Introduction: The increasing availability of non-invasive liver tests (NITs) has created the opportunity to explore their use in improving risk stratification of advanced liver disease. The study aimed to determine the attitudes and practices amongst UK secondary care specialists, focusing primarily on attitudes to fibrosis assessment and the use of NITs. Methods: Two web-based surveys were circulated, first between 2014-2015 (Survey 1), and again in 2021 (Survey 2). The surveys were promoted via the British Society of Gastroenterology, the British Association for the Study of the Liver, and using Twitter®. Results: In Survey 1, 215 healthcare professionals (HCPs) completed the online survey. 112 HCPs completed Survey 2. 71 acute UK trusts were represented in Survey 1 compared to 60 trusts in Survey 2. Between the two surveys, the proportion of HCPs performing fibrosis assessment in all or nearly all cases rose from 45.1% to 74.1% (x2=25.01; pConclusion: Between 2014 and 2021, the role of NITs in fibrosis assessment has risen substantially, as has the proportion of clinicians using NITs in clinical pathways to assess risk of liver disease. Poor access to NITs remains the predominant barrier.