Recommendations & Conclusions
16 items
1
Conclusion
Fifth Report - The prevalence of sexual…
Accepted
UK Health Security Agency data on sexually transmitted infections (STIs) in 2022 are deeply concerning. For particular STIs they show a return to, and acceleration of, pre-Covid-19 trends of rising rates of new infections. Rates of gonorrhoea, which almost doubled among people aged 15 to 24 years, were the highest …
Government response. The government partially accepts the recommendation, highlighting a £198 million increase to the Public Health Grant in 2025/26, the 2023 publication of the Integrated Sexual Health Service Specification, and the 2024 publication of the STI Prioritisation Framework to support local …
Government Equalities Office
2
Conclusion
Fifth Report - The prevalence of sexual…
Deferred
The public health grant to local authorities for the commissioning of sexual health services (SHSs) has been reduced substantially during a period of increasing demand. This is not sustainable and an obvious false economy. It has left many SHSs unable to maintain sufficient staff to provide an adequate level of …
Government response. The government partially accepts the recommendation but redirects its response to discuss the regulation of online STI self-test kits and treatments, and the inclusion of child maltreatment guidance in CQC's internal safeguarding policy, rather than addressing the impact of public …
Government Equalities Office
3
Recommendation
Fifth Report - The prevalence of sexual…
Accepted
The Government must radically increase the public health grant to local authorities to a level that allows sexual health services to operate effectively and meet local need. This must include the provision of face-to-face consultations to those who need them, within 48 hours, and universal access to free postal STI …
Government response. The government partially accepts the recommendation, committing to aim for multi-year Public Health Grant allocations from 2026/27, detailing a £198 million increase to the grant for 2025/26, and developing a new HIV Action Plan aiming for publication in 2025.
Government Equalities Office
4
Recommendation
Fifth Report - The prevalence of sexual…
Accepted in Part
Online providers of STI tests and treatment should be accredited by the relevant regulatory body, and regularly monitored on their performance against national clinical guidelines. In response to this Report, the Government should set out the steps it will take to ensure that all children who identify online as a …
Government response. The government partially accepts, noting existing regulation for online STI tests and treatments, though some providers may be outside CQC scope. For child safeguarding, NICE guidance on Child Maltreatment will be linked in new CQC safeguarding guidance, but specific steps …
Government Equalities Office
5
Recommendation
Fifth Report - The prevalence of sexual…
Deferred
Competition for contracts can lead to improved service provision, however repeated tendering and short-term contracts can also be destabilising and lead to the loss of experienced workers. The Government should make an assessment of the effect of repeated tendering of sexual health services on the adequacy of local SHS provision …
Government response. Despite accepting the recommendation, the government's response entirely focuses on its commitment to tackling antimicrobial resistance (AMR), detailing funding for AMR research and a 20-year vision, rather than assessing the impact of tendering on sexual health services.
Government Equalities Office
6
Recommendation
Fifth Report - The prevalence of sexual…
Accepted
The provision of sexual health services is fragmented across the health system and can be complex to navigate. The Government should work with providers and commissioners to improve collaboration across reproductive and sexual healthcare to ensure effective cross-system support for young people and other groups at greatest risk of contracting …
Government response. The government accepts the recommendation and is undertaking work on condom usage as part of the new HIV Action Plan. They have extended the 'Get Ready for a Hot Summer' campaign until March 2026 with £1.5 million funding to raise …
Government Equalities Office
7
Recommendation
Fifth Report - The prevalence of sexual…
Deferred
It is worrying that we are seeing antibiotic resistance to some STIs—particularly gonorrhoea, where the rate of diagnoses has reached record levels, and for which young people and other communities at greatest risk are most likely to experience drug resistance. In response to this Report the Government should set out …
Government response. Despite accepting the recommendation, the government's response focuses on local authorities' commissioning decisions, national prevention campaigns, and funding for the HPE campaign, rather than detailing any steps or funding for the development of new antibiotics for STIs.
