Clinic in a van

A pilot project to co-produce a tool to optimise attendance at hepatitis C clinics.

Non-attendance in the drug service Hepatitis C outreach clinic means clients miss the opportunity of referral for curative hospital treatment. A doctoral study was undertaken to investigate the problem, with the reasons for missed appointments being more complex than the initial explanations given (*Poll et al, 2017). The challenge was to transform this knowledge into practice and to do so in a co-productive way.

The project team recognised the importance of collaboration with service users and stakeholders, using the principles of coproduction (*Heaton et al, 2015). Our objective was, using co-design methods, to develop potential solutions for improving access to the Hepatitis C clinic which were created and owned by stakeholders.

During this process an initiative suggested by participants was a mobile clinic van staffed by the hospital team, which would provide screening, care and treatment at different locations in the city. Whilst a business case is being prepared, a short animated video with commentary was produced.

As with other areas of health where it has shown to be effective, the use of ‘buddies’ was offered by participants as a strategy to help improve engagement with the clinic.

Please contact Dr Ray Poll


Poll, Ray, Allmark, Peter and Tod, Angela. (2017) Reasons for missed appointments with a hepatitis C outreach clinic: a qualitative study. International Journal of Drug Policy. Vol. 39 130-137.

Heaton J, Day J, and Britten N. (2015) Inside the Black Box of a Knowledge Translation Program in Applied Health Research. Qualitative Health Research. Vol. 25(11) 1477-1491.