EXCELLING IN SCIENCE AND SERVICE
CELLULAR PATHOLOGY USER SURVEY 2019
Specialist Rapid Exome Sequencing Service coming 1st Oct 2019
Exeter molecular genetics laboratory are recruiting!
UPDATE TO CERVICAL CYTOLOGY SERVICES – HPV PRIMARY SCREENING ROLL OUT FOR NORTH, EAST AND MID DEVON REGIONS
GP Order Communications System (GP OCS)
CELLULAR PATHOLOGY USER SURVEY FEEDBACK 2018
Microbiology User Survey Report
Microbiology Molecular Update
COBAS 6800
RD&E and North Bristol NHS Trust join forces to deliver cutting-edge genomics testing for patients
Follow @Exeter_Lab
January 10th, 2020
Many thanks to those of you who took the time to complete the Cellular Pathology user survey in 2019
Overall Cellular Pathology service:
87.5% of responders would rate The Cellular Pathology Service either Good or Excellent
You said • Always approachable and helpful. • Feel that the department is under a lot of pressure, but works hard to get our results out quickly and accurately. In house HER2 would be awesome! • Out of hours pathology for oncologic emergencies not available. No ability to incorporate genomic data in the pathology. • Fabulous one stop clinic help from Cytology. We said • HER2 is centrally funded and therefore currently cannot be carried out on this site. • Unfortunately the Cell Path team are not responsible for reporting genomic results and so we have no control over the way genomic data is reported. • Many thanks – We always aim to provide an excellent ROSE service for all of our users.
Turnaround Times: You said • Sometimes turnaround times for Histology are reasonable for H&E 3-5 days, but often not. We said • We are working on recruiting more Pathologists to improve our turnaround times
Quality and clinical relevance of reports: You said • When slides go off to backlogs the reports are of varying quality and there is often an unacceptable delay in getting slides back. We said • We are working on recruiting more Pathologists to avoid sending slides away.
CERVICAL CYTOLOGY USER SURVEY 2019
Many thanks to those of you who took the time to complete the Cervical Cytology user survey in 2019.
94% of responders would rate The Cervical Cytology Service either Good or Excellent.
You Said Website • Have just had a look and added to my favourites – it looks good. • Very clear always found all the info I needed. • Just found it and accessed it without difficulty, very informative.
Availability and quality of technical and clinical advice • The advice and assistance I have received has been very helpful. • Not accessed it yet. • Rang the lab a few times and have always found them to be very helpful and efficient. • Always willing to answer queries in a timely fashion, really helpful.
Quality of sample taker training • I visited as part of my training. Extremely helpful staff and made to feel very welcome.
We said: • Many thanks for your comments – they are appreciated.
Transport of samples: You said: • As a Practice of 15,500 pts we only get a 1x daily courier collection. A further pm collection would be desirable. We said: • As the laboratory turnaround times are within the 14 days, it is not considered essential to increase the number of collections at this time. You said: • Slight confusion since the addition of the orange bags – it’s a lot of plastic – can more than one sample go into an orange bag at a time, and is anyone looking at more eco-friendly options? We said: • We will investigate the use of biodegradable bags as an alternative to plastic.
September 24th, 2019
The Rapid Exome Sequencing Service for acutely unwell children with a likely monogenic disorder (R14) run by our Exome team will be available from 1st October 2019.
Please contact the Exome team with any questions: karen.stals@nhs.net or julia.baptista@nhs.net.
June 13th, 2019
An exciting opportunity has arisen to join the Exeter Molecular Genetics Laboratory as a Band 7 Clinical Scientist.
The department of Molecular Genetics at the Royal Devon & Exeter NHS Foundation Trust is at the forefront of NHS Genomic Medicine, providing state-of-the-art diagnostic testing services that utilise specialist gene panel, exome and genome analyses to make diagnoses for the benefit of families with rare diseases across the UK and beyond.
Full details of the role and how to apply can be found here: https://www.jobs.nhs.uk/xi/vacancy/?vac_ref=915609104
Closing date is Thursday 27th June 2019.
May 20th, 2019
** HPV Primary Screening Roll Out Update for North, East and Mid Devon Regions **
Early implementation of HPV Primary Screening for North, East and Mid Devon Regions will be commencing in the laboratory from 13th May 2019 (this will involve all tests dated 10th May 2019). This primary HPV testing will be carried out at the Exeter Cytology Laboratory.
For more information please see ‘HPV Primary Screening Roll Out for North, East and Mid Devon Regions‘
May 14th, 2019
It is a pleasure to be able to finally advise you that the long awaited implementation of a GP Order Communications System (GP OCS) is now under way.
The aim of the project is to offer an electronic Pathology test ordering system for GP Practices sending samples to the RD&E, with this project both orders and results will be sent and shared electronically with the GP requesting the tests.
The system supplier has estimated it will take approximately 26 weeks to build the system and roll out to 5 pilot GP practices; we therefore are estimating delivery during the latter part of Q3, early part of Q4 of this calendar year. The team will then roll out to the remaining sites, planning for 3 practices a week to go live; this is expected to take a further 3-4 months.
