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Be Part of Research - Trial Details - Opt-out ED testing

Opt-out ED testing

Medical Conditions

Human immunodeficiency virus [HIV] disease
Viral hepatitis


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


In November 2021,funding was allocated to ensure that some emergency departments (ED) implement opt-out testing for HIV in locations with very high prevalence. This initiative was expanded to include opt-out testing for hepatitis B (HBV) and hepatitis C (HCV) to align with global targets for eliminating these diseases.
As part of an opt-out strategy,an ED attendee is not required to agree to a test,but instead informed by clear and simple messaging displayed in EDs (including posters) that a test will be performed unless it is specifically declined. EDs are good places for testing because they can reach people who are less likely to attend a sexual health clinic for testing,or those who might be disproportionally affected by higher rates of HIV/HBV/HCV,such as migrants.
Whilst some studies have shown that opt-out ED testing can be useful in finding new cases of HIV/HBV/HCV,there are still issues to figure out,like why some people don't follow up with care even after being diagnosed,and why testing rates in some EDs are not as high as they should be. This study wants to investigate these problems and find ways to improve the delivery of opt-out testing in EDs.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

27 Jun 2024 31 Mar 2026

Observational

Observational type: Qualitative;



You can take part if:



You may not be able to take part if:


BBV opt-out testing All patients attending ED and requiring blood work will be included if they do not opt out of testing. Qualitative research - exclusion criteria Only those included in the qualitative research study will be recruited. Participants/patients will be excluded if they meet any of the following criteria: ED Staff • A member of ED staff not involved in the implementation of ED BBV testing. • Unable to provide informed consent or understand the study information provided. • Not living in UK. • No involvement in implementation and delivery of ED opt-out testing in emergency departments. ED patients • Under 18 years of age. • Unable to provide informed consent or understand the study information provided. • Not living in UK. • Not offered offered a BBV testing as part of a routine blood test in an ED within participating sites.


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Milton Keynes Hospital
    Milton Keynes
    Buckinghamshire
    MK6 5LD
  • Peterborough City Hospital
    Peterborough
    Cambridgeshire
    PE3 9GZ
  • Southend Hospital
    Westcliff-on-sea
    Essex
    SS0 0RY
  • New Cross Hospital
    Wolverhampton
    West Midlands
    WV10 0QP
  • University Hospital (coventry)
    Coventry
    West Midlands
    CV2 2DX
  • Leicester Royal Infirmary
    Leicester
    Leicestershire
    LE1 5WW
  • The Royal Victoria Infirmary
    Newcastle Upon Tyne
    Tyne And Wear
    NE1 4LP
  • Southampton General Hospital
    Southampton
    Hampshire
    SO16 6YD
  • Burton Hospital
    Burton-on-trent
    Staffordshire
    DE13 0RB
  • Royal Derby Hospital
    Derby
    Derbyshire
    DE22 3NE
  • Frimley Park Hospital
    Frimley
    Surrey
    GU16 7UJ
  • Northampton General Hospital (acute)
    Northampton
    Northamptonshire
    NN1 5BD
  • Basildon Hospital
    Basildon
    Essex
    SS16 5NL
  • Poole Hospital
    Poole
    BH15 2JB
  • Royal Hallamshire Hospital
    Sheffield
    South Yorkshire
    S10 2JF
  • Royal Liverpool University Hospital
    Liverpool
    Merseyside
    L7 8XP
  • Tameside General Hospital
    Ashton-under-lyne
    Lancashire
    OL6 9RW
  • Royal Bournemouth Hospital
    Bournemouth
    BH7 7DW
  • Southmead Hospital
    Bristol
    Avon
    BS10 5NB
  • Newham General Hospital
    London
    Greater London
    E13 8SL
  • Northern General Hospital
    Sheffield
    South Yorkshire
    S5 7AU
  • Hinchingbrooke Hospital
    Huntingdon
    Cambridgeshire
    PE29 6NT
  • Mid Essex Hospital
    Chelmsford
    Essex
    CM1 7ET
  • Royal Sussex County Hospital
    Brighton
    BN2 5BE
  • Bedford Hospital South Wing
    Bedford
    MK42 9DJ
  • Wexham Park Hospital
    Slough
    Berkshire
    SL2 4HL
  • St James's University Hospital
    Leeds
    West Yorkshire
    LS9 7TF


The study is sponsored by University of Bristol and funded by NIHR Central Commissioning Facility (CCF) .




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for Trial ID: CPMS 58197

Last updated 14 August 2025

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