World AIDS Day

Mark Hendrick Excerpts

Wednesday 27th November 2024 Westminster Hall

[Several hon. Members rose—]

[Sir Mark Hendrick (in the Chair)]

Order. May I remind Members that they should bob if they wish to be called in the debate? I also noticed that one or two Members arrived after the first speech had already begun, so they will not be allowed to speak. I think that those who want to speak will end up with about two minutes each, so I would be grateful if Members did not go on beyond two minutes and if they could desist from interventions, otherwise not everyone who wants to will be able to speak.

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[Several hon. Members rose—]

[Sir Mark Hendrick (in the Chair)]

Order. I ask Members to please try to keep to two minutes if they can.

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[Michelle Welsh (Sherwood Forest) (Lab)]

I thank my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing this important debate. All the words we have heard today have been poignant and impactful.

I want to speak about the impact of AIDS on women. In the UK, women make up a third of people living with HIV and just over a third of new HIV diagnoses. It is crucial that any strategy for AIDS does not forget women and their unique experiences of this disease. Often, women with HIV are some of the most disadvantaged members of society. The Terrence Higgins Trust estimates that almost half of women living with HIV in the UK live below the poverty line. It also estimates that over half of women living with HIV have experienced violence because of their HIV status. I spoke earlier today in a debate on tackling violence against women and girls, and this is yet another opportunity to highlight the actions we need to be taking to ensure that women in the UK do not have to live in fear.

I also want to raise the importance of women getting tested for HIV, as it can often feel like there are too many barriers in place. We have made great strides in the treatment of the disease; it is vital that women can also access those treatments.

It is also important to raise the fact that often, black, Asian and ethnic minority women face worse outcomes and experiences in our healthcare services than white women. That will no doubt also be seen in how those women access HIV care.

I will finish by saying that we must strive so that all those living with HIV are able to do so with freedom from HIV secrecy, knowing that they are accepted and that HIV is not a label, and are free to pursue their dreams, faith and relationships free from stigma and discrimination.

[Sir Mark Hendrick (in the Chair)]

I thank hon. Members for their brief contributions and for giving time for the Front Bench speakers.

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[The Parliamentary Under-Secretary of State for Health and Social Care (Andrew Gwynne)]

It is a pleasure to serve under your chairmanship, Sir Mark. I am extremely honoured to have the opportunity to speak today at the first dedicated debate on HIV and AIDS in this Parliament. I am incredibly grateful to my hon. Friend the Member for Uxbridge and South Ruislip (Danny Beales) for securing the debate on a topic that is close not only to both of our hearts but to the heart of this Government.

We are a Government who are committed to ending new HIV transmissions in England by 2030. With World AIDS Day fast approaching on 1 December, the debate is a welcome opportunity to highlight the importance of our new HIV action plan, which we aim to publish in summer of next year. Achieving that goal demands collaboration and that is why dialogue and engagement with every part of the system will be crucial as we progress with the development of the new plan.

I am delighted to have the continuing support of colleagues from across the House, and like many speakers today I commend the engagement of fantastic charities and organisations such as the Terrence Higgins Trust, the National AIDS Trust and the Elton John AIDS Foundation, among many others. I also pay tribute to all Members who have contributed to the debate. I assure the hon. Member for Strangford (Jim Shannon) that, as the Minister responsible for public health in England, I will liaise closely with my counterparts in Northern Ireland, Scotland and Wales to ensure that we are all on track to end new cases of HIV in our respective jurisdictions.

My hon. Friend the Member for Gedling (Michael Payne) spoke powerfully, and the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) and my hon. Friend the Member for Exeter (Steve Race) both raised the issues of global inequality, stigma and the pervasive legislation that still exists in far too many parts of the world. I assure them and the whole House that this new Government will continue to be a major contributor to the Global Fund. Our obligations on the international stage are clear: we are not just about tackling HIV in this country, but around the globe. On human rights and anti-LGBTQ+ legislation, this Government and this country will always stand for equality, human rights and justice across the world, as well as at home.

My hon. Friend the Member for Clapham and Brixton Hill (Bell Ribeiro-Addy) spoke specifically about issues within black and minority ethnic communities. I would love to come and visit the new clinic she mentioned; consider it a date.

