Fig. 2

Algorithm for selection of “B in IT” shared care treatment protocols. A hospital liver specialist would assess each patient with CHB to determine their phase of disease, and whether antiviral medication was required. Age, ethnicity and family history of HCC would determine whether twice yearly liver ultrasound was required for HCC screening. This allowed for selection of the most appropriate GP-managed treatment protocol (GP1 – GP8) for those patients who chose to be monitored by their community-based GP. EpiSoft was used to send electronic treatment protocols into the relevant practice management software via secure messaging