Hepatobiliary and pancreas
Scope
This Lead and Inform Clinical Reference Group (CRG) covers:
- The management of people with serious complications of cirrhosis (about 3,000 cases each year).
- Services for people with complex liver, biliary and pancreatic surgery (about 5,000 cases each year).
- This CRG works with the infectious diseases CRG on services for Hepatitis C (about 10,000 treatments each year).
- This CRG will work closely with the Cancer Programme of Care regarding surgery for HPB cancers.
Membership
- Chair: Dr Richard Aspinall, National Speciality Advisor
- Yasmin Stammers, Lead Commissioner
- Mark Gillyon-Powell, Deputy Director Viral Hepatitis
- Paula Ghaneh, Clinical Member
- Ajith Siriwardena, Clinical Member
- Douglas Thorburn, Clinical Member
- Rebecca Jones, Clinical Member
- Mike Allison, Clinical Member
- William Bernall, Clinical Member
- Rajeshwar Mookerjee, Clinical Member
- Ashley Brown, Clinical Member (Hep C)
- Patrick Kennedy, Clinical Member (Hep B)
- Sital Shah, Pharmacy member
- Angeline Walker, Public Health Lead
- Ali Stunt, Patient and Public Voice representative
- Clare Pitchford, Patient and Public Voice representative
Affiliates
- Tim Cross, British Association for the Study of the Liver
- Vanessa Hebditch, British Liver Trust
- Dr Lynsey Corless, British Society of Gastroenterology
- Dr Coral Hollywood, British Society of Gastroenterology
- Robert Mitchell-Thain, The PBC Foundation
Products
A key part of the CRG’s work is the delivery of the ‘products’ of commissioning. These are the tools used by the 10 Hub Commissioning Teams to contract services on an annual basis.
Service specifications
Service specifications are important in clearly defining the standards of care expected from organisations funded by NHS England to provide specialised care. The specifications have been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe both core and developmental service standards. Core standards are those that all funded providers should be able to demonstrate, with developmental standards being those which may require further changes in practice over time to provide excellence in the field.
The following service specifications fall within the scope of this CRG:
- Hepatitis C clinical network specification
- Hepatobiliary and pancreas (adult)
- Live liver transplant (adult)
- Liver transplantation service (adults)
The following service specifications fall within the scope of the cancer CRG:
- Hepato-pancreatic biliary (HPB) – pancreatic and periampullary cancers
- Hepato-pancreatic biliary (HPB) – primary liver, secondary liver, perihilar biliary tract and gallbladder cancers
Policies
Policy statements are brief documents that define the current commissioning position to support service contracting.
The following policy statements fall within the scope of this CRG:
Commissioned:
- Total pancreatectomy with islet auto transplant for chronic pancreatitis (adults)
- Treatment of chronic hepatitis-c in patients with cirrhosis
- Retreatment of chronic hepatitis-C infection in adults with advanced or decompensated cirrhosis
Not routinely commissioned:
Policy statements
Additional resources
Get involved
If you are interested in the work of the internal medicine NPOC or its CRGs, you can register as a stakeholder. For details on our latest consultations please visit NHS England » Consultations
Get in contact
For any questions or queries relating to the work of the internal medicine NPOC or any or its CRGs, please contact: england.npoc-internalmedicine@nhs.net