THT/IWPN Funding Announcement 

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I am delighted that the Terrence Higgins Trust through the Lighthouse Fund are partnering with iwantPrEPnow to offer a more structured and robust online and telephone support service to people accessing PrEP or interested in PrEP.

Personally, this modest funding marks the end of my “PrEP in the wild” days. This project will allow me to make working on PrEP my paid job. We still need to secure some further funding to enable it to become my full time job but at least now I can put in place some firm working hours and a manageable workload. This project will put the focus back on the work and highlight the work that still needs to be done to secure a full and equitable PrEP provision in the UK and beyond.

We begin planning this week. As well as online support (virtual clinic) we will be organising a series of events to outreach to other disproportionately affected and at-risk communities that have not been as equally represented thus far. These events will aim to educate and support.

I’m looking forward to working on PrEP in a more formalised setting.

Greg Owen

Co-founder

iwantPrEPnow

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Don’t let the silence do the talking

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Today was a weird day.

I have grown incredibly attached (emotionally I guess) to someone lately. That was very unexpected for me. The guy has a boyfriend. We are friends. It was safe for me to grow fond of him because there wasn’t much at risk, or so I thought. I was kind of aware that we have been pretty inseparable and to date we have not had a fall out. A few disagreements – yes but a very symbiotic dynamic which gives full licence to both to pull the other up when he is misbehaving or making less than ideal choices. Until today…

He was pissed off with his boyfriend (rightly or wrongly) it isn’t my business nor my place to get involved. But it was incredibly uncomfortable for me to spend time in their company when my friend was giving his boyfriend the silent treatment. I had a bout of the giggles. Not because I thought it was funny or was belittling their situation but because I was nervous, anxious and uncomfortable.

I was suddenly reminded and almost transported back to my younger days and particularly my teens being subjected to my parent’s quite toxic and often vicious, damaging and destructive behaviour towards one another.

I pulled my usual ‘fixer’ moves of trying to cajole my friend into a brighter more jovial mood while it was just him and I and before his boyfriend returned to join us for dinner. Trying to make light of the tension and pandering to my friend’s mood. Hey! We’ve all been there! When we just want to make a retaliation of some sort to ease our rage. But my friend went on the proper silent treatment! Literally being asked a question and blanking the enquiring party.

I cannot tell you how utterly, cripplingly, uncomfortable this makes me. I then got caught in the crossfire of a scenario that was totally of my own creation but that I quite honestly did not see as an action that would cause offence or grievance. I borrowed my friend’s phone as my battery had died and I couldn’t be arsed to boot up the laptop. I took a selfie (for a reason) and tweeted it to me from his Twitter. No big deal right? Wrong!

When dinner had ended (I left the table early as the pregnant silences were far too laden in tension for me to bear) I went to the living room to DM said friend on Twitter to ask him if me doing his ironing would cheer him up and snap him out of his mood. Only to find myself blocked from his Twitter and unfriended on Facebook.

It literally felt like a punch in the stomach. An instant dull ache hit me in a really deep part of my gut. I was so confused. It later transpired (after a very heavy handed and unwarranted warning against sending further unauthorised tweets from his phone) that if I did that again I would be permanently blocked. Now usually most of you would expect me to fly into trademark ‘Greg Rage’ and tell him about himself. But instead I was so embarrassed and more so hurt that he would behave like that towards me that I just sat there and took the dressing down and looked at him hoping that he wouldn’t see the flash of red that was now burning my cheeks.

I am totally sure none of this was his intention and knowing that this upset me in this way will probably upset him too. But it made me think. Really think about the cycle of hurt we sometimes get caught up in and how previous emotional scars re-open to bleed even years later.

I spent 7 years with a partner who was irrationally angry and moody far too often and for prolonged periods. Most of these feelings he would direct at me, sometimes directly which wasn’t pleasant but more often passively. This guy (as much as I still love him) had the ability to lower the mood of our whole home without saying a word or without even being in the same room as me. He just had a way of hitting me where it hurt. It wasn’t nice and it broke me a lot more than I realised at the time. My friend’s actions and behaviour today (although nowhere near on the same level or with the same intentions) pulled me right back to that place in my life. I could almost physically feel my past and long since shelved pain and distress again and it freaked me out.

