Referral criteria

Category A Local Expertise	Category B Clinical review, advice and guidance from MMC	Category C Care led by MMC UCLH unless stated otherwise
Uncomplicated inflammatory bowel disease in remission or inflammatory bowel disease managed in a specialist IBD-obstetric service at a local centre	Complex inflammatory bowel disease without access to specialist IBD-obstetric service at a local centre: • Active disease despite treatment • Biologics • Corticosteroids • Peri-anal disease • Pouch/stoma	Complex pancreatitis (RFH) • Not responding to treatment • Recurrent disease • Hypertriglyceridaemia • IR/surgical intervention
Hyperemesis gravidarum	Acute and chronic pancreatitis	Portal hypertension (RFH)
Constipation	Treated GI malignancy	Active malignancy
Gallstones	Unexplained jaundice	Decompensated liver disease/liver failure/cirrhosis* (RFH)
Gastro-oesophageal reflux disease	Acute fatty liver of pregnancy	Liver transplant (RFH)
Coeliac disease	Achalasia
Viral hepatitis	Liver infarction/haematoma
Intrahepatic cholestasis (bile acids <100)	Intrahepatic cholestasis (bile acids ≥100)
Cholecystitis	Autoimmune hepatitis
Viral hepatitis	Wilson’s disease
HELLP	Crigler Najjar syndrome
Non-alcoholic fatty liver disease with normal fibroscan and no metabolic complications	Non-alcoholic fatty liver disease with abnormal fibroscan or metabolic complications
	Primary sclerosing cholangitis
	Primary biliary cirrhosis
	Haemochromatosis