This paper is about the HIV epidemic in the context of black Africans in England. It focuses on black African communities because they are disproportionately affected by HIV compared to other minority ethnic groups. It gives an overview of the current epidemiological status, HIV support and prevention needs and recommendations for policy and practice. The paper notes that the majority of black Africans are tested for HIV very late and are unable to benefit fully form available treatment and care. The impact of socio-economic factors is also discussed.