My hon. Friend the Member for Bournemouth East (Tom Hayes) made a lovely and loving contribution to the debate. On behalf of the British Government, I thank him for putting the name of John Eaddie on the record. John is no longer just a statistic; he is a human being who happened to die of AIDS. We pay tribute to John and to those who died after him, ahead of all the drugs, treatments and advances in technology that we now have. However, their death was not in vain, because we remember them and the sacrifices of their friends and families to support them in really difficult times so that we have a better world ahead of us today.

My hon. Friend the Member for Sherwood Forest (Michelle Welsh) and the hon. Member for North Shropshire (Helen Morgan), who spoke for the Liberal Democrats, also contributed to the debate. I assure the hon. Lady that this Government are committed to public health and prevention and although I cannot circumnavigate the Budget process, we will do all we can to restore the public health grant across this Parliament and into the future, because public health and prevention matter. They are a priority for us all.

On Monday, I had the pleasure of attending the launch of the voluntary and community sector report produced jointly by the Terrence Higgins Trust, the National AIDS Trust and the Elton John AIDS Foundation, where I offered my reflections on its valuable recommendations. I welcome the report and its recommendations, and I look forward to developing the HIV action plan alongside such a vital sector. We remain committed to hearing from those whose frontline expertise, grassroots connections and powerful voices will ensure that our plan is not only ambitious but grounded in the lived experiences of those it seeks to support.

Let me be clear: getting to zero new transmissions means smashing stigma. World AIDS Day is a stark reminder of how far we have come since the 1980s, but this year’s theme of tackling stigma starkly shows how far we have to go. It calls on all of us, not just as lawmakers but as members of our communities to reflect on the prejudice that people living with HIV have faced through not only a life-threatening illness but alienation, misinformation and discrimination. I have been thrilled to see the innovation and effectiveness of stigma-reduction strategies across the country. I am keen to build on that knowledge and work closely with the UK Health Security Agency as it continues to monitor stigma data through the “Positive Voices” survey report, to ensure that addressing stigma is a key priority for our new HIV action plan.

The experiences of the 1980s should remind all of us that stigma thrives in ignorance and silence. That is why we are determined to address it head-on, as part of honouring the legacy and work of so many others who went before. For the avoidance of doubt, we will not be satisfied until the number of transmissions reaches zero, yet there remain differences in the rate of diagnoses between demographics.

As the numbers move towards zero, we must work together to reach those communities that have not been captured thus far. That means including and empowering those voices, not essentialising them. It means cultural competence, innovation and collaboration. That is why we are hosting engagement sessions and roundtables in parallel with external stakeholders, including people with lived experience, the voluntary and community sector, professional bodies, local partners and others. We are working alongside UKHSA, NHS England and a broad range of system partners to inform the development of the new action plan, which will build on the progress made on the existing plan and guarantee that it is robust, inclusive and evidence-based.

Central to that effort is the importance of testing. That is a message we cannot repeat enough. I apologise to the shadow Minister, but I am going to repeat it: test, test, test. Testing is the gateway to prevention, treatment and ultimately ending new HIV transmission. We know that HIV opt-out testing works well. Over the past 27 months, more than 2 million HIV tests have been conducted, reaching those who do not typically engage with sexual health services.

Tomorrow, UKHSA will publish its opt-out testing report, providing us with the latest data. That will inform the next steps for the expansion of opt-out testing. We will also use that as a foundation to explore how our action plan can build on those successes—successes such as the national HIV testing week, yet we know that lower levels of testing persist among black African and heterosexual groups. We have seen that trend intersect with women, too. That requires tailoring our approach to reach those people living with undiagnosed HIV, who have been overlooked.

PrEP plays a vital role in the combination approach. Breakthroughs in science and medicine mean that, with the right treatment, people living with HIV can now lead long, healthy lives. The PrEP road map was published by the HIV action plan implementation steering group in February this year, identifying barriers to access for under-represented groups. That road map will guide our efforts to improve access, uptake and the use of PrEP among those most at risk of HIV.

In closing, I want to say that we are determined to reach zero HIV transmissions. On World AIDS day, let us honour those we have lost by recommitting ourselves to a future free from fear, misinformation and discrimination. The “Don’t die of ignorance” slogan is sadly as relevant today as it was on release. Together with science, compassion and unity we can achieve a future of zero new HIV transmissions, with stigma consigned to history.

[Sir Mark Hendrick (in the Chair)]

Order. In the 20 seconds we have left, I leave it to Mr Beales to say a few words.