I’m guessing he behaved this way because of something from his past that has informed him to act this way. So I’m not judging him or criticising him. Merely observing that for whatever the reasons from both of our past experiences – today wasn’t a good day.

I am aware and reflective and open enough to notice these things in myself and question them but not everyone is. I was definitely in flight or fight mode as a result of today’s events. Instead I chose neither and opted for silence and avoiding eye contact or further interaction while my emotions settled. That is unusual for me. I’m glad that is what I opted for but the reason I wrote this and the thought that crystalised was this…

What if in these situation we did choose to fight or fly? What further damage does that create and how much does that compound the existing issues and give rise to a cluster of future issues until you have an emotional minefield of issues and triggers to navigate.

The answer and the solution seems quite simple to me. Just to sit down and talk, quietly and graciously. And while I say the solution seems quite simple, I mean that…in so far as the thought…the concept…now putting that into practice is a whole lot harder and takes some balls and some skills and also the knowledge that you are loved and supported and afforded the compassion to be allowed to say you’re pissed off about something or that perhaps you fucked up. That requires trust, kindness and bravery from all parties. Sometimes those things aren’t on offer or aren’t felt enough from and by each other.

I’m sure tomorrow will be a brighter day and I am glad I have somewhere to put my thoughts in order via these posts. That is also something that I find hugely beneficial and productive. Having to think about situations and my feelings in a little more detail in order to structure a decent sentence and blog piece allows me to tidy up my mind (and my heart). I recommend it.

x Continue reading “Don’t let the silence do the talking”

Protest of the Protest at Pride London

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Ok. I am not going to wade into this whole situation and involve myself in an ongoing back and forth as I am too busy actually working on a cohesive, focused and productive project for the provision of PrEP in the UK.

I will however make this statement and my opinion and position on this situation very clear!

I cannot support and will not condone this planned protest against Pride London.

I am so sick and tired of seeing sloppy protests for the sake of protest with no actual results. I question all of this. The intentions behind it, the drive to do it and the benefits (if any) to anyone.

This kind of ‘activism’ reminds me of puppies. You leave them alone in the house while you go to work and you come home to find they have shit all over the place. And they just sit there in the shit and mess and look at you. But that is puppies and they are cute and eventually they grow out of it.

Now that is not to say I am against protests. Far from it. But protests with a bit of focus and that get results.

When I see people ‘support’ or ‘protest’ a million causes I just shake my head! To me it just smacks of a lack of sincerity, a lack of authenticity, a lack of genuineness, a lack of personal identity, a lack of awareness and most of all a lack of focus.

And then I wonder why? Why are you doing this? I am looking on and just seeing these kinds of people pop up at this and that and post pictures of ‘look at me doing this’ or ‘look at me doing that’ – I am not fucking interested in YOU. You don’t need to try so hard!

I would much rather see your work and the results.

Let those speak for themselves. Get out of the way. YOU are not the important part of the equation. That is called ego. It is self-serving and self-indulgent and in fact it is the height of hypocrisy! Something you should be against.

As for protests. YES. Let’s protest like mad! I support protesting. I support it when it is needed. For example, for the jungle in Calais. Against neo-Nazi fascists. Calling out NHS England over PrEP. I use these 3 examples for a reason, if you physically can’t be in a place where people need our help or our actions then we should do all we can and protest here and where ever else we can and there in those places if we can get there. If you are faced with a group who want to literally kill you or an organisation that refuses to interact with you – you need to fucking protest.

You need to challenge this.

But your own community? For London Pride? Really? You think that is the right thing to do? An attack on a community event? YOUR community? That you are a part of? That you belong to? Is it not a much more positive thing to work with community members and leaders to actively create something that we are all proud of – together?

It is so ill thought out. And arrogant. And narrow minded.

Recently, I have been labelled an activist.

I hated the label! I rallied against it until I got tired asking to be called something else. I don’t identify as an activist because a handful of visible ‘activists’ give activism a bad image. I’m bored of it now.

