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Published: 2024-01-18 by, News Team

England's Sexual Health Services at 'Breaking Point'

Sexual health services in England are facing an unprecedented crisis, as indicated by local councils responsible for managing these clinics. Rising infection rates are posing a severe threat to these services, prompting urgent calls for additional government funding.

Since 2017, over two-thirds of council areas have witnessed a surge in infections. While the Department of Health asserts an allocation of more than £3.5bn for local public health services this year, the Local Government Association (LGA), representing sexual health clinics providers, emphasizes the escalating demand and the struggle of services to cope.

Data from the government's Office for Health Improvement and Disparities reveals a concerning trend in the diagnosis rates of gonorrhoea across nearly all council areas in England. The LGA urges the government to not only provide extra funding but also publish a comprehensive, long-term plan to address and manage sexually transmitted infections (STIs).

A significant increase in cases of syphilis and chlamydia has been observed, with a majority affecting younger individuals, including gay, bisexual, and other men who have sex with men. However, heterosexual individuals are also experienced rising infection rates.

Experts attribute the surge to a potential rebound effect after COVID-19 restrictions, coupled with proactive testing efforts and improved service accessibility. Councillor David Fothergill, Chairman of the LGA's Community Wellbeing Board, underscores the unprecedented strain on local sexual health services. He emphasizes that investing in sexual health services is crucial for preventing long-term illnesses, reducing unwanted pregnancies, and alleviating pressure on the NHS.

A report by the UK Health Security Agency in 2022 highlighted record-high cases of gonorrhoea and syphilis, emphasizing the urgency for a robust national strategy and increased funding.

Dr. Claire Dewsnap, President of the British Association for Sexual Health and HIV, warns that the quality and accessibility of services are in jeopardy. Without adequate investment and swift action, the ability to provide expert and timely care for sexual health service users is compromised. The Department of Health and Social Care acknowledges the funding allocation and pledges ongoing collaboration with relevant agencies to manage pressures on sexual reproductive health services and enhance routine service accessibility.


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