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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

1243599

	registered interest
	date	14/10/2020
	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 many new HIV infections have been recorded in each of the last ten years, broken down by age group; and what proportion of those infections were a clinical late diagnosis.
	tabling member printed	Lord Black of Brentwood
	uin	HL9178
	answer	answer is ministerial correction date of answer 28/10/2020 answer text <p>The number of HIV diagnoses in the United Kingdom and the proportion made at late stage of infection by age group for the past 10 years are presented in the national HIV tables which are attached due to the size of the data.</p> answering member printed Lord Bethell question first answered 28/10/2020 11:59:16 answering member 4708 label Biography information for Lord Bethell attachment 1 file name FORMATTED HIV_National_Tables_2019 (1).xls title National HIV tables
	tabling member	4171 label Biography information for Lord Black of Brentwood

1548257

	registered interest
	date	05/12/2022
	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 His Majesty's Government what plans they have to ensure that the HIV Action Plan being used to monitor, assess and benchmark health-related quality of life, uses a measurement that is (1) co-produced, and (2) agreed, with the HIV community.
	tabling member printed	Baroness Barker
	uin	HL3985
	answer	answer is ministerial correction date of answer 20/12/2022 answer text <p>The UK Health Security Agency published the online only ‘HIV Action Plan monitoring and evaluation framework’ on 1 December 2022. This monitors the progress made towards the Plan’s ambitions, which includes improving quality of life and reducing stigma.</p><p>The framework states that further work will be undertaken with the HIV Action Plan Implementation Steering Group and with professional groups, the HIV community and academic partners to develop indicators to monitor quality of life for those living with HIV. It is anticipated that these indicators will be aligned with UNAIDS’ 2025 AIDS Targets, which include an assessment of punitive laws and policies and targets of less than 10% of people living with HIV experiencing stigma and discrimination and less than 10% experiencing gender inequality and violence.</p> answering member printed Lord Markham question first answered 20/12/2022 16:45:23 answering member 4948 label Biography information for Lord Markham
	tabling member	2501 label Biography information for Baroness Barker

1548258

	registered interest
	date	05/12/2022
	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 His Majesty's Government what steps they are taking to equip HIV community networks with the resources needed to establish programmes, including peer-to-peer networks, to boost the supportive ecosystem that people living with HIV need to thrive.
	tabling member printed	Baroness Barker
	uin	HL3986
	answer	answer is ministerial correction date of answer 13/12/2022 answer text <p>We are currently exploring models of peer support networks in order to share the effectiveness of voluntary sector-led support networks, including with commissioners and voluntary groups. An HIV Action Plan Community Advisory Group has been established, which includes representatives of the voluntary and community sector, including those living with HIV. The Group will report to the HIV Action Plan Implementation Steering Group to provide advice and expertise.</p> answering member printed Lord Markham question first answered 13/12/2022 12:47:39 answering member 4948 label Biography information for Lord Markham
	tabling member	2501 label Biography information for Baroness Barker

1548259

	registered interest
	date	05/12/2022
	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 His Majesty's Government what steps they are taking to tailor care models to provide (1) psychosocial, and (2) practical, support to help people to prepare to live with HIV in the long-term.
	tabling member printed	Baroness Barker
	uin	HL3987
	answer	answer is ministerial correction date of answer 14/12/2022 answer text <p>We are currently establishing a workforce task and finish group to report to the HIV Action Plan Steering Group. The task and finish group will be comprised of delivery partners, such as the voluntary and community sector and NHS England and will explore how to improve the care provided, including the transition between young and adult HIV care and treatment services and coordinating care in multiple clinical specialties.</p><p> </p><p>NHS England is also reviewing the national service specification for adult HIV services, which sets out the standards of care for providers, including the availability of community, psychological and psychosocial support for patients.</p><p> </p><p>Specialised HIV inpatient and outpatient services have been identified as areas for greater integrated leadership by NHS England and integrated care boards (ICBs). Integrating the commissioning of HIV treatment services with ICBs will allow local systems to simplify and strengthen HIV care pathways with other services through effective local partnerships, including psychosocial support and mental health services, for a more holistic approach to care.</p> answering member printed Lord Markham question first answered 14/12/2022 11:54:10 answering member 4948 label Biography information for Lord Markham
	tabling member	2501 label Biography information for Baroness Barker

1548260

	registered interest
	date	05/12/2022
	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 His Majesty's Government what steps they are taking to expand monitoring efforts to understand the reality of HIV as a life-long condition.
	tabling member printed	Baroness Barker
	uin	HL3988
	answer	answer is ministerial correction date of answer 20/12/2022 answer text <p>The UK Health Security Agency published the online only ‘HIV Action Plan monitoring and evaluation framework’ on 1 December 2022. This monitors the progress made towards the Plan’s ambitions, which includes improving quality of life and reducing stigma.</p><p>The framework states that further work will be undertaken with the HIV Action Plan Implementation Steering Group and with professional groups, the HIV community and academic partners to develop indicators to monitor quality of life for those living with HIV. It is anticipated that these indicators will be aligned with UNAIDS’ 2025 AIDS Targets, which include an assessment of punitive laws and policies and targets of less than 10% of people living with HIV experiencing stigma and discrimination and less than 10% experiencing gender inequality and violence.</p> answering member printed Lord Markham question first answered 20/12/2022 16:48:40 answering member 4948 label Biography information for Lord Markham
	tabling member	2501 label Biography information for Baroness Barker

