What this means for:
        
        
          Nearly everyone who accessed peer led support at Positively UK benefited and said
        
        
          they would recommend it to a friend. Accessing peer support and talking to others
        
        
          living with HI V can help emotionally and practically. Good peer-led support will
        
        
          work with you to identify your needs, and want you to be honest and open with
        
        
          them. I f it’s something they can’t help with they will help access a service that can
        
        
          offer the right information and support.
        
        
          The BHI VA Standards of Care in standard 9 have already identified the need for
        
        
          ' self-management services including access to peer support' . This evaluation
        
        
          demonstrates how peer-led support can complement the role of clinical staff in
        
        
          supporting patients and improving patient outcomes. While peer-led support can
        
        
          be accessed via referral, it does work best when integrated into the clinical setting,
        
        
          providing a seamless transition between the clinical and peer led support,
        
        
          particularly for those who feel vulnerable about accessing services outside the
        
        
          clinic. Clinical staff have a role to play in working with local groups and possibly in
        
        
          future in directly commissioning peer support within the clinical setting.
        
        
          The evaluation data shows there is a role for peer led support in supporting people living with
        
        
          HIV, both in better managing their HIV and improving their emotional well-being. When
        
        
          developing peer led programmes a range of interventions should be provided to meet the
        
        
          needs of the diverse population. Groups should also seek to develop links with key agencies
        
        
          notably HIV clinics, but also look wider, to promote access to a wider range of services including
        
        
          expert-patient programmes, benefits advice, social services etc. Voluntary and community
        
        
          groups need to demonstrate the effectiveness of services and it is hoped the evaluation tools
        
        
          and approach used in this study can be adopted and revised as necessary.
        
        
          Peer-led services can support commissioners in meeting their goals and improving
        
        
          the health of people living with HI V.
        
        
          Within the NHS Outcomes the evaluation demonstrates people are better able to
        
        
          manage their treatments and be involved in their healthcare through improved
        
        
          relations with clinical staff. Support also increases knowledge and thereby supports
        
        
          people to make informed choices about their health and well-being.
        
        
          For Public Health this evaluation demonstrates outcomes in Improving Well-Being.
        
        
          I n addition if people understand HI V and adhere to treatments there is a reduced
        
        
          risk of onward transmission.
        
        
          When commissioning services, a range of interventions should be provided to meet
        
        
          the needs of the diverse populations living with HI V. Tenders should also consider
        
        
          links with clinics and other support services.
        
        
          People Living
        
        
          with HIV
        
        
          Healthcare
        
        
          staff in HIV
        
        
          clinics
        
        
          Commissioners
        
        
          and those who
        
        
          pay for peer
        
        
          support
        
        
          services
        
        
          Voluntary and
        
        
          community
        
        
          groups
        
        
          For additional information on mental health needs see Positively UK’s reports:
        
        
          •
        
        
          States of Mind: Improving mental well-being in the HI V community
        
        
          •
        
        
          Commissioning Effective Services for Women Living with HI V
        
        
          Both available at
        
        
        
          8