Should we offer routine hepatitis C antibody testing in men who have sex with men?

There has been a significant rise in the number of HIV positive men who have sex with men (MSM) co‐infected with hepatitis C (HCV). Most infections are thought to occur through high risk sexual practices, exacerbated by drug use. Previous data has suggested no need for routine screening in HIV negative MSM. We looked at HCV antibody testing and HCV risk assessment in all MSM clinic attenders as part of a Public Health England initiative.