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My Lords, HIV/AIDS may have gone off the front pages here in Britain, rightly or wrongly, but what is beyond doubt is that it remains a serious scourge in many countries overseas. How do our overseas assistance programmes, current and future, measure up to that specific and very serious challenge?
My Lords, HIV/AIDS may have gone off the front pages here in Britain, rightly or wrongly, but what is beyond doubt is that it remains a serious scourge in many countries overseas. How do our overseas assistance programmes, current and future, measure up to that specific and very serious challenge?
It is absolutely a serious challenge. While we see medical advances that enable us to make progress, we see problems emerge in other areas. We see prevalence among young girls, in particular, increasing to a worrying extent. This is one of the reasons that we decided to maintain a very strong commitment to the Global Fund, which as noble Lords will know, fights three diseases, one of which is HIV. We work closely with the Global Fund and our country partners in order to keep going on this battle, which we are making progress with, but there is still an awful lot more to do.
Lords motion to take note of recent developments in relation to broadcasting in the United Kingdom. Agreed to on question.
Lords motion to take note of recent developments in relation to broadcasting in the United Kingdom. Agreed to on question.
My Lords, when I first put down this Motion, it was really to draw the contrast between the amount of attention we are able to give to media issues in the House of Lords compared with the House of Commons. I do not think we have come out well out...
My Lords, when I first put down this Motion, it was really to draw the contrast between the amount of attention we are able to give to media issues in the House of Lords compared with the House of Commons. I do not think we have come out well out...
My Lords, I am not remotely going to attempt a further summing up. We had a very good summing up from the Minister, and I congratulate her and the two spokesmen of the political parties on what they have said.
The debate has proved and established what I said at the...
My Lords, I am not remotely going to attempt a further summing up. We had a very good summing up from the Minister, and I congratulate her and the two spokesmen of the political parties on what they have said.
The debate has proved and established what I said at the...
My Lords, I thank the Minister for that reply. Today on World AIDS Day, we acknowledge the radical reduction that there has been in deaths from AIDS over past years, with deaths reducing worldwide from 1.4 million a year in 2010 to the present total of around 630,000. I hope that we will also acknowledge the terrible irony that, in spite of this success and in spite of the breakthrough with new drugs, nations, led regrettably by the United States but including others such as Britain, are cutting their overseas budgets. Surely, we will not be forgiven if we reject the exceptional opportunity we have now to eradicate AIDS as a public health threat as quickly as humanly possible.
My Lords, I thank the Minister for that reply. Today on World AIDS Day, we acknowledge the radical reduction that there has been in deaths from AIDS over past years, with deaths reducing worldwide from 1.4 million a year in 2010 to the present total of around 630,000. I hope that we will also acknowledge the terrible irony that, in spite of this success and in spite of the breakthrough with new drugs, nations, led regrettably by the United States but including others such as Britain, are cutting their overseas budgets. Surely, we will not be forgiven if we reject the exceptional opportunity we have now to eradicate AIDS as a public health threat as quickly as humanly possible.
We would not be forgiven, but that is not what we are doing. We are now the third-biggest contributor to the Global Fund, which is the world’s leading mechanism for fighting AIDS, TB and malaria, and we have continued to fund UNAIDS. We work through Unitaid and with the Robert Carr Fund. The UK is doing everything that it can, internationally and domestically, to fight HIV and AIDS. We must not forget the work that we are doing to fight against the rollback of LGBT rights, the absence of which does so much harm to prevention and promotes the stigmatisation that leads to people being unable to access their treatment. I respect the incredible work that the noble Lord has done over very many years and I look forward to continuing to be held to account by him on this vital issue.
To ask His Majesty’s Government, in the light of World Aids Day 2025, when they estimate that the goal of eliminating AIDS as a public health threat will be reached.
To ask His Majesty’s Government, in the light of World Aids Day 2025, when they estimate that the goal of eliminating AIDS as a public health threat will be reached.
My Lords, the global response to HIV and AIDS has seen outstanding achievements, with infections up to 40% lower globally than in 2010. But, despite this, our work is not done. The UK Government remain firmly committed to eliminating AIDS as a public health threat, and we are proud to continue our support to the organisations at the forefront of the HIV response, including the Global Fund to Fight AIDS, Tuberculosis and Malaria, whose eighth replenishment we co-hosted, alongside South Africa and UNAIDS.
My Lords, I have been a journalist for 60 years, leaving aside a rather lively period in which I served with the late Baroness Thatcher. But apart from that, I have been a journalist, and in that time I have also chaired two regional newspaper groups.
Of course, the BBC has...
My Lords, I have been a journalist for 60 years, leaving aside a rather lively period in which I served with the late Baroness Thatcher. But apart from that, I have been a journalist, and in that time I have also chaired two regional newspaper groups.
Of course, the BBC has...
I ask that the noble Baroness should support the gold standard of the BBC in its reports, and in its general reporting duty.
I ask that the noble Baroness should support the gold standard of the BBC in its reports, and in its general reporting duty.
