MEDFASH: Sexual health commissioning in local government

Nine case studies that showcase local government experience of commissioning sexual health services, building strong relationships and meeting local needs since taking over this responsibility in April 2013

Sexual-health-commissioning-in-local-government.pdf.pdf (624KB)

MEDFASH was an independent charity dedicated to improving the quality of HIV and sexual healthcare that ran from 1987 to 2016. National AIDS Trust is pleased to host the archive of MEDFASH’s reports and publications.

This resource describes how public health in a number of councils has started to build on the opportunities of a local government setting to improve sexual health and wellbeing. The case studies were chosen because they show a range of ways in which public health in councils is approaching the commissioning of sexual health services.

They include councils spread across England, covering both rural and urban environments and with varying levels of deprivation and affluence. It is striking how many local authorities are taking a whole-council approach to sexual health, based on an understanding of the interconnectedness of the social determinants of health.

Working across organisations like the NHS is important, but so too are the new relationships
that have developed within councils following the transfer of public health responsibilities.