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HIV Action Plan in Scotland: December 2009 to March 2014

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Summary of Actions

Ensuring effective co-ordination of prevention, treatment and care

Action 1
An identified resource whose responsibility spans across NHS Board boundaries will be established to provide support and to facilitate the sharing of experience and expertise between the Boards so that they can most effectively address the prevention and treatment and care needs of their populations.

Action 2
Standards for HIV Prevention, Diagnosis, Treatment and Care, as part of the NHSQIS Implementation and Improvement Programme for HIV, will be developed and implemented.

Action 3
A generic Patient Management System ( PMS) involving Scotland's principal HIV Treatment Centres will be investigated and, if appropriate, developed and implemented.

Action 4
NHS Board plans to maintain and improve prevention, diagnosis and treatment and care services and initiatives will be developed and implemented, using the information gathered from the regional needs assessment.

Action 5
The potential for the block purchasing of anti-retroviral therapy ( ART) to reduce cost will be assessed.

Action 6
An investigation into the reasons why some people living with HIV do not attend specialist clinical services will be undertaken.

Reducing levels of undiagnosed HIV and transmission in Scotland

Action 7
Systems to monitor risk behaviours and new HIV infections among persons at highest risk of acquiring infection will be reviewed and, if appropriate, developed and implemented.

Action 8
The development and implementation of social marketing materials for MSM.

Action 9
Existing guidance on prevention of HIV transmission in MSM will be tailored to national/local circumstances. New guidance on interventions to prevent and reduce HIV transmission in MSM will be developed, whilst also recognising the needs of people living with HIV in preventing onward transmission.

Guidance will be implemented at a local and national level.

Action 10
Existing guidance on prevention of HIV transmission in persons originating from areas of high prevalence, particularly African countries, will be tailored to national/local circumstances. New guidance on interventions to prevent and reduce HIV transmission in persons originating from areas of high prevalence, particularly African countries will be developed, whilst also recognising the needs of people living with HIV in preventing onward transmission.

Guidance will be implemented at a local and national level.

Action 11
An exploration of the educational and training needs of the HIV related workforce will be undertaken. Priorities will be identified and educational solutions developed and implemented.

Effective Monitoring of HIV Resources and Improved Accountability

Action 12
Scottish Government will commission an evaluation of BBV prevention services in Scotland.

Action 13
Scottish Government will review the existing BBV Prevention budget spend and produce guidance on the recommended future spend of the BBV Prevention budgets. NHS Boards will provide information on current and proposed future annual spend of the BBV Prevention budget against local priorities as informed by the regional needs assessment (Action 4) the outcomes of Action 12 and Scottish Government guidance.

Action 14
The HIV Action Plan will be delivered using a Programme Management approach, supporting those involved, notably the Regional HIV Facilitation Teams. The Scottish Government, NHS Board HIV Executive Leads, Regional HIV Facilitation Teams and specified national agencies are responsible for delivering identified actions (as cited in Appendix 4).