1. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System The United Kingdom provides excellent access and quality of HIV care: Results from a national cohort Valerie Delpech, Zheng Yin, Meaghan Kall & Alison Brown July 2012

2. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System The HIV epidemic in the UK NHS provides free and open access care to HIV and STI patients 100,000 living with HIV in 2012 (0.15%) Epidemic concentrated in MSM, Africans communities & persons who inject drugs 6,500 new diagnoses annually Estimated number of people living with HIV, UK (MPES)

3. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System HIV Quality of care indicators 1.Late HIV diagnosis 2.Prompt integration into care 3.Achieving viral load suppression 4.Successful care 5.Survival Data sources: 1. New HIV diagnoses 2. Annual surveys of all HIV patients accessing care 3. Longitudinal CD4 counts from laboratory reports.

4. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Conclusions The UK healthcare services provide excellent access and quality of HIV care, regardless of patient demographical characteristics. Expanding testing to reduce late diagnosis remains the most important challenge data on clinical outcomes should form part of routine surveillance

5. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Late diagnosis at diagnosis: UK, 2010

6. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Integration into HIV care First CD4 count after HIV diagnosis by ethnic group: UK, 2010

7. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Undetectable viral load within one year of ART by exposure group: UK, 2010

8. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Successful care: CD4 count of adults after 1+ years in HIV care by exposure group: UK, 2010

9. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Prompt and late HIV diagnosis in MSM with associated short-term mortality: UK, 2001- 2010

10. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System The treatment cascade among HIV positive people in the UK:2010 * Numbers were adjusted by missing information and rounded to the nearest 100. § Viral load <50 copies/ml after HIV treatment initiation in the year of initiation.

11. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Acknowledgements HIV & GUM physicians and all those who contribute to HIV & STI surveillance Colleagues at the HIV &STI Department, HPA

12. HIV and STI Department, Health Protection Agency - Colindale HIV and AIDS Reporting System Acknowledgements The continuing collaboration of clinicians, microbiologists, immunologists, public health practitioners, occupational health doctors and nurses and other colleagues who contribute to the surveillance of HIV and STIs in the UK