Service Evaluation of the Elton John AIDS Foundation’s Zero HIV Social Impact Bond intervention in South London: An investigation into the implementation and sustainability of activities and system changes designed to bring us closer to an AIDS free future.

Alec Fraser, Clare Coultas, Alexis Karamanos

Research output: Book/ReportReport

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Abstract

This service evaluation takes a combined qualitative and quantitative methodological approach to explore an innovative public health intervention with significant public management implications in South London . The intervention is known as the ‘Elton John AIDS Foundation Zero HIV programme’ (we term it the Zero HIV SIB programme in this report) . The intervention ran in the boroughs of Lambeth, Southwark, and Lewisham from November 2018 until the end of December 2021 . The goals of the intervention include improving a person living with HIV’s health outcomes by linking them into HIV treatment either as a new diagnosis or through re-engagement with NHS services (if already diagnosed but not receiving treatment) before their condition deteriorates, slowing the spread of HIV through avoiding future transmission and saving the NHS money in future years .
The intervention was financed through a novel Social Impact Bond (SIB) mechanism . A SIB is an outcomes-based contract, in which a commissioner pays a contractor for certain measurable outcomes . A key facet of the SIB approach is to encourage multi-agency collaboration across public, private, and philanthropic partners (Carter et al, 2020) . A deeper understanding of these collaborations – how they work, their strengths and weaknesses – is very important for informing wider commissioning decisions not only in HIV but across other chronic diseases .
We find that the 3-year Zero HIV SIB programme has been effective in both (1) delivering improved health outcomes for people living with HIV and (2) improving inter-organisational collaboration and service collaboration across what has historically been a rather fragmented HIV healthcare ecosystem in South London .
Original languageEnglish
Number of pages50
Publication statusPublished - 25 Mar 2022

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