HIV Healthcare Training Online

posted: 03/03/2011

HIV and STI doctors and other healthcare staff have an engaging and extensive online learning programme called eHIV-STI. This e-training has been put together by the British Association for Sexual Health and HIV and the Federation of the Royal Colleges of Physicians. Keeping HIV clinic staff well trained is an important part of good HIV care.
 

This eHIV-STI training provides the knowledge healthcare professionals need for treating and supporting people with sexually transmitted infections, including HIV, and related conditions. It’s designed to be used alongside clinic training.
 

3 knowledge levels

They provide training to three levels of knowledge, from introductory, to more advanced and finally specialist knowledge, so people can learn in stages.
 

The 60 sessions of e-learning with video clips and case studies cover most of what HIV and STI clinic staff need to know. The training is open for doctors and NHS healthcare staff in England who register with the site.
 

HIV & STI e-Learning for Healthcare

End to HIV Health Staff Ban?

posted: 10/02/2011

The much criticised ban on surgeons and dentists with HIV from working could be lifted this year. At long last, the government is acting on HIV campaigners’ calls to end the employment ban.

Department of Health rules stop HIV-positive health workers from carrying out what are called ‘exposure prone procedures’ which are thought to risk HIV and hepatitis transmission. Basically 'exposure-prone procedures' are treatments where the healthcare hand goes inside the patient body, especially when there are sharp things like bones and surgical tools around - like when a dentist is extracting teeth.

But the rules are old and there is very little solid evidence of actual HIV transmissions from health care workers to patients. Despite this, the UK rules mean no dentist with HIV can carry on working as a dentist, and many midwives, surgeons, some nurses and ambulance workers have also had to end or change their careers.

Rules review

The Department of Health has now said there will be a review of the rules. HIV charities have been invited to join the working group that will draw up new guidelines.
 

The British bans on healthcare workers with HIV and hepatitis are stricter than in many European countries and the USA and Australia, where dentists with HIV can work, so there are alternative rules ready to be adapted for Britain.

Evidence gap

With effective HIV treatments there is usually almost no virus in healthcare workers’ blood, so whatever risk there was, is even smaller now, say campaigners. It is extremely unusual for blood-borne viruses to be passed between doctors and patients. Only four patients worldwide are thought to have contracted HIV from health workers. There have been no transmissions from healthcare workers in the UK. And there are significant doubts about the evidence even for these few transmissions. 

Deborah Jack, chief executive of the National Aids Trust, said ‘advances in testing technologies and treatment’ and ‘high levels of infection control’ supported calls for change.

Catherine Murphy, of the Terrence Higgins Trust, added: ‘We’re not saying entirely lift restrictions but it is time for another look – especially for dentists.’ The British Dental Association has backed calls for change.

UK healthcare workers and exposure prone procedures policy

Source

Catholic HIV Guide

posted: 07/02/2011

The Vatican will hold an international conference in May on HIV prevention and care, after all the confusion the Pope caused last year about using condoms for HIV prevention.

The conference findings will help create a guide that the Vatican is preparing on the prevention and care of AIDS patients.

The Vatican's Pontifical Council for Health Care Workers also announced that they are working on a set of guidelines for Catholic doctors, nurses and others who care for people with HIV.

More information 

Catholic bio-ethics guide for healthcare workers
Rome HIV conference
 

Guide to HIV Healthcare Confidentiality

posted: 15/12/2010

A new guide for people living with HIV explains your rights to confidentiality in healthcare and what you can expect. The guide, Personal information and the NHS, goes through common concerns people living with HIV have about how the NHS treats the privacy of information about HIV status.

It explains how personal information will be handled, and gives practical advice about what to do if people have any concerns.

Know the facts and take action

This guide helps people with HIV understand confidentiality and privacy rights. It encourages people to ask questions and make concerns known, which NAT hopes will help improve things for everyone. If a person with HIV feels that their personal information has been mishandled, armed with the facts in this guide, they can take action.

Confidentiality is protected in the NHS in the following ways:

• NHS staff should not talk about someone to anyone else either inside or outside the NHS without the patient’s consent; this includes talking to family members and friends of the patient
• NHS staff should not leave names visible anywhere. They should therefore cover up names on paper files or close computer screens and electronic medical records
• All paper records should be kept in a secure place and all computerised records should have electronic protection, such as secure logins and passwords.

Deborah Jack, Chief Executive of NAT (National AIDS Trust), told us:

‘Many people living with HIV have experienced concerns relating to confidentiality of their status and in healthcare this is especially important. In order to receive the best healthcare, sometimes this does mean sharing your personal information but people living with HIV should be able to do that and feel confident that their information will only be shared appropriately and with their consent. NAT has developed this guide in order to set out the basic principles of confidentiality within the NHS, as it can be a confusing area and many people do not fully understand what the rules – or their rights – are.’

guide: Personal information and the NHS is here
 

NAT's policy report Confidentiality in healthcare for people living with HIV provides useful background 

Work Incapacity Tests – Have Your Say

posted: 09/08/2010

You can have your say in an independent review of how people’s fitness for work is checked by a medical, when claiming benefits for being too ill or disabled to work. People who claim Employment and Support Allowance have medical assessments as part of their claim. These are called ‘Work Capability Assessments’. The fairness of these is now being checked. We know many people with HIV are having serious problems with these.

Also people in Burnley who are on Incapacity Benefit are being put through these medicals as part of a national pilot. Beginning in February, everyone else on Incapacity Benefit will have to have one of these medicals. Many people living with HIV claim these two benefits.
 

Problems lead to review

The fairness of these medical assessments is being checked by an independent national review, led by Professor Malcolm Harrington, who is an occupational health expert. He will produce a report by the end of the year on whether the assessments are fair and transparent.
 

Have your say

You can have your say, based on your experience by Friday 10 September.

They ask a number of questions, but you don’t even need to answer these – simply say what happened to you, and whether you think the system works for people with HIV, or you could give plain and simple answers to questions 2, 3 4, and 6. Most of the questions are aimed at benefits experts.
 

Email your comments

or post your comments to WCA Independent Review Team, Floor 6, Section B, Caxton House, Tothill Street, London, SW1H 9NA.
 

What benefits and disability experts think
Disability charities say the current assessments tests are inflexible, and fail to take into account how long-term conditions (like HIV) can vary from day to day, or from week to week. George House Trust knows there are serious problems with the way these incapacity assessments are done and that people with HIV face a high rate of wrong refusals.
 

Atos Healthcare (who have the government contract for doing Employment Support Allowance assessments) appear to refuse to record basic HIV information like people’s CD4 count, admit their own ignorance about HIV and unwillingness to learn about HIV, don’t refer people with HIV to doctors for a full medical assessment as they should do, refuse to consider the ‘exceptional circumstances’ rules (regulations 29 and 35), and ignore medical reports from HIV doctors.
 

The advisers at Manchester Advice who specialise in HIV have won appeals before they can even say a word. Independent Tribunals have shown they are disturbed and surprised that plain evidence of obvious incapacity for work due to HIV is ignored, and at the failure to follow the rules.