Hepatology

Hepatology is part of the gastroenterology department at the Royal Cornwall Hospital. Our specialist team assesses patients with abnormal liver function tests and cares for patients with acute and chronic liver disorders. We provide inpatient care on our specialist Gastroenterology and Liver Unit and provide outpatient services throughout Cornwall.

We have close links with the South West Liver Unit in Plymouth and with the Liver unit at Kings College Hospital London with regard to liver transplantation. Surgery is carried out by the upper GI surgeons in Cornwall or the hepatobiliary surgical team in Plymouth.

We also work closely with the drug and alcohol services to help patients withdraw from alcohol safely and efficiently.

We are dedicated to providing first-class hepatology care and continually improving the service we provide our patients. As part of this we have committed to an ongoing programme of service and quality improvement for accreditation with the national Improving Quality in Liver Services (IQILS) programme.

Our Services

Specialist investigative services

We provide patients with the following investigative services:

  • endoscopic diagnosis and treatment of oesophageal and gastric varices
  • endoscopic retrograde cholangiopancreatography (ERCP) – gallstone removal from the bile duct
  • percutaneous biliary drainage (PTC) – for blocked bile ducts
  • laparoscopic cholecystectomy/open cholecystectomy – gallbladder removal
  • biliary and pancreatic endoscopic ultrasound (EUS)
  • transcatheter arterial chemoembolisation (TACE) for liver tumours
  • hepatic venous wedge pressure (HVWP) measurements
  • FibroScan – a non-invasive method of assessing liver fibrosis

Inpatients

We have a dedicated 29-bed Gastroenterology and Liver Unit at the Royal Cornwall Hospital where we look after patients with liver, bile duct and pancreatic diseases.

We usually admit patients through the Acute Medical Unit and we look after patients who are coming in for procedures such as percutaneous biliary intervention (for a blocked bile duct) or TACE (for liver tumours).

Alcohol liaison service

The Alcohol Liaison Team (ALT) are based at RCHT and clinically support patients who attend hospital with either direct or indirectly related alcohol harm and health related issues.

We assist the Emergency Department and wards on a daily basis with affective patient care plans, signposting, referrals and updates to community support services and safe discharges. We can also provide telephone support to community hospitals.

For patients who develop alcohol withdrawal and associated complications, ALT will provide clinical treatments plans with regular input and advice.
The team will also support relatives of patients and staff members in confidence.

We work alongside multi-disciplinary teams who monitor the hospital high intensity user group and provide frequent attender care management plans for patients who regularly present to hospital due to alcohol misuse. This provides relevant information and advice regarding care, community input and discharge plans that can be accessed by all clinical staff.

Supportive Documentation Links

Team contacts

Hannah Le Ruez – Alcohol Specialist Nurse

Toni Edwards – Alcohol Liaison Team Lead

Jenna Davies – Alcohol Liaison Health Promotion Specialist

Rebecca Andrew – Alcohol Specialist Nurse

Jane Halford – Alcohol Specialist Nurse

Contact the RCHT Alcohol Liaison Team on
07557 215449 / 07557 215450
rch-tr.alcoholliaisonservice@nhs.net

Community Hepatology Hepatitis C Virus (HCV) Therapy

We work with We Are With You (formerly known as Addaction) to treat patients with hepatitis C. This includes services in the community from a specialist nurse and FibroScan for HCV assessment. In some cases, we may treat you at home.

Our service includes input from doctors, rehabilitation units, detoxification services, probation services and housing providers.

Hepatobiliary and pancreatic cancer

The hepatobiliary and pancreatic (HBP) cancer team looks after patients who have, or who are suspected of having, cancer of the bile duct, gallbladder, liver or pancreas.

You may have been referred to us through your GP, our jaundice hotline clinic or acute hospital admissions.

Our team includes hepatology staff, endoscopists, HBP cancer nurses and oncologists. We work closely with the HBP team at Derriford Hospital, and meet weekly to discuss patients who could benefit from curative therapy.

