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The UK national guidelines for HIV testing 2008 recommend testing for HIV in a wide range of settings outside genitourinary medicine (GUM) and antenatal services.1 This includes HIV testing of all patients with clinical HIV indicator conditions and of adults registering in general practice in areas with high HIV prevalence.
Monitoring the implementation of the national guidelines is vital to reduce the number of undiagnosed HIV infections in the UK. Therefore, a key recommendation of the guidelines is for audit, not only of the uptake of HIV testing in GUM and antenatal services, but also of the number of tests performed in primary and secondary care and among patients with any of numerous HIV indicator conditions.1 However, audit of HIV testing in these contexts presents significant challenges. Patients with HIV indicator conditions are …