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A&E Opt-Out Blood Tests Identify Thousands With HIV or Hepatitis, UKHSA Finds

The evaluation points to earlier diagnosis driving treatment access, advancing the 2030 HIV transmission target.

Overview

  • UKHSA assessed the first 33 months of the emergency‑department programme (April 2022 to January 2025) across 34 sites, recording about seven million tests with roughly 70% uptake.
  • The testing identified 3,667 new hepatitis B cases, 831 new hepatitis C cases and 719 new HIV cases.
  • An additional 291 people with previously diagnosed HIV who were not in care were reconnected to treatment through the programme.
  • The scheme screens for HIV, hepatitis B and hepatitis C when blood is already being taken in A&E unless patients opt out, targeting areas with the highest HIV prevalence.
  • Health leaders describe the approach as a gamechanger for access to life‑saving care and a key part of efforts to end new HIV transmissions by 2030.