Case Study:

NHS Wales Liver Toolkit

A world first, delivering assertive fibrosis testing

Context:

Data suggests that advanced liver disease is usually recognised very late and deaths from liver disease continue to rise. 

To ensure that those affected by liver disease have timely access to high quality pathways of care, irrespective of where they live, The Liver Disease Implementation Group (LDIG) developed a programme to guid healthcare professionals to have a more assertive approach to the management of abnormal liver blood tests, recognising advanced disease (including cirrhosis) at a much earlier stage.
 
The bespoke NHS Wales Liver Toolkit was developed and implemented in partnership with ICST, featuring a nationally agreed Abnormal Liver Blood Test Clinical Pathway, and a programme of education and support, today used by tens of thousands of healthcare professionals across Wales.

Solution:

Liver Toolkit

The exclusive education programme for NHS Wales was adopted across all Health Boards and is formally endorsed by the British Liver Trust.

Wales is the only country that delivers assertive fibrosis testing on a population basis worldwide and, in addition, is the only country to provide a specific education and support package underpinning this strategy. The toolkit provides digital support for practitioners, promoting practices and behaviour change principles that result in improved outcomes and ultimately reduce the burden on the health system.

The Liver toolkit for NHS Wales consisted of:

1

Healthcare Professional Platform

2

Commissioner Data Reporting

By using implementation science and individual behavioural science methodologies, the toolkit achieves reach and adoption whilst achieving outcomes. This approach ensures seamless system installation without the need for additional resources or staffing. By practically supporting existing services, rather than imposing fundamental change, the toolkit minimises resistance, ensures sustainability, and achieves population-level reach and scalability.

Learn More About:

Liver Toolkit

A strategy to improve the standards of Liver care across a health system, ensuring that all patients receive high-value care, and all healthcare professionals understand how to optimise the care for their patients.

Outcomes:

Liver Toolkit

A world first

Wales is the only country that delivers assertive fibrosis testing of a population basis worldwide.

The only country to provide education and support package

In addition, Wales is the only country to provide a specific education and support package underpinning this strategy.

Near-perfect coverage

Where the toolkit has been implemented, including on a National basis, we see coverage of 98% of GP practices that have healthcare professionals using the toolkit.

Interested to know how this toolkit could be implemented in your area?

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