The Leeds Teaching Hospitals NHS Trust

Liver Transplant Assessment

Leeds_Liver_Transplant_Nurse_Specialists_resized.jpgIf your doctor thinks that there is a good reason to consider liver transplantation, they will refer you to our team for assessment.

The transplant assessment process focusses mostly on the condition of your liver, but it also looks at your general health including heart and lung function, to help us decide if you are strong enough to undergo liver transplant.

If you are well enough and able to walk between departments, this assessment can be done as an outpatient. It is often possible to complete all of the necessary tests within a single day, but if assessment over more than one day is necessary we can arrange accommodation in the hotel in Bexley Wing if this is required. If you are not well enough for outpatient assessment then you will be admitted to the ward for the necessary tests to be done.

During the assessment you will have a number of investigations that may include an MRI scan, echocardiogram (“echo”), electrocardiogram (ECG), lung function tests and a chest X-ray.

You may be seen by a number of different members of the transplant team during assessment:

  • Liver Transplant Coordinators will explain the assessment process to you and will be able to answer any questions you may have.
  • A Hepatologist may be the first member of the team that you meet in the assessment clinic, and will oversee the assessment process.
  • A Transplant Surgeon will see you to explain the surgical risks of transplant.
  • A Transplant Anaesthetist will explain the overall risks of transplant, and may request further tests to decide whether you are strong enough to undergo the operation.
  • You may also meet other members of the team including a dietician, social worker, substance misuse specialist nurse and pharmacist.

The assessment is completed as quickly as possible, although if you require more specialised tests or opinions it may take several weeks. Your case is discussed in detail with the whole transplant team in our multidisciplinary meeting.