Have your say on the Circle Room sexual health clinic
Results updated 8 Dec 2025
Thank you to everyone who took part in this consultation about stopping the funding for the Circle Room sexual health clinic.
It was open from 21 July to 28 September 2025, and we received feedback from 120 people in the survey. A summary of the results and the key themes is included later on this page.
Making a decision about the changes
The Lead Member for Adult Social Care and Health will consider the future of the Circle Room on 15 December 2025.
The papers for the meeting are available on our website now and the minutes will be published there after the meeting.
The full consultation results and a table summarising the key messages and our responses are both available as appendices to the main recommendations report.
What we are recommending happens
We are recommending to the Lead Member that funding for the clinic be maintained for at least two years due to alternative savings being identified from the sexual health budget.
We are also recommending that the new contract be amended to add the following specifications:
- an enhanced focus on alternative services, including online provision,
- a requirement to support young people to move on to other services once they reach the age limit for the clinic, and
- the ability to refer to wider support.
About those who took part
Of the 120 survey respondents, 78% told us their postcode (94 respondents). Most people (85) lived in Lewes and the surrounding towns and villages. The remaining postcodes were for elsewhere in East Sussex (6) or outside the county (3).
78 people (65%) chose to answer at least one of the questions on their personal characteristics. Ages ranged from 15 to 64, with an average age of 23. Over half of respondents were female (53%), and only 9% were male, although 35% of respondents skipped this section.
Most respondents (78%) were a registered patient with Foundry Healthcare. The rest were registered with a different GP practice in East Sussex (19%) or with a GP practice outside the county (6%). One person wasn’t registered with a GP practice.
Key themes
98% of respondents disagreed with the proposal to close the Circle Room sexual health clinic. The vast majority chose ‘strongly disagree’ over ‘disagree’ (92% and 6% respectively).
People disagreed with the proposed service closure mainly because:
- the service is vital, especially for young people;
- there would be poorer access to support; and
- the service is beneficial, and provides confidential support and advice in a safe environment
People felt the main impacts of the proposal would be:
- poorer access to support;
- more inconvenience for those using the service;
- reduced access to advice; and
- more expensive journey costs to another service, which would be harder to justify.
Asked which services they would use if the Circle Room closed, the most common answer was “don’t know”.
When invited to make general comments, respondents most commonly:
- reiterated that the clinic is vital;
- stressed that it offers a safe or confidential service;
- felt closure would reduce access to advice or sexual health education; and
- saw the proposal as detrimental to young people
Respondents’ main suggestion, when asked, was that the service should not be cut.
Concerns were expressed about other possible consequences of closure. These included riskier sexual health practices; a rise in teenage pregnancies; and greater anxiety and stigma around testing for young people. Longer term, there were also fears that teenage abortion rates would rise, there would be less early treatment of sexually transmitted infections, and that youth disillusionment with public healthcare would increase.
Additionally, any financial savings were seen by some as likely to be negated by costs and pressure being transferred to other parts of the healthcare system, which themselves are already at capacity.
Overview
Consultation on closing the drop-in sexual health clinic for young people in Lewes and the surrounding areas
We are asking young people who use the Circle Room sexual health clinic to tell us how they would be affected if it closed and which alternative services they would be most likely to use instead.
The drop-in weekly clinic is three hours long and is run by Foundry Healthcare. It offers sexual and reproductive health services to people up to 25 years old. Young people don’t have to be registered with any of Foundry Healthcare’s GP practices in Lewes to use the clinic.
We are proposing to stop funding the clinic because of:
- changes in how services are provided since it was set up
- the availability of lots of alternative services
If the proposal went ahead, the clinic would close when the contract ends in March 2026. We will decide whether to go ahead with the proposal by the end of 2025.
The consultation closes on 28 September 2025.
The survey questions take roughly 10 minutes to complete. You can use the ‘Save and come back later…’ button at the end of each page if you don’t want to complete the survey all in one go.
If you need support to take part or need the survey printed and posted to you, in large print or on coloured paper, or in another format please get in touch using the contact details provided.
Consultation summary
About the clinic
We started funding the Circle Room clinic because of a lack of face-to-face sexual health services in the local area. It was targeted at people not registered with a GP. The clinic started 12 years ago and was originally run by the School Hill Surgery in Lewes.
The funding was for a weekly, three-hour clinic to be provided on a drop-in basis, so that young people who weren’t registered with the GP practice could still use it. Most young people who used the clinic in the early years weren’t registered with the practice.
The clinic offers the following services:
- sexual health consultation
- contraception
- condoms
- Emergency Hormonal Contraception (EHC)
- Sexually Transmitted Infections (STIs) screening
- HIV screening
Why we are proposing to stop funding the clinic
Local authorities across the country are experiencing cost pressures and East Sussex is no different. This means looking carefully at our spending. A lot has changed locally since the clinic was first set up. As a result, we feel that it may no longer be the best use of public funding.
The proposal to stop the funding is based on the following factors:
- The four GP practices in Lewes have merged to form Foundry Healthcare and the practices offer contraception services to all their registered patients.
- The majority of people who use the clinic are already registered with Foundry Healthcare and most of those who aren’t don’t live in East Sussex.
- There has been a growth in alternative services that are available online and through pharmacies.
The impact of the proposal
The clinic is for young people aged up to 25 years old. It sees an average of over 50 people a month. The majority of those who use the clinic are patients of Foundry Healthcare. For example, between April 2024 and March 2025, three quarters were registered patients (465 out of 612 people or 75%).
If the clinic closed, young people would be able to get the same services through their:
- GP practice for contraception
- online services for STI testing, condoms and Emergency Hormonal Contraception (www.eastsussexsexualhealth.co.uk)
- pharmacies for contraception, STI testing, condoms and EHC (the website above helps people find services near them)
- sexual health clinics in Avenue Road, Eastbourne and Station Plaza, Hastings (these clinics are led by medical consultants, and they manage complex sexual health cases – there is more information about them at the website above)
It’s possible that if the clinic closed young people in the area might visit sexual health clinics outside of the county, such as in Brighton. When this happens, the Council is charged a fee by the clinics. This is a nationally agreed arrangement.
We think it is unlikely that lots of young people in the Lewes area would use out-of-county services if the clinic closed. This is because most of the 25% of people who use the clinic, but aren’t registered with Foundry Healthcare’s GP practices, don’t live in East Sussex.
Have your say on the proposal
We are required to consult before we decide whether to go ahead with the proposal. Our focus for the consultation is on hearing from young people who have used the clinic. What they tell us will help us to understand how people would be affected by the closure and what services they would use instead.
What happens next
A decision on whether to go ahead with the proposal will be made by the Lead Member for Adult Social Care and Health before the end of the year. The results of the consultation will be considered alongside a report that sets out our recommendations and an Equality Impact Assessment (EqIA). An EqIA is a tool we use to understand how particular groups and communities would be affected by a proposed change.
If the proposal was agreed, we would work closely with the provider to let people know the clinic was closing and tell them about the alternative services they could use.
Privacy: This survey is anonymous, and we don't ask you to provide any personal information. There is an optional 'about you' section at the end. Please ensure that any comments you make don't include any names or personal details of you or anyone else. Visit our consultation website to see our privacy notice and find out how the data will be stored and processed.
Areas
- All Areas
Audiences
- Anybody with an interest
Interests
- Health and wellbeing
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