My Lords, I entirely support the case made by the noble Lord, Lord Black, but I urge the Government to go further. About 9 million people in the world who need HIV treatment are not receiving it at present. That position is being seriously worsened by the American Government’s regrettable decision to cut healthcare provision in so many programmes. Will the Government now lead a new international effort to increase funding to counter this new threat, which is becoming more and more obvious around the world?
My Lords, I entirely support the case made by the noble Lord, Lord Black, but I urge the Government to go further. About 9 million people in the world who need HIV treatment are not receiving it at present. That position is being seriously worsened by the American Government’s regrettable decision to cut healthcare provision in so many programmes. Will the Government now lead a new international effort to increase funding to counter this new threat, which is becoming more and more obvious around the world?
As I am sure the noble Lord is aware and welcomes, alongside South Africa, the UK is leading the campaign to raise investment for the Global Fund’s next three-year funding cycle. I assure him that we will, as he does, continue to champion global health and certainly remain committed to UK support for the Global Fund. UN aid also plays a very important role in the response and our funding has contributed towards preventing new cases in key populations. Long may that continue.
To ask His Majesty's Government what is their estimate of the reduction in resources provided by the Government and voluntary sector to tackle HIV and AIDS domestically since the beginning of the year.
To ask His Majesty's Government what is their estimate of the reduction in resources provided by the Government and voluntary sector to tackle HIV and AIDS domestically since the beginning of the year.
The Government is committed to ending HIV transmissions within England by 2030 and is developing the new HIV Action Plan, which we aim to publish this year.
There has been no reduction in resources provided by the Government to address HIV domestically since the beginning of the year.
In 2025/2026, the Government has increased funding through the ringfenced Public Health Grant, and the 100% retained business rate arrangement for local authorities in Greater Manchester, to £3.858 billion. This represents a significant turning point for local health services, marking the biggest real-terms increase after nearly a decade of reduced spending.
£27 million of additional funding was confirmed for 2025/26 to expand and continue the highly successful National Health Service emergency department opt-out HIV testing programme until March 2026, which has helped to identify more than 1,500 untreated or undiagnosed HIV cases in its first 36 months.
Furthermore, HIV Prevention England, which is the national HIV prevention programme for England funded by the Department and delivered by the Terrence Higgins Trust, has been extended for a year until March 2026, and is backed by £1.5 million of additional funding.
The Government has not estimated the HIV/AIDS resources provided by the voluntary sector.
My Lords, I very much appreciate the Answer that the Minister has given, but does she agree with me that there is far too much satisfaction shown by financial spokesmen on the reduction in overseas aid, given that the certain outcome is more illness and more death, particularly among women and small children?
My Lords, I very much appreciate the Answer that the Minister has given, but does she agree with me that there is far too much satisfaction shown by financial spokesmen on the reduction in overseas aid, given that the certain outcome is more illness and more death, particularly among women and small children?
I am not sure which financial spokespeople the noble Lord is speaking about. On behalf of the Government, I can say that the decision to reduce our ODA spend was taken in order to invest more in defence. That is a decision I support; it was the right decision to take at that particular point in time. It is our hope that, in time, as the economy improves, we can increase our spending. We understand the long-term benefits of enabling countries to develop and to become safe and more secure, more prosperous and able to stand on their own two feet. This is what countries are telling us repeatedly. They want to be partners with us and move on from simply being recipients of aid.
My Lords, I know that, in my day, when I was party chairman—before I became independent—some of the biggest political donors were the trade unions. Does this review include the trade unions and the restrictions that could be placed on them?
My Lords, I know that, in my day, when I was party chairman—before I became independent—some of the biggest political donors were the trade unions. Does this review include the trade unions and the restrictions that could be placed on them?
My Lords, to the noble Lord’s question, your Lordships will have to wait until summer, when we will set out our strategy. The Deputy Prime Minister is absolutely keen, in her role as Secretary of State for MHCLG, to ensure that we have strong electoral reforms ready for the next election.
My Lords, surely the only way of reaching some agreement on the size of the humanitarian disaster in Gaza is by allowing in the international press and television. They can report on what is actually happening there, as opposed to putting and leaving it in the hands of the public relations people. Should that not be one of the first priorities of the Government in their international discussions?
My Lords, surely the only way of reaching some agreement on the size of the humanitarian disaster in Gaza is by allowing in the international press and television. They can report on what is actually happening there, as opposed to putting and leaving it in the hands of the public relations people. Should that not be one of the first priorities of the Government in their international discussions?
Our first priority, as I have made very clear, is to get food to the people who are starving. The noble Lord is right that that is not being helped by the inability of journalists to report accurately what is happening in Gaza. I do not know the precise reasons the Israeli Government have for not permitting journalists to do their job. I know that there are journalists who, despite the undoubtedly enormous risk to themselves, would be willing to undertake that task. It would be far preferable for us to have accurate reporting.
My Lords, I declare an interest as having been a Member of Parliament for a Birmingham constituency—Sutton Coldfield—for 27 years, so I know a little about the area.
