HIV Testing Week

Scott Arthur Excerpts

Thursday 13th February 2025 Westminster Hall

[Dr Scott Arthur (Edinburgh South West) (Lab)]

It is a pleasure to serve under your chairmanship on the last day before recess, Dr Allin-Khan. I thank the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale (David Mundell) for securing this debate. The fact that he opened the debate is a reminder that HIV is not just an issue in our big urban centres.

In October, I visited Waverley Care’s headquarters in Firrhill in my constituency of Edinburgh South West, and I was deeply impressed by their work. Established in the 1980s, Waverley Care bravely opened the UK’s first purpose-built AIDS hospice, Milestone House, in response to the emerging HIV/AIDS epidemic in Edinburgh. Milestone House faced initial opposition, reflecting the fear and stigma surrounding HIV/AIDS at the time, which we have heard about. I have heard first-hand accounts of that, including from a former Firrhill high school pupil, who recalled visits to the centre and the subsequent backlash in the media. Work placements had to be ended because of the misleading reporting.

It pains me that, back then, some of the LGBT community found that hate was a barrier to seeking help and testing. It really pains me that today some of the trans community face the same bigotry, and for them it is a barrier to seeking testing and PrEP. We must acknowledge the courage of individuals at the time, and I include in that Councillor John Allan, who represented Oxgangs ward. He wanted the hospice to come to his ward when other councillors were doing all they could to stop it coming to theirs, so I thank him for his leadership.

The turning point in local opposition to the centre came with Princess Diana’s visit. She visited many hospices. Her simple act of sharing a cup of tea with a visibly ill young woman sent a clear signal: the patients faced death, but they were still people and worthy of our respect. I do not compare the Prime Minister to Princess Diana, of course, but what he did this week was exactly the same. We who have tested this week and are telling our constituents about it are doing exactly the same—although I have to say that it was harder to get blood out of my finger than I expected.

Since then, remarkable medical advances have transformed HIV/AIDS from a death sentence to a manageable condition. Milestone House is no longer a hospice; it is a hospital. However, as the right hon. Member for Dumfriesshire, Clydesdale and Tweeddale highlighted, the fight is not over. Shamefully, HIV testing in Scotland has decreased by 19% since 2019, and diagnoses are on the rise. Scotland lags behind England, lacking a dedicated HIV testing week and opt-out testing in our high-risk urban centres. The prevalence of HIV in Glasgow and Edinburgh is more than double the trigger level for opt-out testing in England, but that facility is not provided.

Waverley Care rightly highlights that while LGBT communities have strong awareness, heterosexual transmission is now the most common route, often because of lower testing rates. That is why a dedicated testing week and opt-out testing are so important in Scotland. Waverley Care, in partnership with THT, is leading the charge for opt-out testing and an HIV testing week in Scotland, and it has written to the Scottish Government. Those measures have been proven to be effective in England. Having read the testament from Waverley Care and the Terrence Higgins Trust, I cannot see how Scotland can meet its target of no HIV transmissions by 2030—it just cannot be done. I can only conclude that that is going to make it much harder for the UK Government to hit their own target. Will the Minister therefore write to the Scottish Government to make clear the benefits of an HIV testing week and opt-out testing in our big urban centres, and asking the Scottish Government to follow the UK Government?