The High-Level Meeting comes at a critical moment for the global HIV response and offers an opportunity to reaffirm international commitments to end AIDS for good. The UK has endorsed the Global AIDS Strategy 2026-2031 and will work to ensure the political declaration upholds its ambitions, particularly on human rights and gender equality, as well as harnessing the opportunity presented by long-acting injectable HIV prevention and treatment.

The High-Level Meeting comes at a critical moment for the global HIV response and offers an opportunity to reaffirm international commitments to end AIDS for good. The UK has endorsed the Global AIDS Strategy 2026-2031 and will work to ensure the political declaration upholds its ambitions, particularly on human rights and gender equality, as well as harnessing the opportunity presented by long-acting injectable HIV prevention and treatment.

The new HIV Action Plan sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing, and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV prevention and care in prisoners.

Sexual health services in prisons are commissioned by NHS England under the Section 7a Public Health Functions Agreement with the Department. They are required to deliver care and ensure access in accordance with the British Association for Sexual Health and HIV’s prison standards, helping to ensure that all individuals in custody receive equitable healthcare comparable to that available in the community.

Access to HIV pre-exposure prophylaxis in England is via commissioned level three sexual health services. These are commissioned by local authorities for people in the community. NHS England Health and justice commissioners arrange for these providers to enable access for detained people via referral for assessment. The service is accessed by the detained person via in-reach provision, where the sexual health team come on-site, or out-reach provision, where the individual goes out to clinic. The level three sexual health team use the same commissioning policy to provide the service on the same basis to detained people and people in the community.

HIV post exposure prophylaxis is accessed by prisoners in the same way as people in the community. They attend accident and emergency or access a Sexual Assault Referral Centre based on locally commissioned arrangements.

To inform future action, the UK Health Security Agency is working with regional partners to carry out an audit to understand the provision of HIV diagnosis, prevention, and care in English prisons.

The new HIV Action Plan, published on World AIDS Day on 1 December 2025, sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing, and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV prevention and care in prisoners.

People entering prison receive healthcare assessments on reception which identify current healthcare needs and treatment. This includes identifying people who are receiving treatment for HIV. The healthcare team will use processes for accessing critical medicines to arrange an urgent supply of HIV medicines from the specialist clinic if required. The healthcare team will then ensure a referral to the local HIV specialist team if the patient is in a prison, in a location which lies outside of the area covered by their current specialist. HIV services have clear processes used to promptly transfer care between specialists.

The UK Health Security Agency is working with regional partners to carry out an audit to understand the provision of HIV diagnosis, prevention, and care in English prisons.

The UK Health Security Agency (UKHSA) publishes overall HIV prevalence and HIV testing data annually in the HIV Monitoring and Evaluation Framework and the HIV Official Statistics, which are available on the GOV.UK website. Our recently published 2025 report Understanding HIV testing contains further information on people in prison. The report is also available on the GOV.UK website.

The Chief Medical Officer’s annual report in 2025, The health of people in prison, on probation and in the secure NHS estate in England, also available on the GOV.UK’s website, highlighted the significant health challenges faced by people in prison, including in sexual health and HIV, and we are committed to addressing this.

The UKHSA is working with regional partners to carry out an audit to understand the provision of HIV diagnosis, prevention, and care in English prisons. This will highlight what barriers people are facing and what we need to do to ensure every person gets the care they deserve.

Furthermore, the UKHSA is currently independently reviewing blood borne virus service provision in prisons, including the opt-out testing programme which has been in place since 2014 to update guidance, identify areas to optimise implementation, and ensure prisoners are fully supported.

The new HIV Action Plan sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV testing in prisons.

HIV testing upon entry into prison is part of a national programme of opt-out blood borne virus (BBV) testing which tests people for hepatitis C, hepatitis B, and HIV. Sexual health services in prisons are commissioned by NHS England under the Section 7a Public Health Functions Agreement with the Department. This sets out targets for this opt-out BBV testing programme, with an efficiency target of 50% testing uptake, and an optimal performance standard of 75% testing uptake.

While uptake of a BBV test has risen from 11% in 2016/17 to 72% overall in 2022/23, this is below the 75% target and there is variation by region and prison. To inform future progress, the UK Health Security Agency is working with regional partners to carry out an audit to understand the provision of HIV diagnosis, prevention and care in English prisons.

