Dr Stuart McPherson, Consultant Hepatologist, Freeman Hospital, Newcastle presented the rationale, process and results from the first nine months of a test & trace pilot in HCV. Test & trace had been used successfully in the context of human immunodeficiency virus (HIV), but this was new territory for HCV. The North East and Cumbria region has the highest rates of HCV reinfection in the country, so a key objective of the scheme was to reach individuals who were potentially involved in clusters of HCV reinfection. With careful consenting and incentives, individuals with diagnosed HCV were asked to ‘bring a friend’ for testing. While the number of individuals actually bringing others to be tested was lower than hoped, those who did brought just over three people each and the pilot identified a significant number of people living with HCV. However, challenges remain in converting those with diagnosed HCV into those effectively treated for HCV.