King’s Fund – concluding remarks

Professor Chloe OrkinConsultant Physician in HIV Medicine

Barts Health NHS Trust

Future of HIV services

Delivering HIV care (2017): some challenges for health professionals

Sharing NHS records with immigration? Criminalisation of

HIV

Commissioning (PrEP)

Fragmentation of services

Trainee vacancies

Changing curriculum for trainining GIM

HIV services dislocated from GU Little money/time

for study leave

Kings Fund Report

• ‘Should’s’for :– PHE– DH– NHS E– Health Education England– Local services

Macro politics….

Macro-politics….

Macro-politics….

Macro-politics….

Could BHIVA advocate more effectively on policy?

What should or could BHIVA do?

BHIVA’s history

> 20 years old Members=1000+

1995-2004 2004-2008 2008-2011 2011-2013 2013-2016

BHIVA aims

• To advance:– promotion of good practice in the

treatment of HIV – public education through the

promotion and dissemination of research

• Delivered via :– Guidelines– Education– Conferences– Audit

• BHIVA Standards for HIV Care review underway

• Guidelines :HIV testing , ART, HIV-2, Pregnancy (in progress)

• Conferences: 2 annual conferences

• Audit: - Alcohol and other substance use and psychological support (2017)- Monitoring (2018)

• Education:- App launch-Diploma and General Medicine courses

How might we adapt our structure to advocate for better HIV services ?

New sub-committee structure

Guidelines

ExternalRelations

ConferencesEducation

Audit

External Relations

Relationship with traditional media BHIVA spokespeople

• available for unexpected events• proactive statements related to known events

Social Media(improved speed and approvals)

(dynamic content)

(memorable photos)

Website/app development

MPS article in PULSE on NICE HIV testing guidelines (2016)

• Article cited: ’caution’, ‘ethical dilemmas’, ‘cultural sensitivities’, ‘occupational consequences’

• Very strong antithetical reaction lead by BHIVA• Hundreds of tweets….BUT, more importantly:

• Opportunity to publish our own BHIVA response on HIV testing in PULSE

• Meeting with CEO of MPS, opportunity to write cases for MPS publications and to give them CPD on HIV cases

International Day (IWD 2017)

• Educational campaign on twitter• Hourly tweets on health issues relating to

women with HIV• E.g. breastfeeding, menopause, social

issues, testaments of women living with HIV• Links to scientific articles• Worked with Salamander Trust, Sophia

Forum and SWIFT• BHIVA Facebook page pushed twitter

campaign

We haven’t had a loud voice in social media/traditional media

• IWD: 150 tweets using #BHIVAWomen• Twitter reach: 60,000 accounts reached• Facebook: 4500% increase in engagements • Lots of community engagement• Celebrity retweets

More social media activity than ever before

BHIVA conference

• #BHIVA2017 • Day 1 national conference: 500 tweets at

#BHIVA2017• Aim: to create an audience so when we need to

highlight policy issues, someone is listening

What does the future hold?What could BHIVA contribute?

• Provide input to consultations• CRG• Educate on-line and at conferences• Disseminate information about how to respond to

fragmentation

What else

• Professional voice on policy

Ideas

@britishhivassoc

@britishhivassoc

British HIV Association

jacqueline:@mediscript.ltd.uk

Thank you

?chloe.orkin@bartshealth.nhs.uk

@profchloe_orkin

And a BIG thank you…to all at Mediscript