Next review date: None – The new guideline CG117 will supersede PH37, and be considered for update in October 2017.

This guidance aims to improve the way tuberculosis (TB) among hard-to-reach groups is identified and managed. It is for commissioners and providers of TB services and other statutory and voluntary organisations that work with hard-to-reach groups.

The main groups considered were:

  • people who are homeless
  • substance misusers
  • prisoners
  • vulnerable migrants.

The recommendations cover:

  • strategic oversight and commissioning of TB prevention and control activities
  • raising and sustaining awareness of TB among health professionals and those working with hard-to-reach groups – and among the hard-to-reach groups themselves
  • local needs assessment
  • cohort review
  • commissioning multidisciplinary TB support
  • identifying and managing TB (including contact investigations)
  • rapid-access TB services and enhanced case management
  • the provision of accommodation during treatment.
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