This is an HTML version of an attachment to the Freedom of Information request 'January and February 2012'.


Preferred Pathway for Hepatitis C services in the Community
Awareness raised by
Voluntary sector Local Authority Team
Refer for testing
Harm   
Primary Care
LHAAHC 
Sexual Health 
Addiction/
Salus
Criminal   
Reduction Team
(Monklands)
teams
Substance 
justice service
misuse services
Obtain 
Assess risk taking behaviour, discuss implications of testing.
Pre-screening assessment
informed 
Make judgement of patient’s mental capacity.
consent
Screening
Venous blood 
If practitioner 
sample taken
does not have 
phlebotomy  
Client given 
skills or client 
Dry blood      
follow up 
has poor   
spot test
appointment 
venous access
for 2 weeks
Monklands     
Monklands
Bloods sent     
to labs
or Wishaw
Refer for 
counselling
Blood results 
Blood results 
negative
positive
If within “window” period arrange      
Discharge with 
If antibody positive and PCR negative 
Discuss treatment options and  
to re-test in 3-6 months
advice re risk 
re-test in 6 months
consider need for testing contacts
taking behaviour
Referral letter typed and sometime 
If client undecided about        
delivered by hand or sent in internal mail
treatment arrange to see again      
and inform treatment centre
History 
including past 
   Further bloods taken including 
Refer to 
Pre-assessment 
medical, social, 
pregnancy test if appropriate and      
treatment 
for treatment
psychiatric 
fibre  scan ordered
centre
and dietary 
assessment
   Where necessary treat any        
underlying medical issues
Nurse led 
w Discuss 
Start 
follow-up 
at weekly        
Requires   
therapy/
Problems/
Interim letter 
according to 
HCV team 
formal medical 
Yes
treatment
complications
Yes
to GP
schedule in 
meetings
review?
Protocol
w Letter to GP
No
w Consultant Review at MOPD
End of Treatment (Nurse-led)
Continue 
w Decide on management
w Ensure HCV PCR done
No
nurse-led 
w Need for on-going medical 
w Inform GP and consultant (letter 6)
management   
follow-up
w Complete end of treatment checklist
and follow-up
w Letter to GP
w Arrange follow-up as per checklist
Letter to GP outlining problem       
and agreed management
6 month follow-up
8 month follow-up
(Nurse-led Review)
(MOPD/Consultant)
w Repeat bloods, including HCV PCR
w Review results
w Arrange 18 month nurse-led   
w Decide on further medical         
follow-up appointment
follow-up
w Letter to GP
18 month follow-up
(Nurse-led Review)
w Repeat HCV PCR
w Write to GP and consultant            
with result
w Discharge from follow-up if 
PCR is NEGATIVE and no other        
medical issues