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King’s Fund – concluding remarks Professor Chloe Orkin Consultant Physician in HIV Medicine Barts Health NHS Trust
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
And a BIG thank you…to all at Mediscript
