These nine case studies showcase local government experience of commissioning sexual health services since taking over this responsibility in April 2013. From a mix of urban and rural settings, they illustrate commissioners acting on a range of sexual health priorities – meeting rising demand with tightening resources, expanding the role of sexual health services to address the broader needs of vulnerable young people, redesigning services in large cities to deliver a new model of care, integrating HIV and sexual health services to avoid fragmentation and maintain service viability, and updating HIV prevention approaches. The studies demonstrate how commissioners have grasped the opportunities of having a local government base. They outline the steps taken to collaborate not only within and between local authorities (LAs) but also with NHS England and Clinical Commissioning Groups (CCGs).
The case studies presented are based on interviews with councillors, officers and external partners.