This page was printed from the South & West Devon Formulary and Referral site at
Please ensure you are using the current version of this document
This information provides guidance on the management of Hepatology patients across Torbay & South Devon during the Covid-19 pandemic. The information is based on national guidance and local recommendations.
Patients with liver disease in high risk group*:
`Shielded group` Advise mandatory self – isolation:
Decompensated cirrhosis: ascites, hepatic encephalopathy, worsening jaundice, and suspected liver cancer all require urgent Hepatology opinion as usual.
Please consider contacting us for advice telephone: 07917071466 in the first instance to help direct these patients through the best pathway. We recommend phoning between 09:00-12:00.
All new routine referrals will be clinically triaged and will either be added to a waiting list or, if appropriate, A&G will be given.
Please ensure that a practice-based system is in place to check daily for returning referrals with A&G.
Prior to making a routine referral, please ensure that any appropriate Policy or CRG has been reviewed and that all the suggested investigations and management options have been considered.
Routine referrals are not being allocated appointments at this time.
For anyone with mildly abnormal liver functions tests (LFT's) (ALT or ALP less than 300) please check Hepatitis B and C, Autoimmune liver screen, Immunoglobulins and request an US (if not had one since LFT's abnormal). If these do not show a significant abnormality please give lifestyle advice regarding alcohol, weight loss, diet and exercise. Please consider referring them in 6 months if their LFT's remain abnormal.
Below are links to Derriford's abnormal LFT and Fatty liver disease pathway which has already been uploaded and is very similar to our local guidance.
The Gastroenterology of the Day phone (07917071466) will still be in operation but with a reduced service. We recommend phoning between 09:00-12:00.
At times a non-clinician may be covering the phone and will take a message. It would be helpful to have a direct contact number to allow us to get back to you.
This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning GroupLast updated: 07-05-2020