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NHS scientists will be trained to give genetics advice

3 August 2009
Appeared in BioNews 519

The UK's Department of Health is to invest £4.5 million into a new scheme aimed at improving NHS scientists' training in genetics. By giving scientists a ‘broader' schooling, they will be better placed to advise doctors on which DNA tests might be suitable, and what to make of the results. Part of the process may include sitting in on doctor-patient consultations.

More and more, genomics is playing an informative role in medical diagnoses and prognoses, requiring a greater understanding of the genetic ‘language'. Furthermore, the increase in availability of direct-to-customer genetic tests for common diseases demands that customers understand the service they are buying. In this latter case, given that the majority of gene variant associations described to date transpire to confer only little increase in risk for individuals (1.1 to 1.5-fold), the relevance of tests should be made clear. Genetic sequencing company 23andMe currently offers partial sequencing (550,000 DNA base pairs, that's less than two per cent of the total genome) for $399, providing risk values for 116 diseases or traits. Some scientists predict that entire genome sequencing services will on offer for under £1,000 within the next couple of years. The current price is just under £30K.

Last month, the House of Lords Science and Technology Committee issued a report based on an in-depth review into recent advances in genomics. The report called for an update of the government's 2003 Genetics White Paper, as scientific advances have increased the potential applications of genomics to ‘patient care across the NHS'. The report advised the prompt reform of NHS training and infrastructure.

In response, Professor Susan Hill, Chief Scientific Officer for the Department of Health, said to the Times: ‘We need scientists who are more clinically trained, so they can work with the changing and diffuse nature of genetics. Genetic scientists may actually start to sit in clinics with medics and play a key role, explaining to patients what the results are showing. This isn't about scientists replacing medics, it's about working together in a team'.

The NHS employs 53,000 scientists and technicians in England alone. From now on, laboratory trainees will study more genetics, whilst a new master's degree in clinical science and genetics will be used to train specialists. The pilot scheme will commence in October, with the establishment of a national School of Genetics in the West Midlands, prior to being introduced nationally. Initial funding provides training posts for 12 trainee ‘Healthcare Science Practitioners' and 12 ‘Healthcare Scientists in Genetics'.

Val Davison, clinical director of the West Midlands Regional Genetics Laboratory, said that the ‘new' scientists will be ‘patient focused and medically focused, who can interpret the genetic testing. It is moving genetics into the community'.

New genetics advisory role for NHS laboratory scientists
PHG Foundation |  30 July 2009
NHS faces genetics revolution by bringing scientists into clinic
The Times |  30 July 2009
Training & education introduced for the scientific workforce in genetics |  31 July 2009
31 October 2011 - by Dr Rebecca Robey 
The NHS must take steps to prepare for a revolution in genetics-based medicine, according to a new report by the independent think tank, the Foundation for Genomics and Public Health (the PHG Foundation). The Foundation says that rapid advances in technology will soon make it possible for individuals to have their entire genome analysed affordably, and this will have a major impact on many aspects of healthcare...
28 March 2011 - by Seil Collins 
A report published by the PHG Foundation argues there needs to be fairer access to genetics in mainstream medicine. It concludes that the UK's current approach to diffusing specialist genomic knowledge and applications into mainstream medical practice is not effective....
21 September 2009 - by Dr Jay Stone 
Doctors might soon be offered reduced price DNA analysis from genetic profiling companies such as 23andme, in the hope that this will better equip them to answer any questions their patients have about the tests and the results that cause concern....
19 July 2009 - by Dr Rob Elles 
Since 2003, the framework for policy in Genetics in Medicine in the UK has been the Genetic White Paper 'Our Inheritance Our future.' There is no doubt that its implementation helped modernise and broaden the scope of genetics in the National Health Service (NHS). It developed new support structures including the National Genetics Education Development Centre and the National Genetic Reference Laboratories, and established the (short lived) Genetic Knowledge Parks....
9 July 2009 - by MacKenna Roberts 
When giving evidence to the Lords' inquiry into genomic medicine, Health Minister Dawn Primarolo estimated that the vast potential benefits of genomic medicine will not largely be seen by patients for at least a decade. The House of Lords Science and Technology Committee respectfully but conclusively disagrees in its report on Genomic Medicine, published 7 July 2009. Lord Patel who chaired the inquiry surmised; 'Genomic medicine will clearly have a huge impact on health provision and the NHS
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