UKGTN Guide to Specialised Services for Rare Genetic Disorders
Transcription
UKGTN Guide to Specialised Services for Rare Genetic Disorders
promoting gene testing UKGTN Guide to specialised services for rare genetic disorders August 2013 (revised December 2013) Updated August 2015 Aberdeen Dundee Glasgow Centres of expertise Edinburgh This is a guide to specialised services for rare genetic disorders that are listed on the Directory of Genetic Disorders/ Genes for Diagnostic Testing. How? Why? • Following a request by Genetic Alliance UK to assist patients in finding expert advice for their conditions • To aid clinicians from a broad range of medical specialties to collaborate with colleagues who have particular specialist expertise, to enable them to determine the best care for their patients. Leeds Manchester A working group was established to oversee the development of the guide • Regional Genetics laboratories validated the genetic testing data • Regional Genetics Clinical Services information about joint specialist clinics • Patient representatives from UKGTN Clinical & Scientific Advisory Group & patient groups affiliated to Genetic Alliance UK were asked to review the information about clinical referrers for different tests. It was produced: Newcastle Belfast • provided Structure The guide: • Lists clinics by specialty • Details tests available by medical specialty and by laboratory. Liverpool Key findings Sheffield Nottingham Leicester Birmingham Cambridge Oxford Cardiff London Bristol Salisbury 4000 joint clinics (with Clinical Genetics) are held across the UK per year, comprising 300 different clinics addressing specific genetic disorders More than 90% of the tests listed on the UKGTN directory are provided by three or less laboratories 28 laboratories are the sole provider for a total of 489 tests for specified disorders (71% of tests listed on the UKGTN directory) 19% of tests are provided by 2-3 providers Exeter Exeter Different laboratories have developed specialist expertise in different medical areas for example cardiology, cancer or paediatric endocrinology 2 promoting gene testing www.ukgtn.nhs.uk 1 Contents Foreword4 3.14Hepatology 54 Introduction5 3.15 Histopathology & Coroner’s service 57 1. Data sources and method of analysis 6 3.16 Metabolic Medicine 59 1.1 Laboratory data 6 3.17Neonatology 64 1.2 Laboratory Subspecialisation 6 3.18Nephrology 66 1.3 Joint Specialty Clinics 7 3.19Neurology 70 2. Clinical Genetics 9 3.20 Obstetrics & Fetal Medicine 83 3. Subspecialisation 15 3.21Ophthalmology 86 3.1 Audiology 16 3.22Orthopaedics 91 3.2 Cancer 18 3.23Paediatrics 92 3.3 Cardiology 23 3.23.1 Community Paediatrics98 3.4 Chemical Pathology 28 3.24 Respiratory Medicine and Cystic Fibrosis 100 3.5 Cleft Clinics 30 3.25Rheumatology 102 3.6 Clinical Haematology 31 3.26 Surgical Dentistry (paediatric) 104 3.7 Clinical Immunology 34 3.27Urology 105 3.8 Craniofacial, ENT & Neurosurgery 36 Appendix 1 107 3.9Dermatology 38 Appendix 2 116 3.10Endocrinology 42 3.11Gastroenterology 50 3.12 Geriatric Medicine & Old Age Psychiatry 52 3.13Gynaecology 53 2 promoting gene testing www.ukgtn.nhs.uk 3 Foreword This is the first revision of the ‘UK Genetic Testing Network (UKGTN) Guide to centres with specialist expertise for rare genetic disorders’ published in August 2013. The purpose of the Guide is to assist patients in finding expert advice for their conditions, and in addition to aid clinicians from a broad range of medical specialties to collaborate with colleagues to enable them to determine the best care for their patients. The laboratory data presented is downloaded from the UKGTN Directory of Genetic Disorders/Genes for Diagnostic Testing (www.ukgtn.nhs.uk) which is the repository of genetic tests that are commissioned by the specialised services commissioners. This Guide provides information about the tests that are available from the member laboratories and that have been approved through the UKGTN test evaluation process. All tests Introduction that have been recommended for NHS service and approved by the UKGTN up to March 2015 are included in this Guide. The Guide also provides information about clinics that are run jointly with regional clinical genetics teams. This guide does not list other (non-UKGTN approved) tests offered by the member laboratories. Details of these tests may be obtained by contacting the individual laboratories (Appendix 1). Other specialised clinics that are led by the specialty concerned (and are not held jointly with clinical genetics) will be added to the next version of this guide. The contact details for the Regional Clinical Genetics Services are available (Appendix 2). There are more than 6000 single gene disorders of which the genetic cause is known for around 4500’. The UK Genetic Testing Network (UKGTN) is a collaborative group of genetic testing laboratories, clinicians and commissioners of NHS genetic services with involvement from patient support groups (www.ukgtn.nhs.uk). The UK Genetic Testing Network includes 31 laboratories which offer a range of specialist services and/or provide molecular genetic testing for a regional population (aligned with a clinical genetics centre). Testing is provided for patients referred from >40 medical specialties as well as clinical genetics. The laboratory network provides testing for over 600 single gene disorders, with ~50 new tests added each year through the genetic test evaluation and commissioning process. This extensive test repertoire is achieved by subspecialisation, with each laboratory providing testing for 1 to >100 disorders. Testing is distributed widely amongst the laboratories. Twenty-eight laboratories are the unique provider for one or more disorders and the majority of services provided (489, 71%) are unique to single providers. A further 132 disorders (19% of the services) have 2-3 providers from across the network. Testing for less than 10% of disorders is available in >3 provider laboratories. Some local service provision does occur and this will affect these figures. Next Generation Sequencing (NGS) technology has facilitated the introduction of panel tests where multiple genes are tested simultaneously. For disorders where it is difficult to distinguish clinically between one of a number 4 promoting gene testing www.ukgtn.nhs.uk of genes likely to give rise to that disorder, testing all the relevant genes at one time, rather than sequentially, offers major benefits for the patient and clinician. It may give an answer more quickly as well as being more cost effective. The UKGTN first evaluated panel tests that used Next Generation Sequencing Technology (NGS) in 2011. Between 2011 to March 2015 UKGTN has approved and recommended 55 NGS panel tests of which there are 106 sub panels. A sub panel is defined as a test for a number of disorders that present with similar clinical phenotypes. A test using Whole Genome Sequencing (WGS) was also recommended in this period. These NGS panel tests and the WGS test is included in this Guide. Underpinning the subspecialisation of laboratory services is often clinical and/or research expertise that enables a laboratory to provide a cutting edge service for a disorder. The 23 Regional Clinical Genetics services are involved in over 4000 joint clinics, a summary of which is presented highlighting the multidisciplinary clinical support that is available in many subspecialty areas. The support of research teams and clinical teams outside genetics is also crucial to the genetics laboratories in the development of new services and interpretation of results. The breadth of services offered indicates that many clinical and laboratory genetic services are integrated into the provision of diagnoses for mainstream medical specialties. 5 1.Data sources and method of analysis 1.1 Laboratory data 1.2 Laboratory Subspecialisation The data from 31 laboratories was analysed using information from the UKGTN website downloaded in May 2015 together with information on disorders that had been recommended for funding in the March 2015 Genetic Test Evaluation process. All member laboratories have been requested to review and update their entries on the UKGTN website to inform this Guide. For each of the UKGTN listed conditions/NGS panel tests a number of clinical specialties (as described in the NHS Data Dictionary) were assigned to allow the information in the guide to be organised by clinical subspecialty. Where available this data was taken from the ‘Testing Criteria’ for a disorder/test. Clinical specialties assigned to a disorder/test are those most likely to be involved with ordering genetic testing for patients rather than an exhaustive list of all the specialties that could be involved in a patient’s management and treatment. Laboratory, clinical and patient representatives were involved in the validation of the baseline information for the Guide published in August 2013. Detailed information about the testing offered for the disorders listed is available on the UKGTN website www. ukgtn.nhs.uk. The UKGTN Directory of Genetic Disorders/ Genes for Diagnostic Testing is the repository of genetic tests that will be commissioned by the specialised services commissioners. Historically the entries on the UKGTN website were referred to by the disorder name with a single associated gene test. However as both single gene and gene panel tests can be relevant to a wider range of disorders, the entries may refer to a clinical phenotype rather than a single disorder. 6 To interrogate subspecialisation across the network two categories were used: 1. Three or fewer labs offer the disorder/test 2. Four or more labs offer the disorder/test From this analysis it is apparent that extensive subspecialisation has occurred across the UKGTN network laboratories. promoting gene testing In the 2013 guide a small number of tests were represented in multiple specialties and sub-specialties. These tests are still represented under their major specialty but the sub-specialty categories have been removed from the 2015 update. These sub-specialties include Anaesthetics, Biochemistry, Clinical Microbiology, Clinical Pharmacology, Diabetic Medicine, Intensive Medicine, Paediatric Infectious Disease, Stroke Medicine. 1.3 Joint Specialty Clinics A joint specialty clinic is one where clinical and/ or counselling or nursing staff from more than one discipline are involved in the diagnosis and management of a patient. Section 2 details tests where clinical geneticists are the major or only referrer although it is recognised that clinical geneticists would order the majority of the tests listed in the guide. The 23 Regional Clinical Genetics Services were asked to complete a proforma about their joint specialty clinics provision. Their replies were collated and this information is presented in section 3 of the guide highlighting the multidisciplinary clinical support that is available in many subspecialty areas. Section 3 details the subspecialisation for adult and paediatric disorders/NGS panel tests, listing the laboratory providers and associated Joint Specialty Clinics involving Clinical Genetics Services. Clinics highlighted in yellow are funded as part of a Highly Specialised Service (previously referred to as National Specialised Commissioning Team and/or National Commissioning Group commissioned). As indicated in each sub-specialisation, local arrangements may exist for the provision of tests (in italics), and some tests may be offered by non-UKGTN member laboratories. The top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue. www.ukgtn.nhs.uk 7 2. Clinical Genetics This section details tests where clinical geneticists are the major or only referrer. It is recognised that clinical geneticists will order most of the tests listed in this guide and therefore rather than listing almost all the tests/disorders in this section, the clinical genetics section lists only those disorders where clinical geneticists are likely to be the major/only requestor. There are two types of data presented: 1. A chart summarising the total number of tests that each laboratory offers and highlighting the tests where less than 3 laboratories are the provider and those where 4 or more laboratories are the provider of the tests. 2. A table showing the list of tests where clinical geneticists are the main or only referrer and the laboratories that provide testing for these specified tests/disorders. The top quartile (ranked by number of disorders offered by ≤3 providers) of specialist providers are highlighted in blue. 8 promoting gene testing www.ukgtn.nhs.uk 9 2. Clinical Genetics 2. Clinical Genetics Clinical genetics tests offered and laboratory providers Laboratories offering adult and paediatric tests where clinical genetics is the major/only requestor Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Disorders A – D Clinical Genetics Ab er d Be ee lfa n Bi st rm i Br ngh ist am o RG Ca l C m b Du r i d nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n G nd O o S Lo n K H nd G o C Lo n G nd S on TT Lo n d St G o M n U eor an C ge L c s Ne hes H B wc ter ioc he No ast m tti le R ng G Ox h C fo am r Sa d R l is G C bu Sh r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia Clinical Geneticists are likely to order almost all of the tests listed in this guide. However, Clinical Geneticists are expected to be the major/only requestor for tests in this Clinical Genetics speciality section. 3-Beta-Hydroxysteroid Dehydrogenase, Type II, Deficiency Of Clinical Genetics 46, XY Sex Reversal 1 46,XY Sex Reversal 3 Aarskog-Scott Syndrome Exeter Acrodysostosis With or Without Multiple Hormone Resistance Acromicric Dysplasia and Geleophysic Dysplasia Oxford RGC Adenomatous Polyposis 1, Familial Sheffield Adenomatous Polyposis, 2, Familial Alagille syndrome 1 London GOSH Alagille Syndrome 2 Leeds Alveolar Capillary Dysplasia With Misalignment Of Pulmonary Veins London GSTT Alzheimer Disease 1, Familial Alzheimer Disease 3 Birmingham RGC Apert Syndrome (NIPD) Cambridge Arthrogryposis, Renal Dysfunction, And Cholestasis 1 Salisbury Ataxia-Telangiectasia (Cytogenetic Laboratory Test) Baraitser-Winter Syndrome Bristol Beare-Stevenson Cutis Gyrata Syndrome London St Georges Manchester Wales Porphyria ≤3 labs offer this test Newcastle RGC >3 labs offer this test London KGC Birt-Hogg-Dube Syndrome Bowel Cancer including HNPCC phenotype or Polyposis, Familial, 14 Gene Panel Branchiotorenal Syndrome/ Branchiootic Syndrome Breast/Ovarian Cancer 13, Familial , Gene Panel (Option A) Breast/Ovarian Cancer, Familial, 13 Gene Panel (Option B) Brown-Vialetto-Van Laere Syndrome Cantu Syndrome Liverpool Carpenter Syndrome Glasgow Charge Syndrome Chondrodysplasia Punctata 1, X-Linked Recessive Wales Cardiff Chondrodysplasia Punctata 2, X-Linked Dominant Dundee Chondrodysplasia Punctata 5 Gene Panel Chromosome Breakage Disorders 61 Gene Panel Edinburgh Coffin-Lowry Syndrome Nottingham Colorectal Cancer, Familial, 10 Gene Panel Combined Pituitary Hormone Deficiency 5 Gene Panel London UCLH Biochem Congenital Generalised Lipodystrophy 5 Gene Panel Aberdeen Congenital Hypothyroidism 8 gene panel Congenital Muscular Dystrophy 31 Gene Panel Test Belfast Cornelia De Lange Syndrome 1 0 10 20 30 40 Costello Syndrome 50 Cowden Disease Number of tests Craniofrontonasal Syndrome Craniosynostosis 3 Craniosynostosis 4 Craniosynostosis And Dental Anomalies Crouzon Syndrome Cylindromatosis, Trichoepitheliomas and Spiradenoma, Familial Cystic Fibrosis (NIPD) Denys-Drash Syndrome Distal Arthrogryposis Duane-Radial Ray Syndrome 10 promoting gene testing www.ukgtn.nhs.uk 11 2. Clinical Genetics 2. Clinical Genetics Disorders E - Le Disorders Li - Pi Clinical Genetics Clinical Genetics Ectodermal Dysplasia 1, Hypohidrotic, X-Linked Li-Fraumeni Syndrome 1 Ectodermal Dysplasia, Hypohidrotic, Autosomal Dominant and Recessive Lipodystrophy Types 1 and 2, Congenital Generalized Ab er d Be ee lfa n Bi st rm i Br ngh ist am ol RG Ca C m b Du r i d nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n G nd O o S Lo n K H nd G on C Lo nd GS o T Lo n S T nd t G o M n U eor an C ge ch LH s Ne es B wc ter ioc he No ast m tti le R n Ox gh GC fo am r Sa d R lis G C bu Sh r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia Clinical genetics tests offered and laboratory providers Ab er d Be ee lfa n Bi st rm i Br ngh ist am ol RG Ca C m b Du rid nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n G nd O o n SH Lo nd KG o C Lo n G nd S on TT Lo n d St G o M n U eor an C ge ch LH s Ne es B wc ter ioc he No ast m tti le R n Ox gh GC fo am r Sa d R l is G C bu Sh r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia Clinical genetics tests offered and laboratory providers Lowe Oculocerebrorenal Syndrome Ectodermal Dysplasia, Hypohidrotic, With Immune Deficiency Lubs X-Linked Mental Retardation Syndrome Ellis-Van Creveld Syndrome Lynch Syndrome (HNPCC) and Familial Colorectal Cancer Endocrine Neoplasia Syndromes 4 Gene Panel Male Infertility Due To Y Chromosome Deletions Endplate Acetylcholinesterase Deficiency Malignant Melanoma Eye Movement Disorders 8 Gene Panel Test Mandibulofacial Dysostosis, Guion-Almeida Type Familial Glucocorticoid Deficiency 5 Gene Panel Marfan Syndrome Familial Isolated Hypoparathyroidism 4 Gene Panel MCAP and Clove Syndrome Familial Isolated Primary Hyperparathyroidism 8 Gene Panel Meckel Syndrome Familial Pheochromocytoma and Paraganglioma 10 Gene Melanoma 3 Gene Panel Fanconi Anaemia 16 Gene Panel Melnick-Needles Syndrome Fanconi Anemia, Complementation Group A Mental Retardation, X-Linked, Syndromic, Christianson