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Improved sexual health performance management has been introduced to ensure that the new investment of £300 million over three years, provided through the Public Health White Paper, achieves the desired outcomes. In addition to the public service agreement target to reduce the under-18 conception rate by 50 per cent., by 2010 as a part of a broader strategy to improve sexual health, primary care trusts must now include sexual health in their local delivery plans. These plans must include measures to achieve improved genito-urinary medicine (GUM) clinic waiting times, reduced gonorrhoea rates and improved uptake of Chlamydia screening. In addition, the Department has commissioned the Medical Foundation for AIDS and Sexual Health to undertake a national review of GUM services, which is now under way. A national audit of contraceptive services is also in preparation and we are working to strengthen the monitoring role of strategic health authorities. Data collection is being improved, to provide information against which performance can be measured, including the Health Protection Agency's published data on GUM waiting times.