UK Community Advisory Board (UK-CAB)

UK-CAB 36 – Making the most of your GP

Friday 22 October 2010

At the MRC Clinical Trials Unit, 222 Euston Road, London, NW1

Programme

09:30–10:00 Registration, refreshments and expenses
10:00–10:05 Welcome and UK-CAB updates
10:05–10.30 Pre-Meeting for ViiV Healthcare – Brian West
10:30–11:15 General practice and HIV/AIDS – Dr Surinder Singh, Senior Lecturer in GP, Research Dept of Primary Care and Population Health, University College, London
11:15 –11:30 Break
11:30–12:00 Accessing GP care: the patient’s perspective – Angelina Namiba, Project Manager, Positively UK
12:00–12:45 Outcomes in HIV – Hilary Curtis, BHIVA Clinical Audit Co-ordinator, speaking in personal capacity
12:45–14:00 Lunch
14:00–15:30 Company meeting: ViiV Healthcare
15.30–15.35 Break
15:35–16:30 Conference feedback: IAS Vienna 2010, BHIVA – Paul Clift/Silvia Petretti
16.30–16.45 AOB
16.45 Close

Background Reading

GP Access:

Managing HIV Positive Individuals in Primary Care
http://www.patient.co.uk/printer.asp?doc=40024602

Living with HIV and GPs
http://www.tht.org.uk/howwecanhelpyou/livingwithhiv/healthcare/privacyandyourgp/

NHS Choices:

The new government plans to bring about an ‘NHS information revolution’, giving people access to data about hospitals and health services in the hope that it will help us choose where to go for treatment, and that this will drive up the standard of care. The government also say that they want the information they provide to be ‘meaningful’ to patients. So what information about HIV services would be useful?

Most of the information provided will be about the ‘outcomes’ of healthcare (e.g. how many people got better after being ill). Collecting reliable information about outcomes is not straightforward and Hilary will explain some of the challenges:

  • Measuring process or measuring outcomes: pros and cons. Existing and proposed indicators in HIV.
  • Why outcomes vary: random fluctuation, reporting bias, measurement error, case-mix or quality of care?
  • Management by outcomes: if you can’t measure it, does it matter? Perverse incentives?

Article in the Guardian newspaper:
http://www.guardian.co.uk/uk/2010/jul/12/andrew-lansley-nhs-information-revolution

Department of Health documents:
http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_117583

Vienna feedback: non-technical summary by Simon Collins, i-Base
http://i-base.info/home/ias-2010-report-non-technical-summaries/