Mr. Mick Quinlan:

Access is the key to challenging barriers. It can be on the basis of outreach clinics, the opening times of clinics and the cost. Rapid tests for HIV are being offered at present which cost €70 but they are not rapid because the test is not for HIV. If one has a reaction one must still go for a blood test. These techniques need to be streamlined.

I take the point made on STI screening, but it is important people have full STI checkups because we have seen an increase in gonorrhoea among young heterosexuals. STIs are a cofactor in acquiring HIV. It is important various populations are recognised because if we state something is particular to an MSM other people will not take on board the message.

With regard to outreach we have a good working relationship with the various groups and we have had long discussions on the sexual health strategy and the need for more services.