Executive Summary

• Sexual & reproductive health and HIV is a major public health issue, and improving services in this area has been identified by the public as one of the three most important public health priorities in England. The nation has some of the highest rates of poor sexual health in Europe.
   
• Sexual & reproductive health and HIV services present a major opportunity to meet the Quality, Innovation, Productivity and Prevention (QIPP) challenge, making full use of the reforms set out in Liberating the NHS.
   
• A sustained local and national focus on transforming services would pay immediate dividends. Achieving these health, social and economic benefits would clearly and quickly demonstrate the impact of Liberating the NHS and the new approach to improving public health.
   
• Getting it right in sexual & reproductive health and HIV would boost public confidence in achieving longer term health improvements in obesity, alcohol, tobacco and illegal drug use.
   

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