The borough of Havering has seen a marked rise in people repeatedly requesting sexually transmitted infection (STI) tests, according to a council report published last week. The service, which offers free screening for chlamydia, gonorrhoea, HIV and syphilis through in‑person and virtual appointments, recorded that 76% of people ordering an at‑home kit in 2024/25 had used the service before. More than 10,000 home testing kits were ordered in that year and around 74% were returned for laboratory processing, the report states. Council data also show the majority of applicants were women and girls aged 15–34, a group the authority described as disproportionately affected by STIs and therefore a priority for testing and prevention work.

The report highlights digital access as a central strength: the online service routes most people to self‑sampling kits and remote triage, reserving face‑to‑face clinic capacity for those with more complex or urgent needs. Havering is part of a pan‑London sexual health partnership hosted by the City of London, which co‑ordinates an integrated digital platform allowing residents to order tests and access contraception online. There is a minor discrepancy between accounts of membership size — the council report refers to 30 participating boroughs, while the programme’s own material describes a 31‑authority partnership — but both sources emphasise the same aims of improving accessibility and managing cross‑borough demand.

Running the clinic is not without cost to the local authority. The report says the service is funded from a ring‑fenced public health grant and that the council’s monthly outlay for the programme is now around £21,500, up from £10,436 in 2019/20. That local figure sits within a national funding framework: the Department of Health and Social Care’s public health grant for 2024–25 totals several billion pounds and is allocated to councils to support functions such as sexual health. National bodies and local government representatives have warned, however, that rising STI diagnoses and constrained funding are putting sexual health services under strain and that councils need longer‑term investment to sustain open‑access testing while protecting clinic capacity.

The council report also sets out possible service expansions. Officers say Havering is considering optional modules such as HIV pre‑exposure prophylaxis (PrEP) and an online contraceptive pill service; the report estimates providing PrEP and contraception through the service would cost just under £400,000 over the next decade. An officer noted in the report that any decision on participation in those modules “will be informed by a number of factors, including the North East London digital PrEP pilot, and emerging evidence about enhanced pharmacy provision for emergency contraceptives.” Local reporting has also flagged that HIV testing rates in the borough remain below pre‑pandemic levels and that PrEP uptake and appointment waits vary, underscoring the potential benefit of widening digital and pharmacy‑based options.

The report emphasises the role of contracted digital providers in delivering the home‑kit model and follow‑up care. Online providers contracted by NHS bodies and local authorities facilitate remote consultations, seven‑day text‑based clinical support, laboratory triage for returned self‑samples and, where clinically appropriate, online prescribing for common infections. The council points to improved access for Black African and Black Caribbean communities, women and younger residents as evidence that a digitally enabled pathway can reach groups who might not otherwise attend clinics in person — while also freeing clinics to concentrate on patients with more complex needs.

Taken together, the figures and the options under consideration paint a mixed picture: rising engagement with testing is a positive public‑health signal, particularly among young people, but it exists against a backdrop of stretched resources and uneven performance on prevention measures such as HIV testing and PrEP. Havering’s deputy leader, Councillor Gillian Ford, told the council that joining the pan‑London programme was “more cost effective” than negotiating separate contracts. As the borough weighs optional service additions, the council says it will look to pilots and emerging evidence to balance clinical need, equity of access and financial sustainability — a challenge echoed by local government bodies calling for a long‑term plan and sustained funding for sexual health services nationwide.

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Source: Noah Wire Services