 Let me just point out though that although I now accept that I am in fact an activist, do you know how I arrived here? What my first steps into involving myself with my community were?

Surprise, surprise as a volunteer/host for Pride in London!

If you are so fucking clueless that you can’t see that attacking Pride is cutting you off from the future and from those that are either just discovering our community or re-connecting with it then you need to wake up!

Our community has struggled enough of late with vanishing venues and a diminished sense of the ‘need’ for a community. Are you seriously going to try to attack the biggest gay day of the year here in the UK? Oh yes of course you are…because that is the best way for YOU to get some attention and further your own self-obsessed agenda!

Listen, I don’t disagree with a lot of the issues you have with ‘what Pride is today’. The corporate pink washing etc. But tackle those things not Pride. Organise your own event to address these. Or is it easier for you just to hijack other people’s events and momentum?

I can’t make myself any clearer. You need to take a fucking seat. Or here’s an idea…why don’t you FOCUS on what you are meant to stand for and what we desperately need now which is a strong, well organised HIV/AIDS activism group to tackle pharma and drug access, healthcare inequalities or heaven forbid focus some of that fucking energy on PrEP! On that you have been VERY lacking!

If this sounds harsh or confrontational then good! It is meant to be. We can ALL protest when something pisses us off so much that staying silent is no longer an option. I have just arrived at that point with YOU. Consider this the start of the protest against the protest. And prepare yourself. You haven’t seen me fight yet. If you want to experience that then carry on. But I’ll give you a tip. You are going to need to up your fucking game!

Don’t bother with the social media circus either. I’m not interested in it. I’ve said my piece and now I am fucking off out of this pathetic, petty, attention seeking stunt. Hopefully you’ll see a bit of sense or take a reality check at least!

With love and quite a lot of anger…

Greg Continue reading “Protest of the Protest at Pride London”

Love Love Love

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I’m in love. I’m in love with many things. The renewed and vibrant community that has suddenly sprung up right before my eyes. And the lovely dalliances with  some of my heroes that I recently learned were actually just PEOPLE too. I will not hide that I am talking about David Stuart and Sheena McCormack and Pat Cash, on Pat what a blinder to have a buddy who inspires you from his truth and raw innocence all tainted with naughtiness… WATCH OUT FOR PAT.

I fell in love very recently. I didn’t mean to, I didn’t want to. He has a boyfriend. They live together and they seem happy. It’s an open situation with them. And I celebrate everyone’s own definition of themselves and their love. I honestly really do. But with this situation I had a problem. If I were in an open relationship (FYI – Don’t think I could be….I have insecurity and worth and anxiety issues. I’m not strong enough for that)

 

If I were in an open relationship I think I would be cool with my boyfriend fucking other people. But what I wouldn’t be cool with is my boyfriend developing an emotional attachment and investment in another person. I would be uncomfortable with that. But that is what has happened. We fell asleep on the sofa – this is about heart not cock.

 

I have fallen in love with Pablo. And Pablo isn’t even his real name. I made a choice to hide him from the craziness that is my life right now.

But I fell and I fell hard and why????? I’ll tell you…

 

My heart was wrapped up and hidden away as damaged goods…to be rolled out in a cheap sale…..But then he came along and made my heart dance. Continue reading “Love Love Love”

INTERVIEW: Sherry Vine on her Truvada parody

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New York based drag artist Sherry Vine released an unapologetic ‘no holes barred’ musical parody about PrEP and boy did she split opinions!

Her opening lines are

Hey all of you gays.

Dont be so be depressed, missed out on the days when they had bareback sex.

You want to experience au-naturel anal play?

Well now you can throw all of those condoms away.

Just take a Truvada.

Here is her video. And we brought her some of your questions…

We got in touch with the Tinkerbell of Truvada and asked her to spill the beans…

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What are your personal views on PrEP?

I want to begin this discussion by saying we are neither condoning nor condemning but merely starting a conversation as refracted through our specific brand of (whacky) humor.

You have certainly split opinions within the PrEP community. Was that your intention?

We had no intention of doing something simply for shock value… and believe it or not I wanted to do something that wasn’t about sucking cock or poop and had a little more substance than the majority of the videos I have done.

