Pan London HIV and Sexual Health Strategy
A new chapter for sexual health in London
London is entering a transformative era for sexual and reproductive health. Rising STI rates, growing service demand, and widening inequalities mean the capital needs a more connected, modern and sustainable approach to HIV and SRH.
For the first time, London is developing a single, unified Pan London HIV & Sexual and Reproductive Health Strategy, shaped by residents, clinicians and partners across the capital.
This strategy will allow London to deliver more integrated services, better quality care, and fairer access for all communities - now and in the years ahead.
Watch: Overview from the LSHP Director
Introducing the new pan-London Sexual Health Strategy
Why do we need a new strategy?
How will the London strategy add value to sub-regional sexual health strategies?
The vision
Let’s drive meaningful change
Our Vision
Every Londoner has the right to enjoy the best sexual and reproductive health with quick, respectful, inclusive and needs based care.
Services should be flexible, integrated and able to adapt as needs change.
Our Mission
To deliver an accessible, high quality HIV & SRH system for London that supports people to maintain healthy sexual lives, free from stigma, with strong prevention, testing and treatment options.
What This Strategy Will Deliver
1. A more connected and sustainable system
London’s current services are excellent but fragmented. This strategy will build a joined up system that works across boroughs, providers and sectors.
2. Mixed models of care
Face to face clinics
Digital and online services
Primary care support
Community outreach
Community pharmacy (emergency contraception)
This flexibility allows Londoners to get the right care, in the right place, at the right time.
3. Tackling inequalities
The strategy focuses on improving access and outcomes for groups most at risk, including underserved communities, young people, Black African populations, and LGBTQ+ communities.
4. Smarter use of data and digital innovation
Digital tools, AI enabled outreach, and a London wide data platform will improve early detection, identify hotspots and ensure timely, targeted support.
5. A shift towards prevention
From PrEP and Doxy PEP to better health education and early testing, the strategy prioritises upstream prevention to reduce infections and improve long term health outcomes.
Key Priority Areas (2027–2032)
Getting to Zero
Peer support in every HIV clinic
Re engaging people in care
Rapid testing in more settings
Focus on mental health & wellbeing
Primary Care
PrEP available through primary care
Increasing LARC delivery
Opt out bloodborne virus testing
Stronger GP–hospital coordination
Online Sexual Health
The new online service introduces options such as:
TV swabs
Doxy PEP
Partner Notification
Optional borough level add ons (PrEP, contraception, condoms)
STI Testing & Prevention
More testing in pharmacies and GP practices
Better partner notification
Focus on underserved groups
Preventing reinfection and improving early diagnosis
Young People
High quality, inclusive RSE
Reducing teenage pregnancy
Better primary care support
Health Literacy & Education
New approaches that meet cultural, linguistic and accessibility needs
Better measurement of what works
Tackling Stigma
HIV Confident charter mark
HIV Ambassadors programme
Inclusive, language appropriate materials
Digital Innovation
Mobile tools, apps, VR/AR, AI outreach
Digital + human support to avoid exclusion
Digital Front Door
Data Transformation
One London wide data system
Better ability to track outcomes and target support
Digital heat maps to identify risks
Women’s Health
Pre-conception care
Post pregnancy contraception
Abortion
Contraception
Commissioning Reform
Needs led commissioning aligned to neighbourhoods
Reducing siloed working
Co-commissioning
Reducing Inequalities
Lost to care
Underrepresented groups
Partners Working Together
Delivery will be jointly developed with OHID, UKHSA, NHS England, London Association of Directors of Public Health, EJAF, Fast Track Cities London, the Mayor of London, London Councils, LHPP (Do It London), and key clinical bodies including BASHH, BHIVA and CoSRH.
Timeline
Autumn 2025 – Proposal presented to London Health & Care Partnership
April 2026 – HIV & SRH Partnership Board established
Early 2027 – Draft strategy completed
2027–2032 – Rolling implementation