REMEDY : BNSSG referral pathways

Viral Hepatitis

Checked: 06-12-2018 by vicky.ryan Next Review: 23-08-2019

Principals of Management

Clinical Knowledge Summaries has advice on diagnosis and management of:

Hepatitis A

Hepatitis B

Hepatitis C

Prior to referral the following investigations are appropriate:

Hep B surface antigen (and Hep e antigen if positive)

Hep C antibody (and Hep C RNA if positive)

FBC, INR, UE, LFT, HbA1c, HIV screen


UHBT have a viral hepatology clinic available via e-referral and accept referrals for patients with hepatitis B or C.

Hepatitis C is now curable with simple, easily tolerated treatment plans from just one tablet a day for 8-12 weeks!

The BRI-based HCV team comprises a hepatology consultant, specialist nurses, pharmacist and a co-ordinator, alongside outreach clinics at SBCH, Bristol Drugs Project (Brunswick Square) and the Homeless Health Service (Jamaica Street).  

Currently, they are planning a number of promotional events around Bristol, and publication of a dedicated website containing information for patients and clinicians including clinical guidelines, treatment, and links to other treatment centres and drug and alcohol support agencies, together with a patient self-referral (August 2018).

"If you have HCV positive patients registered to your practice, please refer them to us via ERS and together we can eliminate this virus."


NBT has a general hepatology clinic available via e-referral and accept referral for patients with confirmed viral hepatitis. They also run an Urgent Hepatology Service for patients needing an urgent opinion. Click on link for details.