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Time to improve HIV testing and recording of HIV diagnosis in UK primary care
  1. Richard Ma
  1. Correspondence to Dr Richard Ma, The Village Practice, 115 Isledon Road, Islington, London N7 7JJ, UK; richard.ma{at}btinternet.com

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By reflecting on current practice, the paper by Evans et al1 revisits a much-needed discussion about expanding HIV testing in UK general practice and the role of general practitioners (GPs) in the care of HIV-positive individuals (see page 520).

Discussions around shared care of HIV patients between specialists and GPs started with the introduction of highly active antiretroviral therapy (HAART) in the 1990s; people with HIV are becoming more stable and healthier, and like many long-term conditions, HIV can potentially be managed in primary care.2 One large HIV centre in central London audited their caseload and found at least a third of patients on HAART and 80% of those not on HAART and stable could have been managed by nurse practitioners or GPs; this has huge potential for freeing up capacity in busy urban clinics.3

However, this is a paradigm shift …

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