Consultation on Specialised Services clinical commissioning policy - Immediate Antiretroviral therapy

Closed 6 Aug 2017

Opened 7 Jul 2017


NHS England has today (7th July 2017) launched a 30 day public consultation on a clinical commissioning policy for Immediate Antiretroviral therapy for treatment of HIV-1 in adults and adolescents.

Treating HIV with anti-retroviral therapy (ART) has transformed the outlook for people living with HIV. ART allows most people with HIV to live their life - with a normal life expectancy. Untreated HIV infection leads to progressive damage to the body’s immune system. Current HIV clinical commissioning policy allows ART to be started after a certain level of damage to the immune system has occurred (measured as CD4 count <350 cells/mm3) or earlier when there is risk of onward HIV transmission. Immediate ART is about starting treatment soon after diagnosis of HIV, irrespective of how much damage to the body’s immune system has occurred (at any CD4 count).

There has already been extensive engagement on this policy, it has been developed with the support and input of lead clinicians and patient and public representatives. This approach has helped ensure that the views of key stakeholders have informed and influenced the development of this policy to date. We now wish to test it further with wider groups of stakeholders.

Related documents

Clinical Commissioning Policies

Immediate Antiretroviral therapy for treatment of HIV-1 in adults and adolescents:



  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of public health
  • Pharmacists
  • Doctors
  • Midwives
  • Health care assistants
  • Healthcare scientists
  • Paramedics
  • Chiropodists/podiatrists
  • Dietitians
  • Occupation therapists
  • Orthotists
  • Orthopists
  • Prosthesists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Childcare providers
  • Allied health professionals
  • Care-givers
  • Ophthalmic practitioners
  • Responsible officers
  • Clinical psychologists
  • Paediatric neuropsychologists
  • GP Practices
  • Clinical Nurse Specialist
  • Practice managers
  • Receptionists
  • Dental surgeons
  • Neonatal and maternity staff
  • Foundation trusts
  • Mental health trusts
  • Community healthcare trusts
  • Tribunal service
  • Clinical commissioning groups (CCGs)
  • Commissioning support units (CSUs)
  • Strategic clinical networks (SCNs)
  • GP Practices
  • Primary care
  • Care Quality Commission
  • Health Education England
  • Health Protection Agency
  • Local Government Association
  • Monitor
  • National Institute for Health and Care Excellence
  • Health and Wellbeing boards
  • Healthwatch (national and local)
  • Health and Social Care Information Centre
  • NHS Trust Development Authority
  • NHS England Partnership Organisations
  • National directors
  • Regional directors
  • Area Team directors
  • All NHS England Staff
  • All P&I staff
  • Policy leads
  • Voluntary groups
  • Community groups
  • Charities
  • Advocacy or support organisations
  • DH third sector strategic partners
  • Regulatory bodies
  • Academic/professional institutions
  • Employer representatives
  • Employee representatives
  • Trade unions
  • Deaneries
  • Higher education institutions
  • Royal Colleges
  • Service providers
  • All interested stakeholders
  • Pharmaceutical Industry
  • Local authorities
  • Social care providers
  • Patients
  • Carers
  • Service users
  • Retailers
  • Suppliers
  • Information providers
  • Information professionals
  • Informatics professionals


  • Specialised commissioning