Shaping better health
REMEDY : BNSSG referral pathways

Urgent Hepatology Service - NBT

Checked: 18-07-2018 by Rob.Adams Next Review: 18-07-2019

Overview and Referral Criteria

NBT have a new service on eRS  to facilitate urgent hepatology outpatient appointments. Once the patient has been referred, and if they fulfil the urgent criteria listed below, they will be offered an appointment within 4 weeks. This service may also be appropriate for some patients who would otherwise be admitted to hospital.

To meet the criteria for this service patients should have one or more of the below:

  • Decompensated cirrhosis (cirrhosis with ascites +/- encephalopathy +/- coagulopathy)
  • ALT > 500 U/L
  • Bilirubin  > 100 umol/L
  • Imaging suggestive of hepato-pancreatic-biliary malignancy (see also Upper GI 2WW)


To access the above service please submit via eReferral and request the NBT Urgent Hepatology Service.

This service is available via a RAS so that referrals will be triaged in secondary care and returned if criteria are not met.