24 September 2011
Yusef Azad, Director of Policy and Campaigns, and
Susan Cole, Policy Officer (Community
Engagement), NAT

Clinical commissioning groups (GP practices) will commission secondary care (hospitals etc)
NHS Commissioning Board will commission primary care (GP services etc)
NHS Commissioning Board will also commission
HIV treatment and care

New Executive Agency, Public Health England
(PHE), will lead on public health nationally
Local authorities will lead on public health locally, using a ring-fenced budget given them by PHE
As part of their public health role, local authorities will commission local sexual health services including the sexual health clinic, HIV prevention work etc

Social care will continue to be commissioned by local authorities
Continuing ‘HIV/AIDS Support’ line in local authorities’ financial grant from central government – but not ring-fenced
Increased emphasis on ‘joining up’ social care, public health and NHS

Emphasis on healthcare, public health and social care being
‘joined up’/coordinated at the local level, and responsive to local need
Key way to achieve this is the local authority Health and
Wellbeing Board – which includes representatives from clinical commissioning groups, local councillor/s,
Directors of Adult Social Care, Public Health, Children’s
Services,
HealthWatch
Others? e.g Local voluntary sector?

Emphasis is on assessing performance by outcomes rather than activity
Key way to do this will be to have an agreed outcomes frameworks with a set of indicators – locally available data for NHS, public health and social care – which identify important outcomes and how the local services are performing, compared with other local areas
For example – late HIV diagnosis

What improvements would you like the NHS
Commissioning Board to make to how HIV treatment and care is planned and resourced?
Do you find that the different parts of your healthcare and (if relevant) social care work well together? Or are there ways they can be better coordinated?
GPs are going to have an increasingly important role in planning local NHS services – how should GPs become more knowledgeable and more involved in healthcare for people with HIV?

Clinical commissioning groups and the NHS Commissioning
Board will have a legal obligation to involve and consult on their plans
Influencing the Health and Wellbeing Board (HWB) , which has legal duty to involve users/public in their work
The two key documents for local services produced by the
HWB will be the Joint Strategic Needs Assessment (JSNA) and the Joint Health and Wellbeing Strategy (JHWS) – all local commissioning must ‘have regard’ to these documents

HealthWatch will be set up in every local area to promote patient/public involvement, seek views on local services etc
The local authority Overview and Scrutiny
Committee (consists of local councillors) will hold the local NHS/social care to account for its performance
There will be published indicators where you can see how well healthcare and social care are performing locally e.g on late diagnosis, employment of people with long-term conditions

How can we make sure interests of people with HIV are well represented at a local level? – what opportunities are there for people with HIV to influence local services?
and what are the potential difficulties?

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