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Advice & Guidance Hepatology Service

Checked: 23-08-2020 by Vicky Ryan Next Review: 23-08-2021

Overview A&G

Please see the attached flyer regarding the Hepatology /Liver Advice and Guidance service at NBT.

NBT poster on the advice & guidance service.

Advice & Guidance requests are not processed by the Referral Service. All requests should be submitted directly to the Hepatology Advice & Guidance Service using e-Referral.

To enable the consultants to give the best advice possible please consider the following points:

Give a clear concise history and examination findings- avoid cutting and pasting long lists of consultation notes that are not relevant to the problem in hand.
Include relevant results, investigations and recent correspondence if appropriate but avoid multiple attachments that can take time to download and make the triage process more cumbersome.
Ask a clear clinical question and avoid ambiguity.
Avoid requests for complex patients known to an individual consultant as they are unlikely to be the consultant giving the advice and may not have easy access to details of previous contacts with the patient. In these cases consider writing or emailing the relevant secretary directly.

Should you have any questions or would like to raise any issues with the A&G service, please contact the Referral Service in the first instance on 0117 900 2566.

Requesting advice

Please see the relevant information below on how to make an advice request via e-Referral to NBT.

NBT - Hepatology A&G Guidance document

Please process through eRS bypassing the Referral Service. Advice requests should ideally be typed into the free text window of the advice request body on e-RS rather than attaching a separate letter or Word document. If you attach a Clinical Information Summary, please ensure it is named this, so that clinicians at secondary care can opt to look at it if they wish to turn the request into a referral.

Hepatology Advice & Guidance (excluding Gastroenterology) - RVJ

Priority - Routine
Specialty - GI & Liver
Clinic - Hepatology

The e-Referrals advice and guidance cannot be used for:

Patients who require admission to hospital
Ongoing management of a patient under a Gastroenterology or Hepatology Specialty in UHBW/NBT
Asking for a second opinion
Progressing/expediting an existing referral

Response times. The waiting time tool for BNSSG GP practices includes a section on A and G waiting times. You will need to download the document and follow the instructions to access the latest information (updated monthly). Please see the Hospital waiting times page.

Follow up advice

For patients who are already patients under the care of the NBT hepatology service there is a liver advice email:

livernurses@nbt.nhs.uk

This email account is checked by a nurse who has access to a consultant hepatologist daily.

Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.