All 112 prisons in England have access to hepatitis C diagnosis. Local authorities decide which method is utilised to achieve diagnosis. This is usually either a ‘point of care’ antibody test, a dry blood spot test or onsite PCR testing machines. Prisons may also have access to other diagnostic kit such as portable fibroscanners, to assess liver cirrhosis.
NHS England and NHS Improvement have offered ‘point of care’ PCR testing machines to every trust leading hepatitis C diagnosis and treatment pathways, including prisons. NHS England and NHS Improvement also offer the option of taking machines into 30 prisons per year as a part of the ‘High Intensity Test & Treat’ programme, to supplement reception screening.