features - issue 76 PATIENT POWER MYTH OR REALITY?
positive nation

"With the loss of self-help organisations, there is more need for hospital-based support groups," says Garry.

The Kobler Clinic doesn't have patient reps but held focus meetings in the early 1990s. But Simon Barton says: "These meetings were completely unrepresentative. The same people tended to turn up each time and make speeches about their own agendas."
The Kobler has facilities to be proud of and a superb in-house pharmacy. Mortimer Market has a pair of dedicated patient advocates. PALS could be the way forward for taking the heat out of problems and frustrations. Put them all together and we could possibly even achieve Tony Blair's dream of a joined-up Health Service.

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... and Martin Flynn reports why HIV clinics in Brighton are leading the way with innovative HIV treatments and care

In November we ran a news story: 'Some HIV clinics are in the worst NHS hospitals'. Many of these so-called 'failing' hospitals contain well-known and well-respected HIV clinics and the patients' representative from Brighton was particularly incensed.
Forty-seven-year-old former librarian Paul Clift has been HIV positive himself for 13 years and has acted as the patients' representative at the Brighton Lawson Unit and the Elton John Centre for over a year. He deals with problems and is actively included in policy and planning in a unique way.
"I sit on a committee with the senior doctors, nurses and the management team," Paul explains, "My role is to represent nearly 800 local HIV positive patients. Sometimes it's moans and complaints and I do a regular surgery at the clinic every

Thursday morning. If people have a problem they know I'm there and can come and see me. I don't advocate about peoples' individual treatment but

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