Emergency Department Routine Testing for HIV and Hep C

Update to Opt Out Testing in Emergency Departments for HIV and Hep C

If you have had an opt out test for HIV and Hep C in the last 12 months, you will not be tested on this visit as part of your routine blood test.  If you have concerns, please speak to a member of staff or alternatively, see the contact information below for locations where you can be tested.

We are now offering routine Hepatitis C and HIV testing in our Emergency Department for all our patients aged 16 and over who are having bloods taken for another reasons.

This automatic testing is part of a national NHS initiative to test in the areas where there is highest prevalence of HIV and Hepatitis C (In Greater Manchester, this is Manchester and Salford), to detect people living with the viruses, offer treatment and ultimately save lives.

Salford Royal Hospital went live with HIV opt-out testing in 2023. The Royal Oldham Hospital and Fairfield General Hospital are scheduled to go live in 2025. 

  • HIV and Hepatitis C are viruses carried in the blood. 
  • Many people with these viruses have no symptoms and are unaware of carrying them.
  • Knowing you have (or do not have) HIV or Hepatitis C means that you can protect yourself and others. 

  • HIV affects the immune system by making it weaker, meaning it is much harder for the body to fight off infection. 
  • Late diagnosis of HIV reduces life expectancy by around 15 years and causes significant ill-health. 
  • Hepatitis C is a leading cause of liver damage (cirrhosis) and liver cancer.

  • It is possible to pass these viruses to others through sex, or contact with infected blood, (e.g. sharing needles).
  • Taking treatment regularly eliminates the risk of passing the viruses onto others.

  • HIV can be managed with daily tablets, these antiretroviral medicines, work by stopping the virus replicating in the body, allowing the immune system to repair itself and prevent further damage. 
  • If diagnosed early enough, people with HIV can live a long and healthy life. 
  • Hepatitis C can be cured with a simple 12 week course of a tablet a day. Ignoring Hepatitis C can lead to liver failure and liver cancer. 

  • The only way to know is to get a specific blood test, which is not usually included in blood tests done by your GP. 
  • We are now routinely providing HIV and Hepatitis C testing for all our patients aged 16 and over who are having their blood taken in our Emergency Department for other reasons. 

  • If you have a reactive result (provisional positive), we will contact you to arrange an appointment and discuss the next steps.
  • If you do not hear from us within 28 days, you can assume that your HIV and Hepatitis C test was negative. If for some reason your sample was unable to be tested for technical reasons, a member of the team will contact you and offer a retest. 
  • You can also access your results by contacting our testing team on 0161 720 2638

  • It can take 6-12 weeks for HIV and up to 6 months for Hepatitis C to be detectable on a blood test after you have been infected. 
  • If you have been at recent risk, you can get another test through your GP or local sexual health service. 

  • If you do not want to have your blood tested for HIV and/or Hepatitis C, please inform the member of staff taking your blood tests. 
  • Please note that your results will be kept confidential, and we will only contact you if you have a provisional positive result. 

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