Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps his Department is taking to encourage homeless people to be screened for tuberculosis.

The Collaborative Tuberculosis (TB) Strategy for England 2015-2020 was launched in January 2015[1]. It lays out 10 key ‘areas for actions’ which include improving TB awareness raising, TB case finding (screening) and treatment for under-served populations such as the homeless; which are being delivered across England by seven TB Control Boards supported by a national TB team.

These actions are underpinned by collaborative working between third sector organisations, local authorities, Public Health England and the National Health Service. The work focuses on targeted awareness-raising of symptoms and curability of TB; the range of local health and care services; and eligibility for free treatment. Specific and targeted outreach interventions for under-served populations (informed by proven models such as ‘Find and Treat’ in London) include specific services for active case finding for pulmonary TB among homeless people, use of mobile X-ray units (MXUs) with incentives for people to have chest X-rays, enhanced case management and return to service interventions to prevent loss to follow up.

[1]Public Health England. Collaborative Tuberculosis Strategy for England 2015 to 2020 [Internet]. 2015. Available from:

https://www.gov.uk/government/publications/collaborative-tuberculosis-strategy-for-england