Table of contents

Evidence of what works

Background papers: Lifestyle and wider determinants :: Sexual health [Update in progress] :: Evidence of what works

Sexual health services should be viewed as a whole system and commissioned accordingly, across as many areas of responsibility as appropriate. [1][2]

A framework for sexual health improvement in England [3] sets out ten ambitions.

• Build knowledge and resilience among young people
• Improve sexual health outcomes for young adults
• All adults have access to high quality services and information
• People remain healthy as they age
• Prioritise prevention
• Reduce rates of STIs among people of all ages
• Reduce onward transmission of and avoidable deaths from HIV
• Reduce unwanted pregnancies among women of fertile age
• Counselling for all women requesting an abortion (CCG responsibility)
• Continue to reduce the rate of under-16 and under-18 conceptions

Young person friendly services, including contraception and emergency contraception, need to be easily accessible.[2]

Information for young people should be communicated using a variety of means through a variety of outlets.[2]

Services should seek consent and ensure confidentiality.[2]

Services should be based on the principle of progressive or proportionate universalism and tailored to the socially disadvantaged.[2]

Contraceptive services should be provided after a pregnancy or an abortion.[2]

Sexual health services should be provided in educational settings.[2]

Condoms should be provided in addition to other forms of contraception.[2]

Workforce and wider workforce should be trained in areas relating to sexual health.[2]


[1]   MEDFASH. Making it work: A guide to while system commissioning for sexual health, reproductive health and HIV 2015; Public Health England.
[2]   NICE. Cost report: Contraceptive services with a focus on young people up to the age of 25 2014;
[3]   DoH. A framework for Sexual Health Improvement in England 2013;