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Stakeholder Engagement Report - London Councils

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There was a clear message from stakeholders that political will is required to ensure<br />

consistent provision of PHSE/SRE, particularly for young gay men/MSM.<br />

<strong>Stakeholder</strong>s identified a need to review the current commissioning arrangements for<br />

GUM/sexual health services and their role in HIV prevention.<br />

Conclusions<br />

In determining what is now required for future HIV prevention commissioning in <strong>London</strong>,<br />

stakeholders suggest revisiting the menu of interventions, and the financial allocations and<br />

allowing for increased flexibility in programme development. <strong>Stakeholder</strong>s see a need to<br />

use broader <strong>London</strong> wide risk prevention strategies that take advantage of economies of<br />

scale and directly acknowledge the broader determinants of health in individual’s lives. This<br />

must include information and targeted support on substance misuse, smoking and alcohol.<br />

In summary HIV prevention in <strong>London</strong> needs to:<br />

• Prioritise the prevention of poor sexual health;<br />

• Have strong leadership and joined up working;<br />

• Focus on outcomes;<br />

• Address the wider determinants of sexual health;<br />

• Commission high-quality services with clarity about accountability;<br />

• Meet the needs of more vulnerable groups;<br />

• Obtain good quality intelligence about services and<br />

outcomes for monitoring purposes.<br />

4

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