The public need to know that our NHS is being privatised, not through the back door, but very blatantly through the front. There may as well be very large advertising placards directed at potential providers, promising in twelve-foot type: "If you can do it cheaper - it's yours." I've seen the effects that privatisation can have in other areas of the country - in Milton Keynes, Trafford, Teeside and Leicester. I also know that other colleagues all over the country are currently going through the same nightmare. In fact, it is likely that all of our NHS sexual health services will be put out to tender in the next few years. It is really rather desperate.