Members of Parliament have called for a new national strategy to ensure high quality sexual health services for all.
The Health and Social Care Committee says positive 'top line figures' on sexual health mask worrying underlying trends and inequalities.
In a report the committee expresses concern over geographical variation in access to services, made worse by reduced funding and increased fragmentation in the system.
It concludes that sexual health must be sufficiently funded on a national level to deliver high quality sexual health services and information.
The committee's chair Dr Sarah Wollaston said: 'High-quality sexual health treatment should be accessible to all.
'However, it is clear that the current approach this country has to treatment varies massively depending on where you happen to live.
'This is unfair and threatens the long-term health of individuals seeking a high-quality service and access to vital information on their sexual health.'
'We need to develop a new, national strategy in order to tackle the very real threat of increased levels of poor sexual health and to support a workforce that delivers the best service possible, despite growing demands.'
