HIV Testing Week

Alison Bennett Excerpts

Thursday 13th February 2025 Westminster Hall

[Alison Bennett (Mid Sussex) (LD)]

It is a pleasure to serve under your chairmanship, Dr Allin-Khan. I congratulate the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) on his opening remarks and on bringing this debate to the Chamber.

In the UK alone, around 17,000 lives have been lost to this disease, and despite what many might think, the crisis is not over. We have seen an alarming increase in diagnoses since 2021, and between 2019 and 2023 they rose by 56%. The situation is particularly striking in London. In 2023, our capital recorded the highest new HIV diagnosis rate of any region in England, with 980 people diagnosed for the first time. A further 563 people were diagnosed after initially being diagnosed abroad. The latest estimate is that approximately 107,000 people are living with HIV in the UK, and around 5,000 of them remain undiagnosed and unaware of their condition.

Meanwhile, even though testing rates improved by 8% between 2022 and 2023, they remain 4% lower than pre-covid levels. Although testing among gay and bisexual men has reached record levels, testing rates for heterosexual men are 22% lower than before the pandemic. For women, the picture is not much better: rates are still 10% lower across the board than pre-pandemic levels.

Globally, the situation is critical. We have made significant progress—new HIV infections have dropped by 60% since the peak in 1995—but 39.9 million people were still living with HIV in 2023. Tragically, 1.3 million people were newly infected last year. If we need a reminder that the battle is far from over, that is it. The majority of new infections are concentrated in poorer regions, with sub-Saharan Africa bearing the heaviest burden. In every week of 2023, 4,000 adolescent girls and young women between the ages of 15 and 24 were infected globally, with the majority in sub-Saharan Africa. There is also a disturbing link between conflict, sexual violence and the spread of HIV. In Rwanda, for instance, the prevalence of HIV in rural areas surged from 1% before the 1994 conflict to 11% just three years later. We know that that kind of impact will be felt for generations.

The good news is that there is much we can do, but we have to get on with it. At home, dying from AIDS is no longer an inevitable outcome—indeed, organisations that the hon. Member for Brighton Pavilion (Siân Berry) mentioned, such as the Sussex Beacon, which serves both her constituents and mine in Mid Sussex, are now looking to reconfigure services to adapt to changing patient needs—but the alarming rise in HIV diagnoses demands stronger action to expand access to testing, treatment and education for those most at risk. My Liberal Democrat colleagues and I have long called for equitable access to PrEP for all those who can benefit from it, but the Conservative Government’s cuts to the public health grant undermined the delivery of vital sexual health services. The Liberal Democrats are committed to reversing those cuts and investing £1 billion annually to strengthen public health programmes. Among other things, that would help to ensure that we can eliminate HIV transmissions in England by 2030.

We are campaigning for five key things: first, universal access to HIV prevention and treatment; secondly, the eradication of stigma and discrimination tied to HIV and HIV testing—I commend the Prime Minister for making progress on that this week by taking an HIV test, as many hon. Members have mentioned—thirdly, widespread testing and education about HIV; fourthly, a clear path to the elimination of transmission in England by 2030; and fifthly, crucially, the restoration of the public health grant, which was slashed by a fifth under the Conservative Government.

To tackle this problem effectively, we must also look beyond our borders. Despite being preventable and treatable, AIDS remains one of the world’s leading killers. The Global Fund has saved millions of lives, but we must keep up the momentum if we are to defeat these diseases for good. The Labour Government have reneged on their manifesto pledge, cutting spending on international aid from 0.58% to 0.5% of gross national income. UK foreign aid has been a lifeline for millions of vulnerable people around the world. Cutting back on that aid is not just a budgetary decision; it is a matter of life and death.

The Government must commit to restoring the aid budget. That is true now more than ever, for over the course of the last month, President Trump has wreaked havoc on the international development space, withdrawing funding and dismantling long-standing international institutions. The harsh reality—that the US can no longer be relied on as an effective partner in delivering support to the areas that need it most—means that the UK must step up.

My Liberal Democrat colleagues and I firmly believe in global solutions to global problems. We believe in the power of international development in building a more peaceful, healthy and prosperous world. Cutting foreign aid is a failure not just to support the world’s poorest, but to uphold human rights, and it does not benefit us. The Liberal Democrats remain committed to spending 0.7% of GNI on aid, prioritising developments that help the most vulnerable and align with our strategic objectives, such as gender equality, human rights and access to HIV treatment and sexual health services. The fight against AIDS and HIV is far from over, but by working together and investing in testing, treatment, education and international co-operation, we can and will save lives.