Health and Social Care Bill: HIV/AIDS Programmes

Baroness Masham of Ilton Excerpts

Wednesday 21st March 2012 Lords Chamber

[Baroness Northover]

The local authorities will commission the prevention and testing services. They have a public health outcomes framework that they need to address to drive up the situation across the board in public health. There are incentives within that for them to try to improve the health of their populations. Local authorities are best placed to understand the public health pressures, which are not just in this area, on their local populations.

On prevention and treatment, the emphasis in recent years—under the previous Government, as under ours—has been on the high-risk groups, particularly gay men and people from the sub-Saharan region. Those are the groups at greatest risk. However, a sexual health policy document is being worked on at the moment. If it is felt that it is important to feed into it that there is a need for nationwide emphasis on this matter, now is the time to emphasise it.

[Baroness Masham of Ilton]

My Lords, will the Minister assure the House that there will not be fragmentation in regard to this very complicated condition? Will there be NICE guidelines? The drugs for HIV are very complex and there is a fear that there might be resistance.

[Baroness Northover]

As with every other area, this will kept under close review to make sure that things are suitably joined up and that we have high-quality prevention and treatment. As for NICE guidelines, the British HIV Association produced clinical guidelines for HIV treatment in 1999. They were taken forward and are widely accepted by clinicians and commissioners. The association is currently revising its guidelines and we will see what it suggests.