This paper examines work in sexual health and HIV prevention in servic
es for people with learning disabilities from a political stance assoc
iated with the rehomosexualisation of AIDS in Britain. Arguments are m
ade for the re-homosexualisation of AIDS in services for people with l
earning disabilities, based on evidence of where HIV risk lies in rela
tion to men with learning disabilities who have sex with men. This pro
vides an opportunity to critically review approaches and responses to
HIV risk assessment and risk management in services for people with le
arning disabilities, with reference to the assumptions which underpin
practice and issues of sexual identity. The case is made for a more ra
dical sexual politics in learning disability to help combat HIV and to
provide more realistic approaches to service commissioning and safer
sex education. Pointers for service development and Key areas where th
e re-homosexualisation of AIDS can inform practice and resource develo
pment are also provided.