Resources
The following websites have information for patients and in some cases can provide support with helplines and online discussion fora.
British Liver Trust (healthcare professionals section of their website is here)
British Liver Trust - List of online and in-person patient support groups
Children’s Liver Disease Foundation
Patient leaflet on hepatitis B in languages other than English
PSC support (primary sclerosing cholangitis)
Information for those with cancer of the liver from CRUK and Macmillan
Public health notification
Acute (but not chronic) hepatitis B and C are notifiable diseases. This link can be used to notify in England, and has onward links for Scotland, Wales and NI.
Notifiable diseases and how to report them
MASLD/NAFLD calculators
These sites will help with the various risk stratification tools needed when deciding whether to refer a patient with MASLD.
Resources for those in Scotland, Wales and NI
These resources may be useful for those working in the devolved nations of the UK.
Health Improvement Scotland liver pathways
NI direct page on liver disease
Liver related eLearning courses
The following RCGP courses give more information about various aspects of liver disease.
Hepatitis C: Enhancing Prevention, Testing and Care
Behaviour change and cancer prevention (covers the use of very brief advice in primary care).
Alcohol assessment tools
AUDIT-C consists of only three questions and is therefore the most appropriate for use in a normal primary care appointment, but the longer tools may be useful for some patients.
CAGE (4 questions – less sensitive).
Information on fitness to drive
The DVLA guidance for medical professionals is useful if you aren’t sure whether to advise a patient to stop driving and/or inform the DVLA – it has a chapter on alcohol issues.
Assessing fitness to drive: a guide for medical professionals
Resources for patients and their families who are affected by alcohol
Voluntary services can be useful for patients and their families. The first link has a postcode search tool for NHS services.
NHS - Find alcohol addiction support services
Al-anon (for families/friends of those affected by alcohol).
Quality improvement ideas (clicking links to the PDFs sent with the NUBs)
The following links are to documents suggesting possible audits or other quality improvement ideas for various aspects of liver health.
Hepatitis B testing and vaccination