<p>Local authorities will receive over £3 billion in 2019/20, ring-fenced exclusively for use on public health.</p><p>Over the five years of the current spending review period we are making over £16 billion of grant funding available to local authorities in England exclusively for use on improving health. The grant is only a proportion of the total spending on public health: for example, NHS England commissions national screening and immunisation programmes with a budget of £1,205 million for 2018/19, and many other interventions occur in National Health Service primary care settings.</p><p>Public Health England monitors progress against the wide-ranging set of indicators published in the Public Health Outcomes Framework (PHOF) which shows that, as a whole, for the majority of PHOF indicators the trends in England are either broadly constant or have improved in comparison with 2014. In 2017 there was a total of 3.3 million attendances at specialist sexual health services. This represents a 13% increase in overall attendances since 2013. Attendances at community sexual and reproductive health services have reduced but there has been an increase in use of long-acting reversible contraception methods which require far fewer follow up appointments and which may account for some of the reduction in these attendances.</p>