ABSTRACT

Finally we draw together the threads of our research, arguing that out of the existential crisis of HIV in the UK came not only great suffering, but also creativity and achievements which are still worth fighting for. Triumphs included community-led HIV prevention campaigns that continue to this day; a model of person-centred health care with wide-ranging impacts on the NHS despite a re-medicalisation of HIV; an increased death literacy which was always going to be precarious in our death denying culture; and successful treatments that could nevertheless take the focus away from the difficult experiences of more marginalised people living with HIV (PLWH). We also discuss challenges (e.g. giving a voice to those ageing with HIV, refugees and migrants, Black PLWH, women and marginalised ethnic groups), with a focus on issues, such as chemsex and the impact of austerity on HIV health and social care; issues that remain to be adequately addressed.