{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:42:33Z","timestamp":1777927353461,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:00:00Z","timestamp":1612310400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000864","name":"British HIV Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000864","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>The British HIV Association recommends that new diagnoses be reviewed by an HIV specialist within two weeks. NHS England outcome measures include the proportion of new diagnoses commencing antiretroviral therapy (ART) within 91 days. We aimed to review the extent to which these recommendations were followed, to explore the topics discussed with new diagnoses, and to identify reasons behind delayed ART initiation. UK specialist HIV services were invited to retrospectively review the notes of their last 40 new diagnoses over a 15-month period. One-hundred and thirty-two services provided data for 2281 eligible individuals. Most new diagnoses were reviewed by a specialist within two weeks (67.7%) and were commenced on ART within 91 days (83%), however, there were some concerning delays in those tested at home and in general practice. Partner notification and treatment benefits were discussed with most individuals, unlike the availability of community support and U = U (\u201cundetectable equals untransmittable\u201d). Lengthy delays in ART initiation were mostly due to individuals initially declining ART or missing appointments. Our findings suggest a need for more streamlined pathways into HIV care, review of new diagnoses who have not commenced ART within 8 weeks, and protocol development to ensure discussion of relevant topics.<\/jats:p>","DOI":"10.1177\/0956462420987450","type":"journal-article","created":{"date-parts":[[2021,2,5]],"date-time":"2021-02-05T14:02:06Z","timestamp":1612533726000},"page":"710-717","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A national audit of the management pathways for new HIV diagnoses"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4757-4688","authenticated-orcid":false,"given":"Ergul","family":"Kaide","sequence":"first","affiliation":[{"name":"Genitourinary Medicine Department, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1440-1812","authenticated-orcid":false,"given":"Hilary","family":"Curtis","sequence":"additional","affiliation":[{"name":"British HIV Association, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Freedman","sequence":"additional","affiliation":[{"name":"Cardiff University School of Medicine\/University Hospital of Wales, Cardiff, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Croxford","sequence":"additional","affiliation":[{"name":"Public Health England (PHE) Blood Safety Hepatitis Sexually Transmitted Infections and HIV Division National Infection Service, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"Burns","sequence":"additional","affiliation":[{"name":"Institute for Global Health, University College London, London, UK"},{"name":"Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Sabin","sequence":"additional","affiliation":[{"name":"Institute for Global Health, University College London, London, UK"},{"name":"National Institute for Health Research (NIHR) Health Protection Research Unit (HPRU) in Blood Borne and Sexually Transmitted Infections at UCL, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7955-9610","authenticated-orcid":false,"given":"David R","family":"Chadwick","sequence":"additional","affiliation":[{"name":"Centre for Clinical Infection, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Chelsea and Westminster Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the BHIVA Audit and Standards Subcommittee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,3]]},"reference":[{"key":"bibr1-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)33117-9"},{"key":"bibr2-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp038194"},{"key":"bibr3-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1177\/1363459317739436"},{"key":"bibr4-0956462420987450","unstructured":"British HIV Association. BHIVA standards of care for people living with HIV, https:\/\/www.bhiva.org\/standards-of-care-2013 (2013, accessed 02 March 2020)."},{"key":"bibr5-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0087872"},{"key":"bibr6-0956462420987450","doi-asserted-by":"crossref","unstructured":"British HIV Association. The BHIVA guidelines for the treatment of HIV-1-positive adults with ART, https:\/\/www.bhiva.org\/HIV-1-treatment-guidelines (2015, accessed 02 May 2020).","DOI":"10.21864\/jbgtha.2016.13"},{"key":"bibr7-0956462420987450","unstructured":"Public Health England. HIV quality dashboard 2018\/2019, https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2018\/03\/hiv-metric-definitions-2018-19-v2.pdf (2018, accessed on 23 March 2020)."},{"key":"bibr8-0956462420987450","unstructured":"Public Health England. Trends in new HIV diagnoses and in people receiving HIV-related care in the United Kingdom: data to the end of December 2018. Report, Health Protection Report, 2019, pp. 2\u20137. Volume 13 Number 31."},{"key":"bibr9-0956462420987450","unstructured":"The King\u2019s Fund. Referral management: lessons for success, https:\/\/www.kingsfund.org.uk\/sites\/default\/files\/Referral-management-lessons-for-success-Candace-Imison-Chris-Naylor-Kings-Fund-August2010.pdf (2010, accessed on 16 March 2020)."},{"key":"bibr10-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1310\/T6Y6-BRCW-AR7A-WVA3"},{"key":"bibr11-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7519.772"},{"key":"bibr12-0956462420987450","unstructured":"Terrence Higgins Trust. Centres and services, https:\/\/www.tht.org.uk\/centres-and-services?category=26&geolocation_geocoder_google_geocoding_api=&geolocation_geocoder_google_geocoding_api_state=1&geocoding-lat=&geocoding-lng=&geocoding=100&page=1 (2020, accessed on 04 June 2020)."},{"key":"bibr13-0956462420987450","unstructured":"The King\u2019s Fund. Transforming our healthcare system: ten priorities for commissioners, https:\/\/www.kingsfund.org.uk\/sites\/default\/files\/field\/field_publication_file\/10PrioritiesFinal2.pdf (2015, accessed on 23 March 2020)."},{"key":"bibr14-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30418-0"},{"key":"bibr15-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25466"},{"key":"bibr16-0956462420987450","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(19)30030-X"},{"key":"bibr17-0956462420987450","volume-title":"HIV in the United Kingdom: Towards Zero 2030. 2019 report","author":"O\u2019Halloran C","year":"2019"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420987450","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462420987450","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462420987450","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:41:47Z","timestamp":1777675307000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462420987450"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,3]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/0956462420987450"],"URL":"https:\/\/doi.org\/10.1177\/0956462420987450","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,3]]}}}