1. #LJWG2015 HEPATITIS C IN PEOPLE WHO USE DRUGS Improving Care for Hepatitis C: A Framework Approach LONDON 2015

2. #LJWG2015 Practical implications of the Drug and Alcohol system Alison Keating Head, Alcohol and Drugs Team London Public Health England

3. 3Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Actions for substance misuse agencies Increase awareness Increase testing and monitoring Develop partnerships

4. 4Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Increase Awareness Staff http://elearning.rcgp.org.uk/course/info.php?id=76 Service Users

5. 5 Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Increase testing and monitoring rates: overall The range of clients in Q1 – 15/16 in London with no record of Hepatitis C test All clients in treatment New presentations in treatment

6. Time since latest Hepatitis C test for all open clients Individual is an injector (injecting status of ‘currently’ or ‘previously’ or route of primary substance is ‘inject’), all open clients. Data source: NDTMS 6Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Partnership 6 months or less 7-11 months 1yr-1yr- 11 mths 2 yrs - 4yrs 11mths 5yrs - 9yrs- 11mths 10+ years Increase testing and monitoring rates: additional fields

7. Hepatitis C Positive Episodes when the individual is an injector (injecting status of 'currently' or 'previously' or route of primary substance of 'inject') & the Hep C Status is 'Offered & Accepted (All active clients since 1 st Jan 2012, data source: NDTMS) 7Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Partnership Adult - Yes Adult - No Adult - Not known Adult - Blank Increase testing and monitoring rates: additional fields

8. Referred to Hepatology Episodes when the individual is an injector (injecting status of ‘currently’ or ‘previously’ or route of primary substance of ‘inject’) & the Hep C status is ‘offered and accepted’, all active clients since Jan 2012. Data source: NDTMS PartnershipYesNoBlank 8Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Increase testing and monitoring rates: additional fields

9. 9Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Develop partnerships: strategic and operational ODN Agencies GPs Pharmacies Patient/service users

10. 10Hepatitis C in PWIDs London 2015: Improving Care for Hepatitis C, a Framework Approach Develop partnerships: patient participation Increase awareness and confidence Demonstrate demand Provide support

11. #LJWG2015