Medway NHS Foundation Trust Dr Rajesh Hembrom Consultant in HIV & Sexual Health

GP + other HCP education update and training There were several organised educational sessions during the implementation phase and prior to it One CME for the Medway/swale GPs – around 50 GPs One Sexual health update evening organised by Medway Council for GPs – about 15 GPs One Training day talk for the GP trainees Additionally, 1 Hospital grand round, 1 Physicians meeting (including GP trainees), 2 Critical care and 3 Emergency department junior and middle grade HIV teaching focusing on HIV testing were delivered (over past 8-10 months) Emails and newsletter during the HIV testing week were sent globally in the hospital and to GPs GUM staffs put up stalls and offered HIV related information to public visiting the hospital

Evaluation of the training Formal and informal feedback Formal feedback was based on GP CME format and hospital training feedback format – Both very positive in terms of learning outcomes and training delivery. Survey links sent out to few GPs but very few completed the survey.

Qualitative/anecdotal/non-survey related evaluation information HIV testing profile has been definitely raised in the community and Hospital setting in Medway. Medway ITU is probably the only ITU to offer universal HIV testing in whole of KSS region. MFT ED is taking this seriously as well although a lot of work needs to be done. QI project is underway to evaluate current practice and make recommendations. 4 HIV diagnosis in February could be attributed to raised awareness of HIV indicator diseases and offer of HIV test in them.

Own reflections There is certainly a positive change in the attitudes of GPs and hospital practitioners since the campaign The training sessions were very well received Some obvious gaps and lack of information came to light and was sensitively addressed There is a definite need of ongoing training and education in the long term

Impact on HIV testing at MFT