Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she is taking steps to reduce levels of mental health conditions of people living with HIV.
Answered by Andrea Leadsom
The Government is committed to improving the quality of life for people living with HIV, which includes providing support for mental health conditions. As set out in the NHS England Roadmap, specialised HIV inpatient and outpatient services have been identified as key areas for greater integrated care systems leadership by NHS England and integrated care boards (ICBs). This will allow local systems to simplify and strengthen HIV care pathways with other services through effective local partnerships, including psychosocial support and mental health and counselling services, for a more holistic approach to care.
NHS England has now approved plans to fully delegate the commissioning of appropriate specialised services, including specialised HIV services, to ICBs in the East, the Midlands and the North West regions of England from April 2024. NHS England will also continue to jointly commission appropriate specialised services with ICBs, including specialised HIV services, in the South West, South East, London and the North East and Yorkshire regions of England for a further year. This will help support a smooth transition of commissioning responsibility by April 2025.
The national service specification sets out the requirement for agreeing pathways which define responsibility for meeting the non-HIV needs of patients and identify shared care, including clinical psychology and psychological support services. The NHS Talking Therapies Programme has also developed an e-learning module for Talking Therapies staff on HIV, which is available at the following link:
https://www.e-lfh.org.uk/programmes/breaking-barriers-in-hiv-care/
This will enable therapists to support people with anxiety and depression related to the experience of having HIV. As per the NHS Talking Therapies Pathway for People with Long-term Physical Health Conditions and Medically Unexplained Symptoms, from 2018/19 all NHS Talking Therapies services were commissioned to establish pathways for people living with long-term physical health conditions, as a key mechanism to ensure the delivery of increased access to psychological therapies.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has taken recent steps to (a) raise awareness of HIV among those living in care and (b) provide support for those living with HIV and in care.
Answered by Andrea Leadsom
The HIV Action Plan is the cornerstone of our approach in England, to drive forward progress and achieve our goal to end new HIV transmissions, AIDS, and HIV-related deaths within England by 2030. A key principle of our approach is to ensure that all populations benefit equally from improvements made in HIV outcomes, including those living in care.
As set out in the NHS England Roadmap, adult specialised HIV inpatient and outpatient services have been identified by NHS England as key areas for greater integrated care systems leadership 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 including links with social services.
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if she will make an assessment of the potential merits of expanding HIV opt-out testing to (a) GP surgeries and (b) other clinical settings.
Answered by Andrea Leadsom
As part of the HIV Action Plan, NHS England has expanded opt-out HIV testing in 34 emergency departments in local areas in England with extremely high HIV prevalence, as well as the whole of London, including some areas with high HIV prevalence. This programme began in 2022 and is funded by NHS England until the end of March 2025. In the first 21 months, the programme has preliminarily identified 685 people newly diagnosed with HIV and 384 people previously diagnosed with HIV, but not in care.
Given the success of the programme, the Department has committed an additional £20 million for new research, which will involve an expansion and evaluation of opt-out blood borne virus testing, including HIV, in 47 additional emergency departments in local areas with high HIV prevalence across England. Funding will support 12 months of testing for each emergency department, to begin in April 2024, but it is at the discretion of individual sites when the testing will commence.
Decisions on whether to continue offering opt-out HIV testing in emergency departments in local areas with high and extremely high HIV prevalence will be based on the outcomes of the current opt-out HIV testing programme and research project, as well as available funding.
There are currently no plans to assess the merits of opt-out HIV testing in general practice (GP) or other clinical settings, but HIV testing is already offered and recommended in some circumstances in a range of clinical settings, including GP surgeries, in line with National Institute for Health and Care Excellence’s testing guidance. This guidance is available at the following link:
Asked by: Judith Cummins (Labour - Bradford South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she plans to continue opt-out testing for HIV in emergency departments.
Answered by Andrea Leadsom
As part of the HIV Action Plan, NHS England has expanded opt-out HIV testing in 34 emergency departments in local areas in England with extremely high HIV prevalence, as well as the whole of London, including some areas with high HIV prevalence. This programme began in 2022 and is funded by NHS England until the end of March 2025. In the first 21 months, the programme has preliminarily identified 685 people newly diagnosed with HIV and 384 people previously diagnosed with HIV, but not in care.
Given the success of the programme, the Department has committed an additional £20 million for new research, which will involve an expansion and evaluation of opt-out blood borne virus testing, including HIV, in 47 additional emergency departments in local areas with high HIV prevalence across England. Funding will support 12 months of testing for each emergency department, to begin in April 2024, but it is at the discretion of individual sites when the testing will commence.
Decisions on whether to continue offering opt-out HIV testing in emergency departments in local areas with high and extremely high HIV prevalence will be based on the outcomes of the current opt-out HIV testing programme and research project, as well as available funding.
There are currently no plans to assess the merits of opt-out HIV testing in general practice (GP) or other clinical settings, but HIV testing is already offered and recommended in some circumstances in a range of clinical settings, including GP surgeries, in line with National Institute for Health and Care Excellence’s testing guidance. This guidance is available at the following link: