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Sex Working

SASH offers specialised, non-judgemental support for individuals in the adult industry, including access to STI testing, contraception, counselling, and peer support through tailored services like the Platinum Clinic.

On this page:

How can SASH support you?

At SASH, we provide specialist support for people working in the adult industry through our:

  • Care Coordination service
  • Counselling
  • Coaching
  • Peer Support
  • Platinum Clinic drop-ins

We can support you with:

We are committed to providing support that is sex work aware, trauma-informed and free from judgement.

What is sex working?

Sex Working or 'working in the adult/sex industry' is when someone provides sexual services in exchange for money or something of value. Services sold can range from in-person activities to the sale of online content that is sexual in nature.

Relationships built in during sex working are transactional between the sex worker and client.

Is Sex Work Legal in the UK?

Yes, it is legal to buy and sell sex. However some areas surrounding sex work are illegal:

  • Brothels: While not illegal to sell sex at a brothel, it is illegal to keep, manage or control a brothel, or any premises selling sex used by more than one person, even if not there at the same time. This makes it challenging for sex workers to conduct their work safely.
  • Advertising: It is legal to advertise sexual services, however not in all circumstances, e.g. it is illegal to advertise in public phone boxes or publish ads with ‘obscene’ content.
  • Solicitation: This includes the act of trying to find clients in public places, as well as clients soliciting for sex from sex workers on the street/in public (kerb-crawling) which is illegal.


Sex Working and Your Privacy and Confidentiality 

Will What I Tell SASH Stay Private?

Yes.

We understand that privacy is extremely important, particularly because many people working within the sex and adult industry experience stigma and discrimination.

SASH follows UK GDPR and Data Protection legislation and uses secure systems that are not accessible to other organisations.

We will not tell:

  • Your GP
  • Your family
  • Friends
  • Partner
  • University
  • Employer
  • Police
  • Social services
  • Anyone else

unless you have given your permission for information to be shared.

When Would Information Be Shared?

We will only communicate with other healthcare professionals or services if you agree.

For example:

  • Reproductive health support
  • Mental health advocacy
  • Specialist healthcare referrals

If you ask us not to discuss your sex work, we will respect this whenever possible.

Exceptions to Confidentiality

The only situations where confidentiality may need to be reviewed are when:

  • You are at serious risk of harm
  • A child or vulnerable adult is at serious risk of harm
  • We are legally required to disclose information
  • There is disclosure of serious criminal activity
  • There are significant public safety concerns

Whenever possible, we will speak to you first before taking any action.

Adult sex work is legal in the UK and SASH will never report someone to the police simply for engaging in adult sex work.

What Happens When I Contact SASH?

Many people feel nervous before reaching out for support.

When you first contact us, you'll speak with someone friendly and supportive who will:

  • Listen to your concerns
  • Explain our services
  • Answer your questions
  • Explore what support may be helpful
  • Discuss next steps

There is no judgement and no pressure.

You can take your time deciding whether SASH feels right for you.

If you decide to access support, we'll help you complete a referral form either online or over the phone.

What to Expect at Your First Appointment

Your first appointment is a conversation with a trained professional who specialises in sexual health and wellbeing support.

We may discuss:

  • What brought you to SASH
  • Your goals for support
  • Your relationships
  • Sexual wellbeing
  • Physical health
  • Mental health
  • Substance use
  • Any challenges affecting your wellbeing

You only need to share what you feel comfortable discussing.

Appointments are usually between 60 and 90 minutes, although conversations can continue over multiple appointments if needed.

It's a conversation, not an interrogation. You decide the pace.

National Ugly Mugs

National Ugly Mugs is a reporting tool for sex workers to share information about risky clients without alerting the police. You can sign up with them to receive alerts relevant to your location. Violence and crimes against escorts and sex workers is never acceptable. 

Get Support

At SASH, we can provide support and advice around sex working and also put you in contact with other services and organisations who can help you with legal information and proceedings where needed.

Frequently Asked Questions

Will SASH Expect Me to Stop Sex Working?

No.

We respect your choices and autonomy to make your own decisions about the work you do; while recognising that sex work is a legitimate occupation and that sex workers have the right to make choices about their own bodies, lives, and livelihoods. We will support you without judgement, pressure or any other agendas. 

Will You Ask Me About Sex Work?

Only if it feels relevant to what you need support with. 

At referral point and during SASH assessment we ask everyone the same questions, and this includes whether you are sex working. During your SASH assessment, we may explore with you a little about your work and any support you might need regarding your work. 

You are in control.  You can give us as much or as little information as you like.  If you say, “I’d rather not talk about that”, we won’t pressure you to talk about anything you don’t want to, and we’ll simply move on. 

What If I Don't Want Support With My Sex Work?

That's completely okay.

We know that sex working, as with any other work, is just an element of who you are, and you might not want to talk about or access any support related to your work.  At SASH we can support you with a range of different topics, including:

  • Relationships
  • HIV
  • Reproductive health
  • Mental wellbeing
  • Sexual wellbeing
  • Gender identity
  • Self-care

without focusing on your work.

Will You Refer To Me As A Sex Worker?

Only if that's how you describe yourself. We won’t label you. 

We don’t make assumptions about you, your arrangements or how you make money, or whether these arrangements include sex or not.  And you do not need to identify as a sex worker or use any specific label to access support.  Instead, we listen and follow your lead in how you want to be understood and supported.   

Can I drop in or do I need an appointment?

In most cases, you'll need to contact us first to arrange a time that works for you. 

We do this so we can: 

  • Make sure a support worker is available when you come in 
  • Prepare a quiet, private space 
  • Have all the resources you might need 

As of Wednesday 12th August 2026, we are launching The Red Umbrella Collective, a NUM x SASH wellbeing and advocacy drop in for people with lived experience of adult/sex work.  This will be held 2nd Wednesday of every month, 1 to 3 pm at 31 Wardour Street W1D 6PT.  Stop by for a cuppa and chat, to pick up some free condoms, speak with people with shared experiences, and learn more about the variety of support available.   

Want to learn more about sexual health?

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