2. Hepatitis C policy development The Challenges

3. The broad challenges General election No government liver strategy No clarity of who funds what No specific metrics for hepatitis C

4. Policy environment 2014 NHS Five Year Forward View PHE Liver Profiles London Health Commission Report: no mention of hepatitis C NHSE, PHE Implementation Framework Specialist Commissioning Intentions for prescribed specialised services 2015/16 NHSE Hepatitis C Service Specifications Refresh of NHS Outcomes Framework 2015/16 - provisions on health inequalities - existing indicator reducing under 75 mortality rate from liver disease (1.3)

5. Policy environment 2014 Refresh of NHS Outcomes Framework 2015/16 - provisions on health inequalities: - existing indicator reducing under 75 mortality rate from liver disease (1.3): PHE, NHSE partnership meetings hepatitis C PHE Hepatitis C in the UK 2014 - intention to develop a national implementation plan to improve co-ordination and outcomes of hepatitis C services DH Living Well for Longer: Reduce Premature Avoidable Mortality NHS England’s specialised services five-year strategy ‘A3 Change’ consultation

6. What are the policy challenges? Fragmentation Low treatment uptake Deprioritisation Models of Care

7. Group work Group objective to identify the top 4/5 solutions to policy challenges

8. Group Focus Group 1. Prevention Group 2. Testing Group 3. Assessment & Treatment Group 4. Care Pathway

10. Group guidance Divide into 4 groups 20 minute session Choose a group leader to feed back to main group Agree top 4/5 solutions to policy challenges

11. Chris Kelly Assistant Head of Health & Justice Commissioning NHS England Hepatitis C policy development

12. Solutions to policy challenges 1. 2. 3. 4. 5.