Panellists: Paul Kidd, Trainee Lawyer, Fitzroy Legal Service; Aaron Cogle, Executive Director, NAPWHA; and Vikas Parwani, Solicitor, HIV/AIDS Legal Centre, NSW, Australia

Panellists: Associate Professor Darren Russell, Director of Sexual Health, Cairns Sexual Health Service, QLD; Dr Claire Italiano, Infectious Diseases Physician, Royal Perth Hospital, WA; Associate Professor Anna McNulty, Director, Sydney Sexual Health Centre, NSW; and Danielle Collins, Nurse Practitioner, Alfred Health, VIC. Questions for the panel: 1. do you say the same thing every time? 2. what do you document from your discussion and why? 3. what is the biggest challenge and success from counselling regarding U=U at diagnosis? 4. are there any particular tools you use that are helpful? 5. are there any factors that change how you counsel: age, gender, sexual orientation, recreational drug use (needle sharing), viral load, occupation (health care worker)? 6. how do you balance patient perception of risks of transmission with desire for an ongoing sexual life?

Panellists: Craig Cooper, CEO, Positive Life NSW; Dr Anthony Brown, Executive Director, Health Consumers NSW; and Dr Angela Ryan, Deputy Chief Clinical Information Officer, Australian Digital Health Agency By the end of 2018, a My Health Record will be created for every Australian, unless they choose not to have one. If people choose not to have a My Health Record, they will be able to opt out of having one created for them during a four-month period, starting on Monday 16 July and ending 15 November 2018. A person can cancel their My Health Record at any time following changes announced by Minister Hunt on 31 July 2018, and will have the option to have all their information permanently deleted from the system. The My Health Record System was designed at its core to have the highest level of security and privacy to protect your health information. Only registered healthcare providers involved in your care and who are registered with the My Health Record System Operator are allowed by law to access to My Health Records. The My Health Record system has many advantages including privacy protections which allow patients a high level of control over who can see their data. The Australian Digital Health Agency will consider a request from a law enforcement agency to access a My Health Record where there is a requirement by law, such as a court order or other enforceable legal instrument. The Health Records Act of 2012 is being amended so that a court order is required to access a person’s My Health Record – in practice this was already the policy of the System Operator, and to date no record has been released and no government agencies other than the System Operator has access to the system.