I am not sure that I agree with the Minister or my noble friend Lord Snape—he used to be my pair, so I...
My Lords, I declare an interest as having been a Member of Parliament for a Birmingham constituency—Sutton Coldfield—for 27 years, so I know a little about the area.
I am not sure that I agree with the Minister or my noble friend Lord Snape—he used to be my pair, so I...
My Lords, Amendment 85 is in my name. I will be extremely brief. I had originally written down that I agreed with some of what the noble Baroness, Lady Smith, had to say. Having listened to her, I am not sure that that fully explains my position; I found myself...
My Lords, Amendment 85 is in my name. I will be extremely brief. I had originally written down that I agreed with some of what the noble Baroness, Lady Smith, had to say. Having listened to her, I am not sure that that fully explains my position; I found myself...
To ask His Majesty’s Government what assessment they have made of the impact of the United States of America’s withdrawal from the World Health Organization on the global treatment of HIV/AIDS.
To ask His Majesty’s Government what assessment they have made of the impact of the United States of America’s withdrawal from the World Health Organization on the global treatment of HIV/AIDS.
My Lords, I pay tribute to the noble Lord, Lord Fowler, for the work that he has done on this agenda over very many decades. The UK will continue to work with the World Health Organization, member states and other partners to support the WHO’s ongoing transformation and to strengthen its efficiency, transparency and responsiveness. We are proud of our long-standing support for global health organisations at the core of the response to HIV/AIDS and we continue to support efforts to end AIDS as a public health threat by 2030.
My Lords, I am grateful for that reply. There have been, to date, 40 million deaths from AIDS across the world. Because of the success of efforts over the last years, official predictions were that AIDS could be eliminated as a public health disease by 2030, as the Minister has just said, but that was before the abrupt and recent changes of policy by the American Administration, which have caused havoc across the world. Is it really the Government’s view that the 2030 target is achievable in the new conditions? Do they share the view of most medical experts that the American policies are leading the world backwards, to defeat, in a vital area of public health?
My Lords, I am grateful for that reply. There have been, to date, 40 million deaths from AIDS across the world. Because of the success of efforts over the last years, official predictions were that AIDS could be eliminated as a public health disease by 2030, as the Minister has just said, but that was before the abrupt and recent changes of policy by the American Administration, which have caused havoc across the world. Is it really the Government’s view that the 2030 target is achievable in the new conditions? Do they share the view of most medical experts that the American policies are leading the world backwards, to defeat, in a vital area of public health?
I do not think it has made it any easier, but we stand by our commitment to do this by 2030. There are some things in our favour around medical advances and new treatments, and a willingness of some Governments now to play a part that perhaps they have not been able to in the past. There is no doubt that the situation is now more challenging, but we will work as firmly and with as much energy as we ever have towards this goal, because it is important that we do.
My Lords, I fully share the noble Lord’s criticism of the particular programme, but we should recognise that that in no way describes the BBC’s general coverage of Gaza. Speaking as a former journalist who covered a Middle East war, I was struck by the way BBC journalists strived for...
My Lords, I fully share the noble Lord’s criticism of the particular programme, but we should recognise that that in no way describes the BBC’s general coverage of Gaza. Speaking as a former journalist who covered a Middle East war, I was struck by the way BBC journalists strived for...
My Lords, I will raise two brief but important points. I accept entirely that we should make savings to pay for the resources we are giving to defence, and I entirely support the strongest possible support for Ukraine. However, I do not understand why all the savings are concentrated on...
My Lords, I will raise two brief but important points. I accept entirely that we should make savings to pay for the resources we are giving to defence, and I entirely support the strongest possible support for Ukraine. However, I do not understand why all the savings are concentrated on...
My Lords, is it not true that we have not used community pharmacies in this country to their full potential? That impression was confirmed for me when I was chairman of such a group. Should our policy not be to develop community pharmacies so that they make an even bigger contribution to public health in this country? Would it not be better if pharmacists’ income came from that kind of effort, rather than from asking them to rely on the sale of cosmetics and other over the counter, commercial products?
My Lords, is it not true that we have not used community pharmacies in this country to their full potential? That impression was confirmed for me when I was chairman of such a group. Should our policy not be to develop community pharmacies so that they make an even bigger contribution to public health in this country? Would it not be better if pharmacists’ income came from that kind of effort, rather than from asking them to rely on the sale of cosmetics and other over the counter, commercial products?
Commercial over the counter products will have a part to play. However, I take the point that the noble Lord makes. I am sure it is true that their vital role, and the opportunities that they offer, were not exploited as much as they could have been—when I say “exploited”, I mean that in a positive way. The Minister for Care, Stephen Kinnock, issued a press release today. In his last point he says:
“I am committed to working closely with Community Pharmacy England to agree a package of funding that is reflective of the important support that they provide to patients up and down the country. I am confident that together we can get the sector back on its feet and fit for pharmacies and patients long into the future”.