Hepatology at Bedford Hospital

Services

Bedford Hospital Hepatology Services

The Hepatology service is dedicated to the care and management of patients diagnosed with acute and chronic liver disease such as Wilson's disease, Primary Biliary cirrhosis, Haemochromatosis, Autoimmune disease, Alcohol and Viral Hepatitis (A, B, C, D, E, & G).

The Service Offers:

  • A consultant lead clinic held on a Tuesday morning for diagnoses, management, treatment and clinical investigations for patients with acute or chronic liver disease.
  • There is a dedicated viral hepatitis service which offers treatment for patients diagnosed with chronic hepatitis B and C.
  • A nurse lead clinic on Monday am and Friday am and pm offering education, assessments, support, antiviral therapy, review and pre work up for hepatitis C patient before treatment as well as those patients with requiring pegylated interferon for hepatitis B.
  • Telephone support, a 'buddying' scheme and information to the public or other healthcare professionals.

Contact details

Department Direct line: 01234 795754 Viral Hepatitis Nurse : 07775030970

Who to Refer

The service is dedicated to the care and management of patients diagnosed with acute and chronic liver disease such as;

  • Alcohol liver disease;
  • Hepatitis B patients: HBsAg detected, IGM detected
  • Hepatitis C patients: HCV antibody detected and HCV RNA detected (PCR positive) if unsure refer if patient is HCV antibody positive
  • Non alcoholic steatohepatitis (NAFLAD and NASH);
  • Autoimmune hepatitis;
  • Metabolic disorders;
  • Unexplained abnormal liver function tests or unexplained jaundice.
  • Primary Biliary Cirrhosis
  • Primary Sclerosing Cholangitis

If patients are being referred please ensure Chronic Liver Disease (CLD ) screen and liver ultrasound scan performed. 

See patient referral pathway

hep c clinical protocol

In addition a patient being referred for either hepatitis B or C please ensure the following tests are done.

HCV- HCV RNA viral load, genotype HAV and HBsAg, HBcAb.
HBV- HBsAg, HBV viral load, HBeAg, HBeAb, HBcAb, Delta D(HDV), HAV and HCV antibody.

Who not to Refer

  • People who test Hepatitis C antibody positive but PCR negative (if no record of PCR test please retest and request this).
  • People who do not wish to be referred - discuss reasons and review on a regular basis. (also discuss and offer referral to support services (see above)

Resources

Government Hepatitis C- QUICK Reference Guide for Primary Care
http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_093847.pdf

Government Hepatitis C- What you need  to know-which can be printed out in different languages  for patients
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_093850

British liver Trust http://www.britishlivertrust.org.uk

Hepatitis C trust UK http://www.hepctrust.org.uk



Last updated: 02/07/2012

Update due: 02/07/2013