RCGP liver disease toolkit
British Liver Trust /RCGP Liver Priority Project
1. Aim to raise awareness of liver disease
as an increasingly important cause of morbidity and mortality in the UK
2. Aim to provide resources to support its optimal management in primary care.
Introduction
Liver disease is one of the five most common causes of premature death in the UK
Liver disease is the only major cause of death that has
a year by year increasing incidence.
More than 90% of liver disease is preventable.
The three major causes of liver disease in adults are
1- Alcohol-related liver disease, 2- Non-Alcohol-related liver disease - linked to obesity and metabolic syndrome
3- Viral hepatitis.
Abnormal Liver Tests
Guidelines on the management of abnormal liver tests
See diagram below..CIRRHOSIS
Summary on diagnosing and managing cirrhosis.
Cirrhosis - NICE CKS
Clinical Knowledge Summaries
Cirrhosis develops progressively as a result of damage to the liver
(which can be due to a number of causes), usually over a number of years.
1. Alcohol and Liver disease
On this page you will find useful links to guide consultations around alcohol use and risk of liver disease.
This includes links to latest NICE and British Society of Gastroenterology (BSG) guidelines,
tools to assess level of alcohol use and information sheets for your patients.
Alcohol assessment tools
Summary on diagnosing and assessing problem alcohol use.
Problem drinking is defined as regular consumption of alcohol above recommended levels.
Alcohol use screening tests - GOV.UK.
The alcohol use screening tests can be used by health professionals
as a tool to assess a service users level of risk to alcohol harm.
Information for patients
Alcohol and Liver Disease - British Liver Trust
Many are unaware about the unseen damage alcohol can do to the body.
2. NAFLD and liver disease
This includes latest NICE and British Society of Gastroenterology (BSG) guidelines,
tools to assess risk of liver fibrosis
information sheets for your patients.
Summary on diagnosing and managing NAFLD.
Covers the management of people with suspected or confirmed non-alcoholic fatty liver disease
Primary care management, and when to refer.
Information for patients
What is Non-Alcohol Related Fatty Liver Disease (NAFLD)? NHS.
New NICE Guidelines on Cirrhosis and Non-Alcohol Related Fatty Liver Disease (NAFLD),
This is the name given to a condition in which you have too much fat in your liver.
There should be little or no fat in a healthy liver
For most people, carrying a small amount of fat in the liver causes no major problems.
3. Hepatitis C and liver disease
Useful links to guide consultations with patients who are at risk of Hepatitis C.
Summary on diagnosing and managing Hepatitis C from Public Health England
Patient re-engagement exercise for those who have been diagnosed with hepatitis C.
Information for patients
British Liver Trust Hepatitis C
Hepatitis C. Information for patients from Public Health England
Quick print flyer: from Public Health England: Hepatitis C and your liver
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