New strategies for increasing the detection of HIV: analysis of routine data

BMJ 2003; 326 doi: (Published 15 May 2003) Cite this as: BMJ 2003;326:1066
  1. James Read, final year medical student1,
  2. S J Winceslaus, consultant in genitourinary medicine (
  1. 1 Guy's, King's College, and St Thomas's School of Medicine, London SE5 9RJ,
  2. 2 Preston Hall Hospital, Maidstone ME17 7NJ
  1. Correspondence to: S J Winceslaus
  • Accepted 1 April 2003


Despite a gradual increase in the incidence of HIV infection in the United Kingdom over the past decade,1 many people with the infection remain undiagnosed.2 To increase detection, the Department of Health released the first national strategy for sexual health and HIV in July 2001.3 The publication recommended that all people attending genitourinary medicine clinics should be offered an HIV test on their first screening for sexually transmitted infections. Many would agree that this target is impossible to achieve using the prevailing protocol for HIV testing in genitourinary medicine clinics. After consultation with client groups in the Preston Hall clinic, we changed our HIV testing protocol.

Methods and results

In May 2001 we began offering the HIV test to all clients attending the genitourinary medicine clinic instead of only those who were at high risk or who requested …

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