The below Parliamentary question was asked by Luciana Berger on 2014-06-09.
To ask the Secretary of State for Health, what steps he is taking to ensure that people who are homeless are (a) able to access hepatitis C services and (b) supported in completing treatment for that condition.
Jane Ellison
The commissioning of local Hepatitis C services, including bespoke services for homeless people or other at-risk groups, is the responsibility of local clinical commissioning groups (CCGs). NHS England expects that decisions made by local CCGs will take account of the needs of their local populations.
A range of materials has been published to help CCGs commission relevant services. The National Institute for Health and Care Excellence has published guidance on improving uptake of testing and diagnosis for hepatitis C in risk groups. Public Health England has published a commissioning template to support commissioning of hepatitis C diagnosis and treatment services. Guidance for commissioning bespoke services for homeless people has been published by the Faculty for Homeless and Inclusion Health.
The Department supports the Inclusion Health programme which champions the health and health care of vulnerable groups, including homeless people. The programme seeks to improve the health data for these groups, and set out practical steps for assessing needs (e.g. through Joint Strategic Need Assessments) and commissioning services. We are also involved in funding work in this area through the Homeless Hospital Discharge Fund to improve hospital discharge arrangements for people who are homeless (£10 million 2013-14) and £40 million capital fund for hostel refurbishment with a focus on improving health outcomes (2014-15).