Network Update

Cathy YoungManaged Care Network Manager16th June 2011

• National update• Local context• Local progress

– Injecting Paraphernalia– Educational Interventions– Patient Involvement– Workforce Training – Testing– Clinical Service– Laboratory Developments– Dried Blood Spot Testing– Follow-up Project

• Future Plans

National Update

• Hepatitis C Action Plan Phase II ended March 2011

• Sexual Health and Blood Borne Virus Framework (Draft)

• Bundling of funding

Local Context

• Local achievements throughout action plan

• Local gaps that still need addressed

• Sexual Health and Blood Borne Virus Strategy (Draft)

Injecting Paraphernalia

• New “How to Avoid Hepatitis and HIV” leaflet and poster

• Filters, spoons and citric acid now available free in addition to needles, syringes, sterile wipes and sharps bins

• Roll out of one hit packs• Heroin shortage

Educational Interventions

• Break the Cycle taken forward nationally

• Locally embedded in Drugs Action

• Rolling this out across Grampian• Investigating other interventions

Patient Involvement

• Two sessions• Attended by select few despite

good publicity in media• First session raised issues that we

took forward and reported back on• Different approach for future

session

Workforce Training

• Initial focus on GPs and Practice Nurses– Others included pharmacists,

substance misuse, voluntary organisations

• Rolling out to key hospital wards, Dentists, social work amongst others

Testing

• Peter Brunt Centre• Dr Gray’s• HMP Aberdeen• Buchanhaven Pharmacy• Rosebank• Kessock Clinic• Drugs Action• Turning Point Scotland Peterhead• Turning Point Scotland Elgin

Official Clinic Opening

Clinical Service

• Increased fully trained nursing compliment

• Initiated 122 patients on treatment in 2010/11

• Care and support at clinic; Dietetics, Substance Misuse, Citizens Advice Bureau

Laboratory developments

• Funding has been provided to develop local PCR service

• Local team working hard to validate their testing method

• Local Service expected from August 2011

• Dried Blood Spot Testing

Dried Blood Spot Testing

• Finger prick test• Perform Hepatitis B, Hepatitis C

and HIV tests on the blood spots• Currently performing this in the

specialist clinic as a pilot• Roll out to other services

– Issues around obtaining results and training need to be addressed

Follow-up Project

• Primary care based project• Looking at all those ever tested

positive for Hepatitis C• Practices then invited to refer

patients never referred, confirm ongoing virus, or retest those undertaking risk behaviours

Future Plans

• Local Sexual Health and Blood Borne Virus Strategy

• Budget• Service modelling• Prison service• Public Awareness• MCN Accreditation