The first Sexual Health and Blood Borne Virus Framework was published by the Scottish Government in 2011. The Framework brought together policy on sexual health and wellbeing, HIV and viral hepatitis for the first time. It set out five high-level outcomes which the Government wished to see delivered, and it sought to strengthen and improve the way in which the NHS, the Third Sector and Local Authorities supported and worked with individuals at risk of poor sexual health or blood borne viruses. Four years have passed since the Framework was published and this document provides an update on progress. It is not intended to present a significant change in direction, nor to replace the original Framework. As well as reporting on progress, this update seeks to reflect on experience over the last four years to refine main messages. It will identify key emerging issues where more focus is now needed and set out where a different approach is now possible. This document also recognises that teenage pregnancy, which was addressed in the original Framework document, will now have its own separate strategy document, to be published by the Scottish Government in early 2016. There will continue to be links between the two policy areas, as reflected throughout this document.