The Cocoon project, set up in Tayside, Scotland seeks to address the high rate of drug-related deaths in the area.
The project delivers point-of-care diagnosis of HCV in needle exchange sites, while also integrating services which typically require travel to alternate NHS sites to reduce the burden of multiple visits and different providers. The result is a ‘one-stop’ holistic care bundle which seeks to address the inequity of access experienced by PWUD by increasing their engagement through services tailored to their specific needs.
Hepatitis C Baseline Data Review: Greater Manchester

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As part of the service redesign project the NHS Commissioning Service and the Commissioning Business Service conducted a baseline data review (BDR) of the hospitals in Greater Manchester that were treating hepatitis C patients. At the time of the audit (March
2008) there were three hospitals that managed the treatment of patients with Hepatitis C (HCV), in Wiggan, the Pennines and Central Manchester. these were:
The baseline audit was conducted because the information required to build the business case for change in hepatitis C was not readily available from the trusts. A data collection tool was devised by the Hepatitis C programme manager and the CBS. Following discussion with clinicians it was decided that March 2008 would capture a typical months worth of activity and provide sufficient information on which to base
the business case.