Type Fanconi Anemia, Complementation Group C Mental Retardation, X-Linked, With Or Without Seizures, ARXrelated Fanconi-Bickel Syndrome Fatty Acid Oxidation/Ketogenesis disorders 20 gene panel Mental Retardation, X-Linked, With Short Stature, Hypogonadism, And Abnormal Gait Mismatch Repair Cancer Syndrome Fatty Acid Oxidation/Ketolysis disorders 2 gene panel Feingold Syndrome 1 FGFR3-Related Skeletal Dysplasias Panel Test (NIPD) Mowat-Wilson Syndrome Fibrodysplasia Ossificans Progressiva Muenke Syndrome Frasier Syndrome Muir-Torre Syndrome Frontometaphyseal Dysplasia Multiple Pterygium Syndrome: Escobar Variant and Lethal Type Galactosialidosis Nail-Patella Syndrome Gaze Palsy, Familial Horizontal, With Progressive Scoliosis Neurofibromatosis, Schwannomas and Café Au Lait 5 Gene Panel Gender Assignment 13 gene panel Nicolaides-Baraitser Syndrome Generalised Arterial Calcification of Infancy 2 Gene Panel Nonsyndromic Holoprosencephaly 6 Gene Panel Genital Anomalies and suspected Adrenal problems 12 gene panel Nucleotide Excision Repair Disorder 16 Gene Panel Genitopatellar and Ohdo Syndrome Genitopatellar and Ohdo Syndrome Opitz-Kaveggia Syndrome Osteogenesis Imperfecta Types VII, VIII And IX Gonadal dysgenesis with gonadal failure 12 gene panel Osteogenesis Imperfecta, Type II Hajdu-Cheney Syndrome Hemidysplasia with Ichthyosiform Erythroderma and Limb Defects, Congenital Hemophagocytic Lymphohistiocytosis, Familial, 2 Osteogenesis Imperfecta, Type III Osteogenesis Imperfecta, Type IV Osteopetrosis, Autosomal Recessive Holoprosencephaly 6 Gene Panel Test Osteoporosis-Pseudoglioma Syndrome Holt-Oram Syndrome Otopalatodigital Syndrome, Type I Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test Hyperphosphatemic & Normophosphatemic Familial Tumoral Calcinosis 4 Gene Panel Hyperphosphatemic Tumoral Calcinosis, Familial Otopalatodigital Syndrome, Type II Hypoparathyroidism, Sensorineural Deafness, And Renal Dysplasia Parietal Foramina Pachyonychia Congenita, Type 1 Pachyonychia Congenita, Type 2 Pancreatic Cancer, Familial, 8 Gene Panel Hypophosphateamic Rickets 5 Gene Panel Intrauterine Growth Retardation, Metaphyseal Dysplasia, Adrenal Hypoplasia Congenita, and Genital Anomalies Jackson-Weiss Syndrome Peroxisome Disorders 24 Gene Panel Test Peutz-Jeghers Syndrome Pfeiffer Syndrome Phaeochromocytoma and Paragangliomas, Familial, 11 Gene Panel Phaeochromocytomas and Paragangliomas, Familial, 9 Gene Panel Joubert Syndrome and Related Disorders (JSRD) 18 Gene Panel Juvenile Polyposis Syndrome Pitt-Hopkins Syndrome Kabuki Syndrome Pituitary Cancer, Parathyroid and Hypercalcemia 7 Gene Panel KBG Syndrome Legius Syndrome Leiomyomatosis And Renal Cell Cancer, Hereditary Leri-Weill Dyschondrosteosis 12 promoting gene testing www.ukgtn.nhs.uk 13 2. Clinical Genetics 3. Subspecialisation Disorders Po-Z Clinical Genetics Ab er d Be ee lfa n Bi st rm i Br ngh ist am ol RG Ca C m b Du rid nd ge e Ed e in b Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n G nd O o S Lo n K H nd G o C Lo n G nd S o T Lo n S T nd t G on e M o an UC rge L c s Ne hes H B wc ter ioc he No ast m tti le R n Ox gh GC fo am r Sa d R lis G C b Sh u r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia Clinical Genetics tests offered and laboratory providers Polydactyly, Preaxial IV Polyposis Syndrome, Hereditary Mixed, 1 Pontocerebellar Hypoplasia 12 Gene Panel Test Porencephaly Porphyria Cutanea Tarda Porphyria Variegata Porphyria, Acute Intermittent Porphyria, Congenital Erythropoietic Primary Pigmented Nodular Adrenocortical Disease Primary Pigmented Nodular Adrenocortical Disease 3 Gene Primary Pulmonary Hypertension (Familial) Proliferative Vasculopathy And Hydranencephaly-Hydrocephaly Syndrome Protoporphyria, Erythropoietic Tests are assigned to medical specialties that are most likely to be involved with ordering genetic testing for patients. Pseudohypoaldosteronism type II 4 Gene Panel There are up to three types of data presented for each medical specialty: 1. A list of joint specialist clinics with information about the location of the clinics, the lead medical specialty and the number of clinics held in a year. Clinics highlighted in yellow are funded as part of a Highly Specialised Service (previously referred to as National Specialised Commissioning Team and/or National Commissioning Group commissioned). 2. A chart summarising the total number of tests that each laboratory provides. 3. A table showing the list of tests that fall within that specialty and the laboratories that provide testing for these specified tests. The top quartile (ranked by number of disorders offered by ≤3 providers) of specialist providers are highlighted in blue. Not all the medical specialties had joint specialist clinics. Renal Cancer, Familial, 10 Gene Panel Renal Cancer, Familial, 11 Gene Panel Rhabdomyolysis/Metabolic Myopathies 30 Gene Panel Test Rhizomelic Chondrodysplasia Punctata, Type 1 Rhizomelic Chondrodysplasia Punctata, Type 2 Rhizomelic Chondrodysplasia Punctata, Type 3 Robinow Syndrome, Autosomal Dominant Robinow Syndrome, Autosomal Recessive Saethre-Chotzen Syndrome Sex Determination For X-Linked Conditions For Disorders That Manifest Significantly Different In One Sex Compared To The Other Simpson-Golabi-Behmel Syndrome, Type 1 Smith-Lemli-Opitz Syndrome Spondylocostal Dysostosis 5 Gene Panel Test Synpolydactyly 1 Telangiectasia, Hereditary Hemorrhagic, Of Rendu, Osler, And Weber Telangiectasia, Hereditary Hemorrhagic, Type 2 Thrombocytopenia Absent-Radius Syndrome Treacher Collins Syndrome Tuberous Sclerosis Uniparental Disomy, Chromosome 16 Uniparental Disomy, Paternal, Chromosome 14 Uterine Cancer, Familial, 9 Gene Panel Vacterl Association, X-Linked, With Or Without Hydrocephalus Visceral Heterotaxy Von Hippel-Lindau Syndrome Waardenburg Syndrome Types 1 And 3 Warburg Micro Syndrome 1 Weaver Syndrome Wilms Tumor, Aniridia, Genitourinary Anomalies, And Mental Retardation Syndrome Witkop Syndrome 14 promoting gene testing www.ukgtn.nhs.uk 15 3.1 Audiology 3.1 Audiology Audiology tests offered and laboratory providers Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Genetic deafness GOSH CLINICAL GENETICS 44 Laboratories offering audiology tests Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Adult Adult Audiology Bi rm i Le ngh ed am s RG Liv C er po Lo o nd l o W nG ale O s C SH ar di ff Joint Clinical Genetics/Audiology Clinics Deafness, Autosomal Dominant 3A Adult Audiology Deafness, Autosomal Recessive 1A Deafness, X-linked 2 London GOSH Syndromic and Non Syndromic Hearing Loss 95 Gene Panel Liverpool Waardenburg Syndrome Types 1 And 3 Leeds ≤3 labs offer this test >3 labs offer this test Paediatric Birmingham RGC 0 1 2 3 4 5 6 Paediatric Audiology Number of tests Bi rm i Bi ngh rm am i Le ngh I M ed am D s RG Liv C er p Lo oo nd l o Lo n I nd ON o Ox n G fo O S r W dR H ale G C sC ar di ff Wales Cardiff Deafness, Aminoglycoside-Induced Deafness, Autosomal Dominant 3A Deafness, Autosomal Recessive 1A Paediatric Audiology Deafness, X-linked 2 Pendred Syndrome Syndromic and Non Syndromic Hearing Loss 95 Gene Panel London GOSH Liverpool Leeds Wales Cardiff Oxford RGC ≤3 labs offer this test London ION >3 labs offer this test Birmingham RGC Birmingham IMD 0 2 4 6 8 Number of tests 16 promoting gene testing www.ukgtn.nhs.uk 17 3.2 Cancer 3.2 Cancer Joint Clinical Genetics/Adult Cancer Clinics Joint Clinics Clinical Genetics Centre Joint Clinics No. clinics per year Lead Specialty Breast Risk reducing mastectomy SE Wales BREAST SURGERY 4 Breast Risk reducing mastectomy SW Wales BREAST SURGERY 4 (Breast) Risk reducing mastectomy Manchester CLINICAL GENETICS 6 Breast Risk Reducing Merseyside and Cheshire CLINICAL GENETICS 4 Breast service high risk management North of Scotland (Aberdeen) GENERAL SURGERY (Breast) 10 BRCA1/2 Carrier Multidisciplinary SE Thames (Guys) CLINICAL GENETICS 10 BRCA carrier SW Thames (St Georges) CLINICAL GENETICS 4 Breast Tayside (Dundee) CLINICAL GENETICS / GENERAL SURGERY (Breast) 44 Breast High risk genetic West of Scotland GENERAL SURGERY (Breast) 10 Colorectal cancer genetics NW Thames (Northwick Park) GASTROENTEROLOGY 10 Colorectal cancer genetics Wessex CLINICAL GENETICS 15 Cowden Leicester CLINICAL GENETICS 2 Endocrine Cancer Genetics West of Scotland ENDOCRINOLOGY 10 Familial Gastric Cancer Cambridge GASTROENTEROLOGY 4 Genetics Endocrine Cancer SW Thames (St Georges) CLINICAL GENETICS 4 Gorlin Manchester GENOMIC MEDICINE 4 Gynae Genetics Sheffield ENDOCRINOLOGY 10 Gynaeoncology Leicester CLINICAL GENETICS 3 MEN1 UHB Birmingham ENDOCRINOLOGY 10 Multiple Endocrine Neoplasia s Manchester ENDOCRINOLOGY Multiple Endocrine Neoplasia Merseyside and Cheshire Multiple Endocrine Neoplasia Sheffield No. clinics per year RASMAPK Manchester CLINICAL GENETICS 1 Skin genetics (Cancer) Oxford CLINICAL GENETICS 6 Thyroid Oncology and MEN2 UHB Birmingham GENERAL SURGERY (Head & Neck) 4 VHL/renal tumour predisposition/ adult renal genetic disorders NE Thames (GOSH/UCL) NEPHROLOGY 6 VHL/renal genetics NW Thames (Northwick Park) NEPHROLOGY 4 Von Hippel Lindau Disease Birmingham CLINICAL GENETICS 10 Von Hippel Lindau Disease Bristol Von Hippel Lindau Disease Cambridge CLINICAL GENETICS 10 Von Hippel Lindau Disease Leeds CLINICAL GENETICS 10 Von Hippel Lindau Disease Leicester CLINICAL GENETICS 3 Von Hippel Lindau Disease Oxford CLINICAL GENETICS 10 Von Hippel Lindau Disease SE Thames (Guys) CLINICAL GENETICS 4 Von Hippel Lindau Disease Wessex CLINICAL GENETICS 3 1 Joint Clinical Genetics/Paediatric Cancer Clinics Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year NE Thames (GOSH/UCL) CLINICAL GENETICS 6 Juvenille Polyposis Merseyside and Cheshire PAEDIATRIC GASTROENTEROLOGY 4 6 Paediatric Cancer SW Thames (St George’s) CLINICAL GENETICS 6 ENDOCRINOLOGY 4 Paediatric Endocrine Cancer Genetics West of Scotland 2 GYNAECOLOGICAL ONCOLOGY 10 PAEDIATRIC ENDOCRINOLOGY Paediatric Oncology Wessex Retinoblastoma NE Thames (GOSH/UCL) MEDICAL OPHTHALMOLOGY/ ONCOLOGY 44 Retinoblastoma Birmingham PAEDIATRIC OPHTHALMOLOGY 44 Retinoblastoma Transition Birmingham PAEDIATRIC ONCOLOGY 12 SW Thames (St Georges) ENDOCRINOLOGY 6 Neuroendocrine Genetics NW Thames (Northwick Park) ENDOCRINOLOGY 12 Phaeochromocytoma/ Paraganglioma Birmingham HEAD & NECK SURGERY 6 Retinoblastoma - BCH OPHTHALMOLOGY 44 18 Lead Specialty Childhood cancer Multiple Endocrine Neoplasia Birmingham Clinical Genetics Centre promoting gene testing www.ukgtn.nhs.uk 10 19 3.2 Cancer 3.2 Cancer Laboratories offering cancer disorder tests Cancer tests offered and laboratory providers Adult Cancer Adult Birmingham Leeds Oxford RGC Exeter Sheffield London KGC London GSTT Bristol Dundee Salisbury London St Georges Newcastle RGC Liverpool Nottingham Manchester Aberdeen Wales Cardiff Cambridge Belfast Glasgow Adult Cancer Ab er d Be ee lfa n Bi st rm i Br ngh ist am o Ca l m b Du r i d nd ge Ex ee et e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n K nd G on C Lo nd GS o T M nS T an t c G Ne hes eor wc ter ge s No ast tti le R ng G Ox h C fo am r Sa d R lis G C b Sh u r y effi W e ld ale sC ar di ff Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Adenomatous Polyposis 1, familial Adenomatous Polyposis 2, familial Bannayan-Riley-Ruvalcaba Syndrome Basal Cell Nevus Syndrome ≤3 labs offer this test >3 labs offer this test Bone Marrow Failure Syndromes, inherited, 44 Gene Panel Bowel Cancer including HNPCC phenotype or Polyposis, familial, 14 Gene Panel Breast/Ovarian Cancer, familial Breast/Ovarian Cancer, familial, 13 Gene Panel (Option A) Breast/Ovarian Cancer, familial, 13 Gene Panel (Option B) Colorectal Cancer, familial, 10 Gene Panel Alveolar Capillary Dysplasia With Misalignment Of Pulmonary Veins Cowden Disease Fanconi Anaemia (Cytogenetic Laboratory Test) 0 2 4 6 8 10 12 Fanconi Anaemia 16 Gene Panel 14 Fanconi Anemia, Complementation Group A Number of tests Fanconi Anemia, Complementation Group C Gastric Cancer, Hereditary Diffuse GATA2 Deficiency Li-Fraumeni Syndrome 1 Bowel Cancer including HNPCC phenotype or Polyposis, Familial, 14 Gene Panel Muir-Torre Syndrome Paediatric Cancer Multiple Endocrine Neoplasia, Type I London GSTT Multiple Endocrine Neoplasia, Type IIA London KGC Multiple Endocrine Neoplasia, Type IIB Sheffield Salisbury Oxford RGC London St Georges ≤3 labs offer this test London GOSH >3 labs offer this test Liverpool Leeds Peutz-Jeghers Syndrome Phaeochromocytoma and Paragangliomas, Familial, 11 Gene Panel (Option A) Phaeochromocytoma and Paragangliomas, Familial, 11 Gene Panel (Option B) Phaeochromocytomas and Paragangliomas, Familial, 9 Gene Panel Pituitary Cancer, Parathyroid and Hypercalcemia 7 Gene Panel Renal Cell Carcinoma, Papillary, 1 Thyroid Carcinoma, Familial Medullary Bristol Von Hippel-Lindau Syndrome Birmingham RGC 0 1 2 3 4 5 6 Number of tests 20 promoting gene testing www.ukgtn.nhs.uk 21 3.3 Cardiology 3.2 Cancer Cancer related tests offered and laboratory providers Joint Clinics Bi rm i Br ngh ist am o RG Le l ed C s Liv er p Lo oo nd l o Lo n G nd O o S Lo n K H nd G o C Lo n G nd S o T Ox n S T fo t G r Sa d R eor lis G C ge b s Sh u r y effi el d Paediatric Joint Clinical Genetics/Cardiology Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Adult cardiac genetics (Grampian) North of Scotland (Aberdeen) Aortopathy (Brompton) SW Thames (St Georges) CARDIOLOGY 12 SW Thames (St Georges) CARDIOLOGY 44 Fanconi Anaemia (Cytogenetic Laboratory Test) Aortopathy/Marfan (Harefield/ Brompton) Fanconi Anaemia 16 Gene Panel Barth Bristol Cardiac arrhythmia Manchester CARDIOLOGY 44 Juvenile Polyposis Syndrome Nijmegen Breakage Syndrome (Cytogenetic Laboratory Test) Peutz-Jeghers Syndrome Cardiac SW Thames (St Georges) CLINICAL GENETICS 12 Cardiac, Genetic Leeds CLINICAL GENETICS 44 Cardiac Conditions, Inherited Birmingham CARDIOLOGY 33 Rhabdoid Tumor Predisposition Syndrome 1 Cardiac conditions, inherited Cambridge CLINICAL GENETICS 22 Cardiac Conditions, Inherited Nottingham CLINICAL GENETICS/ CARDIOLOGY 12 Cardiac Conditions, inherited SE Thames (Guys) CARDIOLOGY 44 Cardiac genetics Exeter (PGCS) CLINICAL GENETICS 2 Cardiac genetics Leicester CLINICAL GENETICS 12 Cardiac genetics Oxford Cardiac genetics West of Scotland CARDIOLOGY 44 Cardiac genetics (MDT) Sheffield CARDIOLOGY 12 Cardiac genetics (Highland) North of Scotland (Aberdeen) Cardiac MDT Tayside (Dundee) CLINICAL GENETICS/ CARDIOLOGY 12 Cardiac NW Thames (Northwick Park) CARDIOLOGY 12 Cardiogenetics Wessex CARDIOLOGY 20 Fabry Belfast CARDIOLOGY 6 Familial Arrhythmia Network North of Scotland (Aberdeen) Paediatric Cancer Bannayan-Riley-Ruvalcaba Syndrome Basal Cell Nevus Syndrome Bloom Syndrome (Cytogenetic Laboratory Test) Fanconi Anemia, Complementation Group A Fanconi Anemia, Complementation Group C Wilms Tumor 1 Wilms Tumor 2 22 promoting gene testing www.ukgtn.nhs.uk 6 2 44 2 4 23 3.3 Cardiology 3.3 Cardiology Joint Clinical Genetics/Cardiology Clinics Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Inherited Cardiac Disease (Brompton) SW Thames (St Georges) CARDIOLOGY 22 Marfan (Paedatric) Cardiff PAEDIATRIC CARDIOLOGY 6 Marfan (Paediatric) Edinburgh CLINICAL GENETICS/ PAEDIATRIC CARDIOLOGY 4 Marfan Syndrome Oxford 24 Vascular Ehlers Danlos syndrome/ Cambridge Loeys Dietz syndrome CARDIOLOGY 3 Paediatric Cardiology Manchester Birmingham RGC Oxford RGC London GOSH London St Georges Bristol Aberdeen Exeter Birmingham IMD Salisbury Leeds Sheffield London GSTT Cambridge Laboratories offering cardiology tests ≤3 labs offer this test >3 labs offer this test 0 2 4 6 8 10 Number of tests Adult Cardiology Manchester Oxford RGC London GOSH Aberdeen Birmingham RGC Sheffield Salisbury Leeds London GSTT Birmingham IMD London St Georges ≤3 labs offer this test Bristol >3 labs offer this test Exeter Newcastle Mito London ION Cambridge Wales Cardiff Liverpool Dundee Belfast 0 2 4 6 8 10 12 Number of tests 24 promoting gene testing www.ukgtn.nhs.uk 25 3.3 Cardiology Paediatric Cardiology related tests offered and laboratory providers Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Adult Cardiology Alagille Syndrome 1 Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m br Du i d nd ge Ex ee et e Le r ed s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd O o S Lo n S H nd E o G M n S STT an t ch Ge Ne es or wc ter ge s Ox ast f o le M rd Sa R ito li s G C b Sh u r y effi W e ld ale sC ar di ff Adult Paediatric Cardiology Ab er d Bi een rm i Bi ngh rm am i Br ngh I MD ist am o RG Ca l C m b Ex ridg et e e Le r ed s Lo nd o Lo n G nd O o S Lo n G H n d ST o T M nS an t G c e Ox hes org fo ter es r Sa d RG lis b C Sh u r y effi el d 3.3 Cardiology Alagille Syndrome 2 Alstrom Syndrome Aortopathy 15 Gene Panel Aicardi-Goutieres Syndrome Aortopathy 17 Gene Panel Aortopathy 15 Gene Panel Aortopathy 19 Gene Panel Aortopathy 17 Gene Panel Arrhythmogenic Right Ventricular Dysplasia Aortopathy 19 Gene Panel Barth Syndrome Arrhythmia/Cardiac Arrest (BCL) 21 Gene Panel Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) 6 Gene Panel Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) 8 Gene Panel Arrhythmogenic Right Ventricular Dysplasia Brugada Syndrome 1 Brugada Syndrome 6 Gene Panel Cardiomyopathies (CM) 36 Gene Panel Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) 5 Gene Panel Dilated Cardiomyopathies 28 Gene Panel Brugada Syndrome 1 Brugada Syndrome 6 Gene Panel Cardiomyopathies (CM) 36 Gene Panel Dilated Cardiomyopathy (DCM) 22 Gene Panel Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) 5 Gene Panel Connective Tissue Disorders – Familial Thoracic Aortic Aneurysms 10 Gene Panel Cutis Laxa 7 Gene Panel