Proposed Local Developments: Voluntary sector services Workforce development

1
Proposed Local DevelopmentsVoluntary sector
services Workforce development

• Louise Carroll
• HIV STI Programme Manager

2
Voluntary sector services
3
Workforce Development

• NHS Boards will
• Identify a workforce development lead
• Review the learning and development needs of the
  hepatitis C workforce
• Implement a coordinated approach to workforce
  development in line with the national framework

4
Proposed Local DevelopmentsHCV Prevention

• Justin Schofield
• Hepatitis C MCN Manager

5
Phase II Action Plan

• Each Board will have a HCV prevention network
• Services providing NEX will be improved in
  accordance with National NEX guidance
• Quantity increasing access uptake
• Quality e.g. colour coding
• Nature e.g. paraphernalia
• National guidance educational support materials
  for young peoples settings

6
Needle Exchange

• Further develop equity and levels of provision
  across GGC
• Glasgow Addiction Service Pharmacy NEX expanded
  to more CHPs
• 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)

7
Needle Exchange cont.

• Paraphernalia
• Role in HCV transmission
• Increases uptake of NEX services
• Provision of paraphernalia packsalongside NEX
  packs
• Specific harm reduction messages on paraphernalia
  packs
• Monitor uptake acceptability

8
Proposed Local DevelopmentsTesting, treatment,
care support

• Dr Syed Ahmed
• Clinical Director, Public Health Protection Unit

9
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 from500/yr
   in 08/09 to 2,000/yr in 11/12

10
Outpatient Clinic Capacity

• Additional Clinical Nurse Specialists at all
  treatment centres
• Additional Consultant sessions at high-volume
  treatment centres(currently N. Glasgow
  hospitals)
• Fully staff Ward 7B(Gartnavel / Brownlee
  outpatient clinic development)

11
Community-based testing and referral

1. Outreach services
2. Primary Care involvement
3. Pharmacy pilots

12
Outreach Services

• Allocate 1 or 2 CH(C)Ps to each hospital
• Each treatment centre to provide outreach service
• 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

13
Primary Care Involvement

• Existing Substance Misuse Contract
• 159 practices in GGC
• 6,000 patients
• Offer additional Hepatitis C component
• Identify appropriate patients(history of risk,
  currently stable)
• Offer testing inc. pre post test discussion
• Referral to community outreach service or direct
  to hospital clinic
• Initial pilot with current Substance Misuse
  contract providers. Consider roll-out based on
  evaluation

14
Pharmacy Pilots

• Developing proposals for 2 pilot services
• Pharmacies with
• High volume of methadone prescriptions
• Suitable accommodation (e.g. consultation room)
• Pharmacists provide information promote service
  to patients
• Pharmacist offers HCV testing, result giving
  referral to hospital or community outreach
  setting.
• Outreach nurses provide sessions within pharmacy,
  offering testing, results and referral.

15
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?