Living with HIV in Scotland

1
Living with HIV in Scotland

• Consultation event
• 23rd September 2008

2
Time Trends in HIV and AIDS Reports
3
An ageing population
4
Growth in Chronic DiseaseChronic diseases are
more common with age
5
3. Emergency admissions
6
Time Trends in HIV and AIDS Reports
7
NHS Scotland the policy context

• Incremental policy development
• Better Health, Better Care
• Equally well
• Long term conditions alliance and strategy
• Palliative care strategy
• Solid health protection infrastructure

8
Long term conditions

• Developed a national strategy for the care of
  long term
• conditions in 2006 including
• Develop new approach to risk prediction
• Promoting a stratified approach to meet the care
  needs of patients with long-term conditions
• Introduced a tool kit to enable CHPs to
  benchmark the development of local services for
  those with long term conditions
• Established a Scottish Long term Conditions
  Alliance in 2006 to support self management

9
Future model of healthcare

• Current view Evolving model
• Geared to acute conditions Geared to long-term
  conditions
• Hospital centred Embedded in communities
• Doctor dependent Team based
• Episodic care Continuous care
• Disjointed care Integrated care
• Reactive care Preventative care
• Patient as passive recipient Patient as partner
• Self care infrequent Self care facilitated
• Carers undervalued Carers supported as partners
• Low tech High tech

10
Cancer control

• Prevent where possible
• Detect early when prevention is not possible
• Treat effectively
• Palliate when treatment cannot cure

11
Cancer control

• Multidisciplinary cancer networks
• Regional focus
• Evidence based protocols across Scotland
• Common audit processes
• More focussed on treatment than on prevention
• Supported by dedicated management

12
Questions for today

• SG already committed to an HIV prevention action
  plan. Is there an interest in extending it beyond
  prevention?
• Many local models of care across Scotland. Is it
  time to coordinate in pursuit of best practice?
• Will professional and organisational silos
  prevent coordination?
• Is there adequate interest inand capacity for
  leading service redesign to improve efficiency?