FSRH statement: Co-commissioning of SRH services can only become the norm with full accountability across the system

Posted 23 July 2019

Date: 23 Jul 2019

Type: FSRH Press Releases and Statements

The Government published the long-awaited prevention green paper yesterday evening. We support the call for the NHS and local authorities to work more closely to deliver joined up care for patients with collaborative commissioning becoming the norm for SRH services. We are also pleased to see that the Government is considering calls for a Sexual Health strategy that includes reproductive health. However, ambitions cannot be delivered without accountability across the system and sustained investment in Public Health.

The Faculty of Sexual and Reproductive Healthcare (FSRH) welcomes the Government’s acknowledgement that the commissioning of sexual and reproductive healthcare (SRH) services continues to be highly fragmented, and that collaborative commissioning in this area is very patchy.

Sexual and reproductive healthcare services have been affected by a lack of accountability and ownership, which has led to variation across the country and a system where prevention is disincentivised. For co-commissioning to become the norm in the country, we need clear lines of accountability across the system.

It is also important for the Sexual and Reproductive Health Strategy to have a strong focus on women’s health and contraception in particular.

Federico Moscogiuri, CEO of the Faculty of Sexual and Reproductive Healthcare (FSRH), said:

‘Unplanned pregnancies contribute to higher demand for maternity services and abortion care, and we now have the highest number of abortions on record. Unintended pregnancies can have a negative effect on women's lives and result in poor - and - preventable health outcomes for both mother and babies, also accruing increased costs to the NHS.

Therefore, we look forward to working with the Government to develop a strategy that places access to contraceptive care at the core of a preventative approach to health. There is no sexual health without women’s health.

‘Finally, the ambitions in the prevention green paper cannot be delivered without sustained investment in Public Health. Cuts are set to deepen to a 25% real-terms reduction in sexual health spend between 2014 and 2020, jeopardising the ability of different commissioners to plan beyond the short-term. We call on the new Prime Minister to commit to fully fund Public Health services in the next Spending Review.’



For further information please contact:
Camila Azevedo
FSRH External Affairs & Standards Manager
Email: externalaffairsmanager@fsrh.org
Telephone: 02037945309