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Data collected before the mpox outbreak and after lockdown draws on community and clinician surveys, FOI responses from local authorities, and follow-up qualitative interviews. Findings highlight inequities in who can access services, capacity constraints, clinician training needs for PrEP eligibility, and harmful impacts including HIV acquisition during waiting and mental health strain.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/not-prepared-barriers-to-accessing-prep-in-england-presentation/400885/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/not-prepared-barriers-to-accessing-prep-in-england-presentation/400885.png","ImageObject",300,407,{"name":92,"@type":93},"McQueen","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-29","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What sources and methods were used to study PrEP access barriers in England?","Question",{"text":112,"@type":113},"The research used three surveys and six follow-up qualitative interviews, plus FOI requests from sexual health commissioners/providers. Data was collected prior to the mpox outbreak and aimed to examine PrEP service capacity post-lockdown.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What capacity and access problems were identified?",{"text":117,"@type":113},"Local authorities reported a median wait time of 7 days, yet many community respondents experienced being turned away due to no available appointments and waiting 12 weeks or more for callback. Only 35% reported being able to access PrEP at the time of responding.",{"name":119,"@type":110,"acceptedAnswer":120},"What impacts did people report when they could not access PrEP?",{"text":121,"@type":113},"The presentation describes cases of HIV acquisition while waiting for PrEP. Community respondents reported mental health impacts (48%) and effects on dating/sex lives (21%), and many used alternative strategies such as condoms most or all the time or temporary PrEP supplies.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},400885,1790719615,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},5909890329169,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","O06  \n'Not PrEPared' – Barriers to accessing PrEP in  \nEngland  \nAdam Freedman  \nNational AIDS Trust, UK  \n‘Not PrEPared’: Barriers to accessing HIV prevention drugs in England  \nAdam Freedman, National AIDS Trust  \nConflict of Interest  \nIn relation to this presentation, I declare that I have no conflict of interest  \nSpeakers are required by the Federation of the Royal Colleges of Physicians to disclose conflicts of interest at the beginning of their presentation, with sufficient time for the information to be read by the audience. They should disclose financial relationships with manufacturers of any commercial product and/or providers of commercial services used on or produced for patients relating to the 36 months prior to the event. These include speaker fees, research grants, fees for other educational activities such as training of health professionals and consultation fees. Where a speaker owns shares or stocks directly in a company producing  \nproducts or services for healthcare this should also be declared.  \nBackground  \n• This was a collaborative research project conducted by 5 charities: National AIDS Trust, Terrence Higgins Trust, PrEPster, Sophia Forum and One Voice Network.  \n• The research was conducted following reports that people were not able to access PrEP on the NHS, despite trying to do so. Data was collected just prior to the mpox outbreak and aimed to examine capacity of PrEP services, post-lockdown.  \n• Data is drawn from 3 surveys & 6 follow-up interviews:  \n➢ Online community survey of respondents experiencing PrEP access challenges (1,120 eligible respondents) .  \n➢ Online survey of clinicians who prescribe PrEP (79 respondents) .  \n➢ FOI requests from sexual health commissioners/providers (Local authorities in England – 134 out of 151 responded) .  \n➢ 6 qualitative interviews as a follow-up with community respondents.  \nInequity in PrEP access  \n• Just over 93% of the community survey respondents were gay and bisexual men and 87% identified as white – mirroring wider PrEP access patterns.  \n• No local authority reported more than 5 women using their PrEP services.  \n• 16% of service commissioners reported they did not have any demographic data on PrEP users.  \n• Positively, 71% of local authorities had plans for targeted outreach to communities under-represented in PrEP prescribing.  \nAccess & capacity challenges  \n• There was variation in how PrEP services are set up (different appointment booking systems which provide barriers to potential patients and varying prescription length) .  \n• 47% of clinicians said there was insufficient workforce levels in their clinic to meet patient demand.  \n• Median wait time for appointments reported by local authorities was 7 days.  \n• 23% of community respondents reported being turned away from PrEP services as there were no available appointments.  \n• 35% of community respondents reported waiting 12 weeks or more for a callback for an appointment.  \n• Only 35% of respondents reported that they were able to access PrEP at the time of responding.  \nClinician training needs & PrEP eligibility criteria  \n• Nearly 1 in 5 clinicians (18%) did not feel they had enough support or training for themselves or their colleagues in assessing PrEP eligibility.  \n• 58% of clinicians had concerns about missed opportunities for PrEP initiation amongst their patients.  \n• There were also reports from the community of their eligibility for PrEP being missed, and challenges in clinician understanding about when PrEP should be prescribed, and to whom.  \nThe impacts  \n• Unfortunately, we heard of case(s) of people acquiring HIV while waiting for PrEP. This is unacceptable.  \n• The community reported mental health impacts when they couldn’t access PrEP (48% reported this) and 21% reported impacts to their dating/sex lives.  \n• Community respondents used alternative strategies to prevent HIV transmission, including using condoms for most or all the time when having sex (28%), using","cbCaiur20j7OJBgJ","https://ap.wps.com/l/cbCaiur20j7OJBgJ","pdf",324618,11,"English","# Background\n## Inequity in PrEP access\n## Access & capacity challenges\n## Clinician training needs & PrEP eligibility criteria\n## The impacts\n## Recommendations","[{\"question\":\"What sources and methods were used to study PrEP access barriers in England?\",\"answer\":\"The research used three surveys and six follow-up qualitative interviews, plus FOI requests from sexual health commissioners/providers. Data was collected prior to the mpox outbreak and aimed to examine PrEP service capacity post-lockdown.\"},{\"question\":\"What capacity and access problems were identified?\",\"answer\":\"Local authorities reported a median wait time of 7 days, yet many community respondents experienced being turned away due to no available appointments and waiting 12 weeks or more for callback. Only 35% reported being able to access PrEP at the time of responding.\"},{\"question\":\"What impacts did people report when they could not access PrEP?\",\"answer\":\"The presentation describes cases of HIV acquisition while waiting for PrEP. Community respondents reported mental health impacts (48%) and effects on dating/sex lives (21%), and many used alternative strategies such as condoms most or all the time or temporary PrEP supplies.\"}]","Not PrEPared - Barriers to accessing PrEP in England - Presentation | PDF",1790514968,28]