The organisation and delivery of HIV services to community-based patients is a complex task. HIV patients are a disparate group of individuals with differing and complex needs. Many are reliant solely on the hospital for all their medication and support. Prescriptions might average 8-10 items, some of which are expensive HIV-specific drugs whilst others are simple ancillary medications; no HIV or related drugs are paid for by the patients. The workload on the Hospital Pharmacy is significant. Treatment compliance monitoring is particularly difficult in this group of patients.

In order to improve services to HIV patients whilst enhancing control of their prescribing requirements, Healthcare at Home delivers anti-retroviral and directly-supporting HIV drugs to the individual patient's home (or chosen address). This ensures dependable, high quality dispensing and supply of HIV drugs to such patients, relieves hard-pressed NHS hospital resources, and allows better monitoring and audit of these expensive medications.