'The Department of Health admitted it did not know whose remit the drug falls under. Now an HIV charity, the National Aids Trust, has taken the issue to judicial review and has a ruling that it is NHS England’s responsibility.
HIV prevention is currently the responsibility of local authorities, with treatment NHS England's remit, but according to a leaked letter from the public health minister, all commissioning of antiretrovirals is normally done by NHS England. Truvada, however, is both an antiretroviral and a preventative drug.
The All-Party Parliamentary Group on HIV and Aids noted in 2013 that there was a risk that the changes brought in by the Health and Social Care Act would harm HIV prevention efforts by splitting responsibilities for prevention and treatment.'
From the NHA link earlier.
The problem is that they cannot decide who should pay for it, so it could be a choice of children's services or drugs paid for by the council. It's not just a question of the NHS.