1645217

	registered interest
	date	15/06/2023
	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 His Majesty's Government, further to the Written Statement by Lord Markham on 8 June (HLWS826), what estimate they have made of the number of people who have previously been diagnosed with HIV but who are not currently receiving treatment for it; and what steps they are taking to find and support those people.
	tabling member printed	Baroness Merron
	uin	HL8547
	answer	answer is ministerial correction date of answer 28/06/2023 answer text <p>The UK Health Security Agency (UKHSA) HIV Action Plan monitoring and evaluation framework showed in 2021, 147 people were diagnosed and not yet linked to specialist human immunodeficiency virus (HIV) care, 4,444 people had not attended care for at least 15 months and 1,195 had been seen for HIV care but were not on treatment, corresponding to a lower estimate of 5,786 people diagnosed and not receiving treatment in 2021. UKHSA also estimate that there could be an additional 18,226 people seen for care since January 2015, with at least a 15 months gap in HIV care and not seen again by end of 2021, corresponding to an upper estimate of 24,012 people diagnosed but not on antiretroviral treatment.</p><p>As part of the HIV Action Plan, we committed to ensure everyone with an HIV positive status receives adequate treatment and to optimise access, retention and re-engagement in HIV care. Therefore, we established a sub group of the HIV Action Plan implementation Steering Group, which includes UKHSA, the British HIV Association and other organisations who will provide advice on increasing the number of people retained and re-engaged in care and receiving effective medical care.</p> answering member printed Lord Markham question first answered 28/06/2023 11:30:01 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron

1645483

	registered interest
	date	19/06/2023
	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 His Majesty's Government further to the Written Statement by Lord Markham on 8 June (HLWS826), what assessment they have made of the incidence of HIV in (1) women, and (2) heterosexual men, between 2019 and 2021; and what steps they are taking to improve this.
	tabling member printed	Lord Black of Brentwood
	uin	HL8580
	answer	answer is ministerial correction date of answer 26/06/2023 answer text <p>The UK Health Security Agency is currently developing a methodology to estimate incidence among heterosexual men and women based on the methodology currently used to produce estimates of incidence for gay, bisexual and other men who have sex with men. As estimates of incidence are not available for heterosexual men and women, new diagnoses first made in the United Kingdom are used as a proxy and interpreted in context of levels of HIV testing amongst those populations.</p><p>Between 2019 and 2021, there was a slight increase in HIV diagnoses and late HIV diagnoses among heterosexuals, whilst HIV testing coverage remained substantially lower in 2021 than in 2019. In addition, the estimated number of undiagnosed people among heterosexual men and women did not decline over the same period. These figures suggest that there was no fall in incidence in this population.</p><p>The HIV Action Plan published in 2020 aims to reduce new HIV infections by 80% between 2019 and 2025 and details a range of actions committed to in order to help achieve this ambition.</p> answering member printed Lord Markham question first answered 26/06/2023 14:29:11 answering member 4948 label Biography information for Lord Markham
	tabling member	4171 label Biography information for Lord Black of Brentwood

