CURING HEPATITIS C IN THE COMMUNITY

Transcription

1 CURING HEPATITIS C IN THE COMMUNITY Midland and Central Regions story Jo de Lisle Hep C, Project Manager, Midland region Sheryl Gibbs Programme Coordinator, Community Hepatits C Programme, Central Region

2 GLOBAL HEALTH SECTOR STRATEGY Eradicate Hepatitis C in NZ by 2030

3 HOW DO WE ACHIEVE THIS? By working regionally Regional single point of contact to link the sector Listening to regional concerns By identifying and curing people (if eligible) Removing access barriers Providing Free Fibroscans Moving services to the community Co-design service models Raising community and GP awareness Working collaboratively with primary and secondary care to improve access to treatment

4 HFNZ pilot DHB regions plan Hep C services PHARMAC funds new treatments June 2016 DHB s run EOI for contracts HFNZ contracted for BAU until Dec 2016 Contracts awarded and new Community Programmes set up regionally January 2017

5 CCDHB 2016 Contract awarded to Compass Health, Wellington 2016 Compass Health Project Manager/Group set up January 2017 Full time Programme Coordinator appointed to set up programme Fibroscan nurse and portable fibroscan subcontracted from HFNZ Jan- Feb 2017 HFNZ database migrated from HFNZ to Compass Health New database, Health Pathways written and published, Partnerships with stakeholders established, Referrals pathways updated. March 2017 Programme goes live

6 Midland region Estimated 45 to 50,000 people in New Zealand with Hepatitis C Midland region proposed prevalence is 9,374 people DHB region Estimated numbers Bay of Plenty 2309 Lakes 1248 Hauora Tairawhiti 688 Taranak i 1113 Waikato 4017

7 Central Region In the Central Region it is proposed prevalence is 8231 people Estimated Hep C Population by DHB Central Health Region Capital and Coast Hutt Wairarapa MidCentral Hawkes Bay Whanganui

8 So how are we doing nationally? 6 months Primary Care Secondary Care Jul-Dec 2017 Harvoni TOTAL Viekira Pak Viekira Pak +RBV TOTAL all prescribing

9 Midland and Central region hepatitis C community service Mobile Fibroscan service and patient education ereferral/health pathway referral to a central point Run in batches Goes anywhere within the region Nurse led by specialist nurses

10 Midlands service team

11 Hep C is not just a liver condition

12 Working with people with addictions Presentations and education around the regions Co-designed resources Phased roll out of hepatitis C clinics within needle exchanges Good relationships Remove as many patient barriers as possible The trust often sits with the nurse and patient Piloting point of care testing with people with addictions Support for addictions MO prescribing

13 Some of our success stories Taking the service to the people Engaging with the unengaged Needle exchange meeting the marginalised PHO s requesting education respectful community leading Single point of contact allows an efficient service Co-design effective and fit for purpose Lab re-issue innovation with whole of system approach Good engagement from addiction services

14 Good news story 1 life changing treatment Male aged 50 years Carpenter Genotype 1a Raving about how good life is No chronic fatigue Working till 2am New lease on life Reduced anxiety and depression

15 Good news story 2 life changing treatment Female- 50 s Manager Genotype1b Often talks about the massive changes in her life following cure Same changes as above but particularly does not experience fatigue or depression and is now able to work full time after years of part time work or being on a benefit. Is buying her first home as a result!

16 Finding Populations of HCV Positive Patients It is thought that the largest population of undiagnosed patients sits in the group of People Who Inject Drugs (PWID) This is where you come in

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18 Questions?