Over 20,0000 Postal HIV test kits ordered around National HIV Testing Week 2016

The promotion of the national HIV home sampling service between 7 November 2016 and 8 January 2017 resulted in over 20,000 kits ordered, a substantially larger number compared to the same period in the previous year.

The national HIV home-sampling service

Since 2015, Public Health England (PHE) and Local Authorities have provided a national HIV home-sampling service for the most at-risk populations for HIV acquisition. For most parts of the year, the free test kits are available only in areas of England where local authorities choose to fund the service. However, during periods of national promotion, PHE fund the service across the whole of England.

The most notable period of national promotion is around National HIV Testing Week (NHTW), which occurs in November each year. HIV Prevention England (HPE) promote the home-sampling kits in the lead-up to, during, and after NHTW, encouraging people to order a kit online, take their own sample and return it by post to a laboratory for testing and results management. The test is highly accurate four weeks after infection, and almost 100 per cent accurate after eight weeks.

These kits differ from HIV self-testing kits, which do not need to be analysed in a lab: individuals get an immediate result that they can read themselves. The self-test is most accurate 12 weeks or more after infection.

Home-sampling kits ordered

The promotion in the period around NHTW 2016 resulted in 20,175 home-sampling kits ordered between November 7 2016 and 8 January 2017. This is 4,405 kits more compared to the same period in 2015-2016.

Table 1: home-sampling tests ordered during the full promotion period

Description Nov 2015 to Jan 2016 Nov 2016 to January 2017 Change
Number of kits ordered 15,770 20,175 up 4,405
Number of kits returned 7,985 10,421 up 2,436
Return rate 50.6% 51.7% up 1.1%

Table 2: home-sampling tests ordered during NHTW

Description 21 Nov to 29 Nov 2015 19 Nov to 27 Nov 2016 Change
Number of kits ordered 5,777 5,740 down 37
Number of kits returned 2,895 3,081 up 186
Return rate 50.1% 53.7% up 3.6%

Results management

Test results are managed by a community-based organisation partner who provides further support and guidance on next steps. Tests give ‘reactive’ or ‘non-reactive’ results. Reactive results are further classified into ‘high’ and ‘low’ reactives, based on a particular cut-off index. While high reactives are more likely to have an HIV infection confirmed, all reactive results are immediately referred to appropriate services for further testing and clinical confirmation.

The previous year, 1.1 per cent of analysed tests were reactive and of these, 0.7 per cent were high reactives. This information can be looked at alongside HIV positive test results in other testing settings, including specialist sexual health clinics and general practice settings:

Table 3: results comparison by setting (PHE, 2016)

Specialist sexual health clinics
Positivity rate for service users (2015 data)
0.3% (2,850/998,503)
Specialist sexual health clinics
Positivity rate for service users (2015 data)
0.3% (2,850/998,503)
National home-sampling service
High reactive rate for service users (Nov 2015 – Sept 2016 data)*
0.7% (128/18,270)

* high reactive test results likely to be confirmed as positive

Currently, 85 local authorities have committed to implementing the national scheme. Considering the increasing demand for the service, the relatively high reactivity rate and the reasonable cost of the service, there is scope for broader action on making postal tests available and promoting them to communities and individuals who may be at a higher risk for HIV acquisition.

More information

NICE/PHE guideline on increasing HIV testing uptake

The full report for 2015-2016 on the national home-sampling scheme will be available from Public Health England in March 2017.

National HIV Testing Week 2016

National HIV Testing Week (NHTW) 2016 will start on Saturday 19 November 2016.

NHTW 2016 will be the fifth annual testing week to promote HIV testing to gay and bisexual men and black African men and women.

Last year hundreds of organisations participated by raising awareness, providing extra testing opportunities and promoting services - with many using the free NHTW resources. HIV Prevention England welcomes the participation of any organisation whose work reaches England’s key populations affected by HIV.

More information on NHTW.

Gay Men’s Sex Survey results

HPE funded Sigma Research, at the London School of Hygiene and Tropical Medicine, to conduct the 17th Gay Men’s Sex Survey (GMSS). The survey was community-recruited and is concerned with HIV and STI infections, sex between men, HIV prevention needs and service uptake. Over 15,000 men completed the survey and the findings have now been published.

The results [PDF] shows that whilst more gay and bisexual men than ever before are getting tested for HIV, a quarter have never had an HIV test, and a third are unsure about their HIV status.

Men’s ‘sexual happiness’ and it’s relationship with HIV infection is an issue which the report examines, and the findings indicate that men living with diagnosed HIV are no more, or less, likely to be unhappy with their sex life than men who have not tested HIV positive

As well as exploring HIV prevention opportunities, capabilities and motivations using a range of indicators about unmet prevention need, the report also looks at a number of risk and precaution behaviours related to sex and drugs, and examines data about the performance of HIV prevention interventions.