• Liver disease is a public health emergency.
 It is diagnosed too late and is the biggest killer of 35 to 49 year olds. 

• Ensure that more people are diagnosed with liver disease or liver cancer at an earlier stage.

• Ensure that improvements are made to the support, specialist care and treatment available to patients following diagnosis.

• Every GP practice should have an agreed way of finding patients at risk, testing, following up and managing, and referring to secondary care when necessary.

• Blood pressure check as part of NHS health check.

• The NHS (over 40’s) Health Check in England and other regular checks across the devolved nations should be routinely used to find those at risk.

• Automated processes need to be put in place in primary care to identify those at risk of liver disease, to include the correct blood tests and to manage appropriate  follow-up.

• Every primary care provider to have direct access to a best practice fibrosis assessment.                                                                                                                

• Every Trust to have alcohol care teams to support those who drink too much and to refer those who have alcohol related liver disease to specialised liver teams.

• Better access for people who are overweight to nutritional advice and weight management programmes.                                                                

• Every hospital should have a designated liver lead who can refer a patient to a Hepatologist or specialist centre if need be.                                                                   

• More Hepatology Consultants are needed so every patient gets access to specialist support. 
  

• Every liver disease patient should have access to a specialist nurse. 

NHS ambulance

• Improved awareness in A & E so those who are diagnosed in an emergency unit, are immediately referred to a specialist.