features - issue 87

SERVICE as USUAL

positive nation

are asylum seekers or refugees. Many have been severely traumatised and, therefore, a ‘joined-up’ HIV service was essential if the families were to prosper.

Pindi Mazomba, an HIV positive mother-to-be who attends regular clinics at Newham said: “The place is wonderful. They have everyone you need and everything available - and all are just so helpful and understanding. It is really refreshing.”
The services provided by Newham - which include a paediatric consultant, an adult consultant, a specialist midwife, a member of the community, a social worker, an occupational therapist, a dietitian and a health advisor - all have a strong focus on the patient and have generally been considered a success.
“Our aim was to provide a seamless and integrated package for HIV positive pregnant women and their partners,” said Dr Ade Fakoya of the Greenway Centre.
“Users can access different parts of the service as and when required - covering everything from a paediatric physician to social work,” he explained.
“We believe it is the first complete service provided under one roof and, for that reason, we were runners-up in the ‘NHS Team of the Year’ award last year.
“We are in the process of developing our user involvement and participation programme - and we recognise that user involvement groups and forums are an important development for a variety of reasons,” said Dr Fakoya.
“For the past six months we have created forums not just for service users but for their partners as well - which help to get them involved in all aspects of the development of an effective service.”
...and when it doesn’t
Not everyone is celebrating the advent of ‘Patient Power’ and voices of discontent are beginning to be heard around the wards and doctors waiting rooms.
One top London HIV clinician, who wishes to remain anonymous, thinks that: “Although patient power is all very well and good - it can be taken that step too far.” He recalls how: “One patient of mine, fresh from a patient power meeting, came in demanding that she knew which treatment was best for her. It was not the treatment that I would have prescribed, but I went ahead and dispensed it anyway.
“The next thing you know, she is covered from head to toe with a nasty rash, began vomiting everywhere and

went on to fail the therapy completely. Sometimes the whole thing just gets ridiculous.”
In another government initiative, the ‘Expert Patients Programme’, small groups of patients meet

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