This report is one in a series produced by the Specialised Healthcare Alliance looking at various services, including HIV, which have been prioritised by the National Specialised Commissioning Group in relation to QIPP (a policy which aims to deliver quality and productivity at a time of spending constraint). This report was particularly informed by a stakeholder workshop on HIV services organised by the Alliance and the London Specialised Commissioning Group on 10th September 2010.
A wide range of stakeholders including patients, commissioners, clinicians and representatives from patient organisations attended the workshop. The report sets out some background information on QIPP and HIV services before seeking to distil the major themes explored during the workshop in relation to outcomes, treatment, care and secondary prevention. For each theme, some context and background with regard to the key issues is given (including some salient issues which it was not possible to discuss at the workshop), as well as an overview of the discussion at the event.
Among the most important points to emerge, attention is drawn to:
• The importance of involving individual patients in discussion at an early stage about potential efficiency savings, for example in relation to home delivery of drugs or the use of generic medicines;
• The need to look at clinical and patient outcomes in tandem and to use CQUIN as a means of securing delivery;
• The potential opportunity arising from GP commissioning to involve GPs more actively in non-specialised care for people with HIV and to normalise important aspects of prevention, notably testing;
• The continuing need for improved IT to support all aspects of care.
http://www.shca.info/PDF%20files/HIV%20Services%20and%20QIPP-report.pdf
PDF version The Government has reaffirmed the need to place quality of care at the heart of the NHS. The White Paper, Equity and Excellence: Liberating the NHS (July 2010) makes it clear that quality cannot be delivered through top down targets but by focusing on outcomes, giving real power to patients and devolving power and accountability to the frontline.
Despite the recent good funding settlement for health, the NHS needs to make savings because of growing demand. With factors such as an ageing population putting the NHS under increasing pressure, it is not possible to go on as before.
Now, more than ever before, the NHS has to achieve value for money and the best possible quality so that patients get the greatest benefit.
The Quality, Innovation, Productivity and Prevention (QIPP) programme is all about ensuring that each pound spent is used to bring maximum benefit and quality of care to patients.
The NHS needs to achieve up to £20 billion of efficiency savings by 2015 through a focus on quality, innovation, productivity and prevention. Every saving made will be reinvested in patient care by supporting frontline staff, funding innovative treatments and giving patients more choice.
If you don't mind, I would like to get involved in your potential future discussions on the Children/Adolescent's transition to Adult HIV services. I have been advocating more Adolescent/Youth clinic services in Africa, and several have started in South Africa, with potential for more in other countries. The most vulnerable age is the period of puberty when someone "trusted" needs to help them with their reproductive/sexual health issues. In UK, where criminalization is an issue, we do need to be sure that disclosure and "normalizing" sexual activity with condom use is possible. I'd be happy to visit you in London when you have your next meeting on this... My PhD topic deels in-part with this, and I believe it needs to be addressed so that we can help these kids cope with perceived internal and external stigma as well as any discrimination issues they might face/be facing. As you might already know, the real Brenda (from the book Brenda has a little dragon in her blood''), has gone public - and has been the posterchild of our AIDS FONDS organization in The Netherlands.
Since the borders are open, the discussion should go to European Union level, I think!
Best regards,
Ann Ferara, MD
The Netherlands
Ann hi,
If you would like to email me direct at kevin@tcell.org.uk , I will see who is best to pass your message onto in the UK. TCell is a forum of information relating to HIV/AIDS in the UK and post topics relevant. It maybe more appropiate for your response to be dealth directly by http://www.shca.info/index.htm or an a alternative.
Kevin
Delivering High Quality, Efficient Care for People with Rare and Complex Conditions.
http://www.shca.info/PDF%20files/SHCA%20Report%202011%20low%20res.pdf
http://www.shca.info/index.htm