In the new organisation of health care, local authorities have responsibility for public health. In each area, a health and wellbeing board brings together representatives from public health, local councillors, social services, clinical commissioners and Healthwatch (a ‘consumer champion’). The board is meant to produce a strategy document as well as a Joint Strategic Needs Assessment. These two documents outline priorities for public health commissioning and service provision. A recent analysis has shown that even in areas of high HIV prevalence in England, half the local authorities have not made HIV a public health priority.

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