Cancer of the liver, pancreas, gall bladder and bile duct
In July, all HPB and hepatology clinical and academic services, including pancreatic cancer services, transferred from University College London Hospitals NHS Foundation Trust to join the existing service at the Royal Free Hampstead NHS Trust, creating one of the largest centres in Europe for the treatment of conditions of the liver, pancreas and biliary system. This is the culmination of nearly a year's work of collaboration and integration by teams at both trusts.
All hepatology inpatient and outpatient services have transferred to the Royal Free. Inpatient HPB services have also transferred to the Royal Free, with the exception of Viral Hepatology outpatient clinics which are still held at UCLH.
UCLH retains its medical pancreato-biliary service and surgical outpatients service.
The Royal Free is now the sole specialist provider of surgical treatment for malignant and benign disease of the pancreas, liver and biliary system in the sector, serving the North London and Mount Vernon cancer networks. In addition, the Royal Free is the acute hub for HPB and hepatology conditions.
To ensure continuity of service, the Royal Free will continue to have input on relevant wards at UCLH on a daily basis.
Additionally, the academic departments previously based on the Bloomsbury campus at UCL have been integrated into the Hampstead campus. The integration of unified academic and clinical services brings unparralleled opportunities for research, development and innovation.
Benign and malignant pancreatic disease (including pancreatitis and pancreatic tumours), benign and malignant liver disease (HCC, colorectal metastases), benign and malignant gall bladder and bile duct disease.
"We are here to support you, please get in touch if you need us".
Upon diagnosis of a HPB cancer, you will have access to a HPB Cancer clinical nurse specialist (CNS) or a HPB cancer support worker (CSW). Both CNS and CSW work closely with your team and can be contacted outside of your clinic appointments. Additionally, the CNS service can provide support with many aspects of living with HPB cancer such as physical, emotional, social and financial needs.
Your CNS may use a Holistic Needs Assessment (HNA). This is a process designed to enable you to share information with your team which is important to the treatment and care you receive. You do not have to have a HNA but many people find it opens up discussions with their team about their concerns which may not be otherwise raised. If you feel a HNA would be helpful, please talk to your CNS.
Throughout your pathway the CNS will be a single point of contact for you and your family should you have questions about your diagnosis, issues with your condition or queries about your medication. They will also be able to provide you with information (written and verbal) about your diagnosis and treatment. They will also be able to offer you advice and support or direct you to other places where you can also get support.
Working hours 09:00-17:00 Mon to Friday HPB CNS and CSW email: uclh.hpbcupcancercns@nhs.net
Telephone: 02034474791
If you have an urgent but not life-threatening problem, you should call NHS 111 before attending the hospital. You will then be directed to the most suitable location for your care in the first instance, as A&E is not always the most appropriate option.
If your problem is life-threatening, you should still dial 999 and go straight to your nearest A&E.
Service management
Dylan Smiley
Other contact information
How to refer - Hepato Pancreato Bilary Cancers (HPB)
NHS e-Referral Service (formerly Choose and Book referrals)
| UCLH service name | Choose and book specialty | Clinic type |
| Complementary General Medicine - Hepato-Gastro (surg & Med) | GI and Liver( medicine and Surgery) | Upper GI incl Dyspepsia, Lower GI (Medical) excl IBD |
| Hepato-Pancreatico-Biliary Medicine | GI and Liver (Medicine and Surgery) | Hepatology |
Referral forms
Tertiary referrals
Patients are referred directly to the unit from the Network or for specialist tertiary and quaternary level opinions from many regions of the UK. All cases are discussed at the joint North London/Mount Vernon Network HPB Cancer MDM, which is a tri-partite telelinked meeting which discusses over 70 patients per week. All potential cancer patients are then seen within a week by a consultant surgeon for an immediate discussion of treatment options.
Address
Hepato Pancreato Bilary Cancers HPB
University College Hospital
UCLH contact centre
Ground floor central
250 Euston Road
London, NW1 2PG
GP contact
Referral address
NHS e-Referral Service (formerly Choose and Book referrals)
| UCLH service name | Choose and book specialty | Clinic type |
| Complementary General Medicine - Hepato-Gastro (surg & Med) | GI and Liver( medicine and Surgery) | Upper GI incl Dyspepsia, Lower GI (Medical) excl IBD |
| Hepato-Pancreatico-Biliary Medicine | GI and Liver (Medicine and Surgery) | Hepatology |
Referral forms
Tertiary referrals
Patients are referred directly to the unit from the Network or for specialist tertiary and quaternary level opinions from many regions of the UK. All cases are discussed at the joint North London/Mount Vernon Network HPB Cancer MDM, which is a tri-partite telelinked meeting which discusses over 70 patients per week. All potential cancer patients are then seen within a week by a consultant surgeon for an immediate discussion of treatment options.
