We are considering all the evidence from the first year of opt-out human immunodeficiency virus (HIV) and blood borne testing in emergency departments, alongside the data on progress towards our ambitions to end new HIV transmissions and acquired immunodeficiency syndrome and HIV related deaths within England by 2030, to examine the feasibility of further expanding this programme. We will be sharing evidence as it emerges to support other areas of the country to make the case for implementing the same approach locally.