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RCHT Hepatology Advice and Guidance


 

Introduction

Royal Cornwall Hospital Trust (RCHT) offers a Hepatology Advice and Guidance service on e-RS. The service offers management options to consider prior to referral, with the aim of reducing the number of patients who need to be seen face-to-face. It also allows Hepatology consultants to consider the clinical information and advise regarding appropriate prioritisation and urgency of referral. 

 

Inclusion criteria (not exhaustive)

  • New onset ascites
  • Abnormal liver blood tests (not covered by RMS guidelines)
  • Virology results for Hepatitis B & C ( not under hepatology follow up)
  • Persistent hyperferritinemia
  • Positive liver autoantibodies
  • Advice regarding abnormal radiology reports where there is no requirement for fast-track referral

 

Exclusion criteria (not exhaustive)

  • Emergency queries (use telephone contact for emergencies only)
  • New onset Jaundice – refer to jaundice hotline
  • Routine advice for patients already under the care of a named consultant
  • Advice already published on RMS website.
  • Formal referrals for investigations or outpatient appointments
     

Please note that the clinical responsibility remains with the GP until the patient is seen within secondary care.

 

Page Review Information

Review date

05 September 2024

Next review date

05 September 2026

GP speciality lead

Dr Madeleine Attridge