HIV and World AIDS Day

Debate between Lindsay Hoyle and Lloyd Russell-Moyle

Thursday 29th November 2018 Commons Chamber

[Lloyd Russell-Moyle]

I thank my right hon. Friend for his intervention, and I totally agree with him. There are some countries in the world I may now struggle to travel to because of this announcement. It is important that we continue to make international efforts. I do not have time to talk about all the international aspects here. I commend the work of the HIV/AIDS Alliance and plan to come back to this House in future months to talk about its ENDAIDS 2030 Festival, which is really important.

Turning back to the UK, it is the case not just that HIV is treatable, but that it is preventable with one tablet a day. A person can prevent themselves from contracting HIV with pre-exposure prophylaxis. PrEP is revolutionising the fight against HIV transmissions. It has an almost 100% success rate, a higher rate than condoms, in the prevention of HIV, and it is just one pill. We expect this pill to be soon available as a generic drug and, according to the NHS’s own analysis, it could save the health service £1 billion in preventing HIV transmissions for future generations. Astoundingly, however, the only way to access PrEP in England is through a limited trial. This is not a medical trial—those have been done and approved. This is not about financing—we know the cost. This trial, as far as I can see, is about delaying the roll-out of PrEP in England because someone meddling in the Ministry thinks that they know better than doctors when it comes to people’s health. It seems to me that this trial is more concerned about what a person does between the sheets than the health of the nation. Despite being just one year into this three-year trial, 3,000 additional places have already had to be added, and it looks like the 13,000 places will run out early next year. England now lags behind all the other nations in the UK as the only country with capped PrEP access on the NHS. There are two years to go until this trial ends, yet people cannot get immediate access to PrEP, with many clinics now having long waiting lists, and some completely full.

We know that there are cases of young men who have sought out this prevention pill and have been turned away because the clinics cannot accommodate them, and they have subsequently become HIV-positive. Those men now have to live with HIV and everything associated with it because of the misguided morality of this decision. Let us make no mistake: these are not isolated cases. The longer this Government wait to roll out PrEP properly, the more people will be diagnosed.

Will the Minister intervene to ensure that PrEP is made routinely available on the NHS in England—just like his Government have already done with Northern Ireland with direct rule, just like the Scottish Government have done, and just like a Labour Government have done in Wales? Failing that, will he at least uncap the trial to ensure that those trying to access the drug can do so? Will he reverse public health cuts, including those in sexual health, so that the Government meet demand, including that of people affected by HIV, otherwise we seriously risk undoing the really good progress that we have all made?

Just today, the latest Public Health England statistics show that the UK has met its UN AIDS target of 90-90-90, ahead of 2020, which was the date. This is amazing progress, with 92% of people living with HIV diagnosed, 98% on treatment and 97% with undetectable viral load, meaning that they cannot pass it on.

At the Terrence Higgins Trust World AIDS Day reception earlier this week, I am told that the Minister hinted that the Government were considering bolstering their ambition on HIV to committing to reaching zero new HIV transmissions by 2030. In the light of today’s statistics, now is the time to seize that opportunity of reaching zero new HIV infections and be a true global leader. Can the Minister provide details of how the UK Government plan to end HIV infections and what timescale they will commit to?

At present, one young person every day is still diagnosed with HIV and young people continue to suffer some of the worst sexual health outcomes. We cannot be complicit on this. Will the Minister agree to work with the Department for Education to ensure that relationship and sex education guidance has a strong focus on not only HIV prevention, but anti-HIV stigma? Will the Minister also liaise with Department for International Development colleagues to ensure that research funding is increased so that we can make huge gains in scientific breakthroughs to eradicate this disease globally?

In two days’ time, on World AIDS Day, I will stand with my community to mourn the losses of those who have died of AIDS. I will do so at the Brighton AIDS memorial—the only such dedicated public memorial in the country. I will stand there in the knowledge that I will live a life that so many could not. I am able to do that because of the people who have come before me: the people who have fought and lost their lives, and the people who stood up and had their lives changed. We owe it to these people to beat the disease—something we have the power to do. I hope that future generations will look at HIV in the same way that we look at smallpox and polio, as diseases that were once killers but can now be eradicated.

LGBT people often talk about coming out as something that you constantly have to do to new neighbours, friends and work colleagues. You could say the same about your HIV status. I have spent many nervous moments deciding whether to tell new friends and acquaintances about my status. The lump forms in your throat and your heart flutters, and you finally kind of blurt it out and hopefully move on. Well, Mr Deputy Speaker, I would like to thank you for giving me this platform to do just that. I thank my friends, family and colleagues for supporting me. I also thank the Terrence Higgins Trust for all its work and the support it has given me in preparing for this debate.

We have the ability to end new HIV transmissions, as well as to end stigma and discrimination—not only here, but globally. I hope we can all make that our mission. [Applause.]

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

We should not clap in the House, but I understand why people have. That was a very brave and moving speech, which will give hope to a lot of people around the world. I should also say that I broke with convention today by allowing an Opposition Front-Bench Member to speak in the Adjournment debate. Please be reassured that this is not the norm; it is a one-off.