A few people have commented on the video’s apparent lack of diversity and representation of people from minority groups can you discuss?

Well, those people should go back and look again. Other than me (a middle-aged Jewish man in a dress) the rest of the cast is actually diverse.  50% of the guys in the video are people of color.  And to that point, this video was made on a shoe-string budget in a small corner of the world and cannot under any circumstances be all things to all people regarding this very massive issue of HIV/AIDS & PrEP.

How did you construct this piece? Was there a lot of medical research involved?

Yes. I researched PrEP on the internet (and if it was on the internet it must be true, right?!)  But in all seriousness, I sit on the Board of Directors of The Research Foundation to Cure AIDS (RFTCA) and this has been part of our on-going discussion.

Beyond laughter, what was your goal in producing the video and in hindsight do you feel you accomplished it?

I felt passionate about the topic and as I stated above, I wanted to start a conversation and I guess, since you are asking me these questions, it has.

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Do you think this piece glorifies or promotes bareback sex?

Oh my God, I hope not.

Have you come up against much backlash?

I actually expected more. The majority of the comments and feedback have been overwhelmingly positive and many people have actually thanked us for doing it.

What were your reasons for doing it?

Again, as I said above I wanted to do a piece about something that was important and being of a certain age and watching my friends die of AIDS this is clearly a very important topic not just to me, but to all of us. The queens need to be aware that this is a multi-faceted issue.  If there is any hint of skepticism (which we did not intentionally infuse into the video) it comes from my own personal question around anything that seems like a ‘magic bullet.’

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Who are your inspirations?

It literally changes daily.  Constants are any/all the ladies of rock… Debbie Harry, Siouxsie Sioux, Pat Benetar and of course my biggest influence, Carol Burnett.

What are your thoughts on the changing face of the gay scene since the explosion of hook up apps?

Go for it. If I were 20 years younger I would be on them too.  The only aspect I don’t appreciate is when they are sitting in the front row of my show on Grindr and Scruff. Lol.

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Do you see yourself as a role model, and if so what would you like people to take from your work?

No, I do not see myself as role model.  And all I want is for people to laugh.  Take a break from life and laugh… and sometimes (like with this video) think a bit.

Some of our buddies who are quite visible within the PrEP community think it’s brilliantly funny, cheeky and very well put together. A  few have commented that the great thing about the video is it’s all true and perhaps that’s why people criticize it. Except for the organ failure – which isn’t a thing. They’d like to know why did you include that when the rest is so clever and factual?

First of all, I am a drag queen not a physician.

However, it is listed as a possible side effect.

http://www.ehealthme.com/ds/truvada/multi-organ+failure

Are you a natural blonde?

There is absolutely nothing natural about Sherry Vine.

Would you say you identify more with Madonna or Courtney Love?

 

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Sherry identifies with both!

How will you contribute to world peace?

The ICSPM… the International Cock Sucking Peacekeeping Mission

What’s your message to Vladimir Putin?

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Putin Girl, relax.

Donald Trump’s hair! And go….

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Mr. Trump, please take a trip to Wigs Plus on 14th street and tell them Sherry sent you.

Do you think your video will trivialise the serious conversations around PReP which are hitting headlines at the moment?

Nope. It shouldn’t effect anything. It should (or rather could be) used as a catalyst for further conversation, discussion and education. The video does not say to take it or not to take it… It’s looking at all angles.

From a purely musical perspective this may seem a good way to challenge prejudices but do you think in some quarters this will only enhance stereotypes of gay men who bareback and further divide the community?

I don’t think of LGBT or MSM as one single all encompassing community.  It is a large population of people and as such (although the video deals specifically with gay men) like HIV/AIDS, the access to, use of and education around PrEP is a global issue. 

Do you think major HIV/AIDS organisations will agree with messages about throwing away condoms in favor of PrEP?

That is not the message!  Part of the tone and sense of humor is satirical and ironic.  I, personally, am in no way saying to throw away condoms.  In fact, my understanding is that the safest most effective way to reduce chance of transmission is the combo of condoms and PrEP.

