The British Liver Nurses' Association (BLNA) is an affiliated group of the British Association for the Study of the Liver (BASL). The BLNA was formed following a merger of the BASL Nurse Forum and the British Liver Nurse Forum and was establised in September 2017.

BLNA aims to:

It is a professional nursing organisation aiming to develop knowledge and understanding of liver disease, in order to improve the quality of patient care, through:

  • The advancement of good clinical practice in the care of individuals with, or at risk of liver disease;
  • The promotion and dissemination of patient-focussed research;
  • The provision of educational support and educational opportunities in the field of liver nursing, incorporating the professional standards for liver nursing;
  • The promotion of a collaborative and multi-disciplinary approach to caring for people with liver disease.

BLNA aims to offer support for all nurses who see patients with or at risk of developing liver disease. Nurse members of BASL currently include nurses working within liver wards and gastroenterology wards, the community, research, paediatrics and transplant, but with one common goal - to improve care for those with liver disease.


Liver disease is now the fifth most common cause of death in the UK and nurses are integral to making an impact on liver disease. This updated framework describes the professional standards expected of practitioners when caring for people with liver disease including liver transplantation. It is designed to support practitioners in a clear, consistent and evidence-based format to reflect their specialist knowledge and skills. This edition includes competencies for liver transplantation.

Download a copy of the RCN Caring for People with Liver Disease including Liver Transplantation; a Competence Framework for Nursing below:

Download RCN Competence Framework for Nursing.pdf

BLNA Meetings

The BLNA holds two nurse meetings a year and the dates for the 2020 meetings can be found below: 

Spring meeting - Friday 24th April in Birmingham - update - postponed due to the COVID-19 pandemic.  

September meeting -  the meeting usually takes place during the BASL Annual Meeting.  A full educational programme is delivered and the meeting offers a fantastic networking opportunity - update - due to the COVID-19 pandemic this year's BASL Annual Meeting will now take place as a digital event with a programme running across the afternoons of 21 - 23rd September.  The BLNA are planning to hold a shorter nurse meeting during BASL2020 and a new date and further details will be announced soon.    

A number of travel bursaries are usually available to attend the Nurse Meetings if they take place face to face.  If bursaries are available these will be promoted on the Events listing page where full guidance details and an appplication form can be found.

Follow BLNA on Twitter . 

Gastrointestinal Nursing’s Liver Nursing Supplement - Sign Up 

Gastrointestinal Nursing’s Liver Nursing Supplement is a leading UK journal for nurses working in gastroenterology and hepatology. It publishes a liver nurse supplement twice a year.

Sign up for a copy of the supplement today by downloading and completing the form below:

Download BLNA Liver Supplement Request Form.docx

Your consent is needed to share your name and postal address with the Mark Allen Group who produce and post out the supplements. Completed forms should be emailed back to .

Global Nurse Association Links

BLNA Committee:

Diane Backhouse,

BLNA Chair Michelle Clayton, University of Leeds
Committee Member Sarah Fairclough, Basildon and Thurrock University Hospitals
Committee Member Lynda Greenslade, Lead Nurse Specialist Practice in Hepatology, Royal Free Hospital NHS Foundation Trust
Committee Member Gemma Botterill, Queen Elizabeth Hospital, Birmingham 
Committee Member Liz Farrington, Royal Cornwall Hospital, Truro
Committee Member Adrian Jugdoyal, Senior Lecturer, Middlesex University
Committee Member Dianne Backhouse, Senior Hepatology Specialist Nurse, Hull and East Yorkshire NHS Trust
Committee Member Ricky Gellissen, Hepatitis Clinical Nurse Specialist, Imperial College London

Michelle Clayton RGN, BSc (Hons), MSc, PGC Clinical Education

Michelle is a part time Lecturer in Liver Care at the University of Leeds and a part time Liver Nurse Educator at St. James’s University Hospital, Leeds. Michelle has over 25 years of experience in the field of hepatology and liver transplantation.

Michelle is passionate about championing quality care for people with liver disease. She has been integral in launching the British Liver Nurses’ Association (BLNA); she also holds a steering committee position on the RCN’s Gastrointestinal Forum. Michelle has a large portfolio of publications and speaks both nationally and internationally on care considerations for people with liver disease and liver transplantation. Michelle led and successfully launched the “Caring for People with Liver Disease: A Competence Framework for Nursing” in February 2013 and collaborated with Lynda Greenslade to update the framework in September 2015. She has recently been asked to join the EASL concerted action group for nurses to raise the profile of liver nursing across Europe.

In 2012, Michelle won Gastrointestinal Nursing’s “Educationist of the Year” award for her work in advancing liver nurse education and care. She is on the editorial board of Gastrointestinal Nursing and was integral in developing the journal’s Liver Nursing Supplement. 

