King's College London

People living with HIV have a high burden of mental health, social and spiritual concerns, physical symptoms, and poorer health-related quality of life than the general population. People with HIV feel that routine clinical appointments do not generally address the things that matter to them, with implications for their engagement and outcomes of treatment and care. In collaboration with BHIVA and the UK-CAB we have developed POSITIVE OUTCOMES, a simple tool which can quickly identify what matters to people living with HIV and so enable care that is centred on the individual.

This project will implement POSITIVE OUTCOMES into routine clinical care in five HIV clinics in the UK and US, with the goal to improve care and services at both the individual patient and service levels. The impact on outcomes will be tested in annual quality improvement cycles and people living with HIV and clinicians will have the opportunity to share their views on the quality improvement mechanisms, impact and areas for further refinement.

Following implementation at demonstration sites, freely available international manuals on implementation of the POSITIVE OUTCOMES quality improvement programme will be developed and disseminated.