{"id":76827,"date":"2016-12-04T00:15:22","date_gmt":"2016-12-04T00:15:22","guid":{"rendered":"http:\/\/mostafa.openonline.co.uk\/?guid=5fd59b680d829c5ae409b8fbc2c9ec5a"},"modified":"2016-12-04T00:15:22","modified_gmt":"2016-12-04T00:15:22","slug":"press-release-nhs-england-and-phe-extend-hiv-prevention-programme","status":"publish","type":"post","link":"https:\/\/mostafa.openonline.co.uk\/?p=76827","title":{"rendered":"Press release: NHS England and PHE extend HIV prevention programme"},"content":{"rendered":"
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NHS England will fund a major extension to the national HIV<\/abbr> prevention programme led by Public Health England (PHE<\/abbr>) with the aim of supporting those most at risk and reducing the incidence of HIV<\/abbr> infection.<\/p>\n

It has also decided to routinely commission 10 new specialised treatments as part of the annual prioritisation process for specialised treatments.<\/p>\n

The new HIV<\/abbr> initiative is joint between NHS England and PHE<\/abbr>, and follows the recent Court of Appeal ruling that NHS England, alongside local authorities, has the power, although not the obligation, to fund the provision of anti-retroviral drugs for the prevention of HIV<\/abbr>, known as pre-exposure prophylaxis (PrEP<\/abbr>).<\/p>\n

The first phase of implementation will be the launch of a large scale clinical trial early in the 2017 to 2018 financial year. Although the evidence around the clinical effectiveness of PrEP<\/abbr> is strong, advice from PHE<\/abbr> has highlighted significant outstanding implementation questions that should be answered prior to using PrEP<\/abbr> in a sustained way on a substantial scale in England. These questions will be answered by the clinical trial, paving the way for full roll-out.<\/p>\n

It is anticipated that the clinical trial phase will include at least 10,000 participants over the next 3 years. NHS England will fully fund the cost of the clinical trial phase and will work in partnership with local authorities, the Local Government Association (LGA<\/abbr>) and PHE<\/abbr> to implement the findings as part of a wider national roll-out.<\/p>\n

Detailed planning will now take place to ensure the launch and the clinical trial phase can begin as swiftly as possible. Up to \u00a310 million will be made available over the next 3 years to fund all aspects of the trial. Next steps will include asking both the manufacturer of the branded PrEP<\/abbr> drug Truvada, as well as generic manufacturers to make proposals to participate in the trial.<\/p>\n

Dr Jonathan Fielden, Director of Specialised Commissioning and Deputy National Medical Director, NHS England said:<\/p>\n

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We\u2019re pleased to be able to announce funding not only for 10 new specialised treatments but also a new ground breaking national programme for PrEP<\/abbr> that will benefit at least 10,000 people.<\/p>\n

This has, in part, been made possible by the willingness of many pharmaceutical and device companies to come forward with lower and more responsible prices. Continuing this constructive joint working will enable us to fund more new drugs and treatments in the future.<\/p>\n

We have, however, had to make some tough decisions over what we are not able to fund at this point in time within the resources we have available. We will ensure those treatments have the opportunity to be considered as part of the next annual prioritisation round in spring 2017.<\/p>\n<\/blockquote>\n

Professor Kevin Fenton, Director of Health and Wellbeing at PHE<\/abbr> said:<\/p>\n

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Currently 13,500 people are living in the UK with undiagnosed HIV<\/abbr> and we are still seeing around 5,000 new infections each year. Given we are in the fourth decade of this epidemic there are too many new infections occurring, and we need to use all tools available to save lives and money. We\u2019re delighted to be working in partnership with NHS England on this major new addition to the national HIV<\/abbr> prevention programme. This comes after much planning and preparation to ensure we can successfully coordinate this extremely important and large scale clinical trial.<\/p>\n

We encourage all those who may be at risk of HIV<\/abbr> to ensure they get tested and we are again working with local authorities to fund the HIV<\/abbr> home-sampling test kit as well as issuing joint guidance for the first time with NICE<\/abbr>, which supports increased uptake of HIV<\/abbr> testing.<\/p>\n<\/blockquote>\n

Councillor Izzi Seccombe, Chairman of the LGA<\/abbr> Community Wellbeing Board, said:<\/p>\n

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We are pleased that NHS England has acted quickly and chosen to fund the commissioning of this trial and roll-out of PrEP<\/abbr>. We now want to stand united with the NHS to defeat the spread of HIV<\/abbr>.<\/p>\n

PrEP<\/abbr> is a ground-breaking method of treatment that has the potential to save lives. Councils want to work with the NHS to help roll-out the trial.<\/p>\n

Local authorities have invested millions in providing sexual health services since taking over responsibility for public health 3 years ago, and we firmly believe that PrEP<\/abbr> could significantly reduce levels of HIV<\/abbr> in the community.<\/p>\n<\/blockquote>\n

Dr Ian Williams, Senior Lecturer and Hon Consultant Physician, Central and North West London NHS Foundation Trust and Chair of NHS England\u2019s Clinical Reference group for HIV<\/abbr> said:<\/p>\n

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This announcement demonstrates NHS England\u2019s commitment to fund PrEP<\/abbr> and provides the chance to best prepare England for optimal roll-out following this large scale clinical trial. For now, the trial will provide access to PrEP<\/abbr> for thousands of people most at risk of acquiring HIV<\/abbr>.<\/p>\n

I\u2019m delighted that the work of many people from the HIV<\/abbr> Clinical Reference Group, including clinicians and patient advocates, is providing the foundations for this trial. Now we look ahead to working with partners in PHE<\/abbr>, the voluntary sector and local government to get the trial underway across England, helping us to better understand how to integrate PrEP<\/abbr> as part of comprehensive HIV<\/abbr> prevention service aimed at preventing transmission of HIV<\/abbr> and other STIs<\/abbr>.<\/p>\n<\/blockquote>\n

The decision to routinely commission 10 new specialised treatments is based on advice from NHS England\u2019s clinical priorities advisory group which assessed the relative priority of investing in a new range of specialised treatments and interventions. This took into account revised prices submitted by some manufacturers since provisional investment decisions were published in July.<\/p>\n

The treatments that will now be routinely commissioned are:<\/p>\n