Health and Social Care Bill: HIV/AIDS Programmes

Baroness McIntosh of Hudnall Excerpts

Wednesday 21st March 2012 Lords Chamber

[Baroness Northover]

I thank my noble friend Lord Fowler for all that he has done in this area, not least on this particular change, which we were very happy to announce we would be taking forward. The important thing here is the protection of our population. The House of Lords Select Committee had rightly flagged that if some overseas visitors who were not currently covered were left in that situation, there would be an increased risk to our population. I am extremely glad to say that we have extended treatment to cover that group so that we can look after our population. We are on course for the timetable that we laid out before, and this should be introduced in the autumn.

[Baroness McIntosh of Hudnall]

My Lords, what incentives does the Minister think there will be for local authorities, once they have public health responsibilities, to invest properly in the prevention of HIV/AIDS when the treatment costs will not fall to them? Can she confirm that currently a very much smaller proportion of funds is spent on prevention compared with the enormous cost of treatment? It would be in everyone’s interests if that balance were addressed somewhat.

[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.