday, 9th May 2017