Stakeholder Engagement Report - London Councils

Appendix C:
Values and Principles for Commissioning HIV
Prevention in London
a) Service user involvement and participation in HIV prevention services commissioned:
With service users being encouraged to actively participate in the planning, delivery, monitoring
and evaluation of services, and to provide forums for regular feedbtack to commissioners and
providers.
b) Empowerment:
Welcoming service users to make choices about the services they use, and to provide them
with the knowledge and information required to increase their resilience and self-esteem, and
support them in making healthy lifestyle choices.
c) Equity:
Of access and provision, appropriate to service user needs and which takes into account their
race, gender, sexuality, religious and cultural beliefs. Recognition of particular influences on
the individual and the interplay of those factors, which will impact on their sexual health.
d) Accessibility:
With services being clearly advertised and signposted, and clear clinical and other pathways
defined and understood by all health and other professionals working with SU’s and patients,
so that services are accessible for all who need to use them.
e) High Quality Provision:
The aim of the government’s QIPP (Quality, Innovation, Productivity and Prevention) is a largescale
transformational programme for the NHS, involving all NHS staff, clinicians, patients and
the voluntary sector. It aims to improve the quality of care the NHS delivers while making up
to £20billion of efficiency savings nationally by 2014-15, which will be reinvested in frontline
care. Local authorities could adopt the process and monitor all HIV prevention work against
this process.
f) Effectiveness:
Services should provide evidence of their effectiveness in relation to the Public Health Outcomes
Framework (PHOF) and to patient experience. Use of local data and data management will be
a crucial part of this process.
g) Positive Images of Provision
All HIV prevention programmes should encourage positive and affirming views about what they
provide and how they treat their patients and service users. Given the stigma and discrimination
experienced by many during this process, this should be encouraged as a priority value.
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The principles that LA commissioners may adopt, and which underlie those values could
include:
a) Providing a clear sense of direction to the services, setting out explicitly what their
expectations are against future service level agreements
b) Supporting providers and service users to work together to agree the way forward
within the current circumstances
c) Acknowledge, head on, the changing environment, with all the competing demands
and pressures, and find ways to address them and provide an evidence base for future
commissioning intentions
d) Agree measurable outputs and outcomes for the PHOF and the broader sexual health
provision as agreed by the professional bodies
e) Allocate the funding within a jointly agreed evidence based framework which
encompasses both local and London wide provision.