Local investigations and key information to include in referral letter (more details in online supplementary appendices 3–5)
| Comorbidity (include all details of pathologies, and important negatives) | Investigations (general investigations as below) | Disease-specific investigations |
| Cardiovascular | Chest X-ray | PSC: colonoscopy and recent liver imaging |
| Respiratory | ECG | PBC/AIH: drug history |
| Renal | Echocardiogram | Hepatitis B: screening tests and viral load |
| Bone | Oxygen Saturation | Hepatitis C: details of treatment |
| HIV | Analysis of Ascites | HCC: recent imaging and MDT discussions |
| Obesity | Endoscopy | PLD/PLKD: brain imaging for Berry aneurysms |
| Surgical/anaesthetic history | Nutritional assessment | Budd-Chiari syndrome: history of shunts. |
| Nutrition | Assessment of the performance status | Wilson’s disease: details of treatments |
| Metabolic syndrome | Up to date blood tests and UKELD | Encephalopathy: brain imaging, ammonia, number connection tests |
| Non-hepatic cancer | Adherence/addiction | |
| Infectious disease | Ascites: number of drains, episodes of SBP | |
| Social support | Alcohol related liver disease: period of abstinence, engagement with addiction services and so on | |
| Disabilities | ||
| Alcohol and substance abuse | ||
| Mental health | ||
| Smoking |
AIH, Autoimmune Hepatitis; ArLD, Alcohol related Liver Disease; HCC, Hepatocellular Carcinoma; MDT, Multi Disciplinary Team; NG, Naso-gastric; NICE, National Institute for Health & Care Excellence; PBC, Primary Biliary Cholangitis; PLD/PLKD, Polycystic Liver Disease/Polycystic Liver & Kidney Disease; PSC, Primary Sclerosing Cholangitis; SBP, Spontaneous Bacterial Peritonitis; TC, Transplant Co-ordinator.