HIV prevalence is increasing, with 100,000 people now living with HIV in the UK. It is a long term condition, with patients potentially on treatment for over 40 years. The cost of HIV care for the NHS in 2013 reached £750m (£1bn with social care included). HIV care faces two related challenges: first to diagnose people as early as possible in the course of their infection, second to ensure the care of those diagnosed and living long term with HIV is integrated across boundaries and co-morbidities to deliver the best outcomes for health and wealth.
Previous research includes: 1) a pragmatic cluster randomised trial in primary care showing that a training programme, implemented with established behaviour change methods, increases early identification of HIV, and 2) a non-systematic survey of models of shared care for HIV.
Our RPT is contributing to the RHIVA Project by evaluating the effectiveness of implementing nurse-ld HIV testing in three primary care settings in East London.
Principal investigator: Professor Chris Griffiths, Queen Mary University of London
Start date and duration: January 2014, three years
Partners and collaborators involved: Newham Clinical Commissioning Group; London Borough of Hackney; London Borough of Waltham Forest; London Borough of Tower Hamlets.