On 17 December 2019, Health Protection Scotland (HPS), in collaboration with Information Services Division (ISD), published the Implementation of HIV PrEP in Scotland: Second Year Report on behalf of the HIV PrEP National Coordination Group. This report describes the uptake of the NHS-funded HIV Pre-Exposure Prophylaxis (PrEP) programme in Scotland during its first two years between 1 July 2017 and 30 June 2019.
Scotland is the first country within the UK, and one of the first worldwide, to have established an HIV PrEP service, freely available via the NHS, for individuals who are at high risk of acquiring HIV though sexual transmission. HIV PrEP, a dual anti-retroviral medication, now forms part of a comprehensive approach to HIV prevention in Scotland.
The successful implementation and uptake of the programme during its first year, as reported in February 2019, has continued to the end of its second year. Between 1 July 2017 and 30 June 2019, over 3,300 individuals received one or more PrEP prescriptions in 11 of the 14 NHS boards. Of those prescribed PrEP, 99% were male, of whom 98% were men who have sex with men (MSM). Furthermore, the availability of PrEP has encouraged individuals who had not previously engaged with sexual health services to come forward as, by the end of the second year, almost 1,000 individuals at high risk of sexual acquisition of HIV, and who had no history of sexual health service attendance, had engaged with the PrEP programme.