P047 Developing an HIV care pathway to support local implementation of the HIV action plan

• Published in: Sexually transmitted infections Vol. 99; no. Suppl 1; pp. A45 - A46
• Main Authors: Lester, James, Buitendam, Erna, Donohoe, Kate, Martin, Veronique, Saunders, John, Folkard, Kate, Brown, Alison
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd 01.06.2023; BMJ Publishing Group LTD
• Subjects: United Kingdom > UK; England
• ISSN: 1368-4973; 1472-3263
• DOI: 10.1136/sextrans-BASHH-2023.86

IntroductionTo meet the UNAIDS targets of zero new HIV infections, AIDS diagnoses, and HIV related deaths by 2030, the HIV Action Plan (HIVAP) for England sets out key objectives and actions to achieve necessary progress by 2025. To support local implementation of the HIVAP, the UK Health Security Agency (UKHSA) developed an HIV care pathway (CP) with the aim of driving data informed service improvements through facilitated discussions.MethodsA UKHSA working group including epidemiological, clinical, and quality improvement subject-experts prepared logic models comprising five themes to help achieve meeting the HIV AP targets. Indicators were mapped to the logic models and a population level CP was developed consisting of a combination of existing and new indicators across components of the HIV care pathway (figure 1).ResultsThe outcome was an HIV CP comprising thirteen associated indicators (Figure 2). The data is presented in an interactive dashboard which allows for comparative analysis and disaggregation by demographic factors, including age, gender, sexual orientation, ethnicity, and probable route of HIV exposure. The CP has been piloted in a facilitated workshop in southeast England, attended by service providers and commissioners who provided positive feedback which will be incorporated into the next iteration prior to national roll-out.Abstract P047 Figure 1HIV Care PathwayAbstract P047 Figure 2HIV care pathway: list of indicatorsDiscussionThe CP indicators cover the pathway, which is accessed through testing and then splits into two interlinked arms depending on the test result, one focusing on prevention and the other on treatment and retention. The CP will be used in local facilitated workshops and presented as an interactive dashboard available to key stakeholders in due course. Feedback will be used to continuously improve the care pathway and its application. An evaluation plan will be implemented to assess the impact of the HIV CP.