As increasing numbers of people live with HIV into older age, our new report explores the challenges and opportunities facing HIV services in four areas in England, and makes recommendations on future development to those in national and local leadership roles. The report was launched at a conference in April. You can now visit a interactive record of that event, including hearing speakers. 

Read an overview of the report:

  • Care for people with HIV is now highly effective, and increasing numbers of people are living with HIV into older age with normal life expectancy. For example, in London there are now around four times as many people over the age of 50 living with HIV as there were 10 years ago. HIV services need to adapt to this changing demographic, co-ordinating more closely with the other health and care services that older people need and focusing on overall quality of life as well as clinical treatment.
  • Health reforms in 2012 made the arrangements for planning and overseeing HIV services complex, with responsibilities divided across many organisations. This has made it harder to co-ordinate HIV treatment and to plan and develop service models. Prevention and social support services are also starting to feel the impact of local government budget cuts.
  • This study investigated the challenges and opportunities that HIV services face in four areas in England, with the aim of making recommendations on future development to those in national and local leadership roles.
  • Each local area should have a shared and resourced plan for HIV services, building on existing models for co-ordinating long-term care and the frameworks in health and wellbeing strategies and sustainability and transformation plans (STPs). There needs to be clearer system leadership at a local level.
  • To support local leadership, national health bodies need to set the overall direction and expectations, sharing learning as services develop, and ensuring accountability. They also need to lead efforts to reduce stigma and develop the workforce for HIV care.

Read the Report in Full