N04 Inside out health project: how do people experience HIV healthcare in English prisons? An exploration of patient’s experiences and opinions

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Introduction People living with HIV should receive high-quality, safe, and effective patient-centred care, and should have the opportunity to be involved in the development and delivery of services (BHIVA, 2018). People in prison are entitled to services delivered to broadly the same standard as the wider community. However, incarceration impacts on the principles and practices of NHS care and these conflicts influence the delivery of healthcare in prison. Thoughtfully planned and delivered HIV healthcare is especially important. Understanding how people experience healthcare in prison and incorporating these views into all stages of care provision can contribute to this process. Methods This qualitative study explores the patient’s experience. First-hand evidence is gathered through one-to-one semi-structured interviews with people with lived experience of HIV healthcare in prison. Healthcare, social and legal professionals, peer supporters and community representatives, and family and friends are also asked to provide their reflections and testament. Data is analysed using reflexive thematic analysis. Participants and those in the PPI group are invited to participate in a Delphi-style review of the draft recommendation to co-produce the final output. Results Some early findings from this research project are presented and discussed. These outline both positive and negative aspects of receiving HIV healthcare whilst in prison. Some benefits appear to be related to the compassionate and respectful relationships with various professionals, and of access to HIV healthcare. Challenges are described regarding continuity of care, cultural, systemic, and structural conflicts, and related to stigma. Discussion Understanding better of the experience of people living with HIV, and of the context of healthcare delivery in prison, will inform improved, patient-focused care planning. These research findings contribute to best practice recommendations for healthcare. Services must be designed and delivered to ensure all patients, regardless of circumstance, can achieve the maximum benefit of HIV healthcare.