Transcript Document 7469132

Proposed Local Developments:
Voluntary sector services
Workforce development
Louise Carroll
HIV & STI Programme Manager
Voluntary sector services
Workforce Development
NHS Boards will:
1. Identify a workforce development lead
2. Review the learning and development needs of
the hepatitis C workforce
3. Implement a coordinated approach to workforce
development in line with the national framework
Proposed Local Developments:
HCV Prevention
Justin Schofield
Hepatitis C MCN Manager
Phase II Action Plan
1. Each Board will have a HCV prevention
network
2. Services providing NEX will be improved in
accordance with National NEX guidance
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Quantity increasing access & uptake
Quality
e.g. colour coding
Nature
e.g. paraphernalia
3. National guidance & educational support
materials for young peoples’ settings
Needle Exchange
• Further develop equity and levels of provision
across GGC:
– Glasgow Addiction Service Pharmacy NEX
expanded to more CHPs
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W & E Dunbartonshire
Inverclyde
Renfrewshire & E Renfrewshire
Parts of N & S Lanarkshire
– Innovative distribution methods:
• Mobile NEX service in Glasgow city
• Backpacking NEX service, E Renfrewshire pilot
• Vending machine(s), scoping appropriate site(s)
Needle Exchange cont.
• Paraphernalia
– Role in HCV transmission
– Increases uptake of NEX services
– Provision of paraphernalia packs
alongside NEX packs
– Specific harm reduction messages on
paraphernalia packs
– Monitor uptake & acceptability
Proposed Local Developments:
Testing, treatment, care & support
Dr Syed Ahmed
Clinical Director, Public Health Protection Unit
Phase II Action Plan
1. All Boards will have a Managed Care
Network
2. Integration of HCV treatment services with
social care, addiction & primary care
3. Boards & CH(C)Ps will improve testing &
referral by GPs and other community
practitioners
4. Boards will increase numbers treated from
500/yr in 08/09 to 2,000/yr in 11/12
Outpatient Clinic Capacity
• Additional Clinical Nurse Specialists at all
treatment centres
• Additional Consultant sessions at highvolume treatment centres
(currently N. Glasgow hospitals)
• Fully staff Ward 7B
(Gartnavel / Brownlee outpatient clinic development)
Community-based testing and referral
1. Outreach services
2. Primary Care involvement
3. Pharmacy pilots
Outreach Services
• Allocate 1 or 2 CH(C)Ps to each hospital
– Each treatment centre to provide outreach service
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Harm Reduction & Community Addiction Teams
Shared Care GP practices
Voluntary Sector providers
Prisons
– Provide information, support & assessment in the
community
– Support patients to attend hospital appointments
for assessment and treatment
– CH(C)P level planning teams
Primary Care Involvement
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Existing Substance Misuse Contract
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159 practices in GGC
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~6,000 patients
Offer additional Hepatitis C component
1. Identify appropriate patients
(history of risk, currently stable)
2. Offer testing – inc. pre & post test discussion
3. Referral to community outreach service or direct to hospital
clinic
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Initial pilot with current Substance Misuse contract
providers. Consider roll-out based on evaluation
Pharmacy Pilots
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Developing proposals for 2 pilot services
– Pharmacies with:
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High volume of methadone prescriptions
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Suitable accommodation (e.g. consultation room)
– Pharmacists provide information & promote
service to patients
1. Pharmacist offers HCV testing, result giving & referral to
hospital or community outreach setting.
2. Outreach nurses provide sessions within pharmacy,
offering testing, results and referral.
Discussion
• Any comments on proposed approach to
implementing Phase II Action Plan locally?
– Training & education
– HCV prevention
– Testing, treatment, care and support
• Specific issues in your area?
• Suggestions for key stakeholders we should
consult with?