Why was a judicial review required to allow the English National Health Service to commission pre-exposure prophylaxis for HIV?

Anticipating Policy, Orienting Services, Celebrating Provision: Reflecting on Scotland’s PrEP Journey

“…Although debates concerning the NHS England decision centre largely on how gay and bisexual men's health needs were seen to be problematically viewed by health policy makers, (Mowlabocous 2019), we also need to consider the governance structures which contribute to or enable these policy decisions. Khan et al (2017) outline how the re-organisation of NHS Services in England following the 2012 Health and Social Care Act shifted responsibility for services and treatment and the allocation of funding. Confusion, overlap and debate about where or with whom responsibility lies for the commissioning of PrEP services-either within clinical health services or by local authorities now responsible for public health-illustrates how PrEP provision is shaped by the very services and policy that make it available.…”