King’s Fund – concluding remarks Professor Chloe Orkin Consultant 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 Changing HIV curriculum for trainining GIM Commissioning (PrEP) Trainee vacancies Fragmentation of services 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 1995-2004 2004-2008 2011-2013 2013-2016 2008-2011 > 20 years old Members=1000+
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 External Audit Relations Educatio n Conferences
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
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