RCHT Hepatology Advice and Guidance


From 15th March 2019 Royal Cornwall Hospitals NHS Trust will be offering an advice and guidance service on e-Referrals for general Hepatology queries.


GPs will be able to request consultant advice on Hepatology queries for potential referrals into secondary care for the following conditions –

  • New onset ascites
  • Abnormal liver blood tests (not covered by RMS guidelines)
  • Virology results for Hepatitis B & C ( not under hepatology follow up)
  • Isolated  raised serum alkaline phosphatase
  • Persistent hyperferritinemia
  • Positive liver autoantibodies
  • Abnormal radiology reports (benign disease)

The service is to offer advice on management and treatment options for GPs to consider prior to referral with the aim of reducing the number of patients who need to be seen face to face (as set out in the GP Forward view). The CCG will be charged for the advice and guidance provided. Requests will be responded to within 2 working days.

Clinical responsibility remains with the GP until the patient is seen within secondary care.


Exclusions to this service include:

  • Routine advice for patients already under the care of a named consultant
  • New onset Jaundice – refer to jaundice hotline
  • Advice already published on RMS website.
  • Formal referrals for investigations or outpatient appointments (use normal RMS referral system)
  • Emergency queries (use telephone contact for emergencies only)


The advice will be available for patients new to the Hepatology service and who are not already under the care of a Hepatology consultant. This is not a named clinician referral therefore if your query is regarding a patient currently under the care of a consultant please contact them directly.