Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department plans to take to ensure that areas of higher deprivation receive adequate support through the Integrated care systems so that they can continue to deliver preexisting HIV services.

Human immunodeficiency virus (HIV) services are open access and any adults with a diagnosis of HIV can self-refer, regardless of United Kingdom address. Any service diagnosing HIV in adults can refer to any specialised HIV service provider. This facilitates equitable access to care.

As set out in the NHS England Roadmap, specialised HIV inpatient and outpatient services have been identified as key areas for greater integrated care systems leadership by NHS England and integrated care boards (ICBs). Integrating the commissioning of HIV treatment services with ICBs, will allow local systems to simplify and strengthen HIV care pathways with other services through effective local partnerships, including in areas of higher deprivation.

The national Service Specification for Adult HIV services is also currently under review by NHS England. The Specification Working Group will ensure that the revised specification reflects any changes in practice since 2013, ensures close working with other relevant services, and is fit for purpose in the new commissioning landscape regardless of the level of deprivation in an area.

As part of the Government’s HIV Action Plan, a retention and re-engagement in care task and finish group was established in 2023. This group will provide advice on increasing the number of people retained and re-engaged in care and receiving effective medical care.

They will present their recommendations to the HIV Action Plan Implementation Steering Group in due course, who will agree how the advice will be taken forward.