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1006649

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they are giving to the needs of people living with HIV as part of their development of a long-term plan for the NHS.
tabling member printed	Lord Black of Brentwood
uin	HL11429
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>Following the announcement in June 2018, the Prime Minister has asked the National Health Service to develop a long term plan for the service. The plan will set out how the NHS will develop over the coming years, underpinned by a five-year funding offer which will see the NHS budget grow by over £20.5 billion a year in real terms by 2023-24. It provides an excellent opportunity to look at how HIV and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p> answering member printed Lord O'Shaughnessy question first answered 27/11/2018 15:31:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4171 label Biography information for Lord Black of Brentwood

994105

registered interest
date	24/10/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that the health needs of people living with HIV are addressed in the long-term plan for the NHS.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	183407
answer	answer is ministerial correction date of answer 01/11/2018 answer text <p>The Prime Minister announced in June her intention to work with the National Health Service to develop a 10-year plan for the future of the health service, underpinned by a five-year funding offer which will see the NHS budget grow by over £20.5 billion a year in real terms by 2023-24. NHS leaders are currently writing their plan, led by clinicians, professionals and supported by local health and care systems across the country. The plan will set a vision for the health service and ensure every penny is well spent.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/11/2018 16:49:04 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

917335

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made a recent assessment of the level of migrant access to HIV services; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150125
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>Data are not collected in the requested format as information on country of birth has not historically been captured for people accessing HIV care.</p><p> </p><p>Public Health England is currently in the process of validating country of birth data reported from the new HIV and AIDS Reporting System.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:35:02 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917337

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Education on inclusion of information about HIV in the Department for Education's sex and relationships education draft guidance.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150127
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>My Rt. hon. Friend the Secretary of State has met the Secretary of State for Education to discuss a range of issues of mutual interest.</p><p> </p><p>Officials in the Department of Health and Social Care and Public Health England are members of the cross-Government group convened by the Department for Education to inform the development of this guidance and discussions have included content around HIV infection.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:28:17 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917338

registered interest
date	05/06/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government plans to adopt a target to help eliminate HIV by 2030.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150128
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>As a way of stopping new HIV infections, the United Kingdom is committed to the United Nations 95-95-95 targets which state that by 2030: 95% of all people living with HIV will know their HIV status; 95% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy; and 95% of all people receiving antiretroviral therapy will have viral suppression.</p><p> </p><p>Further information is available in Public Health England’s report ‘Towards elimination of HIV transmission AIDS and HIV related deaths in the UK’, available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/hiv-in-the-united-kingdom" target="_blank">https://www.gov.uk/government/publications/hiv-in-the-united-kingdom</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:20:36 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

900205

registered interest
date	08/05/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to promote the U=U campaign to reduce self-stigma of people who have HIV.
tabling member constituency	Bath
tabling member printed	Wera Hobhouse
uin	141875
answer	answer is ministerial correction date of answer 11/05/2018 answer text <p>The U=U campaign is one component of HIV Prevention England activities undertaken on behalf of Public Health England (PHE). PHE funds HIV Prevention England, a consortium led by the Terrence Higgins Trust, to undertake national HIV prevention campaigns which aim to promote a variety of prevention approaches including combatting HIV stigma and discrimination, increasing condom use and access to HIV testing and raising awareness of treatment options that prevent either acquisition or transmission of infection.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/05/2018 10:32:45 answering member 4067 label Biography information for Steve Brine
tabling member	4602 label Biography information for Wera Hobhouse

896562

registered interest
date	02/05/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 April 2018 to Question 135263 on HIV Infection, what steps his Department has taken to in response to the recommendations in the British HIV Association National Audit 2015; and if he will make a statement on the use of health assessments for people living with HIV.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Luke Pollard
uin	140871
answer	answer is ministerial correction date of answer 14/05/2018 answer text <p>NHS England is responsible for commissioning high quality HIV treatment and care, and therefore for addressing recommendations from the British HIV Association national audit 2015. NHS England published a service specification ‘Specialised HIV Services for Adults (Outpatient and Inpatient Services)’ in 2013. The aim is to provide specialist assessment and ongoing management of HIV and associated conditions in order to support patients to stay well (reduced mortality and morbidity) and to reduce the risk of onward transmission of HIV. The service aims to ensure that the outcomes, wellbeing and quality of life of adults with HIV are maximised. Further information is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/commissioning/spec-services/npc-crg/blood-and-infection-group-f/f03/" target="_blank">https://www.england.nhs.uk/commissioning/spec-services/npc-crg/blood-and-infection-group-f/f03/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/05/2018 15:47:46 answering member 4067 label Biography information for Steve Brine
tabling member	4682 label Biography information for Luke Pollard

