How you can access PrEP on the NHS and how this varies across the UK.

In a nutshell:

  • NHS Scotland provides PrEP across Scotland.
  • NHS Wales has started the PrEPared Wales project.
  • NHS England started enrolling 10,000 people onto PrEP IMPACT in October 2017.
  • Health and Social Care in Northern Ireland have started offering PrEP through a pilot.

Scotland

PrEP is available now through sexual health clinics.

To get PrEP in Scotland you need to have a confirmed HIV negative test in a sexual health clinic and be:

  • aged 16 or over,
  • able to attend for regular 3 month reviews,
  • willing to stop taking PrEP when no longer eligible,
  • resident in Scotland.

You also need to match one or more of these descriptions:

  • Your current sexual partners, whatever their genders, are HIV positive and have a detectable viral load.
  • You’ve had a documented bacterial rectal sexually transmitted infection (STI) in the past 12 months, and you are: a cis or transgender gay or bisexual man; a man who has sex with men (MSM); or a transgender woman.
  • You’ve had condomless penetrative anal sex with two or more partners in the last 12 months and are likely to do so again in the next three months, and you are: a cis or transgender gay or bisexual man; a man who has sex with men (MSM); or a transgender woman.
  • A specialist clinician agrees you are at a very high risk of becoming HIV positive, whatever your gender.

For more info visit PrEP.scot

Wales

PrEP is available now from a select list of sexual health or genitourinary medicine (GUM) clinics, as part of the PrEPARED trial.

This project will run for 3 years. It is open to anyone in Wales who meets the eligibility criteria. There is no cap on numbers.

If you take PrEP as part of the trial, you will need to visit a sexual health clinic four times a year for as long as you are taking part. You will also have a first assessment or consultation.

To get PrEP in Wales you need to be:

  • over 18, and
  • resident in Wales.

You’ll also need to match one or more of these descriptions:

  • You’re HIV negative, and expect to have condomless sex with an HIV positive partner/s with a detectable viral load.
  • You’re HIV negative and have had condomless sex in the past 3 months and think you will again in the next 3 months, and you are a: cis or transgender MSM or transgender woman.
  • You don’t meet the first two descriptions and you might be having heterosexual sex, but you’ve been clinically assessed as being at a similar high risk of becoming HIV positive.

For more info visit Frisky Wales.

Full clinic details:

Cordell Centre Royal Gwent Hospital
Cardiff Road
Newport
NP20 2UB
Tel: 01633 234555
Times: Wednesday 9 am – 12 noon.
Initial consultation for PrEP by appointment only. Follow up provided through walk-in clinics.

Singleton Hospital GUM
Sketty Lane
Sketty
SA2 8QA
Tel: 01792 285017 or 01792 285005
Times: specific slots in Thursday afternoon clinic.

Cardiff Royal Infirmary
PrEP Clinic
Department of Sexual Health
Newport Rd
Cardiff
CF24 0SZ
Tel: 02920 335208
(on website Times: Wednesday 9 am – 1 pm)

Dewi Sant Hospital GUM
Albert Road
Pontypridd
CF37 1LB
Tel: 01443 443443 ext 5473
Appointments only.

Hywel Dda University Health Board
Appointments will be available at 10, level 3 GUM clinics in the 3 counties of Carmarthenshire, Pembrokeshire and Ceredigion.
Tel: 01267 248674 for more information and appointments.

The following three clinics will be offering initial consultation and assessment appointments.
PrEP users will then be directed to a centralised service in Bangor.

Menai Unit — Ysbyty Gwynedd / Gwynedd Hospital
Penrhos Road
Penrhosgarnedd
Bangor
LL57 2PW
Tel: 01248 384054
Times: Monday and Wednesday 1.30 pm – 4.30 pm

Glan Clwyd Sexual Health Clinic
Glan Clwyd Hospital, Block 13
Sarn Lane
Bodelwyddan
Rhyl
Denbighshire
LL18 5UJ
Tel: 01745 443301 (appointment line)

Wrexham Maelor Hospital
Croesnewydd Road
Wrexham
LL13 7TD
Tel: 01978 727197 (direct line)

If you live in Powys please contact your nearest listed clinic. You can travel out of county/health board area for PrEP access.

Only GUM clinics or Integrated Sexual Health Services will be able to provide PrEP.
GPs (family doctors), community centres and voluntary organisations will not (unless they offer a full sexual health service as part of their service centre).

England

PrEP is available for up to 10,000 people over three years in England through PrEP IMPACT trial.

PrEP will be available from approximately 200 level 3 GUM clinics in England.

To join PrEP IMPACT in England you’ll likely need to be over 16 and match one or more of these descriptions:

  • You’re HIV negative and have had condomless sex in the past 3 months and think you will again in the next three months, and you are a: cis or transgender MSM or transgender woman.
  • You’re HIV negative and expect to have sex without condoms with an HIV positive partner/s with a detectable viral load.
  • You don’t meet the first two descriptions and you might be having heterosexual sex, but you’ve been clinically assessed as being at a similar high risk of becoming HIV positive.

More information about the PrEP IMPACT Trial

Northern Ireland

All genitourinary medicine (GUM) clinics in Northern Ireland will be offering initial consultation and assessment appointments. Those eligible will then be referred to a centralised service in Belfast.

This project will run for 2 years. It is open to anyone in Northern Ireland who meets the eligibility criteria. There is currently no cap on numbers.

If you take PrEP as part of the pilot, you will need to visit a sexual health clinic four times a year for as long as you are taking part. You will also have a first assessment or consultation.

To get PrEP in Northern Ireland you need to be:

  1. over 16, and
  2. able to attend for regular 3 month reviews in Belfast,
  3. willing to stop taking PrEP when no longer eligible,
  4. resident in Northern Ireland
  5. HIV negative and have tested for HIV at a clinic in the previous 12 months.

You’ll also need to match one or more of these descriptions:

  • You’re HIV negative, and expect to have condomless sex with an HIV positive partner/s with a detectable viral load.
  • You’re HIV negative and have had condomless sex in the past 3 months and think you will again in the next 3 months, and you are a: cis or transgender MSM (man who has sex with men) or transgender woman.
  • You don’t meet the first two descriptions and you might be having heterosexual sex, but you’ve been clinically assessed as being at a similar high risk of becoming HIV positive.