Tertiary centre-led models of care
Tertiary care clinics led by gastroenterologists, hepatologists or infectious diseases physicians have traditionally been the main sites for HCV clinical referral, assessment and treatment. Tertiary treatment centres should continue to be the main treatment sites for people with chronic HCV infection who have cirrhosis, complex comorbidities or other types of liver disease, or in whom first-line DAA therapy has failed. Tertiary treatment centres will continue to provide treatment for people with all stages of liver disease. Tertiary centres will also be required to support, up-skill and facilitate treatment by non-specialists in non-hospital settings. A useful tool has been developed for GPs and nurses to facilitate remote consultations with tertiary care specialists and initiation of HCV therapy (available at: http://www.gesa.org.au/resources/hepatitis-c-treatment/).