Report: The HIV Puzzle

Piecing together HIV care since
the Health and Social Care Act

There has been significant upheaval to HIV and sexual health services since the Health and Social Care Act 2012 was implemented. Many have complained about the “fragmentation” of the service. The crux of the problem appears to be that the split in commissioning responsibilities between NHS England, Clinical Commissioning Groups (CCGs) and local authorities is unclear and confusing. The lack of a “lead commissioner” or other mechanisms such as an up to date service specification is leading to widely diverging standards in care across the country. This inquiry addresses to what extent fragmentation has occurred to HIV services since the implementation of the Act and what more the Government could be doing to mitigate the impact.

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