Dilated Cardiomyopathy, Familial Glycogen Storage Disease (GSD) 32 Gene Panel Glycogen Storage Disease 18 Gene Panel Dilated Cardiomyopathies 28 Gene Panel Glycogen Storage Disease Ia Dilated Cardiomyopathy (DCM) 22 Gene Panel Glycogen Storage Disease Ib and Ic Dilated Cardiomyopathy, Familial Glycogen Storage Disease (GSD) 32 Gene Panel Glycogen Storage Disease II Glycogen Storage Disease 18 Gene Panel Glycogen Storage Disease V Glycogen Storage Disease Ia Hypertrophic Cardiomyopathy (HCM) 22 Gene Panel Glycogen Storage Disease Ib and Ic Hypertrophic Cardiomyopathy, Familial Glycogen Storage Disease II Glycogen Storage Disease V Hypertrophic cardiomyopathy, Familial, 16 gene panel Hypercholesterolaemia, Familial, 4 Gene Panel Leopard and Noonan Syndrome Hypercholesterolemia, Familial Long QT Syndrome (LQT) 12 Gene Panel Hypertrophic Cardiomyopathy (HCM) 22 Gene Panel Long QT Syndrome, Familial Hypertrophic Cardiomyopathy, Familial Hypertrophic cardiomyopathy, Familial, 16 gene panel Molecular Autopsy (MolAut) 57 Gene Panel Jervell And Lange-Nielsen Syndrome 1 and 2 Noonan Spectrum Disorders 12 Gene Panel Loeys-Dietz Syndrome Paediatric Cardiomyopathy 71 Gene Panel Long QT Syndrome (LQT) 12 Gene Panel Supravalvular Aortic Stenosis Long QT Syndrome, Familial Thoracic Aortic Aneurysm (AA) 9 Gene Panel Marfan Syndrome Thoracic Aortic Aneurysm and Dissection, Familial Mitochondrial Genome 37 Gene Panel Molecular Autopsy (MolAut) 57 Gene Panel Supravalvular Aortic Stenosis Thoracic Aortic Aneurysm (AA) 9 Gene Panel Thoracic Aortic Aneurysm and Dissection, Familial Ventricular Tachycardia, Catecholaminergic Polymorphic, 1, With Or Without Atrial Dysfunction And/or Dilated Cardiomyopathy 26 promoting gene testing www.ukgtn.nhs.uk 27 3.4 Chemical Pathology 3.4 Chemical Pathology Joint Clinics Clinical Genetics Centre Chemical pathology tests offered and laboratory providers Lead Specialty No. clinics per year Lipid / genetics (Grampian) North of Scotland (Aberdeen) CHEMICAL PATHOLOGY (Lipidology) 4 Lipid Forum (Scottish) North of Scotland (Aberdeen) CHEMICAL PATHOLOGY (Lipidology) / CLINICAL GENETICS tbc Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Chemical Pathology 46, XY Sex Reversal 1 Bi rm in Br gh ist am o IM Ca l D m br i Du d g nd e e Ex e et er Liv er p Lo ool nd o Lo n G nd OS o H M nG an ST c T Ne hes t e wc r Ox astl e fo RG r Sh d RG C effi C W e ld ale sP or ph yr ia Joint Clinical Genetics/Chemical Pathology Clinics 46,XY Sex Reversal 3 Acyl-CoA Dehydrogenase, Medium-Chain, Deficiency Of Diabetes Insipidus, Nephrogenic, X-Linked Laboratories offering tests for chemical pathology Donohue Syndrome Dysalbuminemic Hyperthyroxinemia, Familial Hyperparathyroidism, Familial, 8 Gene Panel Chemical Pathology Hyperthyroidism, Familial Gestational Immunodeficiency With Hyper-Igm, Type 1 Cambridge Long-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency Wales Cardiff SAS Porphyria Thyroid Hormone Resistance, Selective Pituitary London GOSH Oxford RGC Exeter Sheffield Manchester ≤3 labs offer this test Birmingham IMD >3 labs offer this test Newcastle RGC London GSTT Liverpool Dundee Bristol 0 1 2 3 4 5 6 Number of tests 28 promoting gene testing www.ukgtn.nhs.uk 29 3.5 Cleft Clinics 3.6 Clinical Haematology Joint Clinical Genetics/Cleft Clinics Joint Clinics Clinical Genetics Centre Joint Clinical Genetics/Clinical Haematology Clinics Lead Specialty No. clinics per year Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Cleft NE Thames (GOSH/UCL) CLINICAL GENETICS 36 Haemophilia and bleeding disorders West of Scotland CLINICAL HAEMATOLOGY 12 Cleft Oxford CLINICAL GENETICS 12 Thrombophilia SW Thames (St George’s) CLINICAL HAEMATOLOGY 12 Cleft West of Scotland PAEDIATRIC PLASTIC SURGERY 36 Cleft lip and palate Sheffield PLASTIC SURGERY 2 Cleft lip and palate Birmingham PAEDIATRIC PLASTIC SURGERY 44 Laboratories offering tests for clinical haematology Adult Clinical Haematology London King's Haem Oxford Haem London UCLH Haem Sheffield London GSTT Newcastle RGC London KGC Exeter Bristol Leeds Birmingham RGC Aberdeen Salisbury Liverpool Glasgow Dundee ≤3 labs offer this test >3 labs offer this test 0 2 4 6 8 10 12 Number of tests Paediatric Clinical Haematology Oxford Haem London UCLH Haem London King's Haem ≤3 labs offer this test >3 labs offer this test London GOSH Exeter 0 2 4 6 8 Number of tests 30 promoting gene testing www.ukgtn.nhs.uk 31 3.6 Clinical Haematology Paediatric Clinical haematology tests offered and laboratory providers Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Adult Clinical Haematology Alpha-Thalassemia Ab er d Bi ee rm n i Br ngh ist am o RG Du l C nd Ex ee et e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n K n d in o g Lo n K 's H nd G a e o C m Lo n G nd S T o Ne n U T wc CL Ox ast H H f o le R a e m r Sa d H GC lis ae b m Sh u r y effi el d Adult Paediatric Clinical Haematology Ex et e Lo r nd o Lo n K n d in o g Lo n G 's H nd O a e o S Ox n U H m fo C L rd H H a Ha em em 3.6 Clinical Haematology Alpha-Thalassemia Anaemia, Congenital 33 Gene Panel Beta Thalassemia, Dominant Inclusion Body Type Beta-Thalassemia Delta Thalassemia Fetal Hemoglobin Quantitative Trait Locus 1 Hemoglobin--Variants For Which The Chain Carrying The Mutation Is Unknown Or Uncertain Anaemia, Congenital , 33 Gene Panel Beta Thalassemia, Dominant Inclusion Body Type Beta-Thalassemia Bone Marrow Failure Syndromes, Inherited, 44 Gene Panel Chromosome Breakage Disorders 61 Gene Panel Hemophagocytic Lymphohistiocytosis, Familial, 2 Sickle Cell Anemia Thrombophilia Due To Activated Protein C Resistance Delta Thalassemia Factor V Deficiency Fanconi Anaemia (Cytogenetic Laboratory Test) Fanconi Anaemia 16 Gene Panel Fanconi Anemia, Complementation Group A Fanconi Anemia, Complementation Group C Fetal Hemoglobin Quantitative Trait Locus 1 GATA2 Deficiency Gilbert Syndrome Glucose-6-Phosphate Dehydrogenase Deficiency Hemoglobin--Variants For Which The Chain Carrying The Mutation Is Unknown Or Uncertain Hemolytic Uremic Syndrome, Atypical, Susceptibility To, 1 Hemophilia A Hemophilia B Iron Regulatory 16 Gene Panel Platelet Disorder, Familial, With Associated Myeloid Malignancy Sickle Cell Anemia Thrombophilia Due To Activated Protein C Resistance Thrombophilia Due To Thrombin Defect 32 promoting gene testing www.ukgtn.nhs.uk 33 3.7 Clinical Immunology 3.7 Clinical Immunology Joint Clinics Clinical immunology tests offered and laboratory providers Clinical Genetics Centre 22q11 All Wales Lead Specialty No. clinics per year IMMUNOLOGY Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue 4 Clinical Immunology Laboratories offering tests for clinical immunology Ca m b Lo rid nd ge o Lo n G nd O o n SH Lo nd GS o T Ne n S T wc t G Ox ast eor fo le R ge s r W d R GC ale G C sP or ph yr ia Joint Clinical Genetics/Immunology Clinics Agammaglobulinemia, X-Linked Angioedema, Hereditary, Type I Angioedema, Hereditary, Type III Clinical Immunology Atypical Mycobacteriosis, Familial Autoimmune Lymphoproliferative Syndrome London GOSH Autoimmune Polyendocrine Syndrome, Type I Bloom Syndrome (Cytogenetic Laboratory Test) Wales Porphyria Cartilage-Hair Hypoplasia Cambridge Ectodermal Dysplasia, Hypohidrotic, With Immune Deficiency London St Georges London GSTT Oxford RGC ≤3 labs provide this test Hyper-IgD Syndrome and Mevalonic Aciduria >3 labs provide this test Hyper-IgE Recurrent Infection Syndrome, Autosomal Dominant Immunodeficiency With Hyper-IgM, Type 1 Newcastle RGC IRAK4 Deficiency 0 2 4 6 8 10 12 Lymphedema, Hereditary, IA 14 Lymphedema-Distichiasis Syndrome Number of tests Lymphoproliferative Syndrome, EBV-Associated, Autosomal, 1 Lymphoproliferative Syndrome, X-Linked, 1 Nijmegen Breakage Syndrome (Cytogenetic Laboratory Test) Primary Immune Deficiencies 72 Gene Panel Properdin Deficiency, X-Linked Severe Combined Immunodeficiency With Sensitivity To Ionizing Radiation Severe Combined Immunodeficiency, Autosomal Recessive, T Cell-Negative, B Cell-Negative, Nk Cell-Positive Severe Combined Immunodeficiency, Autosomal Recessive, T Cell-Negative, B Cell-Positive, Nk Cell-Negative Severe Combined Immunodeficiency, X-Linked Wiskott-Aldrich Syndrome 34 promoting gene testing www.ukgtn.nhs.uk 35 3.8 Craniofacial, ENT & Neurosurgery 3.8 Craniofacial, ENT & Neurosurgery Joint Clinical Genetics/Craniofacial Clinics Craniosynostosis tests offered and laboratory providers Clinical Genetics Centre Lead Specialty No. clinics per year Birmingham PAEDIATRIC PLASTIC SURGERY 44 Craniofacial Cardiff CRANIOFACIAL 6 Craniofacial Leeds NEUROSURGERY 12 Craniofacial Merseyside and Cheshire CRANIOFACIAL 44 Craniofacial NE Thames (GOSH/UCL) NEUROSURGERY 44 Craniofacial Oxford CLINICAL GENETICS 44 Craniofacial West of Scotland NEUROSURGERY 36 Neurofibromatosis (NF2) Birmingham ENT 3 Neurofibromatosis (NF2) Cambridge ENT 10 Neurofibromatosis (NF2) Exeter (PGCS) CLINICAL GENETICS/ NEUROLOGY 12 Neurofibromatosis (NF2) Leeds NEUROSURGERY 4 Neurofibromatosis (NF2) Leicester CLINICAL GENETICS 1 Neurofibromatosis (NF2) Manchester CLINICAL GENETICS 44 Neurofibromatosis (NF2) Northern CLINICAL GENETICS 3 Neurofibromatosis (NF2) Nottingham ENT 3 Neurofibromatosis (NF2) Oxford CLINICAL GENETICS 44 Neurofibromatosis (NF2) SE Thames (Guys) NEUROLOGY 10 Neurofibromatosis (NF2) Sheffield NEUROSURGERY 4 Apert Syndrome Beare-Stevenson Cutis Gyrata Syndrome Carpenter Syndrome Cleidocranial Dysplasia Craniofrontonasal Syndrome Craniosynostosis 3 Craniosynostosis 4 Craniosynostosis And Dental Anomalies Crouzon Syndrome Jackson-Weiss Syndrome Muenke Syndrome Parietal Foramina Pfeiffer Syndrome Saethre-Chotzen Syndrome ENT related tests offered and laboratory providers Ed i ENT related tests nb M urg an h ch es te r Craniofacial Craniosynostosis Lo n Joint Clinics do Ox n G fo OS rd H RG C Clinics funded as part of a Highly Specialised Service are highlighted in yellow Neurofibromatosis, Type II Telangiectasia, Hereditary Hemorrhagic, Of Rendu, Osler, And Weber Telangiectasia, Hereditary Hemorrhagic, Type 2 Neurosurgery related tests offered and laboratory providers Cerebral Cavernous Malformations 36 promoting gene testing www.ukgtn.nhs.uk Dundee 37 3.9 Dermatology 3.9 Dermatology Joint Clinical Genetics/Dermatology Clinics Laboratories offering tests for dermatology Clinics funded as part of a Highly Specialised Service are highlighted in yellow Joint Clinics Clinical Genetics Centre Lead Specialty Adult Dermatology No. clinics per year Dundee Connective Tissue Disorder Clinic SE Thames (Guys) CLINICAL GENETICS 44 Wales Porphyria Connective Tissue/PXE NW Thames (Northwick Park) CLINICAL GENETICS 4 Wales Cardiff Dermatology and Vascular Disease SE Thames (Guys) DERMATOLOGY 6 Dermatology Genodermatoses SE Thames (Guys) CLINICAL GENETICS 12 Dermatology/Genetics Northern CLINICAL GENETICS 4 Ehlers-Danlos clinic Birmingham PAEDIATRIC RHEUMATOLOGY 2 Epidermolysis bullosa Birmingham PAEDIATRIC DERMATOLOGY 44 Genetics Skin SE Thames (Guys) CLINICAL GENETICS 12 Genetics/Dermatology Cambridge DERMATOLOGY 4 Genetics/Dermatology NE Thames (GOSH/UCL) CLINICAL GENETICS 12 Genetics/Dermatology Tayside (Dundee) CLINICAL GENETICS / DERMATOLOGY 6 Gorlin Manchester GENOMIC MEDICINE 4 Lymphoedema SW Thames (St Georges) DERMATOLOGY 44 Skin Genetics Leicester DERMATOLOGY 4 Dundee Skin Genetics (General) Oxford CLINICAL GENETICS 12 Wales Cardiff Vascular Anomalies Tayside (Dundee) CLINICAL GENETICS / DERMATOLOGY 12 Cambridge DERMATOLOGY 12 Xeroderma pigmentosa (XP) SE Thames (Guys) Sheffield London St Georges Edinburgh ≤3 labs provide this test Salisbury >3 labs provide this test Newcastle RGC London GSTS Glasgow 0 1 2 3 4 5 6 7 Number of tests Paediatric Dermatology London GOSH Sheffield Wales Porphyria ≤3 labs offer this test Salisbury >3 labs offer this test London GSTT Leeds Glasgow Bristol 0 1 2 3 4 5 6 7 Number of tests 38 promoting gene testing www.ukgtn.nhs.uk 39 3.9 Dermatology 3.9 Dermatology Adult Dermatology Du Adult nd Ed ee in b Gl urg as h g Lo ow nd o Lo n G nd S o T Ne n S T wc t G Sa ast eor lis le ge R b s Sh ury GC effi W e ld ale W s Ca ale rd s P iff or ph yr ia Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Clouston Syndrome Cutis Laxa 7 Gene Panel Cylindromatosis, Trichoepitheliomas and Spiradenoma, Familial Ectodermal Dysplasia 1, Hypohidrotic, X-Linked Ectodermal Dysplasia, Hypohidrotic, Autosomal Dominant and Recessive EEC Syndrome 3 and Related Syndromes Paediatric Dermatology Br ist o Ca l m b Du r i d nd ge Gl ee as g Le ow ed s Lo nd o Lo n G nd O o S Sa n G H li s bu STT Sh r y effi W e ld ale W sC ale ard s P iff or ph yr ia Paediatric Dermatology tests offered and laboratory providers Bloom Syndrome (Cytogenetic Laboratory Test) Ectodermal Dysplasia 1, Hypohidrotic, X-Linked Ectodermal Dysplasia, Hypohidrotic, Autosomal Dominant and Recessive Ectodermal Dysplasia, Hypohidrotic, With Immune Deficiency Ehlers Danlos Syndrome (EDS) 12 Gene Panel Ehlers-Danlos Syndrome Types I and II (Classic) Ehlers-Danlos Syndrome, Type IV, Autosomal Dominant Ehlers-Danlos Syndrome, Type VI Epidermolysis Bullosa Simplex, Generalized Epidermolytic Hyperkeratosis Ehlers Danlos Syndrome (EDS) 12 Gene Panel Ehlers-Danlos Syndrome Types I and II (Classic) Ehlers-Danlos Syndrome, Type IV, Autosomal Dominant Ehlers-Danlos Syndrome, Type VI Fanconi Anaemia (Cytogenetic Laboratory Test) Epidermolysis Bullosa Simplex, Generalized Ichthyosis, Bullous Type Epidermolytic Hyperkeratosis Ichthyosis, Congenital, Autosomal Recessive Hennekam Lymphangiectasia-Lymphedema Syndrome Ichthyosis, X-Linked Ichthyosis, Bullous Type Netherton Syndrome Nijmegen Breakage Syndrome (Cytogenetic Laboratory Test) Nucleotide Excision Repair Disorder 16 Gene Panel Fanconi Anaemia 16 Gene Panel Fanconi Anemia, Complementation Group A Fanconi Anemia, Complementation Group C Ichthyosis, Congenital, Autosomal Recessive Ichthyosis, X-Linked Lymphedema, Hereditary, IA Lymphedema-Distichiasis Syndrome Nucleotide Excision Repair Disorder 16 Gene Panel Odontoonychodermal Dysplasia And Related Phenotypes Palmoplantar Keratoderma, Epidermolytic Peeling Skin Syndrome, Acral Type Porphyria Cutanea Tarda Porphyria Variegata Porphyria, Acute Intermittent Porphyria, Congenital Erythropoietic Protoporphyria, Erythropoietic Telangiectasia, Hereditary Hemorrhagic, Of Rendu, Osler, And Weber Telangiectasia, Hereditary Hemorrhagic, Type 2 40 promoting gene testing www.ukgtn.nhs.uk 41 3.10 Endocrinology 3.10 Endocrinology Joint Clinical Genetics/Adult Endocrinology Clinics Joint Clinics Clinics funded as part of a Highly Specialised Service are highlighted in yellow Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Bardet Biedl Syndrome NE Thames (GOSH/UCL) CLINICAL GENETICS 10 Bardet Biedl Syndrome SE Thames (Guys) CLINICAL GENETICS 6-12 Congenital adrenal hyperplasia Oxford ENDOCRINOLOGY 10 Disorders of Sex Development, Scottish (SDSD) North of Scotland (Aberdeen) GENERAL SURGERY 2 Disorders of Sexual Development (DSD) Cambridge ENDOCRINOLOGY 10 Endocrine (Adult) Cambridge CLINICAL GENETICS 6 Endocrine (from April 2013) Leicester ENDOCRINOLOGY 3 Endocrine Cancer Genetics West of Scotland ENDOCRINOLOGY 10 Endocrine and Genetics UHB (General) Birmingham ENDOCRINOLOGY 10 Endocrine Genetics SE Thames (Guys) CLINICAL GENETICS 10 Endocrinology Tayside (Dundee) CLINICAL GENETICS/ ENDOCRINOLOGY 4 Endocrinology Genetics NE Thames (GOSH/UCL) CLINICAL GENETICS 10 Genetic Endocrine Edinburgh CLINICAL GENETICS/ ENDOCRINOLOGY 10 Gynae Genetics Sheffield ENDOCRINOLOGY 10 Joint Bone, and Calcium UHB Birmingham ENDOCRINOLOGY 10 Joint Endocrine transition UHB Birmingham ENDOCRINOLOGY 4 MEN1 UHB Birmingham ENDOCRINOLOGY 10 MODY West of Scotland ENDOCRINOLOGY 3 Multiple Endocrine Neoplasia Merseyside and Cheshire ENDOCRINOLOGY 4 Multiple Endocrine Neoplasia Oxford CLINICAL GENETICS 2 Multiple Endocrine Neoplasia Sheffield GYNAECOLOGICAL ONCOLOGY 10 42 promoting gene testing Clinical Genetics Centre Lead Specialty No. clinics per year Multiple Endocrine Neoplasias Manchester ENDOCRINOLOGY 6 Multiple Endocrine Neoplasia SW Thames (St Georges) ENDOCRINOLOGY 6 Neuroendocrine Genetics NW Thames (Northwick Park) CLINICAL GENETICS 10 Reproductive Medicine BWH Birmingham ENDOCRINOLOGY 10 Reproductive Medicine Transition Clinic BWH Birmingham ENDOCRINOLOGY 3 www.ukgtn.nhs.uk 43 3.10 Endocrinology 3.10 Endocrinology Joint Clinical Genetics/Paediatric Endocrinology Clinics Joint Clinics Clinics funded as part of a Highly Specialised Service are highlighted in yellow Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Clinical Genetics Centre Lead Specialty No. clinics per year Paediatric Bone Birmingham PAEDIATRIC ENDOCRINOLOGY 2 Paediatric Endocrine Cambridge PAEDIATRIC ENDOCRINOLOGY 6 Paediatric Endocrine and Growth SW Thames (St Georges) CLINICAL GENETICS 10 Paediatric Endocrine and Growth Northern PAEDIATRIC ENDOCRINOLOGY / CLINICAL GENETICS 3 Alstrom / Bardet Biedl / Wolfram Birmingham PAEDIATRIC ENDOCRINOLOGY 4 Bone genetics Wessex PAEDIATRIC ENDOCRINOLOGY 3 Disorders of Sexual development NE Thames (GOSH/UCL) UROLOGY/ ENDOCRINOLOGY 10 Paediatric Endocrine Tumours Birmingham PAEDIATRIC ENDOCRINOLOGY 4 DSD Birmingham PAEDIATRIC ENDOCRINOLOGY 12 Short Stature syndromes Birmingham PAEDIATRIC ENDOCRINOLOGY 4 Disorders of Sexual Differentiation Merseyside and Cheshire PAEDIATRIC ENDOCRINOLOGY 4 Skeletal Dysplasia West of Scotland PAEDIATRIC ENDOCRINOLOGY 22 Disorders of Sex Development, Scottish (SDSD) North of Scotland (Aberdeen) GENERAL SURGERY 2 Disorders of Sexual Development Oxford PAEDIATRIC ENDOCRINOLOGY 10 Disorders of Sexual development Wessex PAEDIATRIC ENDOCRINOLOGY 10 