We Must Do Better for Black People Living with HIV

web81754
Apr 17
2 min read

A recent report by the National AIDS Trust and the One Voice Network, as related recently in The Guardian, highlights a deeply troubling reality: many Black people living with HIV are not receiving the care they need and deserve in primary care settings in England.

The findings reflect what many of our patients have already experienced: stigma, judgment, and a lack of cultural competence within parts of the healthcare system. That almost 1 in 5 Black people living with HIV in London are avoiding their GP due to fear of discrimination is a sobering statistic. These are individuals already navigating the complexities of HIV, often alongside challenges related to immigration status, language barriers, housing insecurity, and systemic racism. To then face stigma from the very people entrusted with their care is harmful.

Mildmay has long been a place where people living with HIV, particularly those with complex needs, can receive specialist care in a respectful, holistic, and person-centred environment. Many of our patients are Black, and many come to us after falling through the cracks of the system. What we hear from them echoes the report’s findings: they do not always feel safe or seen in general healthcare settings.

The impact of stigma and structural racism in healthcare must be addressed head-on. Education, training, and cultural competence are essential, but they are not enough on their own. There needs to be commitment from leadership at every level to challenge prejudice, rebuild trust, and reshape services around the lived experiences of all people living with HIV.

This report is a vital call to action. We support its recommendations and urge stakeholders across the healthcare system to listen carefully and act swiftly.