PROMOTING POSITIVE CHANGE

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1 PROMOTING POSITIVE CHANGE HIV Manifesto for Scotland April 2011 Scotland's HIV organisations are speaking out on behalf of people living with HIV and calling for increased investment for prevention, testing and treatment of HIV from the next Scottish Government. Prospective MSPs were asked to pledge support and commitment to future campaigns and support for increased funding for HIV prevention, testing and treatment. Below is a list of statements from prospective MSPS in support of our manifesto. Members of the Public are also asked to challenge their prospective MSP about what they are doing to support HIV prevention and care within Scotland by writing to them. "There have been significant strides forward in diagnosis and treatment of HIV, for example the HIV Action Plan for Scotland presents us with clear and coherent messages on tackling HIV in Scotland. However, more funding is needed to prevent the spread of HIV and ensure people living with HIV lead longer, healthier lives." (Roy Kilpatrick, Chief Executive, HIV Scotland) Some of the facts: FACT 1 HIV infection is on the rise with an average of 400 people diagnosed each year for the past 6 years. FACT 2 More people than ever are living with HIV; over 3800 people living in Scotland are diagnosed as HIV positive. FACT 3 People with HIV still experience stigma and discrimination because of misunderstandings and prejudice about HIV.

2 FACT 4 Over the past year Scotland's clinics saw 3254 individuals for HIV treatment and care. FACT 5 There is no cure for HIV and although treatments can be effective, the condition remains a serious and complex public health challenge. FACT 6 Almost one fifth of people with HIV are presenting late for treatment, leading to a significantly lower life expectancy than those who are diagnosed early. FACT 7 The majority of new cases of HIV are transmitted through unprotected sex. FACT 8 Men who have sex with men are at an increased risk of HIV however transmission through heterosexual sex is on the rise within Scotland. FACT 9 In 2010, nearly 40% of new cases of HIV diagnosed in Scotland are believed to have been contracted within Scotland. FACT 10 - HIV treatment is highly cost effective and can enable people to live relatively healthy lives reducing the burden on the NHS and allowing many to continue in employment and make a real contribution for themselves, their community and the economy. For more information on HIV and HIV in Scotland contact HIV Scotland: Web: info@hivscotland.com Tel:

3 Candidates responses to Promoting Positive Change SNP Candidates, Alasdair Allan (Western Isles), Shirley-Anne Somerville, (Edinburgh Northern and Leith), Clare Adamson (Motherwell and Wishaw), Linda Fabiani (East Kilbride), Jamie Hepburn (Central Scotland), Joe FitzPatrick (Dundee City West), Aileen McLeod (Galloway and West Dumfries) have stated this in their support for Promoting Positive Change: HIV is a major public health challenge for Scotland. In recent years we have seen a substantial rise in the number of cases of HIV. While part of this rise should be attributed to an increase in testing, we are very aware that there is an increase in the number of new transmissions. The SNP Government published an HIV Action Plan in The plan signaled a renewed focus on HIV and aimed to reduce transmission and undiagnosed infection, address the health needs of people living with HIV and to effectively coordinate services across the health, social care and voluntary sectors. The SNP have provided 9.5 million each year to prevent the spread of blood-borne viruses. As our epidemiology is constantly changing, we are focused on ensuring that our prevention efforts are targeted and evidence based to ensure that we have the best chance of reducing the transmission of HIV. The plan also requires NHS Boards to use their funding effectively but require the Scottish Government and NHS boards to work closely with their partners, including local authorities and the voluntary sector. The stigma and discrimination faced by people who are infected with HIV must be tackled. Eleanor Scott, Highlands and Islands Candidate for the Scottish Green Party: "As a former doctor I would like to add my support for your HIV manifesto, on behalf of the Scottish Green Party candidates for the Highlands and Islands. We have a fully costed programme to avoid any cuts to the health budget". 3

4 Labour candidates John Park, (Regional List Candidate for Mid Scotland and Fife) and Cathy Peattie (Falkirk East): Labour has a strong record on preventing HIV and supporting those with the condition through its sexual health strategies and support for groups including the Terrence Higgins Trust, Waverley Care and the work of HIV Scotland. Indeed it was Labour through Gavin Strang s Aids (Control) Bill in the 1980s which set this agenda and with it helped to tackle many of the prejudices and misunderstandings which were particularly prevalent at the time. I strongly agree with the comments of HIV Scotland s Chief Executive Roy Kilpatrick that, despite significant strides forward in diagnosis and treatment of HIV, more funding is needed to prevent the spread of HIV and ensure people living with the condition lead longer, healthier lives. Scottish Labour remains absolutely committed to ensuring that these services are built upon and protected from budget cuts whether delivered through the NHS or local government and voluntary sector. Any such cuts are extremely short-sighted given the cost of HIV spread and related ill-health, not just in human terms, but also financially in the longer term. I would be more than happy to join Labour colleagues in pursuing these concerns. The figures you cite show that, while the panic of the 1980s may have died down and treatment has improved enormously, the fight against HIV infection and spread is far from over. Tavish Scott, Leader, Scottish Liberal Democrats: I welcome engagement of HIV Scotland, and hope to continue building a constructive relationship with you in the future. Eileen McCartin, candidate for Paisley Scottish Liberal Democrat states: I absolutely believe that more should be done to prevent illnesses such as HIV from developing, and to ensure that high quality treatment is available to all... The health budget is, we are told, overstretched, but my own view is that there is considerable waste in the NHS which could be much better used in providing support for people with illnesses such as HIV. If we can remove some of the focus from acute services into community based services, the money will be far more appropriately spent. The government has made a start with the 70m Challenge fund, but I believe that the balance of care needs to shift over the next 5 to 10 years to recognise where our Health service, rather than our sickness service, lies. I am very supportive of increased funding in Research and Development in all spheres this would clearly include research into HIV. 4

5 Clive R Sneddon, Scottish Liberal Democrat candidate for Angus South comments: Even in these times of financial stringency, it is in everyone's interest to do what it takes to keep people well, and to ensure those who are ill have access to the medicine they need. If elected, I will do my best to ensure that the NHS and the public health service function effectively in full consultation with local people and the specialised action groups." Stuart McMillan, SNP Greenock and Inverclyde candidate writes in support of Promoting Positive Change It's vital people throughout Scotland are aware of HIV infection and the necessary care and treatment is available to those diagnosed as HIV positive. Gordon Anderson, Scottish Liberal Democrat Prospective MSP for Renfrewshire South: I am supportive of your aims in trying to improve the health and well-being of people living with HIV, and hope that if elected that I can assist and work with your organisation if possible I am concerned that stigma and discrimination surrounding HIV is damaging society, and although the issue of HIV has been publicised there is still ignorance surrounding it. John Finnie SNP, Inverness: As your list of facts outlines, People with HIV still experience stigma and discrimination because of misunderstandings and prejudice about HIV' and that shows the vital role that education will require to play in removing those barriers to understanding the medical condition I would be happy to assist anyone who feels they are facing discrimination or who believes their assessed needs are not being met." Ettie Spencer, Liberal Democrat Candidate for East Lothian. Should I be elected I would definitely support your call for increased investment for prevention, testing and treatment of HIV from the next Scottish Government. Indeed, I believe we should be doing so as the first step in doing the same world-wide." Richard Sullivan, Glasgow South Tories: I am happy to support your manifesto." Colin Beattie, SNP Candidate for Midlothian North & Musselburgh: I support your aims if I am elected. James Ashe, Labour, Lothian: I would like to support you. 5

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