Erasmus Plus Programme

Debate between Lindsay Hoyle and Lloyd Russell-Moyle

Thursday 21st June 2018 Commons Chamber

[Lloyd Russell-Moyle]

rose—

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

Order. The hon. Gentleman has already used his 15 minutes. I want him to get to the end of his speech, but if he keeps taking interventions, we will not get there. We do have other speakers who wish to contribute, so I am sure that he will want to get to the end quickly.

[Lloyd Russell-Moyle]

I understand, Mr Deputy Speaker. I have probably been too generous in taking interventions.

It is not just the university exchange programme that is important. The European Voluntary Service has allowed young Europeans to travel, 50% of whom are from disadvantaged backgrounds. In many respects, EVS was the forerunner of the International Citizen Service, which we now run in this country. The question is how the ICS will integrate into the new programme that goes forward.

Erasmus is currently being negotiated for renewal, but there are no clear guarantees from the Government on its future, and that is adding great uncertainty to the sector. Although the Prime Minister gave assurances at the end of last year that Erasmus would be maintained until the end of the current financial arrangements, there have been few assurances beyond that.

In December, the Government confirmed that they value international exchanges, and that, in the event of a no deal, the students could continue with these exchanges. In the Prime Minister’s Florence speech, she indicated that that was her position. The first question that I asked in this Chamber when I arrived here a year ago was whether we would continue with the programme post 2020. The reality is that we have not yet seen a strategy from this Government of how that will be achieved.

Last month, the European Union proposed an outline of its strategy. It proposed that countries can buy into the new programme, but outlined that non-EEA countries and non-partner countries can only take part as third countries. The Government must use their position now to make sure that, in the education council, they are negotiating for that clause to be loosened up. I guess I need to ask the following questions. Can the Minister tell me what discussions he has had in the education council to ensure that the clauses will allow third countries to participate at a decision-making level, and not just at a buying-in level with no ability to make decisions about the targets of the programme? What instructions has the Minister given his officials to negotiate those respective clauses, which are being negotiated at the moment, on a statutory basis? What discussions has he had with his counterparts in Europe, and what co-ordination has there been with the Department for Exiting the European Union to ensure that, as we are not likely to be an EU member or an EEA member and clearly not a candidate or partner country member, we can still take part as a former member that wants good relations with the European Union?

I raised many of these questions in the Westminster Hall debate. How will our current programme co-operate with our International Citizen Service programmes? How are we setting out our strategy? I have yet to see the answers to those questions. I fear that, without proper negotiation, like Canada we will have to buy in access. Canadian undergraduates do not have access to the full exchange part of the programme and Canadian youth organisations cannot initiate programmes and activities. With the headquarters of so many international youth organisations based here in the UK, such as the girl guides, we risk their future if we do not allow them to initiate programmes here in the UK. To resolve these issues will require great clarity and direction, and an acknowledgement of the great benefits of the programme.

In the meantime, if the Government hope to maintain a youth and university sector that is open to co-operation with other universities across Europe, they should start by offering a full and comprehensive assurance that Erasmus+ and all the related programmes, including the European Solidarity Corps that takes over from the volunteering part, will be maintained beyond 2020. The Government should seek to represent Britain’s interests in the council and reach an understanding that if we are unable to negotiate access, we will ensure that Britain creates a scheme that is equivalent and equally financed.

Finally, I should like to emphasise a few of the key statistics of why the Erasmus scheme is important. Some 16,000 students, young people and other staff from the UK go on the scheme every year, and it is important we keep it open to staff as well as students. If staff cannot exchange their ideas, they cannot promote or co-ordinate it and so make sure students go on it. As I mentioned, 50% of those on the scheme are from disadvantaged backgrounds, and almost 50% are in the youth programme, yet it equates to only 10% of the overall cost. The whole programme is important.

In conclusion, I urge the Government to negotiate continued access to the Erasmus+ programme and all its successors, not after Brexit day but now.

[Several hon. Members rose—]

Tenant Fees Bill (Money)

Debate between Lindsay Hoyle and Lloyd Russell-Moyle

Money resolution: House of Commons
Monday 21st May 2018 Commons Chamber

[Lloyd Russell-Moyle (Brighton, Kemptown) (Lab/Co-op)]

On a point of order, Mr Deputy Speaker. I want to ask how I might put the record straight. I have a lodger, not a tenant, and I want to be very clear, for transparency purposes, that while the Bill does not affect that relationship, I do derive an income from that lodger, as my entry in the Register of Members’ Financial Interests states.

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

I think the matter has been clarified.

Carillion and Public Sector Outsourcing

Debate between Lindsay Hoyle and Lloyd Russell-Moyle

Wednesday 24th January 2018 Commons Chamber

[Lloyd Russell-Moyle]

That is right. The public will not fail to notice that the Labour party is under new management. We will build on the positives of the past, and discard the negatives. PFI, I am afraid, was a bad mistake that the Conservatives began under Major, and which we failed to stop. We will stop it this time, because when Jeremy Corbyn gets in and we have a socialist Government what will end is this—

[Mr Deputy Speaker (Sir Lindsay Hoyle)]

Order. It is one thing to test my patience but it is another to name Members. The hon. Gentleman cannot name the Leader of the Opposition. He can say “the next Prime Minister”, but he should not use his name.