In this month’s eFeature she offers a sharp view from the clinic, examining the impact the new health and social care commissioning environment has had on sexual health and HIV clinical services. She highlights ‘the good, the bad and the sometimes ugly’ consequences to date; and maintains that to ensure the future ‘good health’ of these services, robust model contracting templates need to be used that recognise the requirement to deliver both basic and complex sexual health care, encompass the needs of specific vulnerable groups and retain seamless care across the patient pathway.