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Hepatic steatosis / Non-alcoholic fatty liver disease (NAFLD)


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • Hepatic steatosis/ NAFLD/NASH with concerning features
      • Evidence of liver decompensation i.e. jaundice and/or ascites and/or encephalopathy
  • Category 2
    (appointment within 90 calendar days)
    • Hepatic steatosis / NAFLD without concerning features

    NB Category 2 cases can be referred to local/regional general physician if gastroenterology access is not locally available

  • Category 3
    (appointment within 365 calendar days)
    • No category 3 criteria

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • General referral information
  • Height, weight and BMI
  • ELFT FBC HBV HCV serology Fasting glucose and lipid results
  • Upper abdominal USS reports

3. Additional referral information Useful for processing the referral

  • Family history of liver disease or diabetes
  • Alcohol and illicit drug history
  • Medication history including non-prescription medications, herbs, supplements
  • Record of previous liver function tests
  • Iron studies/INR
  • Lipid profile

4. Request

Last updated: 13 June 2023