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Liver disease is a growing and urgent challenge for the NHS. Unplanned admissions have risen sharply in the past decade (more than 50%), and around 35% of patients die within 60 days of discharge. Many patients experience frequent, unpredictable complications.

Dr Tamsin Cargill showing her certificate for the 2025 Quality and Service Improvement in Hepatology Award, which she received for the service. © Photograph by Declan Roughan / Press Eye

But traditional hospital-based care can be burdensome for older, frail patients who would prefer to remain at home, and existing evidence and policy reviews suggest a need for new, community-based models that combine specialist expertise with flexible care delivery.

In response to these trends and pressures, Dr Tamsin Cargill – an NIHR-funded Academic Clinical Lecturer at the Nuffield Department of Medicine, and a hepatology registrar at Oxford University Hospitals NHS Foundation Trust – developed Hepatology at Home, the UK’s first service to bring hospital-level diagnosis and treatment into people’s homes.

Read the full story on the Oxford Academic Health Partners website.