Stakeholder Engagement Report - London Councils

Given the known epidemiological evidence on the disproportionate numbers of gay men,
MSM, and African communities infected and affected by HIV, there was general consensus
that the health inequalities debate needs to be applied more rigorously and proactively to
the future commissioning intentions.
HIV prevention literature offers many theories and techniques on behaviour change but,
so far, there has been little research on the effectiveness of behaviour change techniques
and interventions across a range of different communities and at risk populations.
Most stakeholders were clear in their support for a rich and robust London wide and
community based intervention model, which meets the broad range of needs of service
users, patients and other clients. The model should aim to reduce the stigma and
discrimination and health inequalities often associated with living with HIV.
In determining what is now required for future HIV prevention commissioning in London,
stakeholders suggested revisiting the menu of interventions, and the financial allocations.
Stakeholders see a need to use broader London wide risk prevention strategies that take
advantage of economies of scale and directly acknowledge the broader determinants
of health in individual’s lives. This must include information and targeted support on
substance misuse, smoking and alcohol.
“Every issue around sexual health, HIV and all the other public health challenges that
we have should be treated equally, as they all impact on one another”
In summary, there was broad consensus that an effective model for the future
commissioning of HIV prevention should be inclusive of all risk factors relevant to the
individual, and that the activities and interventions for the future models of service
delivery must encompass that breadth and range.
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