882192

registered interest
date	13/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of patients living with HIV who (a) were offered and (b) received an annual health assessment for cardiovascular disease, renal impairment, diabetes and bone health in each NHS England region in the last year for which figures are available; and what plans he has to ensure that all people living with HIV (i) are offered and (ii) attend an annual health assessment to manage co-morbidities.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Luke Pollard
uin	135263
answer	answer is ministerial correction date of answer 19/04/2018 answer text <p>Information on the number of patients living with HIV who were offered and received an annual health assessment for cardiovascular disease, renal impairment, diabetes and bone health in each NHS England region is not collected centrally. An ongoing assessment for cardiovascular disease, renal impairment, diabetes and bone health is part of the core clinical and therapeutic management of patients with HIV.</p><p> </p><p>NHS England has published a service specification for HIV services which defines the standards of care expected from organisations funded by NHS England to provide specialised care. The service specification refers to the British HIV Association routine investigation and monitoring guidelines, which set the clinical standard for clinical assessments and tests. These guidelines include annual monitoring for co-morbidities and are subject to local and national clinical audit. A copy of the service specification can be viewed on NHS England’s website at:</p><p> </p><p><a href="https://www.england.nhs.uk/commissioning/spec-services/npc-crg/blood-and-infection-group-f/f03/" target="_blank">https://www.england.nhs.uk/commissioning/spec-services/npc-crg/blood-and-infection-group-f/f03/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/04/2018 11:26:29 answering member 4067 label Biography information for Steve Brine
tabling member	4682 label Biography information for Luke Pollard

872996

registered interest
date	27/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how much was spent on specialist HIV treatment and care in England in (1) 2014–15, (2) 2015–16, and (3) 2016–17.
tabling member printed	Lord Black of Brentwood
uin	HL6679
answer	answer is ministerial correction date of answer 10/04/2018 answer text <p>Data provided by NHS England on spend on specialist HIV treatment and care in England is shown in the following table.</p><p> </p><table><tbody><tr><td><p>2014/15</p></td><td><p>£539.3 million</p></td></tr><tr><td><p>2015/16</p></td><td><p>£552.8 million</p></td></tr><tr><td><p>2016/17</p></td><td><p>£634.6 million</p></td></tr></tbody></table> answering member printed Lord O'Shaughnessy question first answered 10/04/2018 12:51:23 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4171 label Biography information for Lord Black of Brentwood

864441

registered interest
date	15/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate has been made of the number of people with undiagnosed HIV, broken down by NUTS 1 region, in each year since 2013-14.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	132924
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>Estimates of undiagnosed HIV infection are not available by Nomenclature of Territorial Units for Statistics (NUTS) 1 region.</p><p><strong> </strong></p><p>There may be some regional differences in treatment rates or drugs used based on variations in patient demographics or the available drug contracts.</p><p> </p><p>Regional HIV networks determine prescribing guidelines which align with national commissioning policies for antiretroviral therapies. These guidelines are overseen by the HIV Clinical Reference Group – which includes strong patient representation - who provide clinical advice on HIV treatment issues and raise concerns from the community should there be perceived issue around equitable access.</p><p> </p><p>Working closely with Public Health England (PHE), NHS England has produced a clinical dashboard that summarises clinical performance at the trust level. PHE prepares and analyses all the data that feeds into the Clinical Reference Group HIV dashboard. Two dashboard indicators measure anti-retroviral therapy coverage among all people accessing HIV care and among people with a low CD4 count (indicative of immunosuppression). Further information on the dashboard is available here:</p><p> </p><p><a href="https://www.england.nhs.uk/commissioning/spec-services/npc-crg/spec-dashboards/" target="_blank">https://www.england.nhs.uk/commissioning/spec-services/npc-crg/spec-dashboards/</a></p><p> </p><p> </p><p>Data are not available by NUTS for the proportion of people living with diagnosed HIV infection who are not receiving antiretroviral therapy treatment.</p><p> </p><p>Antiretroviral therapy is now so effective that people receiving treatment can expect to have a near normal life expectancy. Consequently, the proportion of people receiving treatment continues to rise each year since death rates remain low. The higher antiretroviral therapy coverage rate observed in some regions is partially due to the longer history of the epidemic in these areas.</p><p> </p><p> </p><p>British HIV Association guidelines have progressively reduced the threshold at which patients may begin antiretroviral therapy. In 2018, NHS England announced routine commissioning of ‘Immediate Access to Antiretroviral Therapy’ from 1 April 2018.</p><p> </p><p><a href="https://www.england.nhs.uk/publication/clinical-commissioning-policy-immediate-antiretroviral-therapy-for-treatment-of-hiv-1-in-adults-and-adolescents/" target="_blank">https://www.england.nhs.uk/publication/clinical-commissioning-policy-immediate-antiretroviral-therapy-for-treatment-of-hiv-1-in-adults-and-adolescents/</a></p><p> </p><p>This enables all patients to access treatment at the point of diagnosis or at the time the patient wishes to commence treatment. It has also clarified the position on the funding of antiretroviral therapy for immediate treatment among patients newly diagnosed with HIV.</p><p> </p><p>NHS England and PHE keep under review data on the rates of uptake of antiretroviral treatment and will continue to do so to identify any unwarranted variation.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 132925 132926 132927 question first answered 20/03/2018 16:36:27 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson