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Cost-effectiveness of interventions to improve the testing and linkage to care for people with Hepatitis C

Lead researchers


About the project

Hepatitis C (HCV) is a blood-borne virus that, in the UK, is primarily transmitted between people who inject drugs. New treatments have recently become available that make HCV an easily curable infection.

NHS England has committed to reducing HCV by 90% by 2025 through scaling up HCV treatment. However, most individuals with HCV do not have symptoms and are not well connected with health services. To scale up treatment, many new pilot interventions are being tested to improve the case finding and linkage of diagnosed individuals with HCV to treatment.

This project is evaluating the impact and cost-effectiveness of some of these interventions, including in drug treatment clinics, needle and syringe programmes, accident and emergency centres, pharmacies, prisons, and homeless hostels or clinics. We then plan to undertake modelling to determine the best combination of interventions to sufficiently scale up treatment to reach NHS England’s goal.

Project aim

To evaluate the impact and cost-effectiveness of case-finding and linkage to treatment interventions for Hepatitis C, and then determine the optimal combination of interventions to scale up to reduce HCV incidence by 90% by 2025 or 2030.

Anticipated impacts

The modelling is being done to guide NHS England, Public Health England (PHE) and other providers on the best way to expand case-finding and treatment interventions in England.

Partners

London School of Hygiene and Tropical Medicine, NHS England, Change Grow Live

Funders

National Institute for Health Research (NIHR), Gilead, European Commission, Jannsen

Project dates

January 2017 to April 2020

Research team