1. Hepatitis C Action Plan: Phase II 2008-2011 Project Management Network – MCN Work Plan Guidance 2009-09-01

2. MCN Work Plan Action 1 Consolidated plan produced centrally, linked to QIS plan? Actions 6-8-10 Locally developed plan

3. MCN Work Plan Actions 6-8-10 Guidance 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)

4. MCN Work Plan Actions 6-8-10 Guidance 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?

5. MCN Work Plan Actions 6-8-10 Guidance 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)

6. 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?

7. 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?

8. MCN Work Plan Development for Act 6-8-10 Guidance document desirable? Example plan desirable?