Intended for healthcare professionals

Letters Sex workers’ health

A “managed approach” to sex workers’ health in Leeds

BMJ 2019; 365 doi: (Published 14 June 2019) Cite this as: BMJ 2019;365:l4219
  1. Madeleine A Crow, community sexual and reproductive health specialist trainee year 31,
  2. Jane Braunholtz-Speight, outreach nurse1,
  3. Emily Turner, outreach and support worker2,
  4. Gemma Scire, chief executive officer2,
  5. Colin Dickinson, communications officer3,
  6. Anna Hartley, consultant in genitourinary medicine1
  1. 1Leeds Sexual Health, Leeds Community Healthcare NHS Trust, Centre for Sexual Health, Merrion Centre, Leeds LS2 8NG, UK
  2. 2Basis Yorkshire, Leeds
  3. 3Leeds City Council, Leeds
  1. madeleinecrow{at}

In 2014 a “managed approach” model was introduced in a designated area of Leeds that aims to meet specific challenges of street based sex work, in partnership with third sector organisations.1 Specific operational rules in designated hours enable a strategic approach to managing enforcement around soliciting or kerb crawling. Police continue to enforce laws relating to indecency, crime, and antisocial behaviour. This managed …

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