London Assembly’s Health Committee’s Scrutiny of hiv/aids in London



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LONDON SPECIALISED COMMISSIONING GROUP

London Assembly’s Health Committee’s Scrutiny of HIV/AIDs in London



Response from NHS Organisations in London including the London HIV Consortium and London Specialised Commissioning Group
August 2003

Index

Introduction 4
Section A: The prevalence of HIV and Future Trends 5


  1. Current levels of HIV in London per borough? 5

  2. How does the level of HIV in the Capital compare with 6

other world cities?

3. What are predicted levels of HIV/AIDs in London over the 7

next five years?

4. Is there an agreed process for implementing the National 7

Strategy for Sexual Health and HIV across London?

Section B: Commissioning 9


  1. Introduction 9

  2. Consortium Sub-Groups 9

  3. HIV prevention services 10

  4. Costs and resources 11

  5. Patient perspective 12



Section C: Prevention, Public Health awareness and reducing the 13

Transmission of HIV

Introduction 13

  1. Increasing public awareness of HIV 14

  2. Promoting HIV services towards to those receiving 14

treatment for sexually transmitted diseases other than

HIV


3a. Reducing the levels of undiagnosed HIV infections 15

3b. Reducing mother to child infection 15

4. How does stigma affect the uptake of HIV services 16


Section D: Living with HIV 17

Introduction 17


  1. What are some of the challenges faced by those living with 17

the virus (including children and young people)?

  1. What types of discrimination do people living with 19

HIV experience?

  1. What types of support is required by people living 19

with HIV/AIDs?

  1. What type of support services is currently available? 20

  2. How can services for people living with the virus be 21

better provided?



  1. How are those living with HIV involved in: 22

a) the development of health strategies and policies? 22

b) health service planning and development? 23

c) health service delivery and evaluation? 23

Section E: Current Treatment Options 24
1. What treatment options are currently available? 24


  1. How do the anti-retroviral treatments work and 24

what are the side effects?

  1. How does the issue of co-infection affect the 25

treatment of HIV?

  1. What is the projected life expectancy of people currently 26

living with the virus and taking anti-retroviral treatments?
Appendix 1: Review of HIV/AIDs Commissioning Arrangements 27

Appendix 2: HIV/AIDs Work Programme Objectives 2003/04 30
Appendix 3: HIV Commissioning Structure 31

Appendix 4: HIV Prevention 2003/2004 32

Appendix 5: Acknowledgements 35





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