Hepatology

We offer a comprehensive service which includes:

• Specialist inpatient and outpatient care for patients with complex liver disease
• Community and hospital based Viral hepatitis treatment service
• One stop clinics for NAFLD and Jaundice assessment
• Locally based satellite Liver Transplant Clinic with the Royal Free Transplant Centre
• Virtual Clinic monitoring of patients with Autoimmune liver disease
• Follow up assessment clinics for patients with advanced liver disease facilitating early hospital discharge and to optimise medical management
• Nurse led Paracentesis service
• Transient elastography (Fibroscan evaluation to determine severity of liver damage)
• Comprehensive hepatology clinical research trials programme
• Inpatient support for patients in hospital with an alcohol related problem as well as inpatient support for patients in hospital who have been screened and identified as a high risk or dependent drinker.
• Outpatient alcohol nurse clinic to support patients with an identified health providing nurse specialist intervention and detox from alcohol where appropriate.
• TIPSS service in conjunction with Department of Radiology
• NHS England specially commissioned service for advanced therapeutics of Primary Biliary Cholangitis (PBC).
• Multidisciplinary management of liver and biliary cancers

Opening hours

Hepatology Clinical Nurse Specialist Team: 8:30pm - 6:30pm, Monday to Friday

Alcohol Specialist Nurse Service: 8:00am - 4:00pm, Monday - Sunday (including all weekends and bank holidays)

Our team

Consultant Hepatologists:

• Dr Richard Aspinall - Secretary Wendy Harris (available Monday am and Wednesday am)
• Dr Andrew Fowell - Secretary Wendy Harris (available Wednesday and Thursday pm)
• Dr Joanna Dowman (available Monday and Tuesday am)
• Dr Zeshan Riaz (available Monday am (Gosport) and Thursday am)

Hepatology Clinical Nurse Specialists:

• Sr Karen Gamble
• Sr Kirsty Fancey
• Sr Michelle Padgett
• Sr Smitha Thomas Hepatology ASNS
• Sr Precious Caranto Hepatology ASNS
• Sr Rheanne Argyle Hepatology ASNS
• Alison Dimmer, Hepatology Clinical Associate
• Deborah Ingram, Hepatology Nursing Administrator

Hepatology Research Team:

• Sr Beverley Longhurst
• Sr Melanie Willcox

Alcohol Specialist Nurse Service

• Snr Sr Sue Atkins
• SSN Trudi Barrett
• SSN Jane Whitty
• SSN Nicholle Jones
• SSN Laura Hire
• Kathleen Clarke Administrator
• Andreia Peterson Administrator

Level C, Queen Alexandra Hospital

Patients are referred via GP using e-Referral.

Patients with first presentation of ascites or other hepatic decompensation should be discussed with SpR for hepatology +/- hospital admission.

Self referral to viral hepatitis clinics at outreach recovery hubs.

Alcohol Specialist Nurse Service – Outpatient service: patients can be referred by their GP/consultant via email, phone call or letter. Any patients referred with no urgent health need will need to access the community teams who will liaise with the ASN S for referral if needed.

Consultant led Hepatology clinics

Monday Am- D Level Surgical Outpatients , Queen Alexandra Hospital and Gosport War memorial Hospital

Tuesday PM D Level Surgical Outpatients, Queen Alexandra Hospital

Wednesday AM D Level Surgical Outpatients, Queen Alexandra Hospital

Wednesday Pm D Level Fareham Community Hospital

Thursday All Day D Level Surgical Outpatients, Queen Alexandra Hospital

Non Alcoholic Fatty Liver disease (Nurse-led NAFLD clinic)

• Monday 10-1400 Gosport War Memorial Hospital.
• Tuesday 1400-1700 Portsmouth Liver Centre, Queen Alexandra Hospital
• Thursday 0900-1300 D level Surgical Outpatients, Queen Alexandra Hospital

Viral Hepatitis Treatment / Follow up Clinics

• Monday am 09-1300 + pm 1400-1700hrs Portsmouth Liver Centre, Queen Alexandra Hospital
• Wednesday 1400-1700hrs Portsmouth Liver Centre, Queen Alexandra Hospital
• Friday 0900-1300hrs Portsmouth Liver Centre, Queen Alexandra Hospital

Viral Hepatitis Outreach Clinics (all drop in clinic no appointment necessary for viral hepatitis screening and treatment only)

• Campion House (Society St James Recovery Hub) Southsea Tuesdays am 930-1300 ( Drop-in Clinic)
• Inclusion service Gosport - First Friday of every month 0900-1500hrs
• Inclusion service Havant - First Wednesday of every month 0900-1200hrs
• Inclusion service Fareham- Third Friday of every month 0900-1200hrs

Haemochromatosis Venesection Clinic 

Monday am, Wednesday am, Thursday am and pm.

Transient Elastography (Fibro-Scan) clinic

Monday am, Wednesday am, Thursday am and pm.

Weekly virtual clinic for monitoring Autoimmune hepatitis and Haemochromatosis

Daily Nurse led Paracentesis service for patients with Decompensated Liver cirrhosis

Nurse led ward Follow up clinics for patients with advanced liver disease

Tuesday and Thursday morning

Nurse led stable cirrhosis clinic

Wednesday and Thursday 1400-1700hrs

Combined satellite liver transplant clinic with team from Royal Free Hospital London

Every 8 weeks

Alcohol Specialist Nurse Service Outpatient Clinic

Outpatient clinic Mon-Sun (365 days) 0800-1600hrs c level AMU.

Supporting patients as an outpatient for detox from alcohol; including follow up care following inpatient treatment and integrating patients into community services for recovery support and other therapies where appropriate.