Disorder of Sexual Development West of Scotland PAEDIATRIC ENDOCRINOLOGY 10 Endocrine and DSD genetics (Paediatric) Cardiff CLINICAL GENETICS 4-6 Endocrine Genetics (Paediatric) NW Thames (Northwick Park) CLINICAL GENETICS 2 Endocrine Genetics (Paediatric) Wessex PAEDIATRIC ENDOCRINOLOGY 7 Endocrine, Skeletal and Genetic Stoke (UHNS) PAEDIATRIC ENDOCRINOLOGY 4 Endocrine and genetic Birmingham PAEDIATRIC ENDOCRINOLOGY 4 Growth Northern CLINICAL GENETICS 10 Growth Wessex PAEDIATRIC ENDOCRINOLOGY 3 Lipid/familial hypercholesterolaemia Wessex PAEDIATRIC ENDOCRINOLOGY 4-6 Metabolic Bone Edinburgh CLINICAL GENETICS/ PAEDIATRICS 4 Metabolic Bone NW Thames (Northwick Park) PAEDIATRICS 3 Metabolic-Genetics Family SE Thames (Guys) PAEDIATRIC METABOLIC DISEASE 44 Osteogenesis imperfecta and metabolic bone disorders Birmingham PAEDIATRIC ENDOCRINOLOGY 2 44 promoting gene testing www.ukgtn.nhs.uk 45 3.10 Endocrinology 3.10 Endocrinology Laboratories offering tests for endocrinology Endocrine tests offered and laboratory providers Adult Endocrinology Adult disorders A-H Exeter Cambridge Adult Endocrinology Oxford RGC 17-@beta Hydroxysteroid Dehydrogenase III Deficiency 3-Beta-Hydroxysteroid Dehydrogenase, Type II, Deficiency Of 46, XY Sex Reversal 1 46,XY Sex Reversal 3 Adrenal Hyperplasia, Congenital, Due To 17-Alpha-Hydroxylase Deficiency Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency London UCLH Biochem Salisbury Birmingham RGC Leeds Sheffield Wales Porphyria Newcastle RGC Dundee ≤3 labs offer this test Manchester >3 labs offer this test Bristol Oxford Haem Aberdeen London GOSH London ION Belfast London St Georges London GSTT 0 5 10 15 20 25 30 35 40 Number of tests Paediatric Endocrinology Exeter London UCLH Biochem Birmingham RGC Salisbury Cambridge Sheffield Manchester London GOSH Wales Porphyria ≤3 labs offer this test Oxford RGC >3 labs offer this test Newcastle RGC London ION Leeds Glasgow London GSTT Bristol Belfast 0 2 4 6 8 10 12 14 16 Number of tests 46 Ab er d Be ee lfa n Bi st rm i Br ngh ist am ol RG Ca C m b Du r i d g nd e Ex ee et e Le r ed s Lo nd o Lo n I nd ON o Lo n G nd O o S Lo n G H nd S o T Lo n S T nd t G o M n U eor an C ge ch LH s Ne es B wc ter ioc he Ox ast m f o le R rd G Ox H C fo ae m r Sa d R l is G C bu Sh r y effi W e ld ale sP or ph yr ia Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue promoting gene testing Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency (NIPD) Adrenal Hyperplasia, Congenital, Due To Steroid 11-BetaHydroxylase Deficiency Adrenal Hypoplasia, Congenital Aldosterone Synthase Deficiency Amegakaryocytic Thrombocytopenia, Congenital Androgen Insensitivity Syndrome Autoimmune Polyendocrine Syndrome, Type I Carney Complex, Type 1 Combined Pituitary Hormone Deficiency 5 Gene Panel Congenital Generalised Lipodystrophy 5 Gene Panel Congenital Hypothyroidism 8 gene panel Diabetes Mellitus, Neonatal, With Congenital Hypothyroidism Diabetes Mellitus, Permanent Neonatal Diabetes-Deafness Syndrome, Maternally Transmitted Dysalbuminemic Hyperthyroxinemia, Familial Endocrine Neoplasia Syndromes 4 Gene Panel Fabry Disease Familial Glucocorticoid Deficiency 5 Gene Panel Familial Isolated Hypoparathyroidism 4 Gene Panel Familial Isolated Primary Hyperparathyroidism 8 Gene Panel Familial Pheochromocytoma and Paraganglioma 10 Gene Fanconi-Bickel Syndrome Gitelman Syndrome Gonadal dysgenesis with gonadal failure 12 gene panel Glucocorticoid-Remediable Aldosteronism Hyperparathyroidism 1 Hyperparathyroidism 2 Hyperparathyroidism, Familial, 8 Gene Panel Hyperparathyroidism, Neonatal Severe Primary Hyperphosphatemic & Normophosphatemic Familial Tumoral Calcinosis 4 Gene Panel Hyperthyroidism, Nonautoimmune Hypocalciuric Hypercalcemia, Familial, Type I Hypocalciuric Hypercalcemia, Familial, Type III Hypoparathyroidism, Familial Isolated Hypophosphatemic Rickets With Hypercalciuria, Hereditary Hypophosphatemic Rickets, Autosomal Dominant Hypophosphatemic Rickets, Autosomal Recessive, 1 Hypophosphatemic Rickets, Autosomal Recessive, 2 Hypophosphatemic Rickets, X-Linked Dominant Hypothyroidism, Congenital, Nongoitrous, 1 www.ukgtn.nhs.uk 47 Paediatric Endocrinology fa Bi st rm i Br ngh ist am ol RG Ca C m br Ex id et ge e Gl r as g Le ow ed s Lo nd o Lo n I nd ON o Lo n G nd O o n SH Lo nd GS o T M nU T an C ch LH Ne es B wc ter ioc he Ox ast m f o le R r Sa d R GC G lis b C Sh u r y effi W e ld ale sP or ph yr ia Adult Endocrinology Iron Regulatory 16 Gene Panel Liddle Syndrome Lipodystrophy Types 1 and 2, Congenital generalised Lipodystrophy, Familial Partial, Type 2 Lipodystrophy, Familial Partial, Type 3 Male Infertility Due To Y Chromosome Deletions Mandibuloacral Dysplasia With Type A Lipodystrophy Monogenic Diabetes 14 Gene Panel Multiple Endocrine Neoplasia, Type I Multiple Endocrine Neoplasia, Type IIA Multiple Endocrine Neoplasia, Type IIB Neonatal Diabetes 22 Gene Panel Osteogenesis Imperfecta 16 Gene Panel Paediatric Be l Adult disorders I-Z 3.10 Endocrinology Ab er d Be ee lfa n Bi st rm i Br ngh ist am ol RG Ca C m b Du r i d nd ge Ex ee et e Le r ed s Lo nd o Lo n I nd ON o Lo n G nd O o n SH Lo nd GS o T Lo n S T nd t G o M n U eor an C ge ch LH s Ne es B wc ter ioc he Ox ast m f o le R rd G Ox H C fo ae m r Sa d R li s G C bu Sh r y effi W e ld ale sP or ph yr ia 3.10 Endocrinology 17-@beta Hydroxysteroid Dehydrogenase III Deficiency 3-Beta-Hydroxysteroid Dehydrogenase, Type II, Deficiency Of 46, XY Sex Reversal 1 46,XY Sex Reversal 3 Adrenal Hyperplasia, Congenital, Due To 17-AlphaHydroxylase Deficiency Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency (NIPD) Adrenal Hyperplasia, Congenital, Due To Steroid 11-BetaHydroxylase Deficiency Adrenal Hypoplasia, Congenital Pallister-Hall Syndrome Hereditary Paragangliomas and Phaeochromocytoma Aldosterone Synthase Deficiency Phaeochromocytoma and Paragangliomas, Familial, 11 Gene Panel Alstrom syndrome Phaeochromocytomas and Paragangliomas, Familial, 9 Gene Panel Androgen Insensitivity Syndrome Pituitary Adenoma, Growth Hormone-Secreting Carney Complex, Type 1 Primary Pigmented Nodular Adrenocortical Disease Diabetes Mellitus, Neonatal, With Congenital Hypothyroidism Diabetes Mellitus, Permanent Neonatal Primary Pigmented Nodular Adrenocortical Disease 3 Gene Pseudohypoaldosteronism type II 4 Gene Panel Short Syndrome Diabetes-Deafness Syndrome, Maternally Transmitted Steroid 5 alpha reductase Fabry Disease Thyroid Carcinoma, Familial Medullary Fanconi-Bickel Syndrome Thyroid Hormone Resistance, Selective Pituitary Gender Assignment 13 gene panel Wolfram Syndrome 1 Genital Anomalies and suspected Adrenal problems 12 gene panel Gonadal dysgenesis with gonadal failure 12 gene panel Hyperparathyroidism, Neonatal Severe Primary Hyperthyroidism, Familial Gestational Hypophosphatemic Rickets With Hypercalciuria, Hereditary Hypophosphatemic Rickets, Autosomal Dominant Hypophosphatemic Rickets, Autosomal Recessive, 1 Hypophosphatemic Rickets, Autosomal Recessive, 2 Hypophosphatemic Rickets, X-Linked Dominant Immunodysregulation, Polyendocrinopathy, And Enteropathy, X-Linked Lipodystrophy, Familial Partial, Type 3 Maturity-onset Diabetes of the Young Osteogenesis Imperfecta 16 Gene Panel Pendred Syndrome Pituitary Hormone Deficiency, Combined, 1 Pituitary Hormone Deficiency, Combined, 2 Sexual Development disorders 26 Gene Panel Test Steroid 5 alpha reductase Thyroid Dyshormonogenesis Wolfram Syndrome 1 48 promoting gene testing www.ukgtn.nhs.uk 49 3.11 Gastroenterology 3.11 Gastroenterology NW Thames (Northwick Park) GASTROENTEROLOGY 10 Familial Gastric Cancer Cambridge GASTROENTEROLOGY 4 Gastroenterology Gastroenterology paediatric Tayside (Dundee) CLINICAL GENETICS/ GASTROENTEROLOGY 3 Fructose Intolerance, Hereditary Juvenile polyposis Merseyside and Cheshire PAEDIATRIC GASTROENTEROLOGY 4 in gh am in IM g D h Ca m am br RG Ed idge C in bu Ex rgh et er Liv er po L o ol nd o L o n GO nd o SH M n GS an ch TT Ox es t fo e r rd W Ha em al es Po rp hy ria Colorectal cancer genetics rm Lead Specialty Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics rm Clinical Genetics Centre No. clinics per year Bi Joint Clinics Gastroenterology tests offered and laboratory providers Bi Joint Clinical Genetics/Gastroenterology Clinics Hirschsprung Disease, Susceptibility To, 1 IL10-Related Inflammatory Bowel Disease Very Early Onset Inflammatory Bowel Disease 40 Gene Panel Iron Regulatory 16 Gene Panel Laboratories offering tests for gastroenterology Niemann-Pick Disease Type C1 and C2 Pancreatic And Cerebellar Agenesis Pancreatitis, Hereditary Gastroenterology Porphyria Cutanea Tarda Wales Porphyria Porphyria Variegata London GOSH Porphyria, Acute Intermittent Edinburgh Exeter Porphyria, Congenital Erythropoietic Oxford Haem Protoporphyria, Erythropoietic Manchester ≤3 labs offer this test London GSTT >3 labs offer this test Liverpool Cambridge Telangiectasia, Hereditary Hemorrhagic, Of Rendu, Osler, And Weber Telangiectasia, Hereditary Hemorrhagic, Type 2 Birmingham RGC Birmingham IMD 0 1 2 3 4 5 6 Number of tests 50 promoting gene testing www.ukgtn.nhs.uk 51 3.12 Geriatric Medicine & Old Age Psychiatry Laboratories offering tests for geriatric medicine & old age psychiatry 3.13 Gynaecology Laboratories offering gynaecology tests Geriatrics and Old Age Psychiatry Gynaecology 3.12 Geriatric Medicine & Old Age Psychiatry Cambridge London ION London GSTT Sheffield Oxford RGC Newcastle RGC Manchester Liverpool Birmingham RGC Salisbury Nottingham London St Georges Leeds Edinburgh Bristol Belfast Cambridge London UCLH Biochem Dundee Salisbury Sheffield Wales Cardiff Oxford RGC ≤3 labs offer this test >3 labs offer this test Nottingham Newcastle RGC Manchester ≤3 labs offer this test London St Georges >3 labs offer this test London GSTT Liverpool Leeds 0 1 2 3 4 5 Glasgow 6 Birmingham RGC Number of tests Belfast Aberdeen 0 Geriatric medicine & old age psychiatry tests offered and laboratory providers 5 Ab er Be dee lfa n Bi st rm i Ca ngh m am b Du rid RG nd ge C Gl ee as g Le ow ed s Liv er p Lo oo nd l o Lo n G nd S o T Lo n S T nd t G o M n U eor an C ge L c s Ne hes H B wc ter ioc he No ast m tti le R ng G Ox h C fo am r Sa d R l is G C b Sh u r y effi W e ld ale sC ar di ff 17-@beta Hydroxysteroid Dehydrogenase III Deficiency 46, XY Sex Reversal 1 Dentatorubral-Pallidoluysian Atrophy Frontotemporal Dementia Frontotemporal Dementia And/Or Amyotrophic Lateral Sclerosis Frontotemporal Lobar Degeneration With TDP43 Inclusions, Grn-Related Huntington Disease 46,XY Sex Reversal 3 Androgen Insensitivity Syndrome Breast/Ovarian Cancer, Familial Gonadal dysgenesis with gonadal failure 12 gene panel Steroid 5 alpha reductase Huntington Disease-Like 2 52 4 Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Gynaecology Dementia 16 Gene Panel 3 Gynaelcology tests offered and laboratory providers Alzheimer Disease 1, Familial Alzheimer Disease 3 2 Number of tests Be l Geriatrics/Old Age Psychiatry fa Bi st rm i Br ngh ist am ol RG Ca C m br Ed id in ge b Le urg ed h s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd S o T M nS T an t c G Ne hes eor wc ter ge s No ast tti le R n Ox gh GC fo am rd Sa R li s G C b Sh u r y effi el d Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics 1 promoting gene testing www.ukgtn.nhs.uk 53 3.14 Hepatology 3.14 Hepatology Joint Clinical Genetics/Hepatology Clinics Joint Clinics Paediatric Hepatology Clinical Genetics Centre Familial Non-alcoholic fatty liver disease Lead Specialty Leicester HEPATOLOGY No. clinics per year Sheffield London GSTT 3 Birmingham RGC Oxford RGC Laboratories offering adult hepatology tests London GOSH Cambridge Birmingham IMD Adult Hepatology Exeter Sheffield Dundee ≤3 labs offer this test Cambridge Wales Porphyria >3 labs offer this test Liverpool Oxford Haem Salisbury Newcastle Mito Nottingham Manchester Newcastle RGC London ION London UCLH Haem London KGC ≤3 labs offer this test London King's Haem London King's Haem >3 labs offer this test Liverpool Glasgow 0 Exeter 1 2 3 4 5 6 Number of tests Dundee Birmingham RGC Aberdeen 0 1 2 3 4 Number of tests 54 promoting gene testing www.ukgtn.nhs.uk 55 3.14 Hepatology 3.15 Histopathology & Coroner’s Service Laboratories offering histopathology tests Adult hepatology tests offered and laboratory providers Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Adult Hepatology Manchester Ab er Bi dee rm n i Ca ngh m am b Du rid RG nd ge C Ex ee et e Gl r as g Liv ow er p Lo oo nd l o Lo n K n d in o g Lo n K 's H nd G a e o C m Ne n U wc CL No ast H H tti le R a e m n Sa gh GC lis am b Sh u r y effi el d Adult Histopathology/Coroner's Service London GSTT Oxford RGC London GOSH Gilbert Syndrome Birmingham RGC Haemochromatosis Bristol Haemochromatosis, Type 4 Wilson Disease Cambridge London ION ≤3 labs offer this tests Paediatric Paediatric Hepatology Bi rm i Bi ngh rm am i Ca ngh I M m am D b Du rid RG nd ge C Ex ee et e Liv r er p Lo oo nd l o Lo n I nd ON o Lo n K n d in on g's Lo nd GO Ha e o S M nG H m an S c T Ne hes T wc ter Ox ast f o le M r Ox d H ito fo ae m r Sh d R effi G C W e ld ale sP or ph yr ia Exeter >3 labs offer this test Aberdeen London St Georges Leeds Alagille Syndrome 1 Dundee Alagile Syndrome 2 Salisbury Citrullinemia, Type II, Neonatal-Onset Edinburgh Coproporphyria, Hereditary Crigler-Najjar Syndrome, Type I 0 Gilbert Syndrome 1 2 3 4 5 6 Number of tests Glycogen Storage Disease (GSD) 32 Gene Panel Glycogen Storage Disease 18 Gene Panel Glycogen Storage Disease Ia Glycogen Storage Disease Ib and Ic Glycogen Storage Disease II Glycogen Storage Disease V Hemochromatosis Type 2A and 2B Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test Hyperferritinemia With Or Without Cataract Iron Regulatory 16 Gene Panel Liver Failure, Infantile, Transient Methylmalonic Acidemia (MMA) 11 Gene Panel Mitochondrial Genome 37 Gene Panel Niemann-Pick Disease Type C1 and C2 Progressive Familial Intrahepatic Cholestasis Urea Cycle Defects (UCD) 9 Gene Panel Urea Cycle Disorders 6 gene panel Wilson Disease 56 promoting gene testing www.ukgtn.nhs.uk 57 3.15 Histopathology & Coroner’s Service 3.16 Metabolic Medicine Histopathology tests offered and laboratory providers Joint Clinical Genetics/Metabolic Medicine Clinics Histopathology/Coroners service Ab er d Bi ee rm n i Br ngh ist am ol RG Ca C m br Ed id g in e b Du urg nd h Ex ee et e Le r ed s Lo nd o Lo n I nd ON o Lo n G nd O o S Lo n G H nd S o T M nS T an t c G O hes eor xf or ter ges Sa d R l is G C bu ry Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Achondrogenesis, Type II Joint Clinics Clinical Genetics Centre Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) 6 Gene Panel Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) 8 Gene Panel Arrhythmogenic Right Ventricular Dysplasia No. clinics per year Metabolic / Genetics, Adult, (Grampian) North of Scotland (Aberdeen) GENERAL MEDICINE (metabolic) 4 Metabolic-Genetics Family SE Thames (Guys) PAEDIATRIC METABOLIC DISEASE 44 Metabolic Leeds PAEDIATRIC METABOLIC DISEASE 10 Metabolic/genetics paediatric (Grampian) North of Scotland (Aberdeen) PAEDIATRIC METABOLIC DISEASE 2 Neurometabolic Birmingham NEUROLOGY 24 Achondroplasia Arrhythmia/Cardiac Arrest (BCL) 21 Gene Panel Lead Specialty Laboratories offering metabolic medicine tests Dilated Cardiomyopathies 28 Gene Panel Dilated Cardiomyopathy (DCM) 22 Gene Panel Dilated Cardiomyopathy, Familial Adult Metabolic Medicine Kearns-Sayre Syndrome Long QT Syndrome (LQT) 12 Gene Panel Long QT Syndrome, Familial London GOSH Marfan syndrome Birmingham IMD Molecular Autopsy (MolAut) 57 Gene Panel London GSTT Paediatric Cardiomyopathy 71 Gene Panel Sheffield Smith-Lemli-Opitz Syndrome Spondyloepiphyseal Dysplasia Congenita and Kniest Dysplasia Thanatophoric Dysplasia Birmingham RGC Manchester London UCLH Biochem Exeter Bristol Salisbury Oxford RGC ≤3 labs offer this test Edinburgh >3 labs offer this test Belfast Aberdeen Leeds Glasgow Glasgow Dundee Cambridge Wales, Cardiff Liverpool 0 2 4 6 8 10 Number of tests 58 promoting gene testing www.ukgtn.nhs.uk 59 3.16 Metabolic Medicine 3.16 Metabolic Medicine Metabolic medicine tests offered and laboratory providers Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Paediatric Metabolic Medicine Exeter Adult Manchester London GSTT Sheffield Adult Metabolic Medicine Birmingham IMD Ab er d Be ee lfa n Bi st rm i Bi ngh rm am in Br gh I M ist am D o RG Ca l C m b Ed rid in ge b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n G nd O o S Lo n G H nd S on TT M an UC c L O hes H B xf or ter ioch em Sa d R lis G C b Sh u r y effi W e ld al es ,C ar di ff London GOSH 3-Beta-Hydroxysteroid Dehydrogenase, Type II, Deficiency Of Adrenal Hyperplasia, Congenital, Due To 17-Alpha-Hydroxylase Deficiency Birmingham RGC Bristol Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency Oxford RGC London ION Belfast ≤3 labs offer this test Newcastle Mito >3 labs offer this test London UCLH Biochem Cambridge Newcastle RGC Leeds Edinburgh Aberdeen Liverpool Dundee 0 2 4 6 8 10 12 14 16 Number of tests Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency (NIPD) Adrenal Hyperplasia, Congenital, Due To Steroid 11-BetaHydroxylase Deficiency Alpha-1-Antitrypsin Deficiency Carbamoyl Phosphate Synthetase I Deficiency, Hyperammonemia Due To Fructose Intolerance, Hereditary Glycogen Storage Disease (GSD) 32 Gene Panel Glycogen Storage Disease 18 Gene Panel Glycogen Storage Disease Ia Glycogen Storage Disease Ib and Ic Glycogen Storage Disease II Glycogen Storage Disease V Hurler-Scheie Syndrome Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test Hypercholesterolaemia, Familial, 4 Gene Panel