Message boards index | Help | Search messages | Sign in


+ UKCAB + Public area + News, events, announcments + Ensuring access to HIV care and treatment in London

Ensuring access to HIV care and treatment in London

Print
Pages: 1

kevinkelleher
Guest
Ensuring access to HIV care and treatment in London
Posted on: April 18 2011, 01:05 pm

With over 30,000 HIV positive patients receiving care in London, developing a plan to secure continued access to the best available treatment is critical.  There are over 25,000 HIV positive individuals on Antiretroviral Therapy (ARVs) in London, and up to 3,000 more starting each year. Antiretroviral therapy saves lives and is a cost effective treatment. London’s NHS spent over £170m on ARVs in 2009/10, and with more people going onto ARVs this spend will increase further.

By working together, the London HIV Consortium – which brings together clinicians, commissioners and patients – continues to get a good deal on HIV drugs. The ARV tender process this year means that considerable savings will be made to the bill for antiretrovirals, and these savings will be used to improve HIV services and pay for optimal treatment for all HIV infected individuals.

With the clinical outcomes of a number of antiretroviral drugs now similar, HIV doctors and patients can ensure cost effectiveness of treatment without compromising the quality of care. HIV doctors will continue to ensure treatment is tailored to the needs of the individual patient and, where it is clinically appropriate to do so, will use the least expensive treatment option available. If the least expensive drugs are not clinically appropriate for a patient, then HIV doctors will select a different treatment that will keep the patient well and reduce their viral load to undetectable levels.

Building on existing treatment guidelines, London HIV doctors have produced some key messages for prescribers to ensure all patients in London continue to get the right treatment for them. All services will be working to these key messages to ensure equity of access to therapies across London. Led by clinicians, an audit to monitor the outcomes for patients will be undertaken.

Two HIV doctors - Professor Brian Gazzard and Professor Margaret Johnson – have led the clinical involvement in the process.  Professor Brian Gazzard, who chairs the London HIV Drugs & Treatment Sub Group said: “Good clinical care depends on the primacy of the consultation between doctor and patient. All doctors have a duty to give the best clinical care for the patient and this includes consideration of costs. Already HIV doctors work with patients to make sure treatment is effective and avoids unnecessary costs, such as avoiding wastage of drugs. All London clinics are working together to save money on the drugs bill to ensure services are improved and treatment is available for all in the future. Patients can be reassured that HIV doctors in London will continue to provide the best clinical care for all their patients and achieve excellent clinical outcomes”.

The plan to save money on antiretrovirals is part of a national drive to improve Quality, Innovation, Productivity and Prevention (QIPP) in NHS services. By bringing together clinicians, patients and commissioners, the London HIV Consortium aims to further develop its HIV QIPP programme to improve quality and productivity to secure access to care and therapy for all patients over the coming years.

To find out more about the prescribing messages for London, please see below.

To find out more from a community perspective, click here http://i-base.info/home/changes-to-hiv-drug-prescribing-in-london/

Related Document

    * pdf icon Summary of ARV prescribing messages for London


London SCG Board Meetings for 2011 - April Meeting Postponed

The London SCG Board meeting which was due to be held in public on Monday 18 April 2011 has been postponed, a new date for the meeting will be confirmed shortly.

Meetings scheduled for the remainder of the year are:

Monday 20 June 2011
Monday 19 September 2011

All meetings will be held from 14.00 - 16.30, venues for the meeting will be advertised on the website nearer the date, if you would like to attend the meeting please e-mail communications@londonscg.nhs.uk

Consultation on Services for People with Complex Personality Disorder

The East of England SCG are leading Stage Two of the Project on Services for People with Complex Personality Disorder which will include developing service specifications for the residential service and regional outreach services.

Please see the link below to the East of England SCG website with all the latest details of the project, minutes of meetings and opportunities to comment and contribute. 

East of England SCG - Tier 4 Personality Disorder

Click here to accessd direct links http://www.londonspecialisedcommissioning.nhs.uk/?assetId=16#contentBox368
Logged
Mark Platt
Member
Posts: 290
Re: Ensuring access to HIV care and treatment in London
Reply #1 on: April 18 2011, 01:32 pm

Dear All,
Bearing in mind our conversation about this process on Friday, does this statement have any impact on our thoughts for proposed activities regarding the new purchasing contracts?
Regards,
Mark
Logged
kevinkelleher
Guest
Re: Ensuring access to HIV care and treatment in London
Reply #2 on: April 18 2011, 02:48 pm

Mark hi,

Is it possble to let us know the conversation of Friday for those who didn't attend.
Logged
Ben Cromarty
Member
Posts: 451
Re: Ensuring access to HIV care and treatment in London
Reply #3 on: April 18 2011, 03:27 pm

It looks like Kevin's post came from the NHS london Commissioning Group website, and is thus "propaganda", to try to convince the world that the process was/is rigorous and transparent. I think it precedes the discussion on Friday...
Logged
kevinkelleher
Guest
Re: Ensuring access to HIV care and treatment in London
Reply #4 on: April 18 2011, 03:56 pm

I am currently awaiting a Freedom of Information request submitted to the LSCG to be able to present a fuller picture of its budget and spend for London. This will be posted on TCell in due course.

As I was not privy to the conversations on Friday about the LSCG maybe some could presnt the arguments for and against.

LSCG accounts do show it HIV/AIDS spend and http://benefits.tcell.org.uk/forums/foi-request-london-specialised-commission-hiv-budget-200910-201011-and-201112-known is available.

I very much welcome other PCT/Trusts to publish its HIV/AIDS spending.
Logged
kevinkelleher
Guest
London SCG FOI response 2010/11 projected costs
Reply #5 on: May 16 2011, 04:06 pm

LSCG FOI response for the cost of HIV treatment for London at http://benefits.tcell.org.uk/forums/foi-request-london-specialised-commission-hiv-budget-200910-201011-and-201112-known#comment-17137
Logged

Print
Pages: 1

+ UKCAB + Public area + News, events, announcments + Ensuring access to HIV care and treatment in London