Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps she is taking to ensure the adequacy of (a) genitourinary and (b) HIV care for the next five years; and if she will make an estimate of the number of consultants specialising in (i) genitourinary and (ii) HIV care who will be employed in the NHS in 2029.

NHS workforce statistics show that in November 2023, there were 243 full time equivalent (FTE) consultants working in the specialty of genito-urinary medicine (GUM) in NHS trusts and other core organisations in England, and 133 FTE consultants working in the specialty of community sexual and reproductive health in NHS trusts and other core organisations in England.

NHS England is responsible for providing HIV care and in March 2024 published the NHS England national service specification for adult specialised services for people living with HIV. Specialised adult inpatient and outpatient HIV services aim to provide specialist assessment and ongoing management of HIV, and associated conditions, to support individuals to stay well, remain engaged in care, and to reduce onward transmission. The services will ensure that outcomes, wellbeing, and quality of life are maximised, that they are culturally competent, in recognition of the disproportionate number of people from diverse backgrounds who access HIV care, and that people are central to decisions about the management of their health and social care.

The Department is consulting with NHS England to reform the funding of specialist training in genito-urinary and HIV care, to increase the ability of specialists to train and then practice in areas of greatest need. We are committed to achieving no new HIV transmissions within England by 2030. As part of the plan, we are investing an additional £20 million for new research, which will involve an expansion and evaluation of bloodborne virus opt-out testing in 47 additional emergency departments in areas of England with high HIV prevalence. This is expected to deliver approximately 1.5 million more HIV tests to help us get people with the virus into care. The Department is also allocating over £3.5 million to deliver a National HIV Prevention Programme between 2021 and 2024 to raise awareness of HIV, sexually transmitted infection (STI) testing, and prevention strategies, targeting populations most at risk of HIV, including young people.

We continue to support the delivery of local sexual health services, providing guidance and data through the UK Health Security Agency and the Department. In March 2023 we published the Integrated Sexual Health Service Specification to support local authorities in comprehensive commissioning of services, and providing advice and guidance on managing STIs outbreaks.