Hypercholesterolemia, Familial Hyperlipidemia Type 3 Hyperphenylalaninemia, BH4-Deficient, B Hypocalciuric Hypercalcemia, Familial, Type I Hypocalciuric Hypercalcemia, Familial, Type III Ichthyosis, X-Linked Krabbe Disease Lipoprotein Lipase Deficiency Lysosomal Acid Lipase Deficiency Menkes Disease Metachromatic Leukodystrophy Monogenic Diabetes 14 Gene Panel Ornithine Transcarbamylase Deficiency, Hyperammonemia Due To Phenylketonuria Smith-Lemli-Opitz Syndrome Tyrosinemia, Type I 60 promoting gene testing www.ukgtn.nhs.uk 61 Paediatric Metabolic Disease Paediatric I-Z Paediatric Metabolic Disease Ab er d Be ee lfa n Bi st rm i Bi ngh rm am in Br gh I M ist am D o RG Ca l C m br Du i d g nd e Ed ee in b Ex urg et h e Le r ed s Liv er p Lo oo nd l o Lo n I nd ON on Lo nd GO o S Lo n G H nd S o T M nU T an C ch LH Ne es B w ter ioc c he Ne ast m w le M ca O st ito xf le or R Sh d R GC effi G C el d Paediatric A-H 3.16 Metabolic Medicine Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m b Du rid g nd e Ed ee in b Ex urg et h e Le r ed s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd O o n SH Lo nd GS o T M nU T an C c L Ne hes H B w ter ioc c he Ne ast m w le M ca O st ito xf le or R Sh d R GC effi G C el d 3.16 Metabolic Medicine Immunodysregulation, Polyendocrinopathy, And Enteropathy, X-Linked Lipoprotein Lipase Deficiency Acyl-CoA Dehydrogenase, Medium-Chain, Deficiency Of Adenosine Monophosphate Deaminase 1 Adrenal Hyperplasia, Congenital, Due To 17-AlphaHydroxylase Deficiency Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency Adrenal Hyperplasia, Congenital, Due To Steroid 11-BetaHydroxylase Deficiency Carbamoyl Phosphate Synthetase I Deficiency, Hyperammonemia Due To Carnitine Palmitoyltransferase II Deficiency, Late-Onset Liver Failure, Infantile, Transient Long-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency Lysosomal Acid Lipase Deficiency Maturity-Onset Diabetes Of The Young Menkes Disease Methylmalonic Acidemia (MMA) 11 Gene Panel Mitochondrial Genome 37 Gene Panel Carnitine-Acylcarnitine Translocase Deficiency Mitochondrial DNA Depletion 13 Gene Panel Ceroid Lipofuscinosis, Neuronal 5, 6, 7 and 8 Mucolipidosis II and III Alpha/Beta Cockayne Syndrome Diabetes Mellitus, Insulin-Resistant, With Acanthosis Nigricans Diabetes Mellitus, Neonatal, With Congenital Hypothyroidism Diabetes Mellitus, Permanent Neonatal Mucopolysaccharidosis Type II Mucopolysaccharidosis Type IIIA Mucopolysaccharidosis Type IIIB Mucopolysaccharidosis Type IVA Neuraminidase Deficiency Diabetes-Deafness Syndrome, Maternally Transmitted Epiphyseal Dysplasia, Multiple, With Early-Onset Diabetes Mellitus Fabry Disease Niemann-Pick Disease Type C1 and C2 Ornithine Transcarbamylase Deficiency, Hyperammonemia Due To Pearson Marrow-Pancreas Syndrome Fanconi-Bickel Syndrome Peroxisome Disorders 24 Gene Panel Test Fatty Acid Oxidation/Ketogenesis disorders 20 gene panel Phenylketonuria Fatty Acid Oxidation/Ketolysis disorders 2 gene panel Propionic Acidaemia Fructose Intolerance, Hereditary Pyruvate Carboxylase Deficiency Galactosemia Rhabdomyolysis/Metabolic Myopathies 30 gene panel Gaucher Disease, Type I Smith-Lemli-Opitz Syndrome Gaucher Disease, Type II Tay-Sachs Disease Gaucher Disease, Type III Tyrosinemia, Type I Glutaric Acidemia I Urea Cycle Defects (UCD) 9 Gene Panel Glycine Encephalopathy Urea Cycle Disorders 6 gene panel Glycogen Storage Disease (GSD) 32 Gene Panel Glycogen Storage Disease 18 Gene Panel Glycogen Storage Disease Ia Glycogen Storage Disease Ib and Ic Glycogen Storage Disease II Glycogen Storage Disease V GM1 Gangliosidosis and Mucopolysaccharidosis Type IVB Homocystinuria Due To Cystathionine Beta-Synthase Deficiency Hurler-Scheie Syndrome Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test Hyperinsulinemic Hypoglycemia, Familial, 1 Hyperinsulinemic Hypoglycemia, Familial, 2 Hyperinsulinemic Hypoglycemia, Familial, 3 Hyperinsulinemic Hypoglycemia, Familial, 4 Hyperinsulinemic Hypoglycemia, Familial, 6 62 promoting gene testing www.ukgtn.nhs.uk 63 3.17 Neonatology 3.17 Neonatology Laboratories offering neonatal tests Neonatology tests offered and laboratory providers Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Oxford RGC Sheffield Neonatology London GOSH Ab er d Bi ee rm n in Bi gh rm am i Br ngh I M ist am D ol RG Ca C m b Ed rid in ge bu Ex rg et h e Gl r as g Liv ow er p Lo oo nd l o Lo n I nd ON o Lo n K n d in o g Lo n G 's H nd O a e o S Lo n G H m nd S on TT Ne wc St G No ast eor tti le R ge s n Ox gh GC fo am r Sa d R lis G C b Sh u r y effi W e ld ale sC ar di ff Neonatology Antley-Bixler Syndrome With Genital Anomalies And Disordered Steroidogenesis Antley-Bixler Syndrome Without Genital Anomalies Or Disordered Steroidogenesis Apert Syndrome Birmingham IMD London GSTT Arterial Calcification, Generalized, Of Infancy, 2 Exeter Brachydactyly, Type B1 Bristol Brachydactyly, Type D London King's Haem Brachydactyly, Type E1 Carbamoyl Phosphate Synthetase I Deficiency, Hyperammonemia Due To Wales Cardiff Carnitine Palmitoyltransferase II Deficiency, Late-Onset Salisbury Newcastle RGC ≤3 labs offer this test Carnitine-Acylcarnitine Translocase Deficiency >3 labs offer this test Central Hypoventilation Syndrome, Congenital Liverpool Deafness, Aminoglycoside-Induced Fructose Intolerance, Hereditary Edinburgh Galactosemia Birmingham RGC Generalised Arterial Calcification of Infancy 2 Gene Panel Nottingham Glucose/galactose Malabsorption Glucose-6-Phosphate Dehydrogenase Deficiency London St Georges Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test London ION Hyperparathyroidism, Neonatal Severe Primary Glasgow Myotonic Dystrophy 1 Aberdeen Osteogenesis Imperfecta 16 Gene Panel 0 2 4 6 8 10 Peroxisome Disorders 24 Gene Panel Test 12 Porencephaly, Familial, 2 Gene Panel Number of tests Spinal Muscular Atrophy, Distal, Autosomal Recessive, 1 Spinal Muscular Atrophy, Type I Surfactant Metabolism Dysfunction, Pulmonary, 1 Surfactant Metabolism Dysfunction, Pulmonary, 2 Surfactant Metabolism Dysfunction, Pulmonary, 3 Urea Cycle Defects (UCD) 9 Gene Panel Urea Cycle Disorders 6 gene panel 64 promoting gene testing www.ukgtn.nhs.uk 65 3.18 Nephrology 3.18 Nephrology Joint Clinical Genetics/Adult Nephrology Clinics Joint Clinics Clinical Genetics Centre Laboratories offering tests for nephrology Lead Specialty No. clinics per year Inherited Renal Disease SW Thames (St Georges) CLINICAL GENETICS 12 Joint adult renal genetic Birmingham CLINICAL GENETICS 10 Renal Genetics Cambridge NEPHROLOGY 44 Renal Genetics (Adult & Paeds) Exeter (PGCS) CLINICAL GENETICS/ NEPHROLOGY 4 Renal (adult) Manchester CLINICAL GENETICS 10 Renal Genetics NW Thames (Northwick Park) NEPHROLOGY 4 Renal Sheffield NEPHROLOGY 6 VHL/renal tumour predisposition/ adult renal genetic disorders NE Thames (GOSH/UCL) NEPHROLOGY 6 VHL/renal genetics NW Thames (Northwick Park) NEPHROLOGY 4 Adult Nephrology London GOSH Cambridge Sheffield Oxford RGC London UCLH Biochem London GSTT Glasgow Exeter Bristol Wales Cardiff Newcastle RGC Dundee Birmingham RGC Aberdeen ≤3 labs offer this test >3 labs offer this test 0 1 2 3 4 5 6 7 8 9 Number of tests Joint Clinical Genetics/Paediatric Nephrology Clinics Joint Clinics Clinical Genetics Centre Lead Specialty Paediatric Nephrology No. clinics per year London UCLH Biochem Bardet Biedl syndrome Birmingham NEPHROLOGY 6 Cambridge Renal genetic (paediatric) Birmingham CLINICAL GENETICS 4 Bristol Renal genetics Manchester CLINICAL GENETICS 10 Renal (paediatric) NE Thames (GOSH/UCL) CLINICAL GENETICS 10 Sheffield Oxford RGC ≤3 labs offer this test Newcastle RGC >3 labs offer this test London GSTT Glasgow 0 1 2 3 4 Number of tests 66 promoting gene testing www.ukgtn.nhs.uk 67 3.18 Nephrology Paediatric Nephrology tests offered and laboratory providers Adult Adult Nephrology Ab er d Bi ee rm n i Br ngh ist am ol RG Ca C m br i Du d g nd e Ex ee et e Gl r as g Lo ow nd o Lo n G nd O o S Lo n G H nd S on TT Ne wc UCL Ox ast H B f o le R i o c r Sh d R GC hem effi G C W e ld ale sC ar di ff Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Alport 3 Gene Panel Paediatric Nephrology Br ist o Ca l m b Gl rid as ge g Lo ow nd o Lo n G nd O o S Lo n G H nd S o T Ne n U T wc CL Ox ast H B f o le R io c r Sh d R GC hem effi G C el d 3.18 Nephrology Alport 3 Gene Panel Alport Syndrome 5 Gene Panel CFHR5 Nephropathy Cystinosis, Adult Nonnephropathic Cystinosis, Late-Onset Juvenile Or Adolescent Nephropathic Type Alport Syndrome 5 Gene Panel Bardet-Biedl Syndrome 13 Gene Panel Cystinosis, Nephropathic Bartter Syndrome, Type 3 Hemolytic Uremic Syndrome, Atypical, Susceptibility To, 1 CFHR5 Nephropathy Hyperoxaluria, Primary, Type 1 Cystinosis, Adult Nonnephropathic Hyperoxaluria, Primary, Type 2 Cystinosis, Late-Onset Juvenile Or Adolescent Nephropathic Type Hyperoxaluria, Primary, Type 3 Hyperuricemic Nephropathy, Juvenile, and Medullary Cystic Kidney Disease, Familial Nephronophthisis 1 Cystinosis, Nephropathic Cystinuria Gitelman Syndrome Glucocorticoid-Remediable Aldosteronism Nephrotic Syndrome, Type 2 Hemolytic Uremic Syndrome, Atypical, Susceptibility To, 1 Renal Tubular Acidosis, Distal, Autosomal Recessive Hyperoxaluria, Primary, Type 1 Steroid Resistant Nephrotic Syndrome (SRNS) 16 Gene Panel Hyperoxaluria, Primary, Type 2 Hyperoxaluria, Primary, Type 3 Hyperuricemic Nephropathy, Juvenile, and Medullary Cystic Kidney Disease, Familial Hypocalciuric Hypercalcemia, Familial, Type I Hypocalciuric Hypercalcemia, Familial, Type III Liddle Syndrome Monogenic Diabetes 14 Gene Panel Nephronophthisis 1 Nephrotic Syndrome, Type 2 Polycystic Kidney Disease, Autosomal Dominant Polycystic Kidney Disease, Autosomal Recessive Renal Cell Carcinoma, Papillary, 1 Renal Cancer, Familial, 10 Gene Panel Renal Cancer, Familial, 11 Gene Panel Renal Tubular Acidosis, Distal, Autosomal Dominant Renal Tubular Acidosis, Distal, Autosomal Recessive Seizures, Sensorineural Deafness, Ataxia, Mental Retardation, And Electrolyte Imbalance Steroid Resistant Nephrotic Syndrome (SRNS) 16 Gene Panel 68 promoting gene testing www.ukgtn.nhs.uk 69 3.19 Neurology 3.19 Neurology Joint Clinical Genetics/Adult Neurology Clinics Joint Clinics Clinical Genetics Centre Joint Clinics Lead Specialty No. clinics per year Clinical Genetics Centre Lead Specialty No. clinics per year Neurogenetics (Adult) Edinburgh CLINICAL GENETICS/ NEUROLOGY 10 Ataxia/Neurogenetics Oxford NEUROLOGY 12 Neurogenetics Exeter (PGCS) CLINICAL GENETICS 4 CADASIL SW Thames (St Georges) NEUROLOGY 10 Neurogenetics Leicester ADULT NEUROLOGY 3 HD asymptomatic All Wales NEUROLOGY 10 Neurogenetics Manchester CLINICAL GENETICS 10 HD asymptomatic/early management Birmingham NEUROPSYCHIATRY 12 Neurogenetics NE Thames (GOSH/UCL) CLINICAL GENETICS inpat Huntington management /research Cambridge NEUROLOGY 44 Exeter (PGCS) NEUROLOGY 6 North of Scotland (Aberdeen) NEUROLOGY Huntington Disease Neurology, adult, combined (Grampian) Huntington Management Leeds CLINICAL GENETICS / NEUROLOGY 22 Neurogenetics SE Thames (Guys) CLINICAL GENETICS 4-6 Neurogenetics SW Thames (St Georges) CLINICAL GENETICS 10 Huntington Disease Manchester CLINICAL GENETICS 44 Neurology (Adult) Tayside (Dundee) 10 Huntington Disease NE Thames (GOSH/UCL) NEUROLOGY 10 CLINICAL GENETICS/ NEUROLOGY Huntington management (Grampian) North of Scotland (Aberdeen) CLINICAL GENETICS 22 Neurogenetics Wessex CLINICAL GENETICS 10 Neurometabolic Birmingham NEUROLOGY 24 Huntington management (Highland) North of Scotland (Aberdeen) CLINICAL GENETICS 6 Neuromuscular Genetic Edinburgh CLINICAL GENETICS/ NEUROLOGY 10 Huntington Disease SE Thames (Guys) CLINICAL GENETICS 10 Neuromuscular genetics Exeter (PGCS) CLINICAL GENETICS 1-2 Huntington Disease research SW Thames (St Georges) CLINICAL GENETICS 10 Neuromuscular Oxford NEUROLOGY 10 Huntington Disease Wessex CLINICAL GENETICS 4-5 Neuromuscular/Ventilation All Wales RESPIRATORY 4 Learning Disability (Adult) Tayside (Dundee) CLINICAL GENETICS / LEARNING DISABILITY 3 Neurovascular Genetics (mainly CADASIL) West of Scotland NEUROLOGY (Stroke) 10 Mitochondrial Oxford CLINICAL GENETICS 10 Wolfram syndrome Birmingham NEUROLOGY 4 Movement disorder Belfast CLINICAL GENETICS / NEUROLOGY 4 Muscle Belfast NEUROLOGY 22 Muscle (Grampian) North of Scotland (Aberdeen) NEUROLOGY 2 Muscle genetics (Adult) West of Scotland CLINICAL GENETICS 9 Neurofibromatosis (NF1) Oxford CLINICAL GENETICS 24 Neurofibromatosis (NF1) craniofacial Oxford NEUROLOGY 2 Neurogenetics Birmingham CLINICAL GENETICS 6 Neurogenetics Cambridge CLINICAL GENETICS 10 Neurogenetics Cardiff CLINICAL GENETICS 3-4 70 promoting gene testing www.ukgtn.nhs.uk 2 71 3.19 Neurology 3.19 Neurology Joint Clinical Genetics/Paediatric Neurology Clinics Joint Clinics Clinical Genetics Centre Lead Specialty Laboratories offering tests for neurology No. clinics per year Epilepsy Genetics West of Scotland PAEDIATRIC NEUROLOGY 4 Juvenile HD Sheffield CLINICAL GENETICS 2 Neuromuscular Birmingham NEUROLOGY 6 Neuromuscular Oswestry (RJAH) NEUROLOGY 2 Neuromuscular genetics (paediatric) Cardiff CLINICAL GENETICS Neuromuscular genetics/EDS NW Thames (Northwick Park) PAEDIATRIC NEUROLOGY 4 Paediatric muscle West of Scotland PAEDIATRIC NEUROLOGY 5 Paediatric Neurodisability Northern CLINICAL GENETICS 10 Paediatric Neurogenetics Edinburgh CLINICAL GENETICS/ NEUROLOGY 4 Paediatric neurology / genetics (Grampian) North of Scotland (Aberdeen) PAEDIATRIC NEUROLOGY 2 Paediatric neurology (Highland) North of Scotland (Aberdeen) PAEDIATRIC NEUROLOGY 2 Paediatric Neurology Northern CLINICAL GENETICS 4 Paediatric Neurology NW Thames (Northwick Park) PAEDIATRIC NEUROLOGY 4 Paediatric Neurology Tayside (Dundee) CLINICAL GENETICS/ NEUROLOGY 10 Paediatric neurology genetics West of Scotland PAEDIATRIC NEUROLOGY 44 Rett Cardiff CLINICAL GENETICS 4-6 Rett Manchester CLINICAL GENETICS 2 Rett All Wales CLINICAL GENETICS 3 72 3-4 promoting gene testing Adult Neurology London ION Sheffield Oxford RGC Bristol Birmingham RGC Wales Cardiff London GSTS Liverpool London GOSH Cambridge Exeter Birmingham IMD Aberdeen Glasgow Newcastle RGC Salisbury Leeds Newcastle Mito Edinburgh Manchester Dundee London KGC Nottingham London St Georges Belfast ≤3 labs offer this test >3 labs offer this test 0 10 20 30 40 50 Number of tests www.ukgtn.nhs.uk 73 3.19 Neurology 3.19 Neurology Neurology tests offered and laboratory providers Paediatric Neurology Adult A-C London ION Sheffield Neurology Oxford RGC d Sa RG l is C bu Sh ry effi e W ld al es Ca rd iff Wales Cardiff Ab er d Be ee lfa n Bi st rm i Bi ngh rm am in Br gh I M ist am D o RG Ca l C m br Du i d nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n I nd ON o Lo n G nd O o S Lo n K H nd G on C Lo nd GS o T M nS T an t ch Ge Ne es or wc ter ge s Ne ast wc le M a No st ito tti le R Ox ngh GC fo r am Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Adrenoleukodystrophy London GSTT Alexander Disease Alzheimer Disease 1, Familial London GOSH Alzheimer Disease 3 Bristol Amyloidosis, Hereditary, Transthyretin-Related Amyotrophic Lateral Sclerosis / Frontotemporal Dementia 22 Gene Panel Amyotrophic Lateral Sclerosis 1 Exeter Manchester Liverpool Amyotrophic Lateral Sclerosis 6 and 10 Ataxia, Hereditary, 37 Gene Panel Cambridge Ataxias, Inherited, 57 Gene Panel Birmingham IMD Brain Channelopathy 11 Gene Panel Glasgow ≤3 labs offer this test Newcastle RGC >3 labs offer this test Salisbury Brown-Vialetto-Van Laere Syndrome Cerebral Arteriopathy, Autosomal Dominant, With Subcortical Infarcts And Leukoencephalopathy Cerebral Cavernous Malformations Ceroid Lipofuscinosis, Neuronal 5, 6, 7 and 8 Birmingham RGC Ceroid Lipofuscinosis, Neuronal, 1 Aberdeen Ceroid Lipofuscinosis, Neuronal, 2 London KGC Ceroid Lipofuscinosis, Neuronal, 3 Charcot Marie Tooth Disease, Type 4C Newcastle Mito Charcot-Marie-Tooth Disease, Axonal, Type 2A2 Leeds Charcot-Marie-Tooth Disease, Axonal, Type 2B Dundee Charcot-Marie-Tooth Disease, Axonal, Type 2B1 Belfast Charcot-Marie-Tooth Disease, Axonal, Type 2E Charcot-Marie-Tooth Disease, Axonal, Type 2K Nottingham Charcot-Marie-Tooth Disease, Demyelinating, Type 1A London St Georges Charcot-Marie-Tooth Disease, Demyelinating, Type 1B Charcot-Marie-Tooth Disease, Demyelinating, Type 1C Edinburgh Charcot-Marie-Tooth Disease, Demyelinating, Type 1D 0 5 10 15 20 25 30 Charcot-Marie-Tooth Disease, Demyelinating, Type 1F Number of tests Charcot-Marie-Tooth Disease, Type 4A Charcot-Marie-Tooth Disease, X-Linked Dominant, 1 Charcot-Marie-Tooth Hereditary Neuropathy 54 Gene Panel Collagen VI Related Myopathy 3 Gene Panel 74 promoting gene testing www.ukgtn.nhs.uk 75 Neurology Dementia 16 Gene Panel Insensitivity To Pain, Congenital, With Anhidrosis Dentatorubral-Pallidoluysian Atrophy Insensitvity to Pain, Congenital Diabetes-Deafness Syndrome, Maternally Transmitted Dravet Syndrome Kearns-Sayre Syndrome Learning Disability, Developmental Delay, Congenital Anomalies (First Line) Learning Disability, Developmental Delay, Congenital Anomalies (Second Line) Leber Optic Atrophy And Dystonia Dystonia 1, Torsion, Autosomal Dominant Dystonia 28 Gene Panel Dystonia, Dopa-Responsive Emery-Dreifuss Muscular Dystrophy 1, X-Linked Machado-Joseph Disease Emery-Dreifuss Muscular Dystrophy 2, Autosomal Dominant Epilepsy 53 Gene Panel Malignant Hyperthermia Susceptibility 1 and 5 Menkes Disease Epilepsy, Pyridoxine-Dependent Migraine, Familial Hemiplegic, 1 Epileptic Encephalopathy, Early Infantile, 1 Mitochondrial Genome 37 Gene Panel Epileptic Encephalopathy, Early Infantile, 2 Mitochondrial DNA Depletion 13 Gene Panel Mitochondrial DNA Depletion Syndrome 3 (Hepatocerebral Type) Mitochondrial