Sarah Fairclough, Liver Nurse Specialist, Basildon and Thurrock University Hospitals NHS Foundation Trust

Sarah Fairclough BSc (Hons), independent Non-medical prescriber is the Lead Liver nurse specialist at Basildon & Thurrock University Hospital. She has worked within Gastroenterology and Hepatology for the 16 years. She has a specialist interest in decompensated cirrhosis and its long term management including, improving quality of life and end of life care. She also has a keen and active interest in research and service development. 


Lynda Greenslade, Lead Nurse Specialist Practice in Hepatology, Royal Free Hospital NHS Foundation Trust

Lynda is a liver nurse with a long relationship of working with patients and their families with liver disease. She was first hooked as a student nurse at the Royal Free working on the liver unit which was a mad house, interesting but busy. After a spell on orthopaedics she went back as a staff nurse because she missed the buzz of livers. After a quick detour into Intensive care at The Middlesex Hospital she ended up back at the Liver Unit at the Royal Free. Since then she has been a ward sister, a research nurse working mainly in portal hypertension. In her current role she is a lead nurse specialist practice in hepatology managing a team of hepatology nurses and in her clinics she mainly looks after patients with the complications of liver disease, stable cirrhotic’s and haemochromatosis. Currently she is working on a project with the Marie Curie Palliative Care team and hepatology to try and improve end of life care for patients with end stage liver disease. She is also a committee member of the RCN Gastroenterology Forum and enjoys teaching both in the clinical area, at conferences and university. The Royal Free has recently developed a university sponsored liver course. 


Gemma Botterill, Queen Elizabeth Hospital, Birmingham

Gemma trained at Birmingham City University graduating in 2009 with a BSc (Hons) Nursing and in 2014 with a Graduate Certificate (Hepatology). She returned to study in 2017 to complete her Health Assessment and Independent Non-Medical Prescribing. She joined the Liver medical team at Queen Elizabeth Hospital Birmingham in 2009, moving with them into the new QEHB in 2010 working on Ward 726 - a Liver medical & surgical unit. Here Gemma looked after complex patients including post-transplant, end stage liver disease and those with cancer, becoming Sister in 2012. From 2015 Gemma also worked as a Viral Hepatitis CNS. As of August 2017 she has become a full time CNS.

A previous member of ITNS Gemma is now a member of the BLNA and the Midland Hepatitis Nurse Forum (MHNF) which saw her become Co-Chair in 2019. She has written for publication for the Nursing Times.  

Liz Farrington, Consultant Royal Cornwall Hospital, Truro

Liz has worked for Hepatology services at the Royal Cornwall Hospital since 2003, having a well-established role as Consultant Nurse, with an extensive portfolio across education, research, leadership, consultancy, and clinical expertise. Prior to moving to Cornwall she held a variety of nursing positions around the UK, but specifically developed an interest in Hepatology whilst working in New Zealand.

Liz has been involved with a number of national strategic projects, working with the Department of Health, Public Health England, NHS England, Health Education England and the Lancet. She is passionately committed to the patient journey, with a keen interest in service development, stakeholder involvement and partnership working across primary and secondary care services. She has recently been successful in gaining a post as Clinical Director and is looking forward to new challenges ahead. 


Adrian Jugdoyal, Senior Lecturer, Middlesex University

Adrian currently works as a Senior Lecturer at Middlesex University. He is a dual qualified nurse and was an Advanced Nurse Practitioner within Acute Medicine, Specialist Medicine, Emergency Medicine, and Addictions. He was also the Lead Nurse for Hepatology and Alcohol Services within a large trust in London.

He was originally introduced into viral hepatology where he ran blood borne virus clinic two decades ago screening patients for HBV and HCV. His interest in liver health moved into working with individuals with alcohol and drug-related issues in a variety of community and inpatient settings, where he has been involved in developing Clinical Pathways and National Guidance for the screening of both physical and mental health problems.

Adrian is passionate about improving care to those patients with alcohol-related liver disease. He has been involved in the recent NICE guidelines for ‘Alcoholic Hepatitis’, ‘Alcohol-use disorders: diagnosis and management of physical complications.’ as well as the RCEM ‘Alcohol Toolkit’. He was also involved in the James Lind Institute and the National Institute of Health Research for priority setting for the management of liver disease.

Adrian is also the current President of the International Nurses Society in Addictions (UK Chapter) and is also involved with them internationally. He has taken a specialist lead in physical health assessments for those patients with addiction and liver problems. Adrian is also on the Educational Committee of the Medical Council of Alcohol and is on the editorial panel for GIN. He has presented both nationally and internationally about competencies for nurses looking after patients with acute and alcoholic liver disease.