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Referral Guidelines

Haematology Department

The Department of Clinical Haematology provides care for patients with general and malignant haematological disorders including leukaemia, myeloma and lymphoma, as well as patients undergoing autologous stem cell harvesting and transplantation.

SVUH Haematology Department Referral Guidance (PDF)

Plastic and Reconstructive Surgery Outpatients Department

The Department is currently experiencing a very high volume of referrals. Consequently, referral guidelines pertaining to cosmetic/aesthetic surgery and benign skin lesions have been established.

Department of Plastic and Reconstructive Surgery Referral Guidelines (PDF)

Abnormal Liver Function Tests (LFTs)

This guideline is designed to assist General Practitioners (GPs) in the management of adult patients with abnormal liver function tests (LFTs) who present without symptoms or signs of liver disease. It provides an overview of the initial assessment, appropriate follow-up, and referral criteria to specialist services. This is intended as a guide and should complement, not replace, clinical judgement.

The guideline covers key topics including:

  1. The scope of the guideline
  2. Recognising patterns of abnormal LFTs
  3. Initial assessment steps for patients with elevated LFTs
  4. Guidance on when to repeat LFTs and when to refer to the Liver Clinic
  5. Criteria for referral and identifying patients who require specialist care
  6. Cases that do not require referral, specifically those with Alcohol-related Liver Disease (ArLD) and Metabolic Dysfunction-associated Steatotic Liver Disease (MASLD)

Additionally, the appendices include important resources such as:

  • A list of abbreviations
  • A guide to non-invasive liver screening
  • Pathways for managing alcohol-related liver disease and MASLD

This structured approach aims to streamline the decision-making process for GPs, ensuring timely and appropriate care for patients with abnormal LFTs.

A guideline for abnormal LFTs for GPs (Word Doc)

Guidelines for the Management of Adults with Asymptomatic Liver Blood Test Abnormalities (PDF)

Lifestyle and your Liver: Non-alcoholic fatty liver disease / Metabolic dysfunction-associated steatotic liver disease (PDF)

For GPs