Many people diagnosed with HIV in the UK now have the expectation of a near-normal life providing HIV medication is taken effectively. However, HIV continues to cause significant levels of illness and death, and in most cases the reason is late diagnosis. It is estimated that up to a quarter of all HIV cases in the UK are undiagnosed. Testing guidelines issued in 2008 recommend routine, opt-out testing for all general medical admissions to hospitals in areas where the diagnosed HIV prevalence in the local population is above 2 per 1000 individuals. A recent study in a large London hospital has shown that HIV testing in general medical admissions as a policy is acceptable, feasible, sustainable and cost-effective.

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