In 2016, the Prevention Access Campaign, launched the Undetectable=Untransmittable statement.1 U=U is arguably the single most important communication for people living with HIV and is based on a solid foundation of scientific evidence. The zero risk of sexual transmission represents a significant change in messaging. The British HIV Association (BHIVA) conducted an anonymised member’s questionnaire on U=U. Members could select different answer options, submit free text and opt out of answering questions. The survey was emailed to members in October 2018 (see table 1).

Table 1 Survey results

The majority were discussing U=U routinely. However, inconsistencies were observed. The BHIVA U=U position statement was devised, recommending proactive discussion and use of the word ‘zero’ to describe risk.2 The BHIVA monitoring guideline was updated, highlighting that U=U applies in the presence of STI’s. Healthcare providers have a duty to disseminate clear, accurate and unambiguous information to maximise well-being and dismantle stigma.