So there you have it folks! Miss Sherry Vine laid bare. Her objective was to raise awareness and encourage dialogue. On those fronts I think she certainly succeeded!

Follow Sherry on Twitter @MissSherryVine

Continue reading “INTERVIEW: Sherry Vine on her Truvada parody”

PrEP 2015: a very blue year

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2015 has been quite a year. A brilliant year of developments on PrEP (HIV prevention) and deconstructing HIV stigma.

It hasn’t been an easy year by any stretch of the imagination and I’ve had a few personal curve balls thrown in for good measure. But such is life.

I want to take a moment to look back on our progress particularly in the PrEP arena.

At the start of 2015 there was a considerable amount of noise being made in the US by Damon L Jacobs and his facebook crew of PrEPsters in the PrEP Facts:Rethinking HIV Prevention group. This family of HIV prevention enthusiasts, users and advocates is currently sitting at a substantial tally of 12,500 people. The group’s significance within and contribution to the PrEP community even caught the attention of WHO (World Health Organisation) this year.

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But here in the UK it didn’t seem like we were making that much noise at all. There were a few random mentions from scene magazines and the odd share of an article here and there. I shared and posted as much as I could find and it was being well received as a concept.

I felt reassured that PrEP would catch on here in the UK when it was made available. I was perhaps a little too naive in making that presumption at that point. In hindsight, it was being well received as a concept because it was nothing more than that.
A concept. Not a practice or an option that was available or likely to be available in the near future.

I know this now…but I didn’t know it back then. Discovering hostility towards PrEP was unexpected and came with a hefty emotional price tag for me.

My own PrEP journey was a very short lived one indeed! Late one Tuesday evening (11th Aug). I managed to get hold of 2 months of Truvada from a HIV positive friend who had changed his meds. I decided that I would document my experience, every sexual encounter, chill out, sex party and screen for STIs every month for 6 months and write my Truvada Diary.

The next morning I hopped on a bus to Dean Street Express to have a HIV test to confirm that I was HIV negative (last tested negative Easter 2014) I had written the opening section of my PrEP journey by the time I had arrived at the clinic. 20 minutes later I was diagnosed as HIV positive. The irony! So that put an end to my PrEP diary. Instead I began writing my diagnosis diaries – This is Me part 1, part 2 and part 3.

My public disclosure on social media and the subsequent publishing of my diaries raised my visibility and awareness of PrEP and the immediate necessity for it so much that I just couldn’t cope with the amount of enquiries that I would receive on Facebook, Twitter and email.

This is when the option of importing generic PrEP was brought to my attention and really took hold. After a few
discussions with my buddy Alex Craddock and meetings some knowledgeable friends, the idea for www.iwantPrEPnow.co.uk was born.

We were going to build a website with all of the info you needed on PrEP and with links to buy genuine and legitimate generic PrEP from trusted sellers. We knew the website would take us about 4-5 weeks to build in our free time so we set about that with immediate effect.

What I identified I could do in the interim between that point and our launch was to raise awareness and test the waters. I want to gauge exactly what the feeling towards PrEP was.

We would be making access to PrEP a reality and not just raising awareness of some unobtainable new HIV prevention concept.

The reaction was not what I expected and not what I wanted to deal with at that time in my life but there wasn’t much choice.

PrEP was being smacked down quite regularly and quite aggressively.

Here I was, a very newly diagnosed HIV positive gay guy being berated and attacked for pushing for PrEP.

It was a little heartbreaking.

Why couldn’t these people see the potential of PrEP?

Why were they so averse to the idea?

I realised I had to reconcile that within myself and find a way to relate and connect to these people. The solution presented itself quite clearly and promptly. Just be honest. Just tell your story.

No one wants to catch HIV. There is a tool that is almost 100% effective at protecting you from HIV.

I managed to get hold of it. But I was a few months too late. Just state the situation and leave it there.

It seemed to work.

