Over 4 months in 2010, a health advisor (HA) approached 19–65-year-olds at a central London acute medical admissions unit and offered a rapid HIV point of care test (POCT) with the aid of an educational video. Feasibility and acceptability were assessed through surveys and uptake rates. Costs per case of HIV infection identified were established. Of the 606 eligible people admitted during the pilot, 324 (53.5%) could not be approached or were individuals for whom testing was deemed inappropriate. In total, 23.0% of eligible admissions had an HIV POCT. Of the patients who watched the GDC0199 video and had not recently been tested for HIV, 93.6% (131 of 140) agreed to an HIV test; four

further patients had an HIV test but did not watch the video. Three tests (2.2%; three AZD1208 cost of 135) were reactive and all were confirmed HIV positive on laboratory testing. HIV testing in this setting was felt to be appropriate by 97.5% of individuals. The cost per patient was £21, and the cost per case of HIV identified was £1083. Universal POCT HIV testing in an acute medical setting, facilitated by an educational video and dedicated staff, appears acceptable, feasible, effective, and low cost. These findings support the recommendation of HIV testing

for all medical admissions in high-prevalence settings, although with this model a significant proportion remained untested. The publication of the national guidelines on HIV testing [1] prompted a number of initiatives to assess the feasibility, acceptability and cost-effectiveness of new models of delivery for HIV testing. Our aim was to determine whether a model of care utilizing a multimedia tool and dedicated staff found to be effective in an emergency medical setting in New York [2, 3] is an acceptable, feasible L-gulonolactone oxidase and cost-effective model when translated to the UK. Data were collected on all admissions

to an acute admission unit (AAU) in Central London over a 16-week period in 2010. Adults aged 19–65 years in a stable condition were eligible for inclusion in the HIV testing pilot. Patients who were only admitted during the weekend were excluded from this analysis. The service model consisted of a health advisor (HA) approaching all stable admissions, and offering HIV testing with the aid of an educational video. If the patient accepted the offer of testing, a finger prick rapid HIV point of care test (POCT) was performed using the INSTI™ (bioLytical Laboratories Inc., Richmond, B.C., Canada) test [4]. If the result was HIV negative, the patient had the option of watching a post-test video providing risk-reduction information. If the result was reactive, the HA arranged confirmatory testing and urgent follow-up with the HIV service. All patients completed a questionnaire to evaluate patient satisfaction and collect process evaluation data. The questionnaire was delivered electronically via the laptop that patients used to watch the videos.