The bill now feels so complex and political, it's difficult to see the wood for the trees. If you go back to the core, it was about driving forward improvements in public health and putting GPs in the driving seat.

Those intentions are good ones but this feels like it is a major restructure that's distracting and unsettling a whole range of systems.

As a charity that bids for contracts, we believe there has to be some competition in the system. But the purpose of that has to be clear: improving health outcomes.

The worry for sexual health is that this won't improve what is already a fragmented commissioning system – and could make it worse.