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<p>‘The Collaborative Tuberculosis (TB) Strategy for England 2015 to 2020’ was developed
by Public Health England (PHE) in partnership with NHS England and aims to reduce
suffering and harm caused by TB through lowering the incidence of the disease in England.
The Strategy is available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/403231/Collaborative_TB_Strategy_for_England_2015_2020_.pdf"
target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/403231/Collaborative_TB_Strategy_for_England_2015_2020_.pdf</a></p><p>
</p><p>The strategy aims to tackle TB in under-served populations through the commissioning
of integrated, multidisciplinary, case management and support for under-served groups.
This multidisciplinary support, which may include third sector organisations, should
provide targeted outreach interventions, informed by proven models such as ‘Find and
Treat’ in London, including specific services for active case finding among homeless
people and those attending substance misuse services.</p><p> </p><p>In January 2016,
the National Institute for Health and Care Excellence published a clinical guideline
that covers preventing, identifying and managing latent and active TB in children,
young people and adults. This is available at the following link:</p><p> </p><p><a
href="https://www.nice.org.uk/guidance/ng33" target="_blank">https://www.nice.org.uk/guidance/ng33</a></p><p>
</p><p>In 2017, PHE and the National Health Service issued a ‘TB Service Specification
and Clinical Policy’ for use by commissioners and TB services. This builds on the
work of the strategy to:</p><p>- improve rapid diagnosis and treatment of active TB
disease;</p><p>- prevention of TB by treating latent infections; and</p><p>- focus
on complex cases with antimicrobial resistance and patients with other risk factors
for poor treatment outcome, such as homelessness.</p><p> </p><p>NHS England is supporting
those clinical commissioning groups (CCGs) with the highest burden of disease to provide
latent TB testing and treatment programmes which are essential for reducing the incidence
of active TB. In 2018/19, the 46 CCGs with the highest burden of disease were supported
with £3,594,000 to provide this service.</p><p> </p><p>According to the latest annual
report ‘Tuberculosis in England: 2018’ published by PHE, since the peak of TB incidence
in England in 2011 the number of people notified with TB had fallen by nearly 40%
in 2017. The incidence rate in 2017 was 9.2 per 100,000 population, the lowest recorded
rate for England, which for the first time falls under the 10 per 100,000 World Health
Organization definition of a low incidence country. The report is available at the
following link:</p><p><strong> </strong></p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/774091/TB_Annual_Report_2018_2.pdf"
target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/774091/TB_Annual_Report_2018_2.pdf</a></p>
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