NHS proposals July 2017: have your say

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Chronic liver disease pathway

This survey is now closed, thank you for your feedback. We are reviewing all of the feedback received and further information will be published here soon. 

Bristol, North Somerset and South Gloucestershire CCGs are proposing to ensure there is a consistent approach to testing for and treating chronic liver disease across Bristol, North Somerset and South Gloucestershire.

This would address current local variation in the identification, treatment and management of chronic liver disease in primary care.

A recent review found that abnormal liver function tests are often repeated and patients who could well be managed in the community are referred to hepatologists in hospital. In future, there would be two liver disease clinical pathways.* One would be for chronic liver disease and the other for non-alcoholic fatty liver disease (NAFLD). This would reduce inconvenience to patients of unnecessary hospital appointments and tests.

These revised pathways aim to reduce the amount of unnecessary tests and referrals and ensure that patients receive the best advice and care from the most appropriate professional.

*a systematic way of treating and managing diseases in the NHS. A clinical pathway outlines the way a patient should be cared for through the NHS system from first presentation, followed by testing and diagnosis and through to completion of treatment.

Jargon Buster

Criteria Based Access [CBA] – Where a CCG has published a policy setting out eligibility criteria. If clinicians are content that the patient meets the criteria, they may proceed to treat without seeking funding approval.

Prior Approval [PA] – Where a CCG has published a policy setting out eligibility criteria. Clinicians, where they feel patients meet the criteria, must seek funding approval from the commissioners prior to treating.

Individual Fund Request [IFR] – Where a CCG has published a policy stating that certain treatments are not routinely funded. Treatment will only be funded via agreement from commissioners in exceptional circumstances

Clinical pathway – A systematic way of treating and managing diseases in the NHS. A clinical pathway outlines the way a patient should be cared for through the NHS system from first presentation, followed by testing and diagnosis and through to completion of treatment.