WAGE Champion

posted in: Uncategorised

Dear WAGE members,

WAGE Champion

We are looking for Nurses and Allied Healthcare Professionals.

Do you work in Gastroenterology, Endoscopy, Hepatology or Microbiology and feel you can improve your workforce?

Want to feed into a national network that can support and tackle your issues whilst promoting your success stories?

You must have:

  • Enthusiasm
  • A desire to make a difference for your patients, services and colleagues
  • Drive to raise issues from colleagues and bring them to a wider national network
  • Pride to shout about your department’s achievements
  • Tenacity to support national projects and raise your own agendas


  • Attendance of four annual online meetings.
  • Email communication with WAGE executives – giving you frontline updates on WAGE!
  • Two-way communication with WAGE and your clinical area!

This opportunity will enable you to have a direct link with WAGE

You will be able to raise issues that maybe you feel can’t be resolved on a local level

You will have the opportunity to network with other champions across Wales and share information on how services are run

Multiple champions will be considered.  You can represent your department, service or health board!

You can be a Nurse, HCA, allied health professional or trainee

A great addition to your CV

Want to know more about WAGE ? check out our website www.wage.org.uk

Let’s turn your words into actions, Apply today!

With a short paragraph about why you feel passionate about promoting change and developing growth in your work area!

PBC 2nd line Rx pathway allowing use of Obeticholic Acid

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WPBC 2nd line Rx pathway_Oct 17

We can now prescribe Obeticholic acid (OCA) for patients who have failed to respond adequately to UDCA or are intolerant to UDCA. I believe all health boards have obtained/or are in the process of obtaining approval for OCA use. In Wales, we have set up a virtual panel and developed treatment pathway with the intention of having same Rx thresholds across Wales and avoid variations in practice. In addition, having an agreed national pathway will hopefully give confidence to each HB re: judicious use of OCA!


Attached is the guidance/referral form for using OCA in PBC for 2nd line therapy. The form should be:


  1. completed for any patient who is potentially suitable for Rx with OCA
  2. sent online to the virtual panel and outcome recorded (form sent back to referrer with outcome)
  3. Form should be updated with biochemical response after 6 and 12 months of OCA therapy
  4. Updated form should be e-mailed to the virtual panel after 12 months of therapy to agree long-term Rx plan


It is vital that all sections are completed to enable the virtual panel to decide on the outcome promptly. The form will be saved only for audit purposes and analysing response data. The treatment will be prescribed and monitored locally by each UHB (unlike England!)


Please contact if there are any queries – very happy to discuss anytime.


Best Wishes




Dr B Srivastava

Consultant Hepatologist

UHW, Cardiff

Ext – 47956