Contact the HBP cancer nurses

01872 252177
07920 786435
Monday to Friday from 9am to 4pm.

Our hepatology outpatient clinics

General hepatology clinics

We see a range of patients at our general clinics, including those with:

  • alcohol- and non-alcohol-related liver disease
  • liver cirrhosis and its complications
  • inherited and metabolic liver disease including Wilson’s disease, alpha-1-antitrypsin deficiency (AATD), haemochromatosis and glycogen storage diseases.)
  • autoimmune-related liver disease including primary sclerosing cholangitis (PSC), primary biliary cholangitis (PBC), autoimmune hepatitis and immunoglobulin G4 related disease (IgG4)
  • gallbladder disease

Clinic times and locations (Face to face, Video and telephone consultation)

Location Day Time
Telephone Consultation Monday 9am
Video Consultation Monday 2pm
Video Consultation Tuesday 9am
Telephone Consultation Tuesday 2pm
Video Consultation Wednesday 9am
Telephone Consultation Wednesday 2pm
Telephone Consultation Thursday 9am
Video Consultation Thursday 9am
Video Consultation Thursday 8.45am
Royal Cornwall Hospital (Face to face) Thursday 2pm
Camborne and Redruth Community Hospital (Face to face) Thursday 1.30pm

Hot hepatobiliary clinics and Jaundice Hotline clinics

You may be invited to attend one of our hot hepatobiliary clinics if:

  • You have recently been diagnosed with cancer of the liver, bile duct or pancreas, so that we can discuss your diagnosis, and how best we can manage or treat your cancer.
  • You have recently been diagnosed with decompensated cirrhosis, so that we can follow up with you after you’ve been discharged from hospital.
  • You have acute decompensation, so that we can manage your condition without you needing to be admitted to hospital.
  • You are a transplant patient, so that we can review you.

Our jaundice hotline clinics are for patients with acute jaundice
The clinic allows us to assess and manage your jaundice in one day. After your GP has referred you, we’ll aim to see you within two weeks.

  • When you arrive at the clinic, we’ll do blood tests and an ultrasound. Thereafter, you’ll discuss them with a consultant and if you need further investigations, such as a CT scan.

Clinic times and locations

Location Day Time
Royal Cornwall Hospital, Truro (Face to face) Tuesday 2pm
Camborne and Redruth Community Hospital (Face to face) Thursday 2pm

Viral hepatology clinics

At our viral hepatology clinics, we see patients with hepatitis B and C. The clinics are nurse-led and coordinate with the weekly viral hepatology multidisciplinary team meetings each week.

Clinic times and locations

Location Day Time
Telephone Consultation Wednesday 9am

FibroScan clinics

A FibroScan is a type of ultrasound that can measure the degree of inflammation and scarring in your liver, which allows us to plan your treatment.
It is a simple, painless test that uses high frequency sound waves. A FibroScan gives immediate results. It does not have any potential complications or risks and is non-invasive, which means that it does not break the skin or enter your body.

FibroScan clinic times and locations

DAY AM PM
MONDAY NO CLINICS NO CLINICS
TUESDAY NO CLINICS NO CLINICS
WEDNESDAY ROYAL CORNWALL HOSPITAL
Trelawney outpatients
9AM – 12:15PM
NO PM ROYAL CORNWALL HOSPITAL
WEST CORNWALL HOSPITAL PENZANCE
Outpatients department
10am – 12:15pm
WEST CORNWALL HOSPITAL PENZANCE
Outpatients department
1:15pm – 3:30pm
THURSDAY NO CLINICS BODMIN HOSPITAL
Outpatients in main hospital (not treatment centre outpatients)

1pm – 5pm fortnightly only
FRIDAY WEST CORNWALL HOSPITAL PENZANCE
Outpatients department

10am – 12:15pm
(This clinic is not held regularly)
ROYAL CORNWALL HOSPITAL
Trelawney outpatients
1:30 – 4:30pm

Day-case paracentesis (drainage of abdominal fluid)

If you have an accumulation of fluid in your abdomen, it may need to be drained using a procedure called paracentesis (or abdominal tap).

