Change can be unsettling, especially when the process seems to be occurring too quickly or, as ironically in Wales, too slowly. Back in 1999, the newly formed Welsh Assembly committed itself to improving the sexual health of the three million population of the principality. Wales at that time had eight consultant genitourinary physicians working in 14 clinics, rather than the 24 suggested by the Royal College of Physicians staff planning team based on consultants per head of population. In 2000 A Strategic Framework for Promoting Sexual Health was published.1 The action plan aimed to: In response, the 22 local health boards …