Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to raise awareness of advice on HIV (a) prevention and (b) testing.

HIV testing and prevention is provided to local authorities in England through the public health grant, funded at £3.5 billion in 2023-2024. Through this grant, they are mandated to commission comprehensive open access to most sexual health services, including free and confidential HIV testing, and the provision of the HIV prevention drug PrEP. 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.

This is further supported by national initiatives under the Government’s HIV Action Plan. As part of the Plan, NHS England is investing £20 million over three years to implement opt-out HIV testing in EDs (emergency departments) in local areas with extremely high HIV prevalence. Provisional data from NHS England indicates that the opt-out testing programme has helped to find more than 550 cases of undiagnosed or untreated HIV and more than 1,900 cases of undiagnosed or untreated hepatitis during its first year. We will be assessing all of this evidence, alongside the data on progress towards our ambitions to end new HIV transmissions and AIDS- and HIV-related deaths within England by 2030, to decide whether we further expand the programme.

The Department is also investing over £3.5million from 2021-2024 to deliver the National HIV Prevention Programme. This is a nationally co-ordinated programme of HIV prevention work, including public campaigns such as National HIV Testing Week, that is designed to complement locally commissioned prevention activities in areas of high HIV prevalence.