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Stuck in the Mud Stagnation of innovative policy development to reduce harm within injecting communities Policy Process Policy development Policy implementation Policy modulation Policy Policy Framework Govt MP’S Macro Meso Micro DOH MEDIA User Involvement Pressure Groups Professionals Policy Process Is characterised by intense competition between different elite groups. Involves a diverse range of interests and agendas Often developed & implemented from a top down process Policy Process Is often disjointed and incremental Differing interpretations Policy – Practice gap Policy impact assessment Dangerous Policy – Bad Practice – Harmful Outcomes Poor Policy One for One Exchange No returns – No exchange Retractable syringes HCV Treatment for those in treatment Access & Opening times NX Coverage Policy formulation often overlooks drug users as a community Good Policy Evidence based policy development & practice Seamless structure of policy development Policy impact assessment Be innovative & creative to meet customer need SMILE Customer Requirements Quality Value Customer Satisfaction Service Marketing policy philosophy involves identifying, anticipating and fulfilling customer needs! Customer Requirements • Policy makers appear to be so far removed from the realms and realities of IDU’s everyday life's that it is difficult to comprehend how policy can address and meet their needs Policy makers must work with all stakeholders in formulating policy to reduce the harm within injecting communities Public Health Crisis Much Needle Exchange provision and policy today is still set within the prevention of HIV and as such injecting behaviour amongst some IDU communities continues within HIV prevention not HCV prevention Public Health Crisis Innovative policy development that is inclusive of those it effects is required to at least slow down the rate of HCV transmission amongst IDU communities Moving Forward Current good policy practice must be researched to identify what works Policy makers must give IDU’s the prospect and opportunity to see themselves as a group of citizens with a representative role and identity