DNA Depletion Syndrome 4a (Alpers Type) Mitochondrial Myopathy Sa RG l is C bu Sh ry effi e W ld al es Ca rd iff Adult I-M Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m b Du r i d g nd e Ed ee in b Ex urg et h e Gl r as go Le w ed s Liv er p Lo oo nd l o Lo n I nd ON on Lo nd GO o S Lo n K H nd G o C Lo n G nd S on TT M an St c G Ne hes eor wc ter ge s Ne ast wc le M No ast ito tti le R Ox ngh GC fo rd am Neurology d Sa RG l is C bu Sh ry effi e W ld al es Ca rd iff Adult D-H 3.19 Neurology Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m b Du rid nd ge Ed ee in b Ex urg et h e Gl r as go Le w ed s Liv er p Lo oo nd l o Lo n I nd ON on Lo nd GO o S Lo n K H nd G o C Lo n G nd S on TT M an St c G Ne hes eor wc ter ge s Ne ast wc le M No ast ito tti le R Ox ngh GC fo r am 3.19 Neurology Metachromatic Leukodystrophy Epileptic Encephalopathy, Early Infantile, 4 Epileptic Encephalopathy, Early Infantile, 9 Episodic Ataxia, Type 1 Episodic Ataxia, Type 2 Facioscapulohumeral Muscular Dystrophy 1A Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, And Stroke-Like Episodes Muscular Dystrophy, Becker Type Facioscapulohumeral Muscular Dystrophy 2 Fatty Acid Oxidation/Ketogenesis disorders 20 gene panel Fatty Acid Oxidation/Ketolysis disorders 2 gene panel Muscle Channelopathy 4 Gene Panel Muscular Dystrophy, Congenital, 31 Gene Panel Test Friedreich Ataxia 1 Muscular Dystrophy, Limb-Girdle, Type 1B Frontotemporal Dementia Frontotemporal Dementia And/Or Amyotrophic Lateral Sclerosis Frontotemporal Lobar Degeneration With TDP43 Inclusions, Grn-Related Muscular Dystrophy-Dystroglycanopathy (limbGirdle), Type C, 5 Myasthenia, Limb-Girdle, Familial Generalised Epilepsy with Febrile Seizures Plus, including Familial Seizures, Childhood Absence Epilepsy Glycogen Storage Disease 18 Gene Panel Myasthenic Syndrome, Congenital, Associated With Acetylcholine Receptor Deficiency Myasthenic Syndrome, Congenital, Associated With Episodic Apnea Myasthenic Syndrome, Congenital, Fast-Channel Glycogen Storage Disease Ia Myasthenic Syndrome, Congenital, Slow-Channel Glycogen Storage Disease Ib and Ic Myasthenic Syndrome, Congenital, With Tubular Aggregates 1 Myoclonic Dystonia Myasthenia, Limb-Girdle, With Tubular Aggregates Type 2 And Congenital Disorder Of Glycosylation, Type Ij Glut1 Deficiency Syndrome 1 Glycogen Storage Disease (GSD) 32 Gene Panel Glycogen Storage Disease II Glycogen Storage Disease V Myoclonic Epilepsy Associated With Ragged-Red Fibers Hemiplegic Migraine 6 Gene Panel Myoclonic Epilepsy Of Unverricht And Lundborg Hereditary Distal Neuropathy, Autosomal Dominant Hereditary Motor and Sensory Neuropathy 50 Gene Panel Hereditary Spastic Paraplegia 20 Gene Panel Myopathy, Congenital 22 Gene Panel Myotonic Dystrophy 1 Myotonic Dystrophy 2 Hereditary Spastic Paraplegia 40 Gene Panel Heterotopia, Periventricular, X-Linked Dominant Huntington Disease Huntington Disease-Like 2 Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test Hyperekplexia, Hereditary Hyperkalemic Periodic Paralysis Hypertrophic Neuropathy Of Dejerine-Sottas Hypokalemic Periodic Paralysis, Type 1 76 promoting gene testing www.ukgtn.nhs.uk 77 Paediatric A-D Paediatric Neurology Neurodegeneration With Brain Iron Accumulation 1 Adrenoleukodystrophy Neurodegeneration With Brain Iron Accumulation 2A Alexander Disease Neurodegeneration With Brain Iron Accumulation 3 Neurofibromatosis, Schwannomas and Café Au Lait 5 Gene Panel Neurofibromatosis, Type I Allan-Herndon-Dudley Syndrome Amyotrophic Lateral Sclerosis / Frontotemporal Dementia 22 Gene Panel Angelman Syndrome Ab er d Be ee lfa n Bi st rm i Bi ngh rm am in Br gh I M ist am D o RG Ca l C m br Du id nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd O o n SH Lo nd KG o C Lo n G nd S o T M nS T an t ch Ge Ne es or wc ter ge s Ne ast wc le M a i No st to tti le R n Ox gh GC fo am rd Sa R lis G C b Sh u r y effi W e ld ale sC ar di ff Neurology d Sa RG l is C bu Sh ry effi e W ld al es Ca rd iff Adult N-Z 3.19 Neurology Ab er d Be ee lfa n Bi st rm i Bi ngh rm am in Br gh I M ist am D o RG Ca l C m b Du rid nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n I nd ON on Lo nd GO o S Lo n K H nd G on C Lo nd GS o T M nS T an t ch Ge Ne es or wc ter ge s Ne ast wc le M No ast ito tti le R Ox ngh GC fo r am 3.19 Neurology Ataxia, Hereditary, 37 Gene Panel Neurofibromatosis, Type II Ataxias, Inherited, 57 Gene Panel Neuropathy, Ataxia, And Retinitis Pigmentosa Neuropathy, Congenital Hypomyelinating Ataxia-Telangiectasia (Cytogenetic Laboratory Test) Neuropathy, Hereditary Sensory & Autonomic, Type IA Neuropathy, Hereditary Sensory & Autonomic, Type III Neuropathy, Hereditary Sensory & Autonomic, Type V Bannayan-Riley-Ruvalcaba Syndrome Athabaskan Brainstem Dysgenesis Syndrome Baraitser-Winter Syndrome Neuropathy, Hereditary, With Liability To Pressure Palsies Oculopharyngeal Muscular Dystrophy Brain Channelopathy 11 Gene Panel Canavan Disease Cerebral Malformation Disorders 8 Gene Panel Pallister-Hall Syndrome Ceroid Lipofuscinosis, Neuronal 5, 6, 7 and 8 Parkinson Disease 6 Gene Panel Ceroid Lipofuscinosis, Neuronal, 1 Parkinson Disease 6 and 7 Ceroid Lipofuscinosis, Neuronal, 2 Parkinson Disease 8, Autosomal Dominant Ceroid Lipofuscinosis, Neuronal, 3 Paroxysmal Kinesigenic Dyskinesia and Benign Familial Infantile convulsions With or Without Choreoathetosis, Familial Peroxisome Disorders 24 Gene Panel Test Charcot-Marie-Tooth Disease, Axonal, Type 2B Charcot-Marie-Tooth Disease, Axonal, Type 2B1 Charcot-Marie-Tooth Disease, Axonal, Type 2K Perry syndrome Charcot-Marie-Tooth Disease, Demyelinating, Type 1A Polymicrogyria, Bilateral Frontoparietal Charcot-Marie-Tooth Disease, Demyelinating, Type 1B Polymicrogyria, Symmetric Or Asymmetric Charcot-Marie-Tooth Disease, Demyelinating, Type 1C Porencephaly Charcot-Marie-Tooth Disease, Demyelinating, Type 1D Porencephaly, Familial, 2 Gene Panel Progressive External Ophthalmoplegia With Mitochondrial DNA Deletions Progressive External Ophthalmoplegia with Mitochondrial DNA Deletions 13 Gene Panel Rhabdomyolysis/Metabolic Myopathies 30 gene panel Schwannomatosis Charcot-Marie-Tooth Disease, Demyelinating, Type 1F Charcot-Marie-Tooth Disease, Type 4A Charcot-Marie-Tooth Disease, X-Linked Dominant, 1 Charcot-Marie-Tooth Hereditary Neuropathy 54 Gene Panel Cockayne Syndrome Congenital Muscular Dystrophy 31 Gene Panel Test Dravet Syndrome Spastic Paraplegia 3, Autosomal Dominant Spastic Paraplegia 31, Autosomal Dominant Dystonia 28 Gene Panel Spastic Paraplegia 4, Autosomal Dominant Dystonia, Dopa-Responsive Spinal And Bulbar Muscular Atrophy, X-Linked 1 Spinocerebellar Ataxia 1 Spinocerebellar Ataxia 12 Spinocerebellar Ataxia 17 Spinocerebellar Ataxia 2 Spinocerebellar Ataxia 6 Spinocerebellar Ataxia 7 Telangiectasia, Hereditary Hemorrhagic, Of Rendu, Osler, And Weber Telangiectasia, Hereditary Hemorrhagic, Type 2 78 promoting gene testing www.ukgtn.nhs.uk 79 Paediatric Neurology Paediatric I-M Paediatric Neurology Emery-Dreifuss Muscular Dystrophy 1, X-Linked Leber Optic Atrophy And Dystonia Emery-Dreifuss Muscular Dystrophy 2, Autosomal Dominant Epilepsy 53 Gene Panel Leigh Syndrome Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m br Du i d nd ge Ed ee in b Ex urg et h e Gl r as go Le w ed s Liv er po Lo o nd l o Lo n I nd ON on Lo nd GO o S Lo n K H nd G on C Lo nd GS o T M nS T an t ch Ge Ne es or wc ter ge s Ne ast wc le M a i No st to tti le R n Ox gh GC fo am r Sa d R lis G C b Sh u r y effi W e ld ale sC ar di ff Paediatric E-K 3.19 Neurology Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m b Du rid nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n I nd ON o Lo n G nd O o n SH Lo nd KG o C Lo n G nd S o T M nS T an t ch Ge Ne es or wc ter ge s Ne ast wc le M a No st ito tti le R n Ox gh GC fo am rd Sa R li s G C b Sh u r y effi W e ld ale sC ar di ff 3.19 Neurology Lesch-Nyhan Syndrome Lissencephaly 1 Epilepsy, Pyridoxine-Dependent Lissencephaly 3 Epileptic Encephalopathy, Early Infantile (EIEE) 67 Gene Panel Epileptic Encephalopathy, Early Infantile, 1 Lissencephaly, X-Linked, 1 Lissencephaly, X-Linked, 2 Liver Failure, Infantile, Transient Epileptic Encephalopathy, Early Infantile, 2 Menkes Disease Epileptic Encephalopathy, Early Infantile, 4 Episodic Ataxia, Type 1 Mental Retardation, X-Linked, Associated With Fragile Site Fraxe Metachromatic Leukodystrophy Episodic Ataxia, Type 2 Microcephaly 1, Primary, Autosomal Recessive Eye Movement Disorders 8 Gene Panel Test Microcephaly 2, Primary, Autosomal Recessive, With Or Without Cortical Malformations Microcephaly 5, Primary, Autosomal Recessive Epileptic Encephalopathy, Early Infantile, 9 Facioscapulohumeral Muscular Dystrophy 1A Fibrosis Of Extraocular Muscles, Congenital, 1 Migraine, Familial Hemiplegic, 1 Fibrosis of Extraocular Muscles, Congenital, 2 Mitochondrial Genome 37 Gene Panel Fibrosis Of Extraocular Muscles, Congenital, 3A, With Or Without Extraocular Involvement Fragile X Mental Retardation Syndrome Mitochondrial DNA Depletion 13 Gene Panel Mitochondrial DNA Depletion Syndrome 3 (Hepatocerebral Type) Mitochondrial DNA Depletion Syndrome 4a (Alpers Type) Mitochondrial Myopathy Friedreich Ataxia 1 Generalised Epilepsy with Febrile Seizures Plus, including Familial Seizures, Childhood Absence Epilepsy Glut1 Deficiency Syndrome 1 Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, And Stroke-Like Episodes Mucopolysaccharidosis Type II Glutaric Acidemia I Glycine Encephalopathy Mucopolysaccharidosis Type IIIA Glycogen Storage Disease (GSD) 32 Gene Panel Mucopolysaccharidosis Type IIIB Glycogen Storage Disease 18 Gene Panel Mucopolysaccharidosis Type IVA Glycogen Storage Disease Ia Muscle Channelopathy 4 Gene Panel Glycogen Storage Disease Ib and Ic Muscular Dystrophy, Becker Type Glycogen Storage Disease II Muscular Dystrophy, Congenital, 31 Gene Panel Test Glycogen Storage Disease V Muscular Dystrophy, Duchenne Type Hemiplegic Migraine 6 Gene Panel Muscular Dystrophy, Limb-Girdle, Type 1B Hereditary Distal Neuropathy, Autosomal Dominant Muscular Dystrophy-Dystroglycanopathy (limbGirdle), Type C, 5 Myasthenia, Limb-Girdle, Familial Myasthenia, Limb-Girdle, With Tubular Aggregates Type 2 And Congenital Disorder Of Glycosylation, Type Ij Myasthenic Syndrome, Congenital, Associated With Acetylcholine Receptor Deficiency Myasthenic Syndrome, Congenital, Associated With Episodic Apnea Myasthenic Syndrome, Congenital, Fast-Channel Hereditary Motor and Sensory Neuropathy 50 Gene Panel Hereditary Spastic Paraplegia 20 Gene Panel Hereditary Spastic Paraplegia 40 Gene Panel Heterotopia, Periventricular, X-Linked Dominant Homocystinuria Due To Cystathionine Beta-Synthase Deficiency Hurler-Scheie Syndrome Hydrocephalus Due To Congenital Stenosis Of Aqueduct Of Sylvius Hyperekplexia, Hereditary Hyperkalemic Periodic Paralysis Myasthenic Syndrome, Congenital, Slow-Channel Myasthenic Syndrome, Congenital, With Tubular Aggregates 1 Hypokalemic Periodic Paralysis, Type 1 Myoclonic Epilepsy Associated With Ragged-Red Fibers Insensitivity To Pain, Congenital, With Anhidrosis Myoclonic Epilepsy Of Unverricht And Lundborg Insensitvity to Pain, Congenital Myopathy, Congenital 22 Gene Panel Kearns-Sayre Syndrome Myotonic Dystrophy 1 Krabbe Disease 80 promoting gene testing www.ukgtn.nhs.uk 81 3.20 Obstetrics & Fetal Medicine Paediatric N-Z Paediatric Neurology Ab er d Be ee lfa n Bi st rm i Bi ngh rm am i Br ngh I M ist am D o RG Ca l C m br Du id nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd O o S Lo n K H nd G o C Lo n G nd S o T M nS T an t ch Ge Ne es or wc ter ge s Ne ast wc le M a No st ito tti le R n Ox gh GC fo am rd Sa R lis G C b Sh u r y effi W e ld ale sC ar di ff 3.19 Neurology Joint Clinical Genetics/Fetal Medicine Clinics Joint Clinics Neurodegeneration With Brain Iron Accumulation 1 Neurodegeneration With Brain Iron Accumulation 2A Neurodegeneration With Brain Iron Accumulation 3 Neuropathy, Ataxia, And Retinitis Pigmentosa Neuropathy, Hereditary Sensory & Autonomic, Type V Niemann-Pick Disease Type C1 and C2 Nijmegen Breakage Syndrome (Cytogenetic Laboratory Test) Parkinson Disease 2, Autosomal Recessive Juvenile Paroxysmal Kinesigenic Dyskinesia and Benign Familial Infantile convulsions With or Without Choreoathetosis, Familial Partington X-Linked Mental Retardation Syndrome Pelizaeus-Merzbacher Disease Polymicrogyria, Bilateral Frontoparietal OBSTETRICS 22 Antenatal North of Scotland (Aberdeen) OBSTETRICS 10 Fetal Assessment Northern CLINICAL GENETICS/ OBSTETRICS 44 Fetal Medicine Belfast OBSTETRICS (Fetal Medicine) 44 Fetal medicine / genetics Birmingham OBSTETRICS (Fetal Medicine) 10 Fetal medicine Cambridge CLINICAL GENETICS 44 Fetal Medicine Edinburgh CLINICAL GENETICS/ OBSTETRICS 44 Fetal Medicine Edinburgh CLINICAL GENETICS/ OBSTETRICS 44 Fetal Medicine SE Thames (Guys) CLINICAL GENETICS 44 Fetal Medicine Wessex FETAL MEDICINE Perinatal Mortality Group Tayside (Dundee) CLINICAL GENETICS 10 PGD Exeter (PGCS) CLINICAL GENETICS/ FERTILITY 12 PGD Leeds FERTILITY TEAM 10 PGD Sheffield CLINICAL GENETICS 44 PGD West of Scotland GYNAECOLOGY 22 Postnatal loss North of Scotland (Aberdeen) OBSTETRICS 10 Pregnancy Group Tayside (Dundee) CLINICAL GENETICS 3 Prenatal Exeter (PGCS) CLINICAL GENETICS/FETAL MEDICINE Prenatal Leeds CLINICAL GENETICS / NEONATOLOGY 44 Prenatal Leicester CLINICAL GENETICS 52 Prenatal SW Thames (St Georges) CLINICAL GENETICS 52 Prenatal West of Scotland OBSTETRICS (Fetal Medicine) 44 Polymicrogyria, Symmetric Or Asymmetric Pontocerebellar Hypoplasia 12 Gene Panel Test Porencephaly Porencephaly, Familial, 2 Gene Panel Prader-Willi Syndrome Progressive External Ophthalmoplegia With Mitochondrial DNA Deletions Progressive External Ophthalmoplegia with Mitochondrial DNA Deletions 13 Gene Panel Rett Syndrome Rett Syndrome, Congenital Variant Rigid Spine Muscular Dystrophy 1 Sandhoff Disease Segawa Syndrome, Autosomal Recessive Seizures, Benign Familial Neonatal, 1 Spastic Paraplegia 3, Autosomal Dominant Spastic Paraplegia 31, Autosomal Dominant Spastic Paraplegia 4, Autosomal Dominant Spinal Muscular Atrophy, Type II Spinal Muscular Atrophy, Type III Tay-Sachs Disease Vici Syndrome 82 promoting gene testing No. clinics per year North of Scotland (Aberdeen) Neuropathy, Congenital Hypomyelinating Neuropathy, Hereditary Sensory & Autonomic, Type III Lead Specialty Antenatal haematology / genetics Neurofibromatosis, Type I Neurofibromatosis, Type II Clinical Genetics Centre www.ukgtn.nhs.uk As required Ad hoc ~6 83 3.20 Obstetrics & Fetal Medicine Clinical Genetics Centre Lead Specialty No. clinics per year Pre-pregnancy Epilepsy North of Scotland (Aberdeen) OBSTETRICS 10 Neurogenetics Cambridge CLINICAL GENETICS 10 Neurogenetics Cardiff CLINICAL GENETICS 3-4 Laboratories offering tests for obstetrics & fetal medicine Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics There are other disorders that Obstetric & Fetal Medicine teams may request in consultation with clinical genetics e.g. cystic fibrosis and fragile X Metal Retardation syndrome Obstetrics/Fetal Medicine Achondrogenesis, Type II Achondroplasia Adrenal Hyperplasia, Congenital, Due To 21-Hydroxylase Deficiency (NIPD) Antley-Bixler Syndrome With Genital Anomalies And Disordered Steroidogenesis Antley-Bixler Syndrome Without Genital Anomalies Or Disordered Steroidogenesis Apert Syndrome Obstetrics and Fetal Medicine Oxford RGC London GOSH London GSTT Manchester London St Georges Cambridge Bristol Oxford Haem London King's Haem Birmingham RGC Salisbury Sheffield Liverpool London UCLH Haem Edinburgh Wales Cardiff Nottingham Newcastle RGC London KGC Glasgow Aberdeen Obstetrics & fetal medicine tests offered and laboratory providers Ab er d Bi ee rm n in Br gh ist am o RG Ca l C m b Ed rid in ge b Gl urg as h g Liv ow er p Lo oo nd l o Lo n K n d in on g's Lo nd GO Ha e o S Lo n K H m nd G on C Lo nd GS o T Lo n S T nd t G on e M o an UC rge L c s Ne hes H H wc ter a e m No ast tti le R ng G Ox h C fo am r Ox d H fo ae m r Sa d R l is G C bu Sh r y effi W e ld ale sC ar di ff Joint Clinics 3.20 Obstetrics & Fetal Medicine Apert Syndrome (NIPD) Beckwith-Wiedemann Syndrome Beta Thalassemia, Dominant Inclusion Body Type Beta-Thalassemia Brachydactyly, Type B1 Brachydactyly, Type D Brachydactyly, Type E1 Cystic Fibrosis (NIPD) FGFR3-Related Skeletal Dysplasias Panel Test (NIPD) ≤3 labs offer this test >3 labs offer this test Fragile X Mental Retardation Syndrome Fumarase Deficiency Hypochondroplasia Noonan Spectrum Disorders 12 Gene Panel Spondyloepiphyseal Dysplasia Congenita and Kniest Dysplasia Thanatophoric Dysplasia X-Linked Conditions excluding Haemophilia (NIPD) Sex Determination For X-Linked Conditions For Disorders That Manifest Significantly Different In One Sex Compared To The Other 0 2 4 6 8 10 12 Number of tests 84 promoting gene testing www.ukgtn.nhs.uk 85 3.21 Ophthalmology 3.21 Ophthalmology Joint Clinical Genetics/Adult Ophthalmology Clinics Joint Clinics Clinical Genetics Centre Eye Bristol Eye (joint) Cardiff Eye genetic (Adult) Eye Genetics Edinburgh Leicester Lead Specialty MEDICAL OPHTHALMOLOGY Laboratories offering tests for ophthalmology No. clinics per year Adult Ophthalmology 10 Manchester 4-6 Cambridge Salisbury Sheffield CLINICAL GENETICS/ MEDICAL OPHTHALMOLOGY 10-20 MEDICAL OPHTHALMOLOGY 4 Wales Cardiff Oxford RGC Leeds Nottingham Birmingham IMD ≤3 labs offer this test London ION Ophthalmic Genetic Birmingham CLINICAL GENETICS 33 Ophthalmic Genetics Exeter (PGCS) CLINICAL GENETICS/ OPHTHALMOLOGY 4 >3 labs offer this test Newcastle Mito London GSTS London Rb London GOSH Ophthalmic genetic (adult) Manchester