Hepatitis C Action Plan: Phase II 2008-2011Project Management Network – MCN Work Plan Guidance2009-09-01

MCN Work Plan

• Action 1Consolidated plan produced centrally, linked to QIS plan?

• Actions 6-8-10Locally developed plan

MCN Work Plan Actions 6-8-10Guidance

• Action 6 – Treatment considerations

– Expand existing clinics and staff team?– New/updated approach

• Consultant/nurse led • Hospital/community based clinics for assessment and/or treatment

– New clinics in the community• Prison• Shared care arrangements – GPs• Other hospital settings (eg. cottage hospitals)• Other community setting (eg. Addiction services)

MCN Work Plan Actions 6-8-10Guidance

• Action 8 – Integration considerations

– Further develop Care Pathway? eg. • Referral routes• Communication of – protocols/guidance

– Secure additional expertise - within or out with clinic sessions and settings? eg.

• Psychologist• Dietician• Social work • Translators

– Support service development/expansion? eg.• Expand existing services – voluntary or local authority • New services - Tender?

MCN Work Plan Actions 6-8-10Guidance

• Action 10 – Testing and referral considerations

– Staffing: Expand existing testing services and staff team?– Methods: Implement new testing methods (eg. DBS/NPT)?– Approach: Who will do the tests and where?

– What is your strategic focus for testing and proportion of effort on each?

• Current, resent or former IDUs• Blood transfusion recipients• Re-engagement with those already diagnosed (lost to system)

• How will you reach current or resent IDUs?– Test in addiction services?– Test in Alcohol services?

• How will you reach former-IDU and non –IDU (eg. BT recipients)?– Public awareness raising and test in GP surgeries? – Case finding exercises – hospital, GPs, other?

• How will you re-engage with those already diagnosed?– Build into annual reviews - Addiction services (update guidance/forms?)– Look back exercises – clinic records, referral records?

Actions 8 and 10 (overlap)

• How to improve referrals?

– Support patients to clinics? eg.• Transport arrangements• Reminders calls/texts• Host initial assessment appointments in community (outreach by

specialist nurses or train community nurses?)

– Update protocols and referral forms?– Staff training around how, when, who to refer and where to?– Local professional awareness raising?

MCN Work Plan Development for Act 6-8-10

• Guidance document desirable?

• Example plan desirable?