Midlands & East Hepatitis C ODN Educational Event 2018 Friday 9th March 2018 Nottingham #hepCmidlandseast Welcome and scene setting Dr Steve Ryder Consultant Hepatologist, Nottingham University Hospitals NHS Trust and Biomedical Research Unit Dr Geraldine Linehan Regional Clinical Director, NHS England Specialised Commissioning Hepatitis C ODNs – Delivery Models and Emerging Strategy West Midlands Hep C ODN Sally Bufton Nurse Manager Professor David Mutimer Clinical Lead Delivery Models and Emerging Strategy Sally Bufton, Nurse Manager Professor David Mutimer, Clinical Lead West Midlands (Birmingham) Hep C ODN West Midlands ODN Was 13 Trusts but now 14 with BCH Treatment Numbers Original allocation for 2017/2018= 1062 Q1 and 2- Q3 and 4- Months 1-6 Months 7-11 Target 513- treated 442 # Original target 549 – revised target 313 71 under by end of Sept 2017, Over performed for 5 months so gave back 236 for Q3/4 (risk of overperformance!!) #Reasons for falling short: ? clinic capacity and staff shortage, summer holiday periods, suitable patients already treated, etc 12 Prisons Prisons(W Mids) Location In Reach New service Outreach when escorts available Birmingham Birmingham Yes# new Yes Drake Hall Staffordshire Yes # new Yes Stafford Stafford Due to Yes Yes start Stoke Heath Shropshire Yes Wellestablished Hewell Worcester Yes Recentre-established 2017 Longlarten Worcester Yes Recent re-established 2017 Oakwood Wolverhampton Yes # new Yes Featherstone Wolverhampton No Yes Brinsford(YOI) Wolverhampton No Yes SwinfenHall (YOI) Staffordshire No Yes Werrington (YOI) Staffordshire No Yes Dovegate Staffordshire Yes Coveredby another ODN- Derby The Coventry team have established in reach services in Onley and Ryehill prisons come under another ODN Delivery Models- Prisons (Consultant, CNS, Fibroscan, drugs sent it) HMP Birmingham- 1 Sept 17 HMP Oakwood – 14 March 2017 7 patients started treatment 7 clinics done by the Consultant 4 due to start 20 % DNA rate HMP Longlarten- Worcester- HMP Hewell- Worcester- 2017/18 July 17 Seen 12 8 been started on treatment. 7 treated and cured 2 of these have 12 week SVR 1 currently on treatment transferred to HMP 3 currently on treatment Whitemoor and being treated 2 have left having had their final meds and 3 due to start in the next two to three weeks lost 1 transferred before treatment was started 1 released but on follow up at the hospital awaiting 12 week PCR. Drug Services Working with multiple providers - not integrated at all across our ODN Drug Service Providers CCGs • Birmingham Cross City CCG • Birmingham South Central CCG • CGL- Birmingham, Heartlands, Dudley, Coventry, Walsall • Cannock Chase CCG • Coventry and Rugby CCG • Swanswell -Worcester • Dudley CCG • Addaction • East Staffordshire CCG -Hereford, George Elliott (Nuneaton) • Herefordshire CCG • Inclusion • North Staffordshire CCG -Telford • Redditch and Bromsgrove CCG • Integrated Drug Services- • Sandwell and West Birmingham CCG Shrewsbury • Shropshire CCG • IRIs- • Solihull CCG Sandwell • South East Staffordshire CCG • One Recovery Partnership- • South Warwickshire CCG Stoke • South Worcestershire CCG • Recovery Partnership- • Stafford and Surrounds CCG Warwick • Stoke on Trent CCG • Recovery Near You- • Telford and WrekingCCG Wolverhampton • Walsall CCG • Warwickshire CCG • Wolverhampton CCG • Wyre Forrest CCG
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