Healthy Respect is a Scottish Executive funded National Health Demonstration Project, which addresses young people’s sexual health. One of the 19 projects in phase 1 (2001 to 2004) was to introduce Chlamydia trachomatis testing in non-medical settings. This involved the development, implementation and evaluation of an initiative in a sexual health service which aimed to encourage young people under the age of 25 years in Lothian to be tested for Chlamydia. This article discusses why it is important to test for Chlamydia and details an initiative that was set up to provide this service.