Government Equalities Office
8
Recommendation
Fifth Report - The prevalence of sexual…
Accepted
Condomless sex is a key risk factor for STI acquisition, and changes in condom use have been widely reported. The Government must increase its promotion of the benefits of condom use, using a tailored approach to those groups at greatest risk of STI infection. There are innovative approaches being used …
Government response. The government accepts the recommendation, highlighting ongoing work for a new HIV Action Plan and the continued 'Get Ready for a Hot Summer' campaign, extended to March 2026 with £1.5m funding. This campaign includes distributing 20,000 tailored condom packs to …
Government Equalities Office
9
Recommendation
Fifth Report - The prevalence of sexual…
Accepted
The Government should make funding available for public awareness campaigns focused on STI prevention among young people and other groups at high risk of infection in areas with the highest rates of sexually transmitted infections and where rates of diagnosis are rising fastest. The campaigns should be co-designed by those …
Government response. The government accepts the recommendation, highlighting local authority responsibility but also its own support through national campaigns. It notes a £1.5m extension for the HPE campaign until 2025/26, targeting high-risk groups, and is developing a new HIV Action Plan for …
Government Equalities Office
10
Conclusion
Fifth Report - The prevalence of sexual…
Accepted in Part
There is compelling evidence that Relationships and Sex Education (RSE) in schools is inadequate, including in relation to contraception and sexually transmitted infections (STIs), with nearly half of children saying education in this area is so poor they rely on finding information for themselves online. This exposes children to an …
Government response. The government partially accepts the conclusion, noting existing teacher training modules and Oak National Academy resources, and confirming DfE is currently reviewing the RSHE statutory guidance with a response due in 2025. They are also developing effective practice tools for …
Government Equalities Office
11
Conclusion
Fifth Report - The prevalence of sexual…
Deferred
The Government, Oak National Academy—the public body established in 2020 to provide teachers with online lesson plans and other resources—headteachers and Ofsted must place greater priority on RSE and ensuring it delivers the information and guidance that children need. The Government also needs to do more to make the positive …
Government response. The government partially accepts the recommendation with an unclear qualification, but its response then focuses entirely on the HPV vaccination programme, its coverage targets, and delivery enhancements, ignoring the recommendation to prioritize and improve RSE in schools.
Government Equalities Office
12
Recommendation
Fifth Report - The prevalence of sexual…
Deferred
The Government should work with the NHS and Oak National Academy to improve the teaching of sex education, and the materials available to support it, to ensure it provides an effective response to the troubling increases in the prevalence of STIs among young people. The benefits of condom use should …
Government response. Despite accepting the recommendation, the government's response focuses entirely on the National Chlamydia Screening Programme (NCSP), its policy changes, and monitoring its effectiveness, rather than addressing improvements to RSE teaching, curriculum content, or extending RSE provision.
Government Equalities Office
13
Recommendation
Fifth Report - The prevalence of sexual…
Accepted in Part
School nurses are a valuable resource. They are a trusted adult who children can turn to, they can pick up on safeguarding concerns, and trends in problems such as STI prevalence in a community. They can also direct children to sexual health services, 30 The prevalence of sexually transmitted infections …
Government response. The government partially accepts, recognising the fundamental role of school nurses and stating that workforce planning will be a central part of the 10 Year Health Plan to ensure the right staff are available, including school nurses. However, no specific …
Government Equalities Office
14
Recommendation
Fifth Report - The prevalence of sexual…
Accepted in Part
The HPV vaccine is a remarkable step forwards in preventing HPV infection and the serious consequences that can result from it. It is a tragedy that not all children are receiving this vaccine. The Government must step up its efforts to increase take up of the HPV vaccine, including as …
Government response. The government partially accepts the recommendation. It commits to strengthening efforts to improve HPV vaccine uptake, including targeted outreach, digital enhancements, and local commissioning to meet WHO recommended levels. However, it only accepts that sexual health services should be able …
Government Equalities Office
15
Recommendation
Fifth Report - The prevalence of sexual…
Accepted
In light of the increases in chlamydia diagnoses, the Government should review whether the shift in focus of the National Chlamydia Screening Programme to restricting the offer of opportunistic screening to young women has been effective.
Government response. The government accepts the recommendation, stating that UKHSA is monitoring the reproductive harms of untreated chlamydia to assess the effectiveness of the National Chlamydia Screening Programme, although insufficient time has passed for a full evaluation of the recent policy change.
Government Equalities Office
16
Recommendation
Fifth Report - The prevalence of sexual…
Accepted in Part
The Government must ensure that the sexual healthcare system works more efficiently and effectively to arrest and reverse the trend in sexually transmitted infections. This will require longer term work to carefully consider how the different parts of the system can work together to achieve this. The Government should work …
Government response. The government partially accepts, committing to developing a new HIV Action Plan by 2025, which will include objectives to stabilise and support sexual and reproductive health (SRH) system enablers, and improve collaboration and integration in the wider SRH system.
Government Equalities Office