Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the correlation between reductions in public health funding and increases in rates of (1) syphilis, and (2) gonorrhoea.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We have not made a specific assessment of a correlation between the Government’s public health funding and rates of syphilis and gonorrhoea in England.
Local government is responsible for commissioning sexual health services through the public health grant, and the Government allocated more than £3 billion for the public health grant in 2022/23. We will announce the 2023/24 public health grant allocations to local authorities in due course.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government when they will publish their Syphilis Action Plan.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We remain committed to improving sexual and reproductive health, including reducing rates of syphilis, in England and are considering the need for further government plans. In 2021, we published our policy paper Towards Zero - An action plan towards ending HIV transmission, AIDS and HIV-related deaths in England - 2022 to 2025, available in an online-only format, which sets out the actions that we are taking to move towards ending HIV transmissions and HIV and AIDS related deaths within England by 2030. In August 2022 we also published the Women’s Health Strategy for England which sets out our 10-year ambitions and actions we are taking to improve health for women and girls including reproductive health.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to increase the size of the workforce providing prevention services within Sexual Health Services.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We are considering actions to ensure that the sexual health workforce has the required capacity and skills to meet the sexual and reproductive health needs of the population in multiple settings. Further information will be available in due course.
Local authorities in England are responsible for commissioning comprehensive, open access sexual health services, and it is for them to decide on commissioning arrangements, including workforce skills mix and size, based on an assessment of local need for sexual and reproductive health services.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have to introduce a multi-disciplinary workforce in Sexual Health Services.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We are considering actions to ensure that the sexual health workforce has the required capacity and skills to meet the sexual and reproductive health needs of the population in multiple settings. Further information will be available in due course.
Local authorities in England are responsible for commissioning comprehensive, open access sexual health services, and it is for them to decide on commissioning arrangements, including workforce skills mix and size, based on an assessment of local need for sexual and reproductive health services.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government whether their sexual health strategy will set aspirations to (1) reduce the R-rate of, and (2) set reduction plans for, syphilis.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We remain committed to improving sexual and reproductive health, including reducing rates of syphilis, in England and are considering the need for further government plans. In 2021, we published our policy paper Towards Zero - An action plan towards ending HIV transmission, AIDS and HIV-related deaths in England - 2022 to 2025, available in an online-only format, which sets out the actions that we are taking to move towards ending HIV transmissions and HIV and AIDS related deaths within England by 2030. In August 2022 we also published the Women’s Health Strategy for England which sets out our 10-year ambitions and actions we are taking to improve health for women and girls including reproductive health.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government when they will publish their Sexual Health Action Plan.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
We remain committed to improving sexual and reproductive health, including reducing rates of syphilis, in England and are considering the need for further government plans. In 2021, we published our policy paper Towards Zero - An action plan towards ending HIV transmission, AIDS and HIV-related deaths in England - 2022 to 2025, available in an online-only format, which sets out the actions that we are taking to move towards ending HIV transmissions and HIV and AIDS related deaths within England by 2030. In August 2022 we also published the Women’s Health Strategy for England which sets out our 10-year ambitions and actions we are taking to improve health for women and girls including reproductive health.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
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.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
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.
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.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
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.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
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.
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.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what plans they have for the Equalities Office and Department of Health and Social Care to lead a cross-government effort to address the remaining areas of HIV-related discrimination.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department continues to collaborate with cross-Government partners, NHS England and the voluntary and community sector to address HIV-related discrimination and reducing stigma. The Department and the UK Health Security Agency are monitoring experiences of stigma among people living with HIV through the Positive Voices survey, which will be available in 2023.
Asked by: Baroness Barker (Liberal Democrat - Life peer)
Question to the Department of Health and Social Care:
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.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
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.
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.
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.