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<p>NHS England, Public Health England (PHE) and the Department of Health are working
jointly with stakeholders to make sure that patients with liver disease, including
those who may develop hepatic encephalopathy, are supported. PHE is also working with
stakeholders to develop a liver disease framework.</p><p> </p><p> </p><p> </p><p>There
are currently no plans to carry out a clinical audit into services for people with
advanced liver disease for all causes. However, liver cancer outcomes for the specialised
services which NHS England commissions are currently audited and a national audit
of outcome dimensions for the treatment of hepatitis C will be established by NHS
England in due course. In addition, PHE is working with the Lancet Commission on Liver
Disease to use routine data to investigate elements of care for people with advanced
liver disease.</p><p> </p><p> </p><p> </p><p>We are also taking action to prevent
people developing liver disease in the first place by tackling two of the main causes
of liver disease – obesity and alcohol misuse. This includes:</p><p> </p><p> </p><p>
</p><p>- our Call to Action on Obesity, which sets out two national ambitions for
a downward trend in level of excess weight in children and adults by 2020; and</p><p>
</p><p> </p><p> </p><p>- our Alcohol Strategy, which aims to cut the number of people
drinking above the lower-risk guidelines.</p><p> </p>
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