The project team with the supplier are currently developing the roll out schedule for this new system, should your Practice like to be one of the early adopters of this exciting project please contact the Programme Team at the following address:-
Chris Carr – Pathology Computer Systems Manager Royal Devon and Exeter NHS Foundation Trust Email: ccarr5@nhs.net
Should you have any queries relating to the project delivery please contact:
Richard Excell – IM&T Programme Manager Royal Devon and Exeter NHS Foundation Trust Email: richard.excell@nhs.net
The team at the Royal Devon & Exeter Foundation Trust look forward to working closely with you on this exciting project.
Sarah Hodder Diagnostic Cluster Manager
February 27th, 2019
Many thanks to those of you who took the time to complete the Cellular Pathology user survey in 2018
You said • More pathologists so more prompt results
• They appear to be under the greatest pressure in terms of staffing
• Consider using non paper forms to help reduce errors
• I would like to be able to access results via SystmOne for the RD&E
• Takes up to 3 weeks to give us a prostate biopsy result. This creates huge problems with our cancer pathway
• The number of patients for MDT discussion are capped. 30 patients only. This causes a delay in patient pathway.
We said • We are in the process of implementing a new IT system which will improve the reporting process and build efficiencies into our laboratory systems. Results will be produced electronically. We are also installing a ordering communication system for GPs so that tests can be requested and reports received electronically.
• We are working on expanding our team in order to continue to meet the requirements of our service users.
You said • Already very good (response to how might services be improved)
• Excellent service, but under-resourced, hence a long turnaround time for biopsies, which impacts on patient care
• Histopathology are working extremely effectively for the lung MDT a really outstanding service. Not only speed but excellent considered opinions.
• Speedy turnaround time. An excellent service
• The RDE Labs provide an excellent service on the whole & are always very polite & helpful when Clinicians ring for advice or email
We said • We are delighted that our users are positive about our service. We will continue to act on your feedback to ensure our service is continuously improved.
February 15th, 2019
Microbiology User Survey Report 2018
February 10th, 2019
We are delighted to inform our users that we have now taken delivery of and verified a random access Nucleic-Acid-Amplification-Test platform, called EliTech.
As of 4th February 2019, we will be performing NAATs on CSF for the following targets:
This will replace the current referred service in Bristol and will give much better turnaround times (currently 2-3 days, down to a next day result). We really hope this will have a good impact on patient care, allowing speedier diagnosis and decision making, and limit the amount of intravenous acyclovir currently being used whilst waiting for results.
Allied to this, using the same technology, we also now offer the following NAATs test on-site, again significantly improving turnaround times:
If anyone would like to know more, please contact Microbiology via the email service: rde-tr.Microconsultants@nhs.net
Dr Cressida Auckland
December 8th, 2018
Microbiology are pleased to announce the arrival of a new molecular machine – the COBAS 6800. This all-in-one automation is used for testing samples for chlamydia, GC, Hep C viral loads, HIV viral loads and Hep B viral loads
October 29th, 2018
A new South West Genomic Laboratory Hub has been announced as one of only seven hubs that will deliver genomic testing for patients with cancer or rare disease as part of a new national network.
The Royal Devon & Exeter NHS Foundation Trust will work in partnership with North Bristol NHS Trust to provide potentially life-changing diagnosis and move towards a more personalised approach to treatment. The Exeter Genetics Laboratory is one of three designated providers of specialised endocrine tests for patients throughout England and the national centre for monogenic diabetes and hyperinsulinism testing. Our flagship rapid whole exome sequencing for patients with rare disease will be upgraded to whole genome sequencing.
Matt Hancock, Health and Social Care Secretary, announced that from early 2019 whole genome sequencing will be made available to seriously ill children with a suspected genetic disorder and people with specific types of cancer. The work will build on the 100,000 Genomes Project that is sequencing the genomes of around 70,000 people (100,000 patient samples) by the end of 2018.
Professor Sian Ellard, Head of the Exeter Genetics Laboratory and Director of the South West NHS Genomic Medicine Centre, said: “We look forward to working with our colleagues in Bristol to provide cutting-edge genomic testing for patients throughout the South West and beyond. Now we are able to begin a true transformation that will support more personalised medicine for patients with cancer and rare diseases in the South West and beyond.
“It is very exciting to be a part of this – we are proud that our long standing expertise in genomics research and diagnostic services has been recognised.”
Dr Emma Kivuva, Lead for the Peninsula Clinical Genetics Service, said: “We are delighted that our excellent laboratory has been selected to form one of the seven Genomic Laboratory Hubs. This new genomic testing will mean many more people with rare conditions can receive a diagnosis and more quickly. This will enable patients and families to receive more accurate information and be offered appropriate choices about their care and treatment.”
Mr John McGrath, RD&E Consultant Urologist and Deputy Director of the South West Genomics Medicine Centre, said: “We know that individual patients as well as individual cancers can vary in how they respond to the conventional treatments that we offer. We have now begun a new era in healthcare where cancer treatments will increasingly be tailored to that specific patient.
“The goal is to ensure that each patient accesses the treatment that is most effective for them and, in some cases, actually avoid treatments that are not going to be effective in their own situation.”
Dr Eileen Roberts, Head of the Bristol Genetics Laboratory based at North Bristol NHS Trust, said: “This means we will be supporting more personalised medicine for patients with cancer and rare diseases in the South West and beyond. Treatments will be more tailored and effective to each individual’s own disease profile. Also in some cases patients will be able to avoid aggressive treatments that may be of no benefit.”
