Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what is their estimate of the number of women in England who are accessing HIV Pre-Exposure Prophylaxis.
Answered by Lord O'Shaughnessy
Interim Pre-Exposure Prophylaxis (PrEP) Impact trial analysis, including reported gender of participants, will be available in winter 2018/19.
No information is available on the number and gender of individuals accessing PrEP privately or purchasing generic PrEP from outside the country.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government how much was spent on specialist HIV treatment and care in England in (1) 2014–15, (2) 2015–16, and (3) 2016–17.
Answered by Lord O'Shaughnessy
Data provided by NHS England on spend on specialist HIV treatment and care in England is shown in the following table.
2014/15 | £539.3 million |
2015/16 | £552.8 million |
2016/17 | £634.6 million |
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether they plan to commit to the achievement of zero new HIV infections in England; and if so, by what date.
Answered by Lord O'Shaughnessy
A Framework for Sexual Health Improvement in England outlines our ambitions to reduce human immunodeficiency virus (HIV) transmission. Specifically the Government is committed to reducing risky behaviour through the promotion of condoms, needle exchange schemes as well as the prevention of HIV acquisition through the possible use of treatments, (such as pre-exposure prophylaxis) and improving early diagnosis through increasing HIV testing and treatment of HIV among persons diagnosed with the virus. There are currently no plans to update the Framework. A copy of the Framework is attached.
The United Kingdom is committed to meeting the United Nations targets by 2020 for stopping new HIV infections, ensuring that everyone living with HIV has access to HIV treatment, protecting and promoting human rights and producing data for decision makers.
England is close to achieving these targets. In 2016, 88% of the 89,360 estimated number of people living with HIV had been diagnosed. Of those diagnosed, 96% were receiving HIV treatment and of those receiving treatment, 97% had a suppressed viral load, fulfilling the second two metrics of the 90:90:90 targets. Overall in England, 82% of people living with HIV are estimated to have a suppressed viral load, surpassing the overall aim of the UNAIDS target (73%). The Public Health England report Towards elimination of HIV transmission, AIDS and HIV related deaths in the UK outlines progress achieved towards these targets. A copy of the report is attached.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, in the light of London meeting the UNAIDS 90:90:90 targets on HIV infection, what plans they have to update their HIV strategy to ensure that other parts of England also meet those targets.
Answered by Lord O'Shaughnessy
A Framework for Sexual Health Improvement in England outlines our ambitions to reduce human immunodeficiency virus (HIV) transmission. Specifically the Government is committed to reducing risky behaviour through the promotion of condoms, needle exchange schemes as well as the prevention of HIV acquisition through the possible use of treatments, (such as pre-exposure prophylaxis) and improving early diagnosis through increasing HIV testing and treatment of HIV among persons diagnosed with the virus. There are currently no plans to update the Framework. A copy of the Framework is attached.
The United Kingdom is committed to meeting the United Nations targets by 2020 for stopping new HIV infections, ensuring that everyone living with HIV has access to HIV treatment, protecting and promoting human rights and producing data for decision makers.
England is close to achieving these targets. In 2016, 88% of the 89,360 estimated number of people living with HIV had been diagnosed. Of those diagnosed, 96% were receiving HIV treatment and of those receiving treatment, 97% had a suppressed viral load, fulfilling the second two metrics of the 90:90:90 targets. Overall in England, 82% of people living with HIV are estimated to have a suppressed viral load, surpassing the overall aim of the UNAIDS target (73%). The Public Health England report Towards elimination of HIV transmission, AIDS and HIV related deaths in the UK outlines progress achieved towards these targets. A copy of the report is attached.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government whether they plan to incorporate into the Quality and Outcomes Framework for 2018–19 the NICE indicator for annually reviewing patients with atrial fibrillation who are treated with an anticoagulant.
Answered by Lord O'Shaughnessy
A review of the Quality and Outcomes Framework (QOF) is currently being undertaken by NHS England. As part of this NHS England is considering the indicators in the current QOF and the National Institute for Health and Care Excellence indicator set including atrial fibrillation.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government, in the light of Sustainable Development Goal 3 to end the global AIDS epidemic by 2030, what progress has been made in England to prevent new HIV infections; and what plans they have to accelerate that progress.
Answered by Lord O'Shaughnessy
Significant progress is being made towards Sustainable Development Goal 3. In London, which has the highest HIV prevalence in the country, all the global UNAIDS 90:90:90 targets have been met, with 90% of people living with HIV infection diagnosed, 97% of people diagnosed receiving treatment, and 97% of those receiving treatment virally suppressed. The equivalent figures for the whole of England were 88%, 96% and 97% respectively. There was an 18% reduction in new HIV diagnoses in 2016 compared to 2015.
We are continuing to focus our attention on preventing the spread of HIV and in particular, to support those people who are most at risk of infection. Public Health England (PHE) has a three year contract (£1.2 million a year) with the Terrence Higgins Trust for a National HIV Prevention Programme. In addition, PHE invest £600,000 annually in a HIV innovation fund and are continuing to invest in an innovative HIV home sampling service. NHS England have allocated up to £10 million over the next three years in the HIV Pre-Exposure Prophylaxis (PrEP) Impact Trial. The three year trial of 10,000 participants will address outstanding questions on PrEP need, uptake and duration of use in those at high risk of HIV acquisition in England. Local authorities are also responsible for funding HIV prevention for their local communities.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask Her Majesty's Government what funding they will provide in the financial year 2018–19 to prevent new HIV infections in England.
Answered by Lord O'Shaughnessy
Significant progress is being made towards Sustainable Development Goal 3. In London, which has the highest HIV prevalence in the country, all the global UNAIDS 90:90:90 targets have been met, with 90% of people living with HIV infection diagnosed, 97% of people diagnosed receiving treatment, and 97% of those receiving treatment virally suppressed. The equivalent figures for the whole of England were 88%, 96% and 97% respectively. There was an 18% reduction in new HIV diagnoses in 2016 compared to 2015.
We are continuing to focus our attention on preventing the spread of HIV and in particular, to support those people who are most at risk of infection. Public Health England (PHE) has a three year contract (£1.2 million a year) with the Terrence Higgins Trust for a National HIV Prevention Programme. In addition, PHE invest £600,000 annually in a HIV innovation fund and are continuing to invest in an innovative HIV home sampling service. NHS England have allocated up to £10 million over the next three years in the HIV Pre-Exposure Prophylaxis (PrEP) Impact Trial. The three year trial of 10,000 participants will address outstanding questions on PrEP need, uptake and duration of use in those at high risk of HIV acquisition in England. Local authorities are also responsible for funding HIV prevention for their local communities.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
Her Majesty's Government how many individuals infected with blood contaminated by hepatitis C or HIV in the 1970s and 1980s remain alive.
Answered by Lord O'Shaughnessy
The Department does not hold this information.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
Her Majesty's Government what proportion of patients diagnosed with atrial fibrillation are treated with (1) anticoagulant therapy, and (2) antiplatelet therapy, broken down by clinical commissioning group, in each of the last five years for which figures are available.
Answered by Lord O'Shaughnessy
The information requested is not held centrally.
Asked by: Lord Black of Brentwood (Conservative - Life peer)
Question to the Department of Health and Social Care:
Her Majesty's Government what proportion of GP surgeries use (1) the Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation tool, and (2) other tools, to audit the management of atrial fibrillation patients, broken down by clinical commissioning group, in each of the last five years for which figures are available.
Answered by Lord O'Shaughnessy
NHS England advises that the data requested is not collected in the format requested.