Ban lifted for NHS staff with HIV

 

England's chief medical officer, Prof Dame Sally Davies, says the risk to patients is "negligible"

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The government is to lift a ban that stops healthcare staff with HIV performing certain medical procedures.

Healthcare staff in England, Wales and Scotland having HIV treatment will be able to take part in all tasks, including surgery and dentistry.

England's chief medical officer, Prof Dame Sally Davies, said it was time to scrap "outdated rules".

Self-testing kits for HIV will also be legalised from April 2014, with the aim of improving early diagnosis.

Prof Davies said many of the UK's HIV policies were designed in the 1980s and had been left behind by scientific advances and effective treatments.

'Simpler system'

She told the BBC that patients controlling their infection with medication were not a danger: "The risk is negligible and I would accept that for myself, for my family and I think it's right."

She said: "It is time we changed these outdated rules which are sometimes counter-productive and limit people's choices on how to get tested or treated early for HIV.

Case Study

Allan Reid had to give up dental practice after being diagnosed as HIV positive in 2008.

It ended his 17 years in the profession and he says it led to his house being repossessed.

"I was aware at that time that there was effective treatment that would make the risk of infection non-existent.

"So of course you do feel resentful that the policy has not caught up with the science and you've had to give up your chosen career."

He said he hoped that himself and other healthcare workers will be allowed to return to their careers.

"What we need is a simpler system that continues to protect the public through encouraging people to get tested for HIV as early as possible and that does not hold back some of our best healthcare workers because of a risk that is more remote than being struck by lightning."

Around the world, there have been four cases of health workers infecting patients, none of which was in the UK.

Under current guidelines healthcare staff with HIV must not carry out "exposure prone procedures" - where the worker's blood could contaminate the patient's open tissues.

These procedures include those where the worker's gloved hands may be in contact with sharp instruments, needle tips or sharp pieces of the patient's bone or teeth, according to the UK advisory panel for healthcare workers infected with bloodborne viruses.

Under the new system, healthcare workers with HIV will be allowed to undertake all procedures if they are on effective combination anti-retroviral drug therapy.

They must also have an undetectable viral load of HIV in their body, and must be regularly monitored.

Start Quote

Advances in medication have transformed what it means to live with HIV, and it's great to see regulations starting to catch up”

End Quote Sir Nick Partridge Terrence Higgins Trust

Public Health England will set up a confidential register holding data on infected workers.

About 110 staff currently working in the NHS, including doctors and midwives, are covered by the current regulations, Prof Davies added.

The change applies in England, Wales and Scotland, but does not yet apply in Northern Ireland, which will make an announcement at a later date.

Stigma

Deborah Jack, chief executive of the National Aids Trust, welcomed the new policy for being "based on up-to-date scientific evidence and not on fear, stigma or outdated information".

Sir Nick Partridge, chief executive at Terrence Higgins Trust, said: "Advances in medication have transformed what it means to live with HIV, and it's great to see regulations starting to catch up."

About 100,000 people in the UK are living with HIV, although experts say a quarter of those who are infected do not know they have it.

In 2011, there were around 6,000 new diagnoses of HIV in the UK.

 

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  • rate this
    +79

    Comment number 40.

    I do not have enough medical knowledge to know if this is a good decision or not.

    I just hope this was done on purely scientific grounds and not for reasons of political correctness. It is vital that the health of patients is always put first regardless of how unpopular that may be with pressure groups.

    If the chances of cross infection really are minimal then I suppose that is fair enough.

  • rate this
    +41

    Comment number 268.

    A HIV positive person, who is successfully on treatment, will have 'undetectable' amounts of virus in their blood. This decision will allow all NHS staff to get tested without the fear of losing their job - therefore enabling treatment to be actioned, if necessary, and actually creating a safer situation for the patient in the long term.

  • rate this
    +38

    Comment number 33.

    Sounds fair enough. If the risk is infinitessimal, there seems no reason to deprive these people of their living, and the NHS of their services.

    If this was being done for pc reasons, I'd oppose it, and if the checks are insufficient, and patients and co-workers are put at risk, that's a different matter.

  • rate this
    +34

    Comment number 29.

    Not the only outdated rule. I looked into giving blood a couple of years ago. It turned out that a man who has had protected oral sex with another man can never give blood, whilst a man who has had unprotected sex with a woman who definitely has HIV just has to wait 12 months before giving blood. Not sure if it's changed in the last 2 years but that was ridiculous.

  • rate this
    +34

    Comment number 75.

    "Sponge_Rob
    If it cannot be zero risk then it should not be allowed"

    You'd better not walk across the road, drive, walk down stairs, stand near trees in wet weather, use a mechanical tool or any number of everyday activities. Life involves taking risks everyday. Zero risk means you can't enjoy life.

 

Comments 5 of 945

 

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