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HIV services are at risk from fragmentation, report warns

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2001 (Published 25 April 2017) Cite this as: BMJ 2017;357:j2001
  1. Anne Gulland
  1. London

Fragmentation of services is putting England’s world class HIV care at risk, a report by the King’s Fund has said.

The report on the future of HIV services in England warns that the Health and Social Care Act 2012 created a “fragmented and complex system,” making it harder to “deliver HIV care in the way that will be needed in future.”1

Before the act, services for HIV prevention, treatment, and support were commissioned by primary care trusts and some specialist HIV services but, since the act was implemented in 2013, responsibility has been split between clinical commissioning groups, local authorities, and NHS England.

The report says that this division of responsibilities has so far not had a …

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