Where do we go from here? Dr. Nicola D. Rowan Dr. Nicola D. Rowan UK Hepatitis C Resource Centre “Scotland”

Role ‘A pivotal referral point for Hepatitis C in Scotland’

Focus Needle and paraphernalia provision Needle and paraphernalia provision Public health and education Public health and education Treatment access Treatment access Collaboration Collaboration

Needles and Paraphernalia 2003 legislation 2003 legislation Is it helping? Is it helping? More changes required? More changes required? Does supply meet demand Does supply meet demand Accessibility Accessibility

Information and Communication Public awareness ?? Public awareness ?? Public Health messages are getting through? Public Health messages are getting through? Needles – yes Needles – yes Paraphernalia – no Paraphernalia – no Method - no Method - no Resignation by users Resignation by users Resignation by practitioners Resignation by practitioners

Anti Viral Treatment Currently not accessible to IDU Currently not accessible to IDU Methadone stabilised – potential access Methadone stabilised – potential access Post IDU – potential access Post IDU – potential access Referrals need to be timely Referrals need to be timely Need to work with IDU to gain access Need to work with IDU to gain access

Provision – Where do we go now? Extend studies to review remaining supply difficulties post-legislation change Extend studies to review remaining supply difficulties post-legislation change Feedback to funders and politicians Feedback to funders and politicians Broaden access routes Broaden access routes

Education – Where do we go now? Public Awareness Public Awareness UK Hepatitis C Awareness Campaign UK Hepatitis C Awareness Campaign Hepatitis C Awareness Day Hepatitis C Awareness Day Public Health – Harm reduction Public Health – Harm reduction Paraphernalia message Paraphernalia message Methodology message Methodology message

Continued/ Peer Education Peer Education Impact of Hepatitis C impact, not just long term, other factors… Impact of Hepatitis C impact, not just long term, other factors… Practitioners Practitioners Awareness of treatment and guideline advances Awareness of treatment and guideline advances New contracts New contracts Promote access to testing and treatment – outreach, peer education Promote access to testing and treatment – outreach, peer education Pre and post test consultation Pre and post test consultation Working together – Managed Clinical Networks Working together – Managed Clinical Networks

Diagnosis and Treatment Implement Consensus 2004 view of managed clinical networks Implement Consensus 2004 view of managed clinical networks Integrated and inclusive of support and drug services Integrated and inclusive of support and drug services Drug services working across sectors and vice versa Drug services working across sectors and vice versa Working together with individuals Working together with individuals Timely referrals Timely referrals Support in its continuity and variety is vital Support in its continuity and variety is vital

How does the RC fit in to this? To develop a central information centreTo develop a central information centre To encourage collaborations and cross sector involvement that may improve services in relation to Hepatitis CTo encourage collaborations and cross sector involvement that may improve services in relation to Hepatitis C To facilitate an awareness and understanding of Hepatitis C in ScotlandTo facilitate an awareness and understanding of Hepatitis C in Scotland

Scottish launch of the UK Hepatitis C Resource Centre & UK Hepatitis C Awareness Campaign 15 th June 2004

Any questions?

UK Hepatitis C Resource Centre “Scotland” nowat