BHIVA, @BASHH_UK and @NAT_AIDS_Trust welcome the introduction of practical guidance for fertility clinics which will remove barriers to the donation of sperm or eggs by people living with HIV to recipients, including people not living with HIV. Guidelines for the Medical and Laboratory Procurement and Use of Sperm, Egg and Embryo Donors (2025) - full details can be seen here: bit.ly/4tBuIB0 This change follows the campaign started in 2018, with BHIVA and BASHH working alongside NAT to change the law regarding gametes donation. It is a further step towards equality in healthcare for people with HIV, including same sex couples where one or both have HIV and want to have children, or to donate an egg or sperm to friends or relatives experiencing fertility issues. bhiva.org/fertility-clinics-…

Victoria Pilkington estimates the potential impact of opt-out HIV testing in Primary Care if this were integrated into the NHS Health Checks programme. This has the potential to identify more people outside of ED opt-out testing, and may be more cost effective! #BHIVABASHH26

Dipti and Jess from @londonftci share the outcomes of an opt-out BBV testing programme in Primary Care in Croydon. With proper staff training, meaningful information dissemination and the creation of clear, safe pathways they demonstrate how success can be achieved with this strategy. The pilot found: - a low decliner rate - successes in linkage to care and re-engagement - higher rates of BBV positivity than the local ED opt-out testing - a greater awareness of BBV in Primary Care as a result of the pilot #BHIVABASHH26

Stephanie Katier describes the PrEP service gaps which exist as a barrier to achieving global HIV elimination targets, and how utilisation of pharmacists may help bridge this. #BHIVABASHH26

Hamish Mohammed from @UKHSA explores the early uptake of DoxyPEP & the 4CMenB vaccine among a gender-diverse population who have sex with men. #BHIVABASHH26

Is it time that we review the HIV prevalence banding that guides local testing recommendations? Tamara Djuretic from @UKHSA proposes these key considerations.. #BHIVABASHH26

Martyn Wood explores the impact of the introduction of doxyPEP on gonorrhoea susceptibility. - Ciprofloxacin and tetracycline resistance increased after the introduction of doxyPEP - No differences by gender or sexuality - No differences by anatomical site - Pre-doxyPEP levels lower than national average, post-doxyPEP levels in line with national average - No conclusions can yet be drawn from this....#BHIVABASHH26

In the oral session 1 Nigel Field from @ucl explores the insights from the 2024 Natsal data for HIV and chlamydia testing from 2010-2024. Although the data are embargoed for SoMe sharing, we can conclude...👇🏾#BHIVABASHH26

Powerful session from Grace Sumner at #BHIVABASHH26 on the future of inclusion • “STIs and BBVs don’t discriminate” • Who is not in the room and why? • Guidelines don’t always reflect lived realities. • Let communities lead, not just be included. Community-led knowledge is still too often excluded from research, policy, and service design. If we’re serious about equity, we need to be willing to have uncomfortable conversations, challenge systems, and shift power, not just improve access.