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HIV Prevention England conference 19 February 2015.

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Presentation on theme: "HIV Prevention England conference 19 February 2015."— Presentation transcript:

1 HIV Prevention England conference 19 February 2015

2 Agenda Halve It – the story so far Re-stating the public health challenge What is Halve It Local? What it will achieve How it will work Local action: what is happening so far What you can do – next steps for local action Call to Action meeting – 10 th March, 1-5pm, Portcullis House

3 THE STORY SO FAR

4 Halve It 2010 – present The coalition Established in 2010 as a coalition representing charity, industry and professional groups 24 members and observer members Engages with national and local decision- makers to raise awareness around the benefits of early HIV testing

5 RE-STATING THE PUBLIC HEALTH CHALLENGE

6 Halve It Coalition goals: Halve the proportion of people diagnosed late with HIV Halve the proportion of people living with undiagnosed HIV

7 What progress has been made? Reference: Public Health England. HIV in the UK: 2009 Report; Public Health England, HIV in the UK 2014 Report People living with HIV83,000100,000 Percentage who did not know they had HIV 27%24% Percentage who were diagnosed late 54%42% New infections7,2256,000

8 What guides testing? 2008 – UK National HIV Testing Guidelines 2011 – NICE guidelines PH33 and PH34 on HIV testing in black Africans and men who have sex with men

9 Universal HIV testing is recommended in all of the following settings: sexual health clinics antenatal services termination of pregnancy services drug dependency programmes healthcare services for those diagnosed with tuberculosis, hepatitis B, hepatitis C and lymphoma. Reference: UK National Guidelines for HIV Testing 2008

10 An HIV test should be considered in the following settings where diagnosed HIV prevalence in the local population exceeds 2 in 1000 population: all men and women registering in general practice all general medical admissions Reference: UK National Guidelines for HIV Testing 2008

11 HIV testing should be also routinely offered and recommended to the following patients: all patients presenting with indicator condition all patients diagnosed with a STI all sexual partners of men and women known to be HIV positive all men who have disclosed sexual contact with other men all female sexual contacts of men who have sex with men all patients reporting a history of injecting drug use all men and women known to be from a country of high HIV prevalence all men and women who report sexual contact abroad or in the UK with individuals from countries of high HIV prevalence Reference: UK National Guidelines for HIV Testing 2008

12 NICE testing guidelines (PH 33, 34) Community engagement Promotion of testing Assess local need Plan services Reduce barriers DPHs key role

13 Current situation Largely remains concentrated epidemic. Significant numbers have never been tested Most transmissions occur from those unaware of their status Pilots and rollout of testing in non-traditional settings Patchy Poorly sustained? Commissioning landscape has changed Unsystematic monitoring of testing outside GUM New technologies Home sampling, home testing New NICE testing guidelines being scoped

14 2015: changes to commissioning Reference: National AIDS Trust. Commissioning HIV Services in England, 2014

15 HALVE IT LOCAL

16 2015 marks a new stage for the Halve It Coalition, with the formation of 12 local consensus groups in areas of high HIV prevalence across the country. The groups will focus on local action on HIV testing. Halve It Local: What is it? 1 The 12 groups will cover the 64 local authorities where HIV prevalence is higher than 2 per Local groups will use the passing of a council motion on HIV testing in each local authority as the clarion call for local action 3 Local Halve It groups will set their own local priorities for HIV testing based on their local key populations 4 A tool kit will be deployed including existing collateral and set-up guides 5 National events to share best practice and rally support

17 What it will achieve – Halve It local outputs Council motion on HIV testing to be tabled as a first step to deliver momentum Halve It Local groups will create needs-based plans for local adoption Actions will be focussed on ensuring local authorities and local NHS institutions act to scale-up HIV testing in line with NICE guidance. eg HOSC review process, JSNA, questions to councils Best practice will be shared with decision makers and with other Halve It Local groups Constructive and positive collaboration Regular meetings to monitor progress

18 Halve It Local: Where is it? 1.Greater Manchester 2.Yorkshire 3.West Midlands 4.East Midlands 5.Sussex 6.Essex 7.Hertfordshire 8.Berkshire / Oxfordshire 9.North West London 10.North East London 11.South East London 12.South West London

19 LOCAL ACTION: WHAT IS HAPPENING SO FAR

20 Tower Hamlets Mayor signing letter committing to Halve It campaign

21 Greater Manchester Pilot Halve It local engagement meeting on HIV testing The Lesbian and Gay Foundation are supporting Halve It Local in GM 2015 successes: Council motion passed in Manchester in February To be tabled in Salford in March Meeting with Stockport Commissioner Other non-high prevalence areas across Greater Manchester are considering the motion

22 North West / South London : Work with Ealing Council Co-ordination of providers – Positively UK, Living Well, River House, West London Gay Men's Project to challenge Ealing Council: -Not to make 50% cuts to public health funding -Needs assessment and consultation on the allocation of public health spend. -To be involved in shaping consultation to ensure the engagement of providers and those they serve Met with Ealing Council to challenge proposed cuts Support from Halve It secretariat to arrange meeting with MPs and local councillors

23 North West / South London: Outcomes of Halve It Local Proposed 50% cut stopped (at present)! Meetings with Ealing councillor, Head of Public Health and CEO of Positively UK Consultation meeting 10 th March

24 QUESTIONS ON LOCAL OPERATION

25 To what extent would the groups be driven by local needs? All local groups will be driven by local stakeholders, according to local needs A needs assessment by each group will serve as a starting point for locally-driven action Some groups will have vastly different needs, depending on geography, demographics, and local service provision Groups that share similar needs will be well placed to share best practice

26 How will the groups work? Principles of local consensus campaign development 1)Emulate Halve It operating model, eg quarterly meetings, rotating Chair, record keeping, quorate 2)Reflect HIV at the level and remit of operation – this will be based on understanding of local health needs, advocacy and stakeholder base 3)Determine own membership in consultation with the Secretariat in their advisory capacity. The following stakeholder groups should be represented: Full membership: HIV patient base, primary care, clinical specialty, public health, BME/LGBT/other at risk groups, faith leaders, business owners eg gay bars, saunas, local risk group media Observer membership: elected officials, public servants, critical decision makers, local PHE, sexual health commissioners

27 Is there any resource or funding available for Halve It Local? There is no funding for Halve It Local groups Some groups plan to coordinate with existing local structures and networks, eg Greater Manchester Sexual Health Network Rotating Chair is an opportunity to share resource and ownership Central support from the Secretariat will include Halve It publications, a Halve It Local toolbox, facilitation of best practice sharing between groups

28 How would we deal with local politics? The Halve It Coalition began in 2010 as a small group of organisations with a collective goal: to halve late diagnosed and undiagnosed HIV through early testing Over five years we have grown to include 25 organisations, operating on a policy of objection Each new member must be voted on by the current membership citing reasons of exclusion We recommend starting small and being open to newcomers!

29 WHAT CAN YOU DO?

30 Halve It local: next steps Establish or join a local group in one of 12 regions Become an active participant of a local group Support a local group Work with your local council to table a motion on HIV testing Pledge to support the Halve It campaign Contact Halve It Secretariat for more information:

31 You are invited to our Halve It Local ‘Call to Action’ conference – 10 March 2015, Portcullis House Pledge your support for this exciting initiative and learn more about becoming involved in your area The conference will be chaired by Baroness Joyce Gould, and panel sessions will include: Why testing? The public health case ‘Halve It Local’: What is it, how will it work, what will it achieve, what can you do? Policy and practice Local consensus working

32 Q&A


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