All new prison officers complete foundation training which focuses on professional standards, effective communication, and working safely and respectfully with a diverse prison population. This includes training on identifying and supporting vulnerable prisoners, managing sensitive situations, and acting in line with organisational policy and the law.

Training also covers information management and recordkeeping, reinforcing the importance of handling personal and medical information appropriately. HMPPS data protection and information governance requirements apply across the prison estate to safeguard confidentiality.

In addition, HMPPS, working with Skills for Justice, has developed a core capabilities framework for prison and probation staff who work with individuals with health, care and wellbeing needs. The framework sets out the skills, knowledge and behaviours required to support individuals in a person-centred way, including recognising needs, working in partnership with healthcare professionals, and managing sensitive information. It also supports leadership capability and can be used to strengthen existing training provision and identify gaps.

Prison healthcare services in England are commissioned by NHS England. HMPPS works in close partnership with NHS England to ensure people in custody have access to HIV testing and treatment, and that services are delivered safely and confidentially. This collaboration is underpinned by the National Partnership Agreement, which sets out shared priorities and responsibilities to improve health outcomes and reduce health inequalities in custodial settings.

The new HIV Action Plan, published on World AIDS Day on 1 December 2025, sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV testing in prisons.

HIV testing on entry into prison is part of a national programme of opt-out blood borne virus (BBV) testing which tests people for hepatitis C, hepatitis B, and HIV. Sexual health services in prisons are commissioned by NHS England under the Section 7a Public Health Functions Agreement with the Department. This sets out targets for this opt-out BBV testing programme, with an efficiency target of 50% testing uptake, and an optimal performance standard of 75% testing uptake.

While uptake of a BBV test has risen from 11% in 2016/17 to 72% overall in 2022/23, this is below the 75% target and there is variation by region and prison. To inform future progress we are supporting regional partners to complete and review the BBV and sexually transmitted infections prisons audit to understand provision of HIV prevention and care in prisons from primary care and sexual health services.

The new HIV Action Plan, published on World AIDS Day on 1 December 2025, sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV prevention and care in prisoners.

People entering prison receive healthcare assessments on reception which identify current healthcare needs and treatment. This includes identifying people who are receiving treatment for HIV. The healthcare team will use processes for accessing critical medicines to arrange an urgent supply of HIV medicines from the specialist clinic if required. The healthcare team will then ensure a referral to the local HIV specialist team if the patient is in a prison in a location which lies outside of the area coveted by their current specialist. HIV services have clear processes used to promptly transfer care between specialists.

No data is available on HIV treatment attendance for people in prison or on probation. However, engagement work has reported gaps in care, including treatment interruptions. To address this, regional and local partners are being asked to complete and review the blood borne virus and sexually transmitted infections prisons audit to understand provision of HIV prevention and care in prisons from primary care and sexual health services, which will inform future action.

The new HIV Action Plan, published on World AIDS Day on 1 December 2025, sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing, and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV prevention and care in prisoners.

NHS England Health and Justice commissioned services are required to deliver care and ensure access in accordance with the British Association for Sexual Health and HIV’s prison standards, helping to ensure that all individuals in custody, including women and other vulnerable groups, receive equitable healthcare comparable to that available in the community. Access to HIV PrEP in England is via commissioned level 3 sexual health services. These are commissioned by local authorities for people in the community. NHS England Health and Justice commissioners arrange for these providers to enable access for detained people via referral for assessment. The service is accessed by the detained person via in-reach, where the sexual health team come on-site, or out-reach, where the individual goes out to clinic, provision. The service provided to individuals by the level 3 sexual health team is on the same basis provided to people in the community using the same commissioning policy. HIV post exposure prophylaxis is accessed by prisoners in the same way as people in the community. They attend accident and emergency or access a Sexual Assault Referral Centre based on locally commissioned arrangements.

To inform future action we are supporting regional partners to complete and review the blood borne virus and sexually transmitted infections prisons audit to understand the provision of HIV prevention and care in prisons from primary care and sexual health services.

The UK Health Security Agency (UKHSA) publishes overall HIV prevalence and HIV testing data annually in the HIV Monitoring and Evaluation Framework and the HIV Official Statistics, available on the GOV.UK website.