CLINICAL GENETICS 33 Exeter Ophthalmology and Genetics SE Thames (Guys) CLINICAL GENETICS 10 Liverpool Opthalmology (joint) Tayside (Dundee) CLINICAL GENETICS/ MEDICAL OPHTHALMOLOGY 10 Bristol 0 1 2 3 4 5 6 7 8 9 Number of tests Ophthalmology Genetics Wessex MEDICAL OPHTHALMOLOGY 10 Retinoblastoma BCH Birmingham OPHTHALMOLOGY 44 Joint Clinical Genetics/Paediatric Ophthalmology Clinics Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Paediatric Eye genetic Edinburgh CLINICAL GENETICS/MEDICAL OPHTHALMOLOGY 6 Paediatric Eye genetic Leeds PAEDIATRIC OPHTHALMOLOGY 10 Paediatric Ophthalmic genetics Manchester CLINICAL GENETICS 44 Paediatric Eye genetic Sheffield MEDICAL OPHTHALMOLOGY 10 Retinoblastoma Birmingham PAEDIATRIC OPHTHALMOLOGY 44 86 promoting gene testing www.ukgtn.nhs.uk 87 3.21 Ophthalmology 3.21 Ophthalmology Ophthalmology tests offered and laboratory providers Paediatric Ophthalmology Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Manchester Exeter Oxford RGC Adult Ophthalmology Nottingham Alport 3 Gene Panel London ION Aniridia Bi rm i Br ngh ist am ol IM Ca D m br Ex id et ge e Le r ed s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd O o S Lo n R H nd b o M nG an S ch TT Ne es wc ter No ast tti le M n Ox gh ito fo am rd Sa R lis G C b Sh u r y effi W e ld ale sC ar di ff Adult Salisbury Axenfeld-Rieger Syndrome London Rb Bardet-Biedl Syndrome 13 Gene Panel London GOSH Leeds Bestrophinopathy ≤3 labs offer this test Blepharophimosis, Ptosis, And Epicanthus Inversus >3 labs offer this test Cataract, Congenital 113 Gene Panel Cambridge Choroideremia Connective Tissue Disorders – Familial Thoracic Aortic Aneurysms 10 Gene Panel Exudative Vitreoretinopathy Bristol Wales Cardiff Eye Movement Disorders 8 Gene Panel Test Sheffield Fundus Dystrophy, Pseudoinflammatory, Of Sorsby Liverpool Glaucoma 1, Open Angle, A Leber Optic Atrophy Birmingham IMD Leber Optic Atrophy And Dystonia 0 1 2 3 4 5 Microphthalmia, Syndromic 3 6 Microphthalmia, Syndromic 5 Number of tests Microphthalmia, Syndromic 6 Mitochondrial Genome 37 Gene Panel Nystagmus 1, Congenital, X-Linked Optic Atrophy 1 Retinal Degeneration 105 Gene Panel Retinal Degeneration 55 Gene Panel Retinitis Pigmentosa Retinoblastoma Retinoschisis 1, X-Linked, Juvenile Stickler 8 Gene Panel Stickler Syndrome Type III and related conditions Stickler Syndrome, Type I Stickler Syndrome, Type II Wagner Syndrome 1 88 promoting gene testing www.ukgtn.nhs.uk 89 3.22 Orthopaedics 3.21 Ophthalmology Paediatric Bi rm i Br ngh ist am ol IM Ca D m br Ex id et ge e Le r ed s Liv er p Lo oo nd l o Lo n I nd ON o Lo n G nd O o n SH M an Rb c No hes tti ter n Ox gh fo am rd Sa R li s G C b Sh u r y effi W e ld ale sC ar di ff Paediatric Ophthalmology Joint Clinical Genetics/Orthopaedics Clinics Aniridia Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Arthrogryposis Birmingham TRAUMA & ORTHOPAEDICS 8 Arthrogryposis Oswestry (RJAH) ORTHOPAEDICS 2 Arthrygryposis MDT West of Scotland PAEDIATRIC TRAUMA AND ORTHOPAEDICS 4 Bone genetics NW Thames (Northwick Park) PAEDIATRICS 2 Hereditary Multiple Exostoses Northern CLINICAL GENETICS 4 Orthopaedic Wessex CLINICAL GENETICS 3 Kearns Sayre syndrome Orthopaedic (Oswestery) Cardiff TRAUMA & ORTHOPAEDICS 2-4 Leber Optic Atrophy Skeletal Dysplasia (Oswestry) Birmingham PAEDIATRIC TRAUMA AND ORTHOPAEDICS 4 Skeletal dysplasia Bristol Skeletal Dysplasia Exeter (PGCS) CLINICAL GENETICS/ PAEDIATRIC ORTHOPAEDICS 2 Skeletal Dysplasia Leicester TRAUMA & ORTHOPAEDICS 2 Skeletal Dysplasia Manchester GENOMIC MEDICINE 3 Skeletal Dysplasia Northern CLINICAL GENETICS 10 Skeletal Dysplasia (Middlesbrough) Northern CLINICAL GENETICS 6 Skeletal Dysplasia Nottingham TRAUMA & ORTHOPAEDICS 6 Skeletal Dysplasia Oxford RHEUMATOLOGY 10 Skeletal Dysplasia Service SE Thames (Guys) CLINICAL GENETICS 4 Skeletal dysplasia Sheffield TRAUMA & ORTHOPAEDICS 4 Skeletal dysplasia Stoke (UHNS) ORTHOPAEDICS 4 Upper limb Birmingham PLASTICS Axenfeld-Rieger Syndrome Bestrophinopathy Blepharophimosis, Ptosis, And Epicanthus Inversus Cataract, Congenital 113 Gene Panel Exudative Vitreoretinopathy Fibrosis Of Extraocular Muscles, Congenital, 1 Fibrosis of Extraocular Muscles, Congenital, 2 Fibrosis Of Extraocular Muscles, Congenital, 3A, With Or Without Extraocular Involvement Glaucoma 3, Primary Congenital, A Norrie Disease Nystagmus 1, Congenital, X-Linked Retinoblastoma Retinoschisis 1, X-Linked, Juvenile 90 promoting gene testing www.ukgtn.nhs.uk 10 91 3.23 Paediatrics 3.23 Paediatrics Joint Clinical Genetics/Paediatric Clinics Joint Clinics Clinics funded as part of a Highly Specialised Service are highlighted in yellow Joint Clinics Clinical Genetics Centre Lead Specialty No. clinics per year Clinical Genetics Centre Lead Specialty No. clinics per year Neurofibromatosis (NF1) Manchester CLINICAL GENETICS 104-156 Neurofibromatosis (NF1) SE Thames (Guys) NEUROLOGY 10 Neurofibromatosis (NF1) Sheffield PAEDIATRICS 4 Neurofibromatosis (NF1) Tayside (Dundee) CLINICAL GENETICS/ GENERAL SURGERY 5-6 Neurofibromatosis (NF1)/Tuberous sclerosis Belfast CLINICAL GENETICS 10 Neurofibromatosis type 2 (NF2) Birmingham PAEDIATRIC EAR NOSE AND THROAT 3 Osteogenesis imperfecta and metabolic bone disorders Birmingham PAEDIATRIC ENDOCRINOLOGY 2 Osteogenesis imperfecta Sheffield PAEDIATRICS 10 Osteogenesis imperfecta Northern (with Sheffield) CLINICAL GENETICS 2 Osteogenesis imperfecta Bristol Tuberous sclerosis All Wales CLINICAL GENETICS 20 22q Cambridge CLINICAL GENETICS 2 22q11 All Wales IMMUNOLOGY 4 Alstrom Birmingham PAEDIATRIC ENDOCRINOLOGY 4 Bardet Biedl syndrome Birmingham PAEDIATRIC ENDOCRINOLOGY 7 Barth Bristol Cardiac genetics paediatric (Grampian) North of Scotland (Aberdeen) CLINICAL GENETICS 1 Child development centre West of Scotland CLINICAL GENETICS 22 Child development centre dysmorphology Nottingham COMMUNITY PAEDIATRICS 6 Children’s deafness Birmingham CLINICAL GENETICS 4 Tuberous sclerosis Cambridge PAEDIATRICS/NEUROLOGY 4 Community child health genetics Wessex COMMUNITY PAEDIATRICS 4 Tuberous sclerosis Manchester GENOMIC MEDICINE 4 Congenital upper limb abnormalities Birmingham PAEDIATRIC PLASTIC SURGERY 6 Tuberous sclerosis SW Thames (St Georges) CLINICAL GENETICS 12 Dysmorphology GOSH CLINICAL GENETICS 44 Tuberous sclerosis West of Scotland CLINICAL GENETICS 6 Gastroenterology paediatric Tayside (Dundee) CLINICAL GENETICS/ GASTROENTEROLOGY 3 Wolfram Birmingham PAEDIATRIC ENDOCRINOLOGY 4 Genetic deafness GOSH CLINICAL GENETICS 44 Marfan paediatric Cardiff PAEDIATRIC CARDIOLOGY 6-8 Marfan paediatric Edinburgh CLINICAL GENETICS/ PAEDIATRIC CARDIOLOGY 4 Metabolic Leeds PAEDIATRIC METABOLIC DISEASE 10 Metabolic/genetics clinic paediatric (Grampian) North of Scotland (Aberdeen) PAEDIATRIC METABOLIC DISEASE 2 Mucopolysaccharidosis Belfast CLINICAL GENETICS 2 National Ataxia Telangiectasia (children) Nottingham CLINICAL GENETICS 6 Neurofibromatosis (NF1) Birmingham PAEDIATRICS 8 Neurofibromatosis (NF1) Leeds CLINICAL GENETICS 92 2 10 tbc promoting gene testing www.ukgtn.nhs.uk 93 3.23 Paediatrics 3.23 Paediatrics Laboratories offering paediatrics tests Paediatric tests offered and laboratory providers Paediatrics A-F Exeter Sheffield Oxford RGC London GOSH Cambridge Birmingham RGC Manchester Wales Porphyria Leeds London St Georges Salisbury London GSTT Birmingham IMD Bristol London King's Haem Glasgow Dundee Nottingham Wales Cardiff Newcastle RGC Liverpool Belfast Edinburgh Paediatrics Be l Paediatrics fa Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m br Du i d nd ge Ed ee in b Ex urg et h e Gl r as g Le ow ed s Liv er po Lo o nd l o Lo n K n d in o g Lo n G 's H nd O a e o n SH m Lo nd GS o T M nS T an t ch Ge Ne es or wc ter ge s No ast tti le R ng G Ox h C fo am r Sa d R lis G C bu Sh r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Achondroplasia Acyl-CoA Dehydrogenase, Medium-Chain, Deficiency Of Aicardi-Goutieres Syndrome Alagille Syndrome 1 Alagille Syndrome 2 Allan-Herndon-Dudley Syndrome Alstrom Syndrome Angelman Syndrome Angioedema, Hereditary, Type I ≤3 labs offer this test >3 labs offer this test Angioedema, Hereditary, Type III Antley-Bixler Syndrome With Genital Anomalies And Disordered Steroidogenesis Antley-Bixler Syndrome Without Genital Anomalies Or Disordered Steroidogenesis Apert Syndrome Arterial Calcification, Generalized, Of Infancy, 2 Barth Syndrome Beckwith-Wiedemann Syndrome Brachydactyly, Type B1 Brachydactyly, Type D Brachydactyly, Type E1 Central Hypoventilation Syndrome, Congenital Citrullinemia, Type II, Neonatal-Onset 0 5 10 15 20 Cleidocranial Dysplasia 25 Collagen VI Related Myopathy 3 Gene Panel Connective Tissue Disorders – Familial Thoracic Aortic Aneurysms 10 Gene Panel Cutis Laxa 7 Gene Panel Number of tests Deafness, Autosomal Dominant 3A Deafness, Autosomal Recessive 1A Diabetes Insipidus, Nephrogenic, X-Linked Diabetes Mellitus, Insulin-Resistant, With Acanthosis Nigricans Donohue Syndrome Ehlers Danlos Syndrome (EDS) 12 Gene Panel Ehlers-Danlos Syndrome Types I and II (Classic) Ehlers-Danlos Syndrome, Type IV, Autosomal Dominant Ehlers-Danlos Syndrome, Type VI Epidermolytic Hyperkeratosis Fatty Acid Oxidation/Ketogenesis disorders 20 gene panel Fatty Acid Oxidation/Ketolysis disorders 2 gene panel Fumarase Deficiency 94 promoting gene testing www.ukgtn.nhs.uk 95 Paediatrics R-Z Paediatrics Generalised Arterial Calcification of Infancy 2 Gene Panel Rett Syndrome Gilbert Syndrome Rett Syndrome, Congenital Variant Glucose/galactose Malabsorption Rhabdomyolysis/Metabolic Myopathies 30 gene panel Glucose-6-Phosphate Dehydrogenase Deficiency Rubinstein-Taybi Syndrome Glycogen Storage Disease 18 Gene Panel Sandhoff Disease Glycogen Storage Disease Ia Short Syndrome Glycogen Storage Disease Ib and Ic Shwachman-Diamond Syndrome Glycogen Storage Disease II Silver-Russell Syndrome Glycogen Storage Disease V Sotos Syndrome Hemihyperplasia, Isolated Spinal Muscular Atrophy, Distal, Autosomal Recessive, 1 Hirschsprung Disease, Susceptibility To, 1 Spinal Muscular Atrophy, Type I Hurler-Scheie Syndrome Be lfa Bi st rm i Bi ngh rm am in Br gh I M ist am D o RG Ca l C m b Du r i d g nd e Ed ee in b Ex urg et h e Gl r as go Le w ed s Liv er p Lo oo nd l o Lo n K n d in o g Lo n G 's H nd O a e o S Lo n G H m nd S o T M nS T an t ch Ge Ne es or wc ter ge s No ast tti le R n Ox gh GC fo am r Sa d R li s G C b Sh u r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia Paediatrics Be l Paediatrics G-Q 3.23 Paediatrics fa Bi st rm i Bi ngh rm am i Br ngh I M ist am D ol RG Ca C m b Du r i d nd ge Ed ee in b Ex urg et h er Gl as g Le ow ed s Liv er p Lo oo nd l o Lo n K n d in on g's Lo nd GO Ha e o S Lo n G H m nd S o T M nS T an t ch Ge Ne es or wc ter ge s No ast tti le R n Ox gh GC fo am r Sa d R l is G C b Sh u r y effi W e ld ale W s Ca ale rd s P iff or ph yr ia 3.23 Paediatrics Spinal Muscular Atrophy, Type II Hutchinson-Gilford Progeria Syndrome Hydrocephalus Due To Congenital Stenosis Of Aqueduct Of Sylvius Spinal Muscular Atrophy, Type III Spondylocostal Dysostosis 1, Autosomal Recessive Spondylocostal Dysostosis 2, Autosomal Recessive Hyperammonaemia/Urea Cycle Disorders 14 Gene Panel Test Hyperinsulinemic Hypoglycemia, Familial, 1 Spondylocostal Dysostosis 5 Gene Panel Test Hyperinsulinemic Hypoglycemia, Familial, 2 Syndromic and Non Syndromic Hearing Loss 95 Gene Panel Hyperinsulinemic Hypoglycemia, Familial, 3 Thiamine-Responsive Megaloblastic Anemia Syndrome Hyperinsulinemic Hypoglycemia, Familial, 4 Townes-Brocks Syndrome Hyperinsulinemic Hypoglycemia, Familial, 6 Urea Cycle Defects (UCD) 9 Gene Panel Hypochondroplasia Urea Cycle Disorders 6 gene panel Hypophosphatemic Rickets With Hypercalciuria, Hereditary Popliteal Pterygium Syndrome Hypophosphatemic Rickets, Autosomal Dominant Van Der Woude Syndrome 1 Hypophosphatemic Rickets, Autosomal Recessive, 1 Hypophosphatemic Rickets, Autosomal Recessive, 2 Hypothyroidism, Congenital, Nongoitrous, 1 Incontinentia Pigmenti Learning Disability, Developmental Delay, Congenital Anomalies (First Line) Learning Disability, Developmental Delay, Congenital Anomalies (Second Line) Liver Failure, Infantile, Transient Long-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency Microcephaly 1, Primary, Autosomal Recessive Microcephaly 2, Primary, Autosomal Recessive, With Or Without Cortical Malformations Microcephaly 5, Primary, Autosomal Recessive Monogenic Diabetes 14 Gene Panel Mucolipidosis II and III Alpha/Beta Neonatal Diabetes 22 Gene Panel Osteogenesis Imperfecta 16 Gene Panel Osteopetrosis 21 Gene Panel Peroxisome Disorders 24 Gene Panel Test Pineal Hyperplasia, Insulin-Resistant Diabetes Mellitus, And Somatic Abnormalities Pituitary Hormone Deficiency, Combined, 1 Pituitary Hormone Deficiency, Combined, 2 Prader-Willi Syndrome Primary Ciliary Dyskinesia 18 Gene Panel Pseudoachondroplasia Pseudohypoparathyroidism, Type Ia 96 promoting gene testing www.ukgtn.nhs.uk 97 3.23.1 Community Paediatrics 3.23.1 Community Paediatrics Joint Clinics Clinical Genetics Centre Community paediatric tests offered and laboratory providers Lead Specialty No. clinics per year Child development centre dysmorphology Nottingham COMMUNITY PAEDIATRICS 6 Community child health genetics Wessex COMMUNITY PAEDIATRICS 4 Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Community Paediatrics Ab er d Be ee lfa n Bi st rm i Br ngh ist am o RG Ca l C m br Ed id in ge b Gl urg as h g Le ow ed s Liv er po Lo o nd l o Lo n G nd O o S Lo n K H nd G on C Lo nd GS o T M nS T an t c G Ne hes eor wc ter ge s No ast tti le R n Ox gh GC fo am rd Sa R lis G C b Sh u r y effi W e ld ale sC ar di ff Joint Clinical Genetics/Community Paediatric Clinics Aicardi-Goutieres Syndrome Alexander Disease Laboratories offering community paediatrics tests Angelman Syndrome Fragile X Mental Retardation Syndrome Learning Disability, Developmental Delay, Congenital Anomalies (First Line) Mental Retardation, X-Linked, Associated With Fragile Site Fraxe Prader-Willi Syndrome Community Paediatrics Salisbury Wales Cardiff London KGC Bristol Leeds Oxford RGC Nottingham Newcastle RGC Manchester London St Georges London GOSH Liverpool Glasgow Cambridge Birmingham RGC Belfast Sheffield London GSTT Edinburgh Aberdeen ≤3 labs offer this test >3 labs offer this test 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 Number of tests 98 promoting gene testing www.ukgtn.nhs.uk 99 3.24 Respiratory Medicine & Cystic Fibrosis 3.24 Respiratory Medicine & Cystic Fibrosis Joint Clinical Genetics/Respiratory Medicine Clinics Joint Clinics Clinical Genetics Centre Chronic respiratory management Cardiff Respiratory tests offered and laboratory providers Lead Specialty No. clinics per year RESPIRATORY MEDICINE Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Occasional Laboratories offering test for respiratory disorders & cystic fibrosis Adult Respiratory Medicine Edinburgh Sheffield London GSTT Leeds Cambridge Salisbury Birmingham RGC Wales Cardiff Oxford RGC Nottingham Newcastle RGC Manchester London KGC London GOSH Liverpool Glasgow Exeter Bristol Aberdeen Cutis Laxa 7 Gene Panel Cystic Fibrosis Primary Ciliary Dyskinesia 18 Gene Panel Primary Pulmonary Hypertension (Familial) Telangiectasia, Hereditary Hemorrhagic, Of Rendu, Osler, And Weber Telangiectasia, Hereditary Hemorrhagic, Type 2 ≤3 labs offer this test Paediatric Respiratory Medicine Ab er d Bi ee rm n i Br ngh ist am o RG Ca l C m br Ed id in ge b Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n G nd O o S Lo n K H nd G o C M nG an S c T Ne hes T wc ter No ast tti le R n Ox gh GC fo am rd Sa R l is G C b Sh u r y effi W e ld ale sC ar di ff >3 labs offer this test Alpha-1-Antitrypsin Deficiency 0 1 2 3 4 Central Hypoventilation Syndrome, Congenital Cystic Fibrosis Surfactant Metabolism Dysfunction, Pulmonary, 3 5 Number of tests 100 Adult Respiratory Medicine Alpha-1-Antitrypsin Deficiency Ab er d Bi ee rm n i Br ngh ist am o RG Ca l C m br Ed id g in b e Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n G nd O o S Lo n K H nd G o C M nG an S c T Ne hes T wc ter No ast tti le R n Ox gh GC fo am r Sa d R l is G C bu Sh r y effi W e ld ale sC ar di ff Adult promoting gene testing www.ukgtn.nhs.uk 101 3.25 Rheumatology 3.25 Rheumatology Joint Clinical Genetics/Rheumatology Clinics Rheumatology tests offered and laboratory providers Clinics funded as part of a Highly Specialised Service are highlighted in yellow Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Local arrangements may apply for the provision of tests in italics Clinical Genetics Centre No. clinics per year Lead Specialty EDS (NCG service) Sheffield ACU 6 Ehlers-Danlos Birmingham PAEDIATRIC RHEUMATOLOGY 2 Rheumatology/EDS NW Thames (Northwick Park) CLINICAL GENETICS 4 Oxford RHEUMATOLOGY Skeletal Dysplasia Adult Rheumatology Ca m b O x r id fo ge r Ox d H fo ae m r Sh d R effi G C el d Joint Clinics Ehlers Danlos Syndrome (EDS) 12 Gene Panel Ehlers-Danlos Syndrome Types I and II (Classic) 10 Ehlers-Danlos Syndrome, Type IV, Autosomal Dominant Ehlers-Danlos Syndrome, Type VI Hyperuricemic Nephropathy, Juvenile, and Medullary Cystic Kidney Disease, Familial Iron Regulatory 16 Gene Panel Laboratories offering test for rheumatology Rheumatology Sheffield Oxford RGC ≤3 labs offer this test Oxford Haem >3 labs offer this test Cambridge 0 1 2 3 4 5 Number of tests 102 promoting gene testing www.ukgtn.nhs.uk 103 3.26 Surgical Dentistry (paediatric) 3.27 Urology Laboratories offering tests for urology Laboratories offering tests for paediatric surgical dentistry Urology Paediatric Surgical Dentistry London UCLH Biochem Leeds Wales Cardiff Bristol Cambridge London GSTT