Background/introduction MSM experience a disproportionate burden of ill health in relation to sexual health, mental health and substance use.

Aim(s)/objectives Our aim was to investigate practice across the UK in aspects of the clinical care of MSM where evidence is absent, or guidance varies.

Methods An online questionnaire was distributed to BASHH, FSRH members and CSP audit sites for one month to 31^st October 2015. Questions covered assessment of risk factors for STIs and HIV and other elements of holistic care.

Results There were 149 complete responses. A written policy on obtaining a history of alcohol or recreational drug use was reported by 62% and 66% of respondents respectively. 58% and 57% had a documented pathway for alcohol or drug use problems. 67% had dedicated services for behaviour change interventions, but only 20% had dedicated sexual dysfunction services. HPV vaccination and PrEP were provided in some form (including with charges, or by private prescription) by 13% of clinics, but 58% and 45% reported no local discussion yet on HPV vaccination or PrEP for MSM. Support for local CaSH & Youth services in providing care for MSM was given through a formal arrangement or MCN by 30% of respondents and informally by a further 47%.

Discussion/conclusion There is considerable variation in the breadth of clinical holistic care offered across the UK, suggesting missed opportunities to address the interrelated health inequalities experienced by MSM. GUM clinics may be under-utilised as a source of local expertise in the care of MSM.