Our recently published 2025 report Understanding HIV testing contains further information on people in prison. The report is also available on the GOV.UK website.

The new HIV Action Plan, published on World AIDS Day on 1 December 2025, sets out how the Government will enable every level of the healthcare system to work together to engage everyone in prevention, testing and treatment, tackling stigma, and reaching our ambition to end new HIV transmissions by 2030. This includes a dedicated action to deliver tailored and targeted HIV prevention, treatment, and care services to meet the needs of local populations and address inequalities, including the challenges of HIV prevention and care in prisoners.

NHS England Health and Justice commissioned services are required to deliver care and ensure access in accordance with the British Association for Sexual Health and HIV’s prison standards, helping to ensure that individuals in custody receive equitable healthcare comparable to that available in the community. NHS England Health and Justice regional commissioners ensure the level 3 sexual health services for detained people includes the HIV PrEP access pathway, and that prison healthcare teams and prisoners know how to access it. Prisoners with HIV should be seen for HIV care at least once a year. However, no data is available on HIV treatment attendance for people in prison or on probation. To address this, we are supporting regional partners to complete and review the blood borne virus and sexually transmitted infections prisons audit to understand the provision of HIV prevention and care in prisons from primary care and sexual health services, to inform future action.

Under the Banking Framework Agreement, banks choose which services they wish to offer through the Post Office network. Manual deposit services, where customers can deposit cash using a paying-in slip without a debit card, still exist for those banks under the framework who take up this service and are not being phased out.

The Post Office does not own the customer relationship or the banking products, and therefore neither Government nor the Post Office can mandate how current accounts operate or what arrangements banks put in place for cash deposits without the use of a debit card.

As has been the case under successive administrations, the Government does not publish granular details of Ministerial meetings or discussions.

As has been the case under successive administrations, the Government does not publish granular details of Ministerial meetings or discussions.

As an executive non departmental public body, the EHRC is operationally independent of Government. Any decisions related to the investigation are a matter for the EHRC to handle under its rules and procedures.

As an executive non-departmental public body that is operationally independent, this is for the Equality and Human Rights Commission to respond. I have attached the response from the Interim Chief Executive below.

As an executive non-departmental public body that is operationally independent, this is for the Equality and Human Rights Commission to respond. I have attached the response from the Interim Chief Executive below.

As an executive non-departmental public body that is operationally independent, this is for the Equality and Human Rights Commission to respond. I have attached the response from the Interim Chief Executive below.

As an executive non-departmental public body that is operationally independent, this is for the Equality and Human Rights Commission to respond. I have attached the response from the Interim Chief Executive below.

During the period between 1 and 7 February 2021, 19,342 HIV testing kits were dispatched, and 84 were reactive. The following table shows, using the data currently available, the number of HIV testing kits that were ordered and dispatched for National HIV Testing Week (NHTW) campaigns between 2019/20 and 2022/23:

Notes:

1. The campaign period is approximately one month long with NHTW being the period when key activity occurs. The table also shows the number of HIV reactive tests for the same period.
2. A reactive result means that the test has reacted with something in the blood that could be, but is not necessarily, the HIV virus or antibodies to the HIV virus. A reactive result is not the same as a positive result. Further confirmatory tests will need to be taken at a clinic.
3. Due to the COVID-19 pandemic in 2019/20, NHTW was moved from November to February.
4. The number of kits dispatched may be higher than kits ordered due to a mixture of repeat kits being dispatched (this could be where a kit is damaged or lost in the post or a person needs additional tests) and a proportion of duplicate orders.

NHTW focuses on communities disproportionately affected by HIV though tests are available to be ordered by anyone in England. We have some data available on the demographic profile of people requesting an HIV testing kit during NHTW, with 44% of HIV testing kit requests in 2023 coming from gay and bisexual men who have sex with men.

Black African people’s uptake of testing kits has tripled since 2021, accounting for 10% of orders made. During NHTW in 2023, self-testing kits were made available for the first time and were particularly popular amongst black African groups. The percentage of heterosexual men who requested a testing kit has doubled since 2021, from 11% to 22% in 2023 and the percentage of heterosexual women has also steadily increased year on year.

We continue working closely together with our key partners in the HIV Prevention Programme monitoring and evaluating the results of the campaign to ensure we continue progressing towards our 2030 ambitions.