What is HIV Prevention England?

HIV Prevention England (HPE) is the national HIV prevention programme for England. It delivers a nationally co-ordinated programme of HIV prevention work with UK-based black African people and with gay men/men who have sex with men (MSM). It brings together campaigns, online services, local work and policy work. It works closely with black African, gay, and faith communities, NHS clinics, local authorities and Public Health England.

HPE is a nationally funded programme, funded by Public Health England, designed to complement locally commissioned prevention in areas of higher prevalence. It is part of Terrence Higgins Trust.


What are we aiming to achieve?

HPE has been commissioned to deliver five goals. These inform all the work we do:

  1. Increase HIV testing to reduce undiagnosed and late diagnoses
  2. Promotion of condom use as a safer sex strategy
  3. Promote other evidence-based safer-sex and biomedical HIV prevention interventions
  4. Raise awareness of the role of sexually transmitted infections (STIs) in the context of HIV acquisition and transmission
  5. Reduce levels of HIV related stigma within affected communities and more widely.

Structure and governance

Terrence Higgins Trust will lead a national programme built upon the expertise and specialism of partners and external stakeholders. The governance structure’s core components are:

  • HPE Steering Committee – a multi-disciplinary stakeholder advisory group to provide guidance on the strategy and delivery of the programme as well as provide oversight to ensure transparency and accountability.
  • Campaign Development Group – a multi-disciplinary working group with attendees from the public, community and commercial sectors. It will meet bi-annually to develop programme interventions.
  • Sector Leadership Forum – bi-annual meetings of HIV service providers to share best practice and provide training and support.

Social marketing approach

The social marketing campaign will offer the best value for money by building on the assets and engagement of the previous programme, while rejuvenating the campaign with a fresh creative approach and with innovative new features based on the latest strategies in commercial media, social marketing and health promotion. The It Starts With Me brand will be refreshed for both MSM and African communities. The programme will follow a Behavioural Ecological Model which drives behaviour change by action on the individual, local, community and ‘social structural’ level.

More information on the It Starts With Me campaign.

System leadership and development

The programme will issue five briefings per year on the programme objectives, each customised for the following groups:

  1. Local Authorities (Commissioners, Directors of Public Health, Health and Wellbeing Boards, lead counsellors)
  2. Clinicians
  3. GPs and primary care
  4. Faith communities.

In addition, programme representatives will engage with networks and attend meetings of commissioners, clinicians, regional public health bodies, local government and primary care practitioners to brief them about the activity of the programme.

Local activation

Local activity will be delivered in towns and cities across England by HPE Local Activation Partners. This activity will support the It Starts With Me campaign and National HIV Testing Week by providing face-to-face support to help people reduce their risk taking, as well as increasing access to community HIV testing.

Sector development

HPE will integrate sector development into the structures of the programme to increase knowledge, skills and innovation within HIV prevention in England.


Terrence Higgins Trust will work closely with the evaluation contract holder to provide robust monitoring data in order to effectively evaluate the programme. This will include data on:

  1. Local delivery: monitoring of local activity will be completed through a bespoke dashboard on the HPE website.
  2. Marketing activity: monitoring digital, social media and campaign deliverables and their associated key performance indicators (KPIs).
  3. System leadership and sector development: activity-based monitoring supported by annual evaluation surveys of stakeholders including after National HIV Testing Week and a national conference.