{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:52:15Z","timestamp":1778946735527,"version":"3.51.4"},"reference-count":35,"publisher":"Cambridge University Press (CUP)","issue":"02","content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec id=\"S1463423617000731_abs1\" sec-type=\"general\"><jats:title>Background and aims<\/jats:title><jats:p>Majority of the individuals with hepatitis C virus (HCV) infection in England are people who inject drugs, a vulnerable and disenfranchised cohort with poor engagement with secondary care. Our aim is to describe our experiences in setting up a successful nurse led HCV service at a substance misuse service (SMS).<\/jats:p><\/jats:sec><jats:sec id=\"S1463423617000731_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We justify the need for a community HCV service and review the different community based models. Our experiences in engaging with stakeholders, obtaining funding, service set up, challenges faced and key recommendations are discussed. Finally, a summary of interim clinical outcomes is presented.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423617000731_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A successful community based \u201cone-stop\u201d nurse led HCV service was set up in Dec 2013 at a large SMS. It provides all aspects of care (blood borne virus screening, non-invasive assessment of hepatic fibrosis, Hepatology input, HCV treatment, peer mentor, social and psychiatrist support, and opiod substitution) at one site. Interim clinical data indicate high service uptake with HCV treatment outcomes comparable to secondary care.<\/jats:p><\/jats:sec><jats:sec id=\"S1463423617000731_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The advent of direct acting antivirals provides a unique opportunity for HCV elimination in England by 2030. Our \u201cone-stop\u201d integrated and multidisciplinary community HCV model suggests that HCV care can be successfully delivered outside of a hospital setting and warrants national adoption.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1463423617000731","type":"journal-article","created":{"date-parts":[[2017,12,4]],"date-time":"2017-12-04T15:16:18Z","timestamp":1512400578000},"page":"110-120","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":17,"title":["Developing a community HCV service: project ITTREAT (integrated community-based test \u2013 stage \u2013 TREAT) service for people who inject 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