Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether routine commissioning of PrEP will accommodate all communities that could benefit from that trial including (a) women, (b) people who identify as Trans or non-binary, (c) BAME communities and (d) gay and bisexual men.

The Department is continuing to work closely with NHS England and NHS Improvement, Public Health England and local government to plan for routine commissioning of pre-exposure prophylaxis (PrEP) from April 2020. We will set out how commissioners will be supported shortly.

Routine commissioning of PrEP is expected to accommodate all individuals at risk of acquiring HIV based on clinical risk assessment. These assessments will be informed by current clinical guidelines produced by the British HIV Association and British Association for Sexual Health and HIV in relation to assessment of individuals at risk of HIV. These state that ‘PrEP is indicated for those at greater risk of HIV acquisition and therefore comprehensive history taking and risk assessment, including both sexual and drug taking histories, are required to identify those most likely to benefit’.