Salisbury Wales Porphyria London St Georges ≤3 labs offer this test London St Georges Wales Cardiff >3 labs offer this test Sheffield Oxford RGC Glasgow Nottingham 0 1 2 3 4 Newcastle RGC 5 Number of tests Manchester ≤3 labs offer this test London KGC >3 labs offer this test London GOSH Liverpool Glasgow Paediatric surgical dentistry tests offered and laboratory providers Exeter Edinburgh Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Cambridge Birmingham RGC Belfast Ca m b Gl rid as ge g Lo ow nd o W nS ale t G W s Ca eor ale rd ge s P iff s or ph yr ia 0 1 2 3 4 Number of tests Ectodermal Dysplasia 1, Hypohidrotic, X-Linked Ectodermal Dysplasia, Hypohidrotic, Autosomal Dominant and Recessive Ectodermal Dysplasia, Hypohidrotic, With Immune Deficiency EEC Syndrome 3 and Related Syndromes Urology tests offered and laboratory providers Top quartile of laboratory providers (ranked by number of tests offered by ≤3 providers) is highlighted in blue Incontinentia Pigmenti Odontoonychodermal Dysplasia And Related Phenotypes Urology Ab er d Be ee lfa n Bi st rm i Br ngh ist am ol RG Ca C m br Ed id in ge b Ex urg et h e Gl r as g Le ow ed s Liv er p Lo oo nd l o Lo n G nd O o n SH Lo nd KG o C Lo n G nd S o T Lo n S T nd t G o M n U eor an C ge L c s Ne hes H B wc ter ioc he No ast m tti le R ng G Ox h C fo am r Sa d R lis G C bu Sh r y effi W e ld ale sC ar di ff Paediatric Surgical Dentistry Aberdeen Aicardi-Goutieres Syndrome Cystic fibrosis Cystinuria Hyperoxaluria, Primary, Type 1 Hyperoxaluria, Primary, Type 2 Hyperoxaluria, Primary, Type 3 Male Infertility Due To Y Chromosome Deletions 104 promoting gene testing www.ukgtn.nhs.uk 105 Appendix 1 Laboratory contact details Aberdeen Aberdeen Medical Genetics Laboratory NHS Grampian Medical Genetics Laboratory Polwarth Building Medical School Foresthill Aberdeen AB25 2ZD Molecular Genetics 01224 553893 01224 551259 Cytogenetics 01224 553820 01224 551259 Kevin Kelly (Head of Molecular Genetics) [email protected] David Stevenson (Head of [email protected] Cytogenetics) 01224 553888 01224 550931 Belfast Northern Ireland Regional Genetics Labs Belfast Health and Social Care Trust Northern Ireland Regional Genetics Centre Floor A Belfast City Hospital 51 Lisburn Road Belfast BT9 7AB Laboratory Secretary [email protected] 028 95048281 or 028 95047844 Birmingham IMD West Midlands Inherited Metabolic Disorders Birmingham Children’s Hospital NHS Foundation Trust Dept of Clinical Chemistry Steelhouse Lane Birmingham B4 6NH Duty Molecular Biologist [email protected] 0121 333 9877 Birmingham RGC West Midlands Regional Genetics Laboratory Birmingham Women’s Health Care NHS Trust Edgbaston Birmingham B15 2TG Molecular Genetics and Cytogenetics [email protected] 106 promoting gene testing www.ukgtn.nhs.uk 0121 627 2710 107 Appendix 1 Appendix 1 Bristol Edinburgh Bristol Genetics Laboratory North Bristol NHS Trust Pathology Sciences Southmead Hospital Westbury-on-Trym Bristol BS10 5NB South East Scotland Genetic Laboratory Services NHS Lothian David Brock Building Western General Hospital Crewe Rd Edinburgh EH4 2XU Bristol Genetics Laboratory [email protected] 0117 323 5569, 0117 323 5570 or 0117 323 5571 Molecular Genetics [email protected] 0131 537 1116 Eddy Maher (Head of Cytogenetics) [email protected] 0131 537 2990 Cambridge Exeter East Anglian Medical Genetics Service Cambridge University Hospitals NHS Genetics Laboratories Box 143 Level 6, Addenbrooke’s Treatment Centre Cambridge University Hospitals Hills Road Cambridge CB2 0QQ Exeter Molecular Genetics Laboratory Royal Devon and Exeter Foundation Trust Molecular Genetics Department RILD Level 3 Royal Devon & Exeter NHS Foundation Trust Barrack Road Exeter EX2 5DW Genetics Laboratory [email protected] 01223 348866 Stephen Abbs Director of Genetics Laboratory [email protected] 01223 348866 Ingrid Simonic Deputy Director of the Genetics Laboratories (Head of Cytogenetics) [email protected] 01223 348713 Molecular Genetics Admin Glasgow West of Scotland Genetic Services NHS Greater Glasgow & Clyde Laboratory Genetics West of Scotland Genetic Services Level 2, Laboratory Medicine Southern General Hospital 1345 Govan Road Glasgow G51 4TF Dundee Dundee Molecular Genetics Laboratory NHS Tayside East of Scotland Regional Genetic Service Laboratory Genetics, Level 6 Ninewells Hospital and Medical School Dundee DD1 9SY Molecular Genetics [email protected] 01382 740534 Cytogenetics [email protected] 108 [email protected] 01392 40 8229 Molecular [email protected] 0141 354 9330 Cytogenetics [email protected] 0141 354 9265 01382 496272 promoting gene testing www.ukgtn.nhs.uk 109 Appendix 1 Appendix 1 Leeds London GOSH Yorkshire Regional Genetics Service Leeds Genetics Laboratory Ashley Wing St James’s University Hospital Leeds LS9 7TF North East Thames Regional Genetics Laboratory Service North East Thames Regional Molecular Genetics Laboratory Great Ormond Street Hospital NHS Trust Level 6 Barclay House 37 Queen Square London WC1N 3BH Molecular Genetics [email protected] 0113 2065205 Ruth Charlton (Head of Molecular [email protected] Genetics) Paul Roberts (Head of cytogenetics [email protected] and molecular oncology) 0113 2065817 Merseyside and Cheshire Regional Molecular Genetics Laboratory Liverpool Women’s NHS Foundation Trust Crown Street Liverpool L8 7SS [email protected] Cyto general enquiries [email protected] 0207 7829 8870 Jonathan Waters (Head of cytogenetics) 020 7762 6918 0207 762 6878 North West Thames Regional Genetics Laboratories Level 8V Northwick Park Hospital Watford Road Harrow Middlesex London HA1 3UJ 0151 702 4228 0151 702 4219 Angela Douglas (Head of Cytogenetics) 0151 702 4229 Genetics Laboratory [email protected] 020 8869 3104 / 3109 / 3180 London Rb London ION Retinoblastoma Genetic Screening Unit Molecular Pathology Suite 3rd Floor, Pathology & Pharmacy Building Barts Health NHS Trust 80 Newark Street London E1 2ES London Institute of Neurology Neurogenetics Unit Neurogenetics Unit Institute of Neurology/National Hospital for Neurology and Neurosurgery Queen Square London WC1N 3BG General Enquiries 0207 762 6888 London KGC Roger Mountford (Head of Molecular [email protected] Genetics) [email protected] [email protected] Lucy Jenkins (Head of Molecular [email protected] Genetics) Liverpool Molecular Genetics General Enquiries [email protected] 0203 448 4250 London King’s Haem General enquiries [email protected] 020 3246 0265 Dr Zerrin Onadim [email protected] 020 3246 0265 Department of Haematological Medicine Molecular Pathology 1st Floor Cheyne Wing King’s College Hospital Denmark Hill London SE5 9RS General Enquiries 110 [email protected] 020 3299 2265 promoting gene testing www.ukgtn.nhs.uk 111 Appendix 1 Appendix 1 London GSTT London UCLH Haem South East Thames Regional Genetics Laboratory DNA Laboratory 5th Floor, Tower Wing Guy’s Hospital Great Maze Pond London SE1 9RT Regional Haemoglobinopathy Genetic Centre Haemoglobinopathy Genetics Centre Molecular Genetics Laboratory University College London Hospitals NHS Foundation Trust (HSL) 307 Euston Road London NW1 3AD Elaine White (Office Manager) [email protected] 0207 1882 582 or 0207 1882 1696 Molecular Genetics David Ellis (Operations Lead – Principle Clinical Scientist) [email protected] 0207 1882 582 or 0207 1882 1696 Cytogenetics Richard Hall (Genetics Service Delivery Manager) [email protected] 0207 188 1709 Biochemistry Marie Jackson (Head of [email protected] Biochemical Genetics) The South West Thames Regional Genetics Service SW Thames Regional Genetics Laboratory St George’s University Of London Cranmer Terrace London SW17 0RE 0208 725 5332 Cytogenetics [email protected] 0208 725 5332 General Enquiries [email protected] 020 3447 9458 Molecular Genetics [email protected] +44 (0) 161 276 6122 Cytogenetics [email protected] +44 (0) 161 276 6553 Biochemical Genetics [email protected] +44 (0) 161 701 2143 / 2137 Newcastle Mito Newcastle Mitochondrial Diagnostic Laboratory Wellcome Trust Centre for Mitochondrial Research 4th Floor Cookson Building The Medical School Newcastle University Framlington Place Newcastle NE2 4HH London UCLH Biochem London UCLH Hospitals Clinical Biochemistry Clinical Biochemistry UCL Hospitals 3rd Floor 60 Whitfield St London W1T 4EU Professor Robert Taylor Dr G Rumsby (Head of Laboratory) [email protected] 020 344 72955 Mr Oliver Clifford-Mobley [email protected] 020 344 72961 112 020 3447 9458 Manchester Regional Genetic Laboratory Services Genomic Diagnostics Laboratory The Manchester Centre for Genomic Medicine 6th Floor, St Mary’s Hospital Central Manchester University Hospitals NHS Foundation Trust Oxford Road Manchester M13 9WL London St Georges [email protected] [email protected] Manchester 0207 188 2591 Molecular Genetics Dr Mary Petrou promoting gene testing www.ukgtn.nhs.uk [email protected] 0191 282 4375 113 Appendix 1 Appendix 1 Newcastle RGC Salisbury Northern Genetics Service Molecular Genetics Laboratory Institute of Genetic Medicine International Centre for Life Central Parkway Newcastle NE1 3BZ Wessex Regional Genetics Laboratory Salisbury NHS Foundation Trust Salisbury District Hospital Salisbury SP2 8BJ Wiltshire Dr David Bourn (Head of Molecular [email protected] Genetics) 0191 241 8819 Laboratory Secretary 0191 241 8754 Service Manager 0191 241 8775 General Enquiries Sheffield Diagnostic Genetics Service (SDGS) Sheffield Children’s NHS Foundation Trust Western Bank Sheffield S10 2TH East Midlands Regional Molecular Genetics Service Centre for Medical Genetics City Hospital Campus Nottingham University Hospitals NHS Trust Hucknall Road Nottingham NG5 1PB [email protected] Cytogenetics General Enquiries 0115 969 1169 x 55207 0115 969 1169 ext 56617 or 0115 962 7617 0114 271 7014 Business [email protected] 029 2074 2641 All Wales Medical Genetics Laboratory Institute of Medical Genetics University Hospital of Wales Heath Park Cardiff CF14 4XW Molecular Manager Genetics - Cytogenetics Oxford Molecular Diagnostics Centre BRC Molecular Diagnostic Lab Molecular Haematology Level 4, John Radcliffe Hospital Headington Oxford OX3 9DU [email protected] 029 2074 2641 Wales Porphyria (from September 2015 this service merged with the Wales RGC) [email protected] Cardiff Porphyria Service Department of Medical Biochemistry & Immunology University Hospital of Wales Heath Park Cardiff Cardiff CF14 4XW 01865 572769 Oxford RGC The Oxford Medical Genetics Laboratories Churchill Hospital Oxford OX3 7LJ Molecular Genetics [email protected] 01865 226001 Cytogenetics [email protected] 01865 226001 114 [email protected] Wales Cardiff Oxford Haem General enquiries 01722 429080 Sheffield Nottingham Molecular Genetics [email protected] promoting gene testing Porphyria [email protected] + 44 (0) 29 2074 2811 Dr M Badminton (Porphyria Service) [email protected] +44 (0) 29 2074 6588 Dr Carol Evans (Endocrine) [email protected] +44 (0) 29 20748367 Dr Stephen Jolles (Immunology) [email protected] 00 44 (0) 29 20745814 www.ukgtn.nhs.uk 115 Appendix 2 Appendix 2 Regional Genetic Centres and Services Yorkshire Regional Genetics Service Department of Clinical Genetics, Ward 10, 3rd Floor, Chapel Allerton Hospital Chapeltown Road, Leeds, LS7 4SA Tel: 0113 392 4432 Fax: 0113 392 4434 Catchment areas: N Yorkshire, Bradford, W Yorshire, Leeds, Wakefield, E Riding, Grimsby, Scunthorpe Bristol Clinical Genetics Service St Michael’s Hospital , Southwell Street Bristol, BS2 8EG Tel: 0117 3235570 Fax: 0117 3235572 Catchment areas: Bristol, Bath, Somerset, Gloucestershire, parts of Wiltshire Cheshire and Merseyside Clinical Genetics Service Department of Clinical Genetics Liverpool Women’s NHS Foundation Trust Service Base Royal Children’s Hospital, Alder Hey, Eaton Road, Liverpool, L12 2AP Tel: 0151 802 5001/5002 Fax: 0151 802 5096/5095 Catchment areas: Liverpool, Wirral, Southport, St Helens & Knowsley, Warrington, Runcorn, Chester, Crewe, Isle of Man East Anglia Regional Genetics Service Department of Clinical Genetics PO Box 134, Addenbrooke’s Hospital NHS Trust, Cambridge, CB2 0QQ Tel: 01223 216446 Fax: 01223 217 054 Catchment areas: Cambridgeshire, Norfolk, Suffolk, parts of N Essex, Hertfordshire, Lincolnshire, Bedfordshire Leicestershire Clinical Genetics Service Department of Clinical Genetics, Leicester Royal Infirmary, Leicester, LE1 5WW Tel: 0116 258 5736 Fax: 0116 258 6057 Catchment areas: Leicester Manchester Regional Genetics Centre Manchester Regional Genetics Service (incorporating metabolic genetics), Genetic Medicine, 6th Floor, St Mary’s Hospital, CMFT, Oxford Rd, Manchester, M13 9WL. Tel: 0161 276 6506 Fax: 0161 276 6145 Catchment areas: Greater Manchester, Lancashire, Cumbria and Macclesfield Oxford Regional Genetics Service Department of Clinical Genetics The Churchill Hospital, Old Road, Headington, Oxford, OX3 7LJ Tel: 01865 226009 or 01865 226028 Fax: 01865 223572 Catchment areas: Oxfordshire, Northamptonshire, Buckinghamshire, Berkshire, Swindon London: N W Thames Regional Genetics Service Kennedy Galton Centre, Level 8V Northwick Park & St Marks NHS Trust, Watford Road HARROW, Middlesex, HA1 3UJ Tel: 020 8869 2795 Fax: 020 8869 3106 Catchment areas: Hertfordshire, Bedfordshire, Barnet, Hillingdon, Brent & Harrow, Ealing, Hammersmith, Hounslow, Kensington, Chelsea, Westminster, Edgware London - S E Thames Regional Genetics Service The Genetics Department, 7th Floor, New Guy’s House, Guy’s Hospital, London, SE1 9RT Tel: 020 7188 1364 Fax: 020 7188 1369 Catchment areas: Kent, E Sussex, Bromley, Greenwich, Bexley, Lambeth, Southwark, Lewisham London - S W Thames Regional Genetics Service Department of Medical Genetics, St George’s University of London, Cranmer Terrace, London, SW17 0RE Tel: 020 8725 2038 Fax: 020 8725 3444 Catchment areas: Ashford New River, S W London, Surrey, W Sussex Nottingham Department of Clinical Genetics Nottingham Genetics Service, The Gables, Nottingham City Hospital NHS Trust, Hucknall Road, Nottingham, NG5 1PB Tel: 0115 962 7728 Fax: 0115 962 8042 Catchment areas: Nottingham, N Nottinghamshire, Lincolnshire, S & N Derbyshire Peninsula Clinical Genetics Service Clinical Genetics Department, Royal Devon & Exeter Hospital (Heavitree), Gladstone Road, Exeter, EX1 2ED Tel: 01392 405730/405728 Fax: 01392 405739 Catchment areas: Devon, Cornwall Northern Region Genetics Service Northern Genetics Service The Newcastle upon Tyne Hospitals NHS Foundation Trust Institute of Genetic Medicine International Centre for Life Central Parkway Newcastle upon Tyne, NE1 3BZ Tel: 0191 241 8600, Fax: 0191 241 8799 Catchment areas: Cleveland, Durham, Tyne & Wear, Northumberland, Cumbria W Midlands Clinical Genetics Service Clinical Genetics Unit, Birmingham Womens Hospital, Metchley Park Road, Edgbaston Birmingham, B15 2TG Tel: 0121 6272630 Fax: 0121 6272618 Catchment areas: Staffordshire, Shropshire, Warwickshire, Birmingham, Hereford & Worcester, W Midlands 116 London: N E Thames Regional Genetics Services Clinical Genetics Department, Great Ormond Street Hospital for Children NHS Trust, Great Ormond Street, London, WC1N 3JH Tel: 020 7762 6845/ 6831/ 6856 Fax: 020 7813 8141 Catchment areas: N London, E London and Essex promoting gene testing Sheffield Clinical Genetics Service Department of Clinical Genetics, OPD2, Northern General Hospital, Herries Road, Sheffield, S5 7AU Tel: 0114 271 7034 Fax: 0114 273 7467 Catchment areas: Doncaster, Worksop, Barnsley, Chesterfield, Rotherham, Sheffield, Buxton Wessex Clinical Genetics Service Princess Anne Hospital, Coxford Road, Southampton, SO16 5YA Tel: 023 8120 6170 Fax: 023 8120 4346 Catchment areas: Hampshire, Dorset, Isle of Wight, Salisbury www.ukgtn.nhs.uk 117 Appendix 2 Acknowledgements Authors N Ireland Regional Genetic Service Department of Medical Genetics, A Floor, Belfast City Hospital, Lisburn Road, Belfast, BT9 7AB Tel: 028 9504 8022 Fax: 028 9023 6911 Catchment areas: Northern Ireland Becky Treacy Dr Jo Whittaker Dr Shehla Mohammed Jane Deller E Scotland Human Genetic Laboratories Human Genetics Unit, Level 6, Ninewells Hospital and Medical School, Dundee, DD1 9SY Tel: 01382 632035 Fax: 01382 496382 Catchment areas: Dundee, Perth, N Fife, Angus, Perthshire Scientific Project Lead, UKGTN Scientific Development Advisor, UKGTN Clinical Advisor, UKGTN Programme Manager, UKGTN Acknowledgements N Scotland Clinical Genetics Service Department of Medical Genetics, Ashgrove House, Foresterhill, Aberdeen, AB25 2ZA Tel: 01224 552120 Fax: 01224 559390 Catchment areas: Grampian, Highland, Orkney & Shetland, Western Isles The UKGTN would like to thank the Heads of Laboratories and Cinical Leads at Regional Genetics Centres for providing and reviewing data for the guide. S E Scotland Regional Genetics Centre Department of Clinical Genetics, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU Tel: 0131 537 1116 Fax: 0131 537 1153 Catchment areas: Lothian, Fife, Borders W Scotland Regional Genetics Service West of Scotland Clinical Genetic Service, Level 2A Laboratory Medicine, Southern General Hospital, 1345 Govan Road, Glasgow, G51 4TF Tel 0141 354 9200/9201 Fax 0141 232 7986 Catchment areas: Greater Glasgow, Argyll & Clyde, Ayrshire & Arran, Forth Valley, Lanarkshire, Dumfries & Galloway All-Wales Medical Genetics Service Institute of Medical Genetics, University Hospital of Wales, Heath Park, Cardiff, CF14 4XW Wales Tel: 029 2074 2577 Catchment areas: all of Wales The PHG Foundation was commissioned to produce this report. 118 promoting gene testing www.ukgtn.nhs.uk 119 Appendix 1 www.ukgtn.nhs.uk UK Genetic Testing Network (UKGTN) c/o South East CSU 15 Marylebone Rd London NW1 5JD Tel Fax 020 3350 4999 020 3350 4458