We do paracentesis as day surgery, so unless you’re already staying in hospital, you won’t need to stay overnight.

During a paracentesis a small drainage tube is placed through the skin into the fluid. You’ll be given a local anaesthetic before the drain is put in. The nurse will then use ultrasound to guide the tube into place. The drain stays in place for around six hours.

Clinic location

Day-case paracentesis takes place at the Medical Day Unit at the Royal Cornwall Hospital in Truro, Monday to Friday.

Endoscopy clinics

We run a number of endoscopy clinics to assess and treat conditions such as gastrointestinal bleeding, jaundice due to malignancy or gallstone disease or bile duct and pancreatic disease.

You can find out more about the different procedures in these patient information leaflets:

If you need more information or to change your appointment, please call 01872 252616 between 8am to 4pm, Monday to Friday.

Haemochromatosis clinic

We help haemochromatosis patients reduce liver damage using a procedure called venesection or phlebotomy. It reduces the amount of iron in your body and helps to relieve some of your symptoms.

Haemochromatosis clinic times and locations

The clinic takes place at the Medical Day Unit at Royal Cornwall Hospital in Truro on Thursdays.

More information

Hepatology team and contacts

Consultant Hepatologists

Dr Hyder Hussaini
Secretary to Dr Hussaini: Jo Stonehouse
joanne.stonehouse1@nhs.net
07407 262175 or 01872 252708

Dr Bill Stableforth
Secretary to Dr Stableforth: Laura Blight
laura.blight1@nhs.net
Work mobile: 07557744526. Office phone number: 01872 252749

Hepatology Nurse Consultant

Liz Farrington
Secretary to Liz Farrington: Jill Braham
j.braham@nhs.net
07407 261341 or 01872 253858

Clinical Hepatology Nurse Specialist

Keely Lane
joanne.stonehouse1@nhs.net
07407 262175 or 01872 253858

Clinical Hepatology Nurse Specialist

Keely Lane
joanne.stonehouse1@nhs.net
07407 262175 or 01872 253858

Alcohol liaison team

Toni Edwards
Jenna Davies
Hannah Leruez
Lee Derrick, hospital outreach team (We Are With You – Addaction)
07557 215449 or 07557 215450
rch-tr.alcoholliaisonservice@nhs.net

FibroScan Technicians

Helen Salmon
Louise Johns

Hepatology Research Nurses

Zoe Berry

Ward Manager – Gastroenterology and Liver Unit

Glyn Belt

Ward Manager – Medical Day Unit

Kim Hicks

Interventional Radiology Lead Nurse

Zoe Martin

Interventional Consultant Radiologists

Dr Andrew Edwards
Dr Richard Morse
Dr Angie Rodgers
Dr Rhys Llewelyn
Dr Tom Cav

Cancer Specialists

Dr Richard Ellis
Dr Charlotte Thompson

Secretary for Jaundice Hotline

Jo Stonehouse

End of Life Lead Consultant

Dr Caroline Campbell

End of Life Lead Nurse

Liz Thomas

Dietitians

Emma Lamarti

Hepatology wards and units

Hepatology fax number

01872 253889

Clinical Research

We take part in a number of local, national and international liver-related disorder studies in conjunction with the Research, Development and Innovation department.

We specifically focus on fatty liver disease, autoimmune liver disease and Hepatitis E infection.

We’re also taking part in an ongoing national study (CALIBRE Study) about the prevention of bleeding from enlarged veins in the oesophagus (varices). It’s funded by the National Institute for Health Research.

For further information about our clinical trials research please contact Amanda Datson, Research Project Manager on 01872 256420 or read more about how to get involved with clinical research in Cornwall.

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