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House of Lords Official Report Vol. 758 Thursday No. 85 15 January 2015 PARLIAMENTARY DEBATES (HANSARD) HOUSE OF LORDS OFFICIAL REPORT ORDER OF BUSINESS Questions HIV..................................................................................................................................................891 Personal Independence Payments ..................................................................................................893 United States: Haggis Ban............................................................................................................896 Milk Production..............................................................................................................................897 Business of the House Timing of Debates..........................................................................................................................900 Natural Environment Motion to Take Note.....................................................................................................................901 NHS: Accident and Emergency Services Question for Short Debate.............................................................................................................934 Mental Health Motion to Take Note.....................................................................................................................948 Insurance Bill [HL] Third Reading..................................................................................................................................980 Developing World: Maternal and Neonatal Mortality Question for Short Debate..................................................................................................................980 Grand Committee Cadet Units in Schools Question for Short Debate.....................................................................................................GC 235 Criminal Bar: Funding Question for Short Debate.....................................................................................................GC 249 Property Boundaries Question for Short Debate.....................................................................................................GC 262 Chancel Repairs Question for Short Debate.....................................................................................................GC 273 London Health Commission: Smoking Question for Short Debate.....................................................................................................GC 288 Written Statements........................................................................................................................WS 83 Written Answers ...........................................................................................................................WA 257 £4·00 Lords wishing to be supplied with these Daily Reports should give notice to this effect to the Printed Paper Office. No proofs of Daily Reports are provided. Corrections for the bound volume which Lords wish to suggest to the report of their speeches should be clearly indicated in a copy of the Daily Report, which, with the column numbers concerned shown on the front cover, should be sent to the Editor of Debates, House of Lords, within 14 days of the date of the Daily Report. This issue of the Official Report is also available on the Internet at www.publications.parliament.uk/pa/ld201415/ldhansrd/index/150115.html PRICES AND SUBSCRIPTION RATES DAILY PARTS Single copies: Commons, £5; Lords £4 Annual subscriptions: Commons, £865; Lords £600 LORDS VOLUME INDEX obtainable on standing order only. Details available on request. BOUND VOLUMES OF DEBATES are issued periodically during the session. Single copies: Commons, £105; Lords, £60 (£100 for a two-volume edition). Standing orders will be accepted. THE INDEX to each Bound Volume of House of Commons Debates is published separately at £9·00 and can be supplied to standing order. All prices are inclusive of postage. The first time a Member speaks to a new piece of parliamentary business, the following abbreviations are used to show their party affiliation: Abbreviation Party/Group CB Cross Bench Con Conservative Con Ind Conservative Independent DUP Democratic Unionist Party GP Green Party Ind Lab Independent Labour Ind LD Independent Liberal Democrat Ind SD Independent Social Democrat Lab Labour Lab Ind Labour Independent LD Liberal Democrat LD Ind Liberal Democrat Independent Non-afl Non-affiliated PC Plaid Cymru UKIP UK Independence Party UUP Ulster Unionist Party No party affiliation is given for Members serving the House in a formal capacity, the Lords spiritual, Members on leave of absence or Members who are otherwise disqualified from sitting in the House. © Parliamentary Copyright House of Lords 2015, this publication may be reproduced under the terms of the Open Parliament licence, which is published at www.parliament.uk/site-information/copyright/. 891 HIV[15 JANUARY 2015] HIV 892 symptoms. My department was pleased to fund the House of Lords Medical Foundation for AIDS and Sexual Health’s HIV testing in primary care project that provides a Thursday, 15 January 2015. web-based interactive resource for GPs in primary care to help make testing easier in GP surgeries. 11 am Prayers—read by the Lord Bishop of Lichfield. Baroness McIntosh of Hudnall (Lab): My Lords, does the Minister agree that one of the biggest disincentives to testing is the amount of stigma that still remains HIV against those who are known to have HIV? Alongside Question encouraging people to have tests, can he say what Public Health England is doing to combat that stigma? 11.06 am Asked by Lord Fowler Earl Howe: The noble Baroness is absolutely right. To ask Her Majesty’s Government what estimate If we were to single out three things that are important they have made of the proportion of people living in this context, they would be prevention, testing and with HIV who are undiagnosed. tackling stigma and discrimination. The NHS, local authorities, government, community and faith groups, The Parliamentary Under-Secretary of State, Department the media and individuals themselves all have a part to of Health (Earl Howe) (Con): My Lords, Public Health play in eliminating HIV-related stigma. Our framework England estimates that in 2013 107,800 people were for sexual health improvement is clear that action living with HIV in the United Kingdom. Of these, needs to continue to eradicate prejudice based on 24%, some 26,100, down from 25% in 2012, were sexual orientation. That depends on building an open undiagnosed and unaware of their infection. Early and honest culture where everyone can make informed diagnosis is important to ensure people can get early decisions and responsible choices about relationships. treatment and to prevent them infecting others. Baroness Gardner of Parkes (Con): My Lords, is it Lord Fowler (Con): My Lords, surely we cannot not a fact that there has been a great change in ever eradicate HIV in Britain, which currently is costing attitudes about HIV, and not only because of the the health service something like £650 million a year, treatments that are now available? I recall the days when there are at any one time, as my noble friend has when people went into a hospice because it was a just said, 26,000 people who have contracted HIV but terminal condition. I have sat on various inquiries and are undiagnosed and untested and can obviously spread know that people used to hide—in the fridge, for example the infection further. Will my noble friend consider —any evidence that they had HIV because they were setting up a working party to report on how testing in frightened of other people knowing. Because that no this country can be improved, which would be of longer applies, there is a great opportunity for people benefit to those people affected and also to the benefit to have testing without any embarrassment at all. of the public generally. Earl Howe: My noble friend is right. I think that we Earl Howe: I will gladly take that suggestion from have come a long way since my noble friend Lord Fowler my noble friend away and give it consideration and I was Secretary of State, when stigma and discrimination am grateful to him for it. The position on testing is, were very apparent in virtually all sections of society. however, quite encouraging. We have seen more than We do not see that so much now, I am glad to say, as 1 million HIV tests in sexual health clinics in 2013, evidenced by the fact that we are reporting a continuing which is up 5% from the previous year, and that is only reduction in late diagnosis. It was down to 42% last in sexual health clinics. As my noble friend knows, year from 47% in 2012, and that is a key indicator in there are other routes to testing through GP surgeries, this context. self-sampling kits and so on. Additional testing is vital if we are going to make sufficient inroads into diagnosing this condition. Lord Collins of Highbury (Lab): My Lords, the UK is a leading supporter of research and development Baroness Barker (LD): My Lords, the organisation into universal prevention methods, including HIV Halve It reported in a survey last year that one-third microbiocides and vaccines. With 19 million people of GPs who are in high-prevalence HIV areas were globally remaining unaware of their HIV status today, unaware that that is where they worked and consequently will the noble Earl tell us how the Department of were not testing people for HIV routinely. Can the Health is working with the Department for International
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