Public Health White Paper

Debate between Lord Lansley and David Cairns

Tuesday 30th November 2010 Commons Chamber

[Mr Lansley]

I am grateful to my hon. Friend for his question. Many aspects of the White Paper and subsequent strategies relate to these issues. In the long run, his constituents will find that the measures that have an impact early in life or which work through early intervention will make the biggest difference, as was made clear in Sir Michael Marmot’s review, in which he talked of a universal proportionality. Such measures include, for example, our universal health visiting service and family nurse partnerships, which are intervening at that stage. If we have not succeeded through early intervention, however, or many people have chronic ill health, we will continue to ensure through our screening programmes and local health improvement plans that people are identified early and opportunities are created for them to make lifestyle decisions that will improve their chances of disability-free life expectancy thereafter.

[David Cairns (Inverclyde) (Lab)]

I welcome the acknowledgement in the White Paper that about 25% of HIV cases in this country are currently undiagnosed. Will the Secretary of State therefore lend his support to the “Halve It” campaign, which is being launched tonight by the all-party group on HIV and AIDS, which I chair, with the Terrence Higgins Trust and others? The campaign aims to halve that number by 2015. That will mean fewer early deaths, fewer cases of HIV being spread and, ultimately, significant savings for the NHS.

[Mr Lansley]

I agree with the hon. Gentleman. Almost 22,000 people with HIV are unaware of their condition. We need to ensure, through the sexual health services, that people have consistent access to HIV testing and are encouraged opportunistically to ensure that they are HIV tested so that we can deliver the services they need. What he describes is one of the opportunities that we can examine when considering how the outcomes framework will measure the performance of local health improvement plans.