NB centres that have not fully met the level 2 service criteria outlined below (typically on site IR treatment for HCC or TIPSS) make up any deficit with appropriate training.

6 months as dedicated Hepatology SpR in level 2 unit for completion of core training - where 4 m then an arrangement to make up the additional 2 m appropriately. 

East Mids – Nottingham (QMC), Leicester (LRI), Derby

Eastern – Cambridge, Norwich, Stevenage (Lister)

London NE – Royal Free, Royal London, Whipps Cross, UCLH

London NW – St Mary’s, Chelsea & Westminster, Northwick Park

London S – Kings, St George’s, Guys and St Thomas

KSS – Guildford, Brighton, (accredited London level 2/3 centres by arrangement)

Mersey – Aintree, Royal Liverpool

North West – Manchester Royal, E Lancs (Blackburn), Wythenshawe

Northern – Newcastle (Freeman)

Peninsula – Plymouth, Exeter

Severn – BRI, North Bristol (Southmead), Gloucester

Thames Valley – Oxford, Reading (Royal Berks), Milton Keynes

West Mids – Birmingham (QE2), Coventry, Stoke

Wessex – Southampton, Bournemouth, Portsmouth, Basingstoke

Yorks & Humber – Leeds (St James), Sheffield (Northern General), Hull

Wales - Cardiff, Newport

N Ireland – Belfast (RVI)

E Scotland - Dundee

N Scotland – Aberdeen

SE Scotland – Edinburgh

W Scotland – Glasgow Royal, Queen Elizabeth University Hospital (QUEH)

Minimum requirements for level 2 centre service:
• At least 2 WTE ‘Hepatologist’
• Specialist nurse team including alcohol liaison
• Dedicated hepatology clinics and pathways
• HCV ODN treatment centre
• 24 hour emergency endoscopy including treatment of varices
• Transjugular intrahepatic portosystemic shunt placement
• Work up and shared care arrangements for liver transplantation
• Interventional radiological treatment of HCC
• Liver Histopathology review

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