features - issue 79
into the unknown
positive nation

At the Kobler clinic, we have top doctors and highly motivated staff. The NHS only put up less

than a quarter of the funds for our recent refurbishment of the clinic. The bulk came from Crusaid. HIV/Aids is a very new and hugely successful area of medicine, but we have a problem with success in this country.
WM: Anyone can basically still walk into any GUM clinic for testing and treatment of Sexually Transmitted Diseases (STDs) including HIV, but the PCTs will now put up the money for these services according to local needs. Theoretically, the cash should follow the patient, but I fear the rogue PCT that digs in its heels and refuses to pay up. Things are bad are outside London and in some London centres that don't have the advantages of the Kobler. STD/HIV services in Watford are under threat of closure because the local PCT is £8m in debt. In Bristol, it's taking 28 days to get treatment for gonorrhoea.

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David Cooper

A Commissioner says:
David Cooper, Sexual Health and HIV Commissioner for East Surrey PCT:
With primary care trusts inheriting huge deficits from the former health authorities, it was inevitable that these new organisations were going to look at their budgets with a fine tooth-comb. Only one month into the new organisation, and it is becoming clear that I

am going to have to make difficult decisions on where the HIV prevention funding will go.

This is inevitably making me nervous about funding and of making any decisions on new HIV prevention developments until at least September.

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