This document replaces the 2012 Guidance with the same title and continues to place the model of combination prevention at its core.
There have been numerous advances since the 2012 edition, including the introduction of PrEP through the NHS in Scotland and UNAIDS’ 90-90-90 target which has helped focus attention on treatment as prevention, and the crucial role of people living with HIV in the conversation about HIV prevention.
The three constituent elements of the model of combination prevention have been thoroughly revised and reordered with structural, behavioural and biomedical interventions presented in that order. Wellbeing in sexual health and the prevention of HIV cannot be produced and performed by any one single agent or agency, be that individual MSM, the NHS, or the third sector. A reduction in health inequalities is the foundation upon which further and individualised interventions are anchored.
This guidance is founded on the best available evidence on HIV prevention in MSM as well as expert opinion. It is intended to facilitate pathways to improve HIV prevention interventions, whether they are provided by statutory services or commissioned and subsequently delivered by either statutory or third sector organisations.