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<p>NHS England specialised commissioning does not run a national programme of opt-out
screening within emergency care settings. NHS England is aware of some hospital trusts
that have implemented an opt-out screening protocol within emergency care settings,
but this is not routine practice in all hospitals. Where opt-out is implemented there
are posters on display advising patients, attending the emergency department, that
they will be tested unless they tell their attending clinician that they want to opt-out
and do not wish to be tested.</p><p>Opportunistic testing for blood-borne diseases
may also occur in non-traditional healthcare settings frequently used by people who
inject drugs (or used to), such as doctors’ surgeries, community pharmacies, prisons
and sexual health centres.</p>
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