Keeping Confidence is a qualitative research study that explores the perceptions of criminal prosecutions for HIV transmission among those providing support, health and social care services for people with HIV. The main findings of the study are described in detail in four focussed reports, listed in the box above. This executive summary gives information about the background and methods of the project, and provides an overview of key themes and findings, concluding with recommendations relevant to those planning and delivering services for people with diagnosed HIV. Catherine Dodds, Matthew Weait, Adam Bourne, Siri Egede, Kathie Jessup and Peter Weatherburn. Five short reports outlining the key findings of the study focus on the main themes arising from our analysis of the focus group discussions. The findings and associated policy and practice recommendations will be of interest to: those who provide HIV health and social care and their professional bodies (for instance NHIVNA, CHIVA, BHIVA, BASHH, SSHA, BPS), police and others who play a role in criminal investigations and trials, and people with diagnosed HIV.