Shaping better health
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.

Hepatitis C

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

UHB's Hepatitis C Bristol and Severn network website went live in October 2018 with detailed information on HCV symptoms, treatment, support and testing, and includes a self-referral form for patients which when completed is directly fed back to the hub centre to be allocated to treatment centres within the network as requested by the responder.

We hope that prospective patients, or potentially their support network of friends and family, will be able to access this website to gain further information to encourage testing/treatment.

Please note that this website is currently primarily patient focused, but a slightly adapted clinical version is planned for upload by the end of the year to include, for example, clinical guidelines and seven day rota information.

For further information, please contact the hepatitis C team on hepatitisnurses@uhbristol.nhs.uk or ubh-tr.hepatitisnurses@nhs.net

 

 

 

Referrals

Referrals for patients with viral hepatitis can be made via eRS and clinics are available at UHB and NBT.

Patients with hepatitis C or patients who would like to access a hepatitis C test can now also self refer via the Hepatitis C Bristol and Severn Network website that went live in October 2018.

NBT also run an Urgent Hepatology Service for patients needing an urgent opinion if their criteria are met.