The Terrence Higgins Trust has condemned the Government's failure to make sexual health and HIV a priority in its new round of targets for the NHS.
The HIV and Aids charity said the new targets for 2005 and 2008 failed to address rising levels of sexually transmitted infections - the worst in Western Europe.
Chief executive Nick Partridge said: "I'm dismayed that the Government has missed yet another opportunity to tackle the parlous state of sexual health in the UK.
"By leaving sexual health and HIV out of the planning framework, John Reid has effectively signed a huge cheque for spiralling future treatment costs."
The trust wants the Government to reduce sex clinic waiting times to 48 hours, introduce easy access testing for HIV and sexually transmitted infections and improve sex education for young people.