Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to increase the availability of HIV testing.

Local authorities in England are responsible for commissioning open access sexual and reproductive health services, including human immunodeficiency virus (HIV) testing, through the Public Health Grant, funded at £3.5 billion in 2023/24. It is for individual local authorities to decide their spending priorities based on an assessment of local need and to commission the service lines that best suit their population.

Increasing the availability of HIV testing is one of our core ambitions in the Government’s HIV Action plan published in December 2021. As part of the plan, the Department is investing over £3.5 million from 2021 to 2024 to deliver the National HIV Prevention Programme. This includes national campaigns such as the National HIV Testing Week (NHTW) and the Summer Campaign designed to normalise and reduce barriers to testing, such as stigma. In 2023 the NHTW delivered more than 20,000 HIV testing kits targeted at the most affected communities.

NHS England has committed £20 million, between 2022 to 2025, to fund the expansion of HIV opt-out testing in emergency departments in areas with extremely high HIV prevalence. This has helped diagnose 2,000 new cases of blood-borne viruses (Hepatitis B and C as well as HIV) in the first year of the programme. We will be considering the data recently released alongside the data on progress towards our ambitions to end new HIV transmissions within England by 2030 to examine the feasibility of further expanding this programme.