I was also aware that people don’t like to read pieces of text. Especially on something they are not too interested in. So I went with some very simple, very basic images. I am no graphic designer! These memes were created on an app on my iPhone. And here they are…

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It passed by without too much controversy. That wasn’t to last! Next up was a play on Apple’s incredibly irritating auto-correct of the work fuck to duck! If you use the word fuck as much as I do then this little text amend is DUCKING annoying…

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Again, I thought this was palatable. It’s a blue duck – who can have an issue with that? Quite a few people it would seem! Instantly the cries sprang up of

“Are you saying we should abandon condoms?”  

“This is totally irresponsible and reckless of you”

“You are sending out the wrong message here Greg”

“What about other STIs. PrEP doesn’t protect you from those”

I wasn’t really prepared for that reaction and I hadn’t formulated a response. Little did I know that a few short months later I would be so sick and infuriated by that ‘other STIs’ question that I would have lost my patience and found the balls to write an article titled ‘Fuck other STIs’. But at that moment it shook me a little so I tried to dampen the argument with this.

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It immediately silenced those critics. So we were learning and we were on to something. By introducing the word ‘extra’ into the positioning of PrEP we could get people to start thinking about PrEP itself and not what using it implied – ie abandoning condoms. I tested it out with the next image.

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This one went down really well! The very same people who were busting my ass over the barebacking rubber duck were now on board and thanking me for behaving responsibly with a healthy and inclusive message. So I took it a step further.

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Then I put PrEP in the tool kit.

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It seemed too simple but it really was that straight forward. Use the word ‘extra’. Make PrEP an additional tool and position it with condoms – not instead of. People stopped trying to run me out of town! But again, I had a feeling that would be short lived. We hadn’t introduced the sexual element yet. So I ran with this.

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As expected the pitch forks came out again.

What is it with people in the UK and the horror that sets in when something appears to be sexual? I’m still getting my head around that one.

But now the comments coming in were accusing me of trivialising safer sex by releasing the sexy Smurfs. In fact that couldn’t be further from the truth. PrEP is HIV safer sex. So is condomless sex with a HIV positive undetectable guy.

At that point I realised that I wasn’t ever going to be able to please everyone. So I stopped trying.

And that was liberating! For the sake of the objective at hand I decided to revert (temporarily) to inoffensive, non-sexual subject matter.

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The lightbulb was safe and for some reason people liked it. It’s one of my least favorites. I had given up trying to predict what would and would not be received well! The watch was up next.

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When this image went out on Twitter a good friend and colleague from a HIV charity tweeted me to say that he loved the image but that it was factually incorrect.

PrEP is not here as it is not accessible yet.

Little did he know that in a few weeks PrEP would be here and accessible through www.iwantprepnow.co.uk – admitedly not for free but it was here! The images were getting  a fair amount of attention now and I started getting requests. Here are a few of the requests.

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I know this tag line is from Sesame Street but it kind of worked here.

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Who knew gay men loved The Smurfs, The Muppets and Sesame Street?

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And it was no surprise that the Diva went down well!

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Then I changed the direction slightly as the reaction towards PrEP warmed.

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This next image has the wrong tag line again – my mistake. ‘You Got a Friend in Me’ is from Toy Story. The song from Aladdin is ‘You Ain’t Never Had a Friend Like Me’. I didn’t think it was that big of a deal until I happened to catch Aladdin on television a few days ago and watched Genie and Aladdin in that number and in fact – you ain’t never had a friend like PrEP!

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The set isn’t complete without drawing a little attention to slut shaming….

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And realising that the way a person chooses to protect themselves from whatever is and always should be totally their choice and they should be fully supported in the choices they make for themselves.

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Recently I have been able to release a few images that need no disclaimers or pacifiers.

It’s nice to see David Cameron get involved with PrEP…

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And push it real good…

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The website www.iwantPrEPnow.co.uk has even been discussed at BHIVA by Dr Mags Portman.

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At BHIVA’s European HIV Hepatitis Co-infection (EHHC) Conference by Dr Andrew Hill.

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And most recently Alex Craddock (iwantPrEPnow co-founder) featured on Channel 4 News alongside our PrEP siblings and their site PrEPster

In my opinion this year has seen the UK MSM community stop slut shaming and challenging the benefits of PrEP. In the summer most of my conversations about PrEP were loaded with shaming, ridicule, dismissiveness, divisive statements, fear, resistance and a lack of knowledge.

