The Secretary of State for Health and Social Care (Matt Hancock)
Just a few minutes ago at this Dispatch Box, I was here to update the House on the national effort to fight the new pandemic of our times. As we grapple with this one pandemic of coronavirus, so too we need to look today at both the progress we have made and the progress still needed, to mourn the loss of those who have been taken from us, and to redouble our efforts in our fight against another killer pandemic, HIV.
Just like coronavirus, HIV was a challenge for humanity that, at times, especially early on, seemed almost impossible to surmount, but thanks to the ingenuity of scientists, the compassion of healthcare professionals and the determination of people living with HIV and their loved ones, we have made so much progress against this disease. So today, on World AIDS Day, let us all commit, across the House and in all parts of our country, to stand firm against the disease that threatens us and commit that we will give it no ground.
I thank my hon. Friend the Member for Winchester (Steve Brine) for securing this debate. He worked tirelessly on this issue when he was a ministerial colleague—a brilliant Public Health Minister—and I want to tell the House in all honesty that he was absolutely pivotal to so many of the achievements and aspirations that we are discussing today. Without him, I wonder whether the 2030 commitment could have been made. We should all be grateful to him for his dedicated work in office and his continued powerful advocacy. He mentioned the “Don’t Die of Ignorance” campaign and I can tell him and the House that the early messaging in the coronavirus pandemic, including “Stay at Home”, was explicitly inspired by that campaign, which was so successful and so brave.
Every day when I walk into my Department, I walk past a list of my predecessors on the wall, and I feel honoured to follow in the footsteps of Lord Fowler, who did so much to tackle this pernicious virus and who, in particular, took a view and a judgment that we must face it on the basis of compassion and science. That was central to the decision that this country took all those years ago, and I am glad to say that we have followed it ever since.
We have made significant progress since those dark days when, as my hon. Friend said, HIV was a death sentence for so many. Now, if diagnosed early and with access to appropriate treatments, the majority of people with HIV in this country can have a life expectancy that is close to normal. I am so proud that, here, the overall number of people with a new HIV diagnosis has fallen by over a third over the past five years and that the number of gay and bisexual men with newly diagnosed HIV has fallen to its lowest point in 20 years. I am also really proud that, through the efforts of so many people, we have met our UNAIDS 90-90-90 target for the third consecutive year and that we were one of the first countries in the world to do so. That means more than 90% of people who live with HIV being diagnosed, more than 90% of those diagnosed getting treatment, and more than 90% of those who are treated having quantities of HIV that are so small that it is undetectable.
Alison Thewliss
The Secretary of State is talking about the excellent progress that has been made, and I acknowledge that that is true, but one area where there is still significant difficulty is among intravenous drug users, particularly in the city of Glasgow. We want the public health intervention of a supervised drug injection facility, but the Home Office is blocking this. Does he agree that there needs to be a public health approach to this, otherwise we will not be able to treat those remaining percentages of people who still have the virus?
Matt Hancock
I was immediately going to turn to say that despite the successes, there is further to go and we would all agree on that. We need to follow the evidence of what works and, crucially, we need to work together. I know that the Home Secretary has been working with the Administration in Scotland on the approach to be taken. The attitude that we should have is that every new case of HIV is one case too many.
That brings me to the commitment that we were able to make two years ago. At the suggestion of my hon. Friend the Member for Winchester, I announced the commitment to ending new HIV transmissions by 2030. I remember being told at the time that this was an ambitious target, but I know that we can get there. This year, we have been making PrEP routinely available across England to those who need it, and have backed that with funding for local authorities. None the less, it is really this report from the HIV Commission that shows us the way. I want to thank all those who have been involved: the Terrence Higgins Trust, of course; the National AIDS Trust; the Elton John AIDS Foundation; Public Health England; and work across the devolved Administrations. I also take this opportunity to thank Sir Elton for his exceptional personal advocacy for people living with HIV and the sterling work that he has done to raise money for HIV prevention and treatment across the world, and to thank all those who have played their part in getting us to where we are.
Let me turn now to the work of the commission itself. I know that colleagues across the House have played an active role in it. The report that the commission has published today makes many important recommendations for how we can progress on our path to zero. I pay tribute to all the commissioners for their hard work and thank each and every one of them. I wish to put on record my thanks and praise for Dame Inga Beale for her expert leadership.
My hon. Friend set out the core recommendations, which include the interim milestone of an 80% reduction in new HIV transmissions by 2025, early diagnosis at the core of the approach we should take and the default assumption of test, test, test—that sounds familiar, and we know that it works—as well, of course, as the expansion of testing.
The reason I wanted to come to the House personally tonight was so I could say this: we will use the excellent report of the HIV Commission as the basis of our upcoming HIV action plan, which I commit to publishing next year. I want that to be as early next year as is feasible to ensure that the work is high-quality, can be delivered and can set us fair on a credible path to zero new transmissions in 2030. I look forward to working with Members from all parts of the House in making that happen.
Stephen Doughty
May I, on behalf of the all-party group, thank the Secretary of State for that commitment, which is absolutely crucial? I know it will be welcomed by me and my predecessor, who cannot speak here. Will the Secretary of State also commit to doing all we can as a country, working with his colleagues at the Foreign, Commonwealth and Development Office and elsewhere, not only to ensure that our commitments globally are met in the UN Global Fund, but also to support the world-beating research that goes on in places such as the international AIDS vaccine initiative at Imperial College, which is leading the way towards treatments and vaccines not only for HIV but for so many other infectious diseases, including covid?
Matt Hancock
The cross-party nature of the support for this work could not be better demonstrated than by the fact that when our colleague from the Scottish National party, the hon. Member for Glasgow Central (Alison Thewliss) intervened, she anticipated my very next sentence, and so has the hon. Gentleman. I wanted immediately to turn to the global matters, because no one is safe until everyone is safe. If we have learned anything this year, we have learned that. We also need to work on shared solutions together and across the world, and we as a country will lean into the global efforts to tackle HIV and AIDS, as we have done under Governments of all persuasions over the past three and a half decades.
Jim Shannon
In my intervention on the hon. Member for Winchester (Steve Brine), I referred to the good work that has been done in Swaziland. From a global point of view, I just wonder whether the Secretary of State will be able to make contact with Swaziland and see how it has reduced the numbers.
Matt Hancock
I would be very happy to ensure that that happens and to work with the hon. Gentleman on a subject that I know is close to his heart. I reiterate that over the past three and a half decades, here in the UK we have played our part in supporting efforts right around the world. I am proud that we are the world’s second-largest donor to the Global Fund, which is reallocating up to $1 billion to support the prevention and treatment of HIV and other threats to global public health during the pandemic. We have to make sure that work goes on, even in the clutches of another public health emergency. It is absolutely critical that we do not let up, because we cannot let one virus undo the progress we are making in fighting another.
Today is a day to look back and remember those we have lost to HIV. It is a day to look back and acknowledge the progress we have made, but it is also a day to look forward and together reaffirm our resolve to keep working towards that goal of no new infections in 2030, because HIV is a virus that has taken too many people before their time. We should all redouble our efforts to make it a thing of the past.
Question put and agreed to.