1683929

	registered interest
	date	22/01/2024
	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 His Majesty's Government how many HIV testing kits were supplied between 1 and 7 February 2021, and of those, how many positive HIV tests were recorded.
	tabling member printed	Baroness Barker
	uin	HL1780
	answer	answer is ministerial correction date of answer 12/02/2024 answer text <p>During the period between 1 and 7 February 2021, 19,342 HIV testing kits were dispatched, and 84 were reactive. The following table shows, using the data currently available, the number of HIV testing kits that were ordered and dispatched for National HIV Testing Week (NHTW) campaigns between 2019/20 and 2022/23:</p><table><tbody><tr><td><p>England Total</p></td><td><p>Ordered kits</p></td><td><p>Dispatched kits</p></td><td><p>HIV reactive</p></td><td><p>HIV reactivity</p></td></tr><tr><td><p>2019/20</p></td><td><p>19,863</p></td><td><p>19,496</p></td><td><p>81</p></td><td><p>0.8%</p></td></tr><tr><td><p>2020/21</p></td><td><p>30,612</p></td><td><p>30,876</p></td><td><p>135</p></td><td><p>0.7%</p></td></tr><tr><td><p>2021/22</p></td><td><p>24,409</p></td><td><p>23,520</p></td><td><p>75</p></td><td><p>0.6%</p></td></tr><tr><td><p>2022/23</p></td><td><p>22,408</p></td><td><p>21,626</p></td><td><p>79</p></td><td><p>0.4%</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The campaign period is approximately one month long with NHTW being the period when key activity occurs. The table also shows the number of HIV reactive tests for the same period.</li><li>A reactive result means that the test has reacted with something in the blood that could be, but is not necessarily, the HIV virus or antibodies to the HIV virus. A reactive result is not the same as a positive result. Further confirmatory tests will need to be taken at a clinic.</li><li>Due to the COVID-19 pandemic in 2019/20, NHTW was moved from November to February.</li><li>The number of kits dispatched may be higher than kits ordered due to a mixture of repeat kits being dispatched (this could be where a kit is damaged or lost in the post or a person needs additional tests) and a proportion of duplicate orders.</li></ol><p> </p><p>NHTW focuses on communities disproportionately affected by HIV though tests are available to be ordered by anyone in England. We have some data available on the demographic profile of people requesting an HIV testing kit during NHTW, with 44% of HIV testing kit requests in 2023 coming from gay and bisexual men who have sex with men.</p><p>Black African people’s uptake of testing kits has tripled since 2021, accounting for 10% of orders made. During NHTW in 2023, self-testing kits were made available for the first time and were particularly popular amongst black African groups. The percentage of heterosexual men who requested a testing kit has doubled since 2021, from 11% to 22% in 2023 and the percentage of heterosexual women has also steadily increased year on year.</p><p>We continue working closely together with our key partners in the HIV Prevention Programme monitoring and evaluating the results of the campaign to ensure we continue progressing towards our 2030 ambitions.</p> answering member printed Lord Markham grouped question UIN HL1781 HL1782 question first answered 12/02/2024 16:50:52 answering member 4948 label Biography information for Lord Markham
	tabling member	2501 label Biography information for Baroness Barker

1683930

	registered interest
	date	22/01/2024
	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 His Majesty's Government what assessment they have made of the demographic profile of requesting an HIV testing kit during National HIV Testing Week in each of the years 2020 to 2023 inclusive.
	tabling member printed	Baroness Barker
	uin	HL1781
	answer	answer is ministerial correction date of answer 12/02/2024 answer text <p>During the period between 1 and 7 February 2021, 19,342 HIV testing kits were dispatched, and 84 were reactive. The following table shows, using the data currently available, the number of HIV testing kits that were ordered and dispatched for National HIV Testing Week (NHTW) campaigns between 2019/20 and 2022/23:</p><table><tbody><tr><td><p>England Total</p></td><td><p>Ordered kits</p></td><td><p>Dispatched kits</p></td><td><p>HIV reactive</p></td><td><p>HIV reactivity</p></td></tr><tr><td><p>2019/20</p></td><td><p>19,863</p></td><td><p>19,496</p></td><td><p>81</p></td><td><p>0.8%</p></td></tr><tr><td><p>2020/21</p></td><td><p>30,612</p></td><td><p>30,876</p></td><td><p>135</p></td><td><p>0.7%</p></td></tr><tr><td><p>2021/22</p></td><td><p>24,409</p></td><td><p>23,520</p></td><td><p>75</p></td><td><p>0.6%</p></td></tr><tr><td><p>2022/23</p></td><td><p>22,408</p></td><td><p>21,626</p></td><td><p>79</p></td><td><p>0.4%</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The campaign period is approximately one month long with NHTW being the period when key activity occurs. The table also shows the number of HIV reactive tests for the same period.</li><li>A reactive result means that the test has reacted with something in the blood that could be, but is not necessarily, the HIV virus or antibodies to the HIV virus. A reactive result is not the same as a positive result. Further confirmatory tests will need to be taken at a clinic.</li><li>Due to the COVID-19 pandemic in 2019/20, NHTW was moved from November to February.</li><li>The number of kits dispatched may be higher than kits ordered due to a mixture of repeat kits being dispatched (this could be where a kit is damaged or lost in the post or a person needs additional tests) and a proportion of duplicate orders.</li></ol><p> </p><p>NHTW focuses on communities disproportionately affected by HIV though tests are available to be ordered by anyone in England. We have some data available on the demographic profile of people requesting an HIV testing kit during NHTW, with 44% of HIV testing kit requests in 2023 coming from gay and bisexual men who have sex with men.</p><p>Black African people’s uptake of testing kits has tripled since 2021, accounting for 10% of orders made. During NHTW in 2023, self-testing kits were made available for the first time and were particularly popular amongst black African groups. The percentage of heterosexual men who requested a testing kit has doubled since 2021, from 11% to 22% in 2023 and the percentage of heterosexual women has also steadily increased year on year.</p><p>We continue working closely together with our key partners in the HIV Prevention Programme monitoring and evaluating the results of the campaign to ensure we continue progressing towards our 2030 ambitions.</p> answering member printed Lord Markham grouped question UIN HL1780 HL1782 question first answered 12/02/2024 16:50:52 answering member 4948 label Biography information for Lord Markham
	tabling member	2501 label Biography information for Baroness Barker