Today with just 2 weeks left of 2015 I can tell you that the amount of interaction and conversations I have with people about PrEP has more than doubled – perhaps even tripled.

Now those conversations are predominantly from people wanting PrEP now with well constructed questions on the finer details and specifics of being on PrEP or preparing to start PrEP.

This is amazing. We have turned a corner and the road ahead looks promising. 2016 is going to be a very exciting year. 

Merry Christmas and a happy new year!

Continue reading “PrEP 2015: a very blue year”

It’s cheaper to stay HIV neg. HIV+ is expensive

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I’m writing out of pure frustration today. The more involved I become in the HIV/PrEP arena the more it seems that the solutions we are desperately searching for are already here! We just aren’t joining up the dots.

I’m going to kick off trying to defuse my frustrations by starting with PrEP. Particularly in light of last Friday’s News headlines.

The Guardian, Fri 9th October 2015

“NHS hospitals’ £930m overspend prompts calls for urgent funding”

“Fears grow that hospitals will run out of money and care standards will deteriorate unless chancellor injects more cash”

BBC News, Fri 9th October 2015

“NHS deficits hit ‘massive’ £930m”

“NHS trusts in England have racked up a £930m deficit in the first three months of the financial year – that is more than the entire overspend last year.”

“Regulators said the problems were the “worst for a generation” and demanded immediate action be taken.”

So the NHS have over spent! Big surprise… Well wake the fuck up people! If you haven’t been given enough funds to start with – and you only spend what you need to – YOU WILL TECHNICALLY OVERSPEND! I’m not exactly sure why this was worthy of such sensationalist headline attention on Friday. Although £930m is a substantial figure – we need to put it into context. They overspent by £930m in the first quarter. So if we multiply that by 4 to get a projection of what their total overspend for the year would be (at current performance) that would be an annual deficit of £3.72 billion. The NHS has a total annual budget of £95.6 billion. So that equates to an overspend of 3.6%. In any budget I have ever compiled in my previous career in accounts for staffing and marketing – we always had a contingency of 5%-10% of the overall budget to allow for the unknown or to cover things that might go wrong. However…

 “The NHS are projected to overspend on their annual budget by 3.6 percent” – isn’t such a punchy headline.

Semantics aside. £930m is still a lot of money. It’s clear that the NHS needs to save money. And this is where I keep getting frustrated. Especially in regards to HIV treatment and PrEP HIV prevention. Time for some more figures (please stick with me on this)

Every single day, here in the UK, 10 ‘men who have sex with men’ – that’s gay or bi men (cis or trans) catch HIV.

10 gay/bi guys a day get HIV.

Let that figure settle in for a moment.

HIV treatment for a positive guy (drugs + health care ie seeing Nurses and Consultants + any counselling that might be needed) costs approx. £20,000 per person, per year

So if we say 10 guys per day get HIV…there are 365 days per year…

10 x 365 = 3650 guys per year

3650 guys x £20,000 = £73,000,000 (per year)

So with our little series of calculations we can all agree that new HIV cases will cost the NHS £73m per year.

With that £73m figure in mind. Let’s work out the cost of giving 3650 guys PrEP for a year.

I’m using the price from Dean Street’s PrEP clinic website…

1 month of PrEP costs £400

 So 1 year’s PrEP costs 12 months x £400 = £4,800 per person

3,650 guys x £4,800 = £17,520,000 (per year) to keep these guys negative. Negative guys generally won’t need to be in clinics regularly or require on going health care and support for HIV – if they haven’t got it.

Now we can work out how much the NHS would SAVE if none of these 3,650 guys ever got HIV because they were all on (free NHS supplied) PrEP

£73m – £17.5m = £55.5m

STOP THE FUCKING PRESS!

We could actually (in theory) save the NHS £55.5 million per year just by getting our mates on PrEP and keeping them HIV NEGATIVE…..

Doesn’t take a genius to work it out…..

MAKE PrEP AVAILABLE FOR FREE NOW….

JOIN THE FUCKING DOTS…….

Continue reading “It’s cheaper to stay HIV neg. HIV+ is expensive”