Nice guidance on NAFLD

[Iro1]

nice.org.uk/guidance/ng49/c... I would show this link, show to your GP the ELF test is the gold standard.

Having LFTs after LFTs I had 5 repeats wasting money, all normal until the GP ordered an ELF.

The result 10.8 so ipso facto advanced liver fibrosis.

It would be good if someone from BLT would engage with this thread.

IRO

[RedPoppy2]

Hi,

Thanks for sharing this - I'll be asking my GP/Consultant about it.

Best wishes

[Iro1 in reply to RedPoppy2]

There should be a large laminated sign in every GPs room, in case of suspected NAFLD arrange an ELF test for fibrosis.It will not stop fibrosis, but it will ensure the patient gets specialist help and save repeated costs on LFTs which are 'normal'.

Scans are expensive, ELF test is not, a cheap affordable diagnostic tool that triages NAFLD according to need.

IRO

[RedPoppy2 in reply to Iro1]

So true - crazy that they don't do this already as "routine"!

[Iro1]

Cost effective, it reduces the need for LFT testing over and over and over again.Reassuring to those that just have mild NAFLD without fibrosis. Not particularly reassuring to those like me that do, but at least you move along the conveyor belt faster.

The key point is that it is a NICE protocol, I have spoken to my Practice Manager and Senior Partner at my local GP.

They now require GPs at the practice to refer to NICE for every condition, not just liver, leaner, more focused treatments, fewer appointments to follow the symptoms.

Less cost the type of thing that might even save our glorious NHS!