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BASHH has established roles in educating healthcare workers, developing and monitoring clinical standards against guidelines and promoting best practice in sexual health and HIV service provision. In recent years, patient and public experience (PPE) of the National Health Service (NHS) has been given added prominence, partly due to a general drive to improve quality and partly as a reaction to major breaches in patient care such as at the Mid-Staffordshire Hospitals Trust as detailed by the Francis Report.1 Arnstein2 defined a ladder of involvement with levels of citizen participation from no control through participation to partnership and control. Developing patient involvement in feedback on delivery and development of genitourinary Medicine and HIV services has always been challenging due to the stigma surrounding the medical conditions we screen and treat. Clinicians have acted as advocates for vulnerable groups and BASHH has supported our members in this work. A more structured approach to gathering data on patient experience and community expectations of our services is now expected. Involvement activities and …
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