Print Icon
 

June 2025

Laboratory updates

Improving efficiency and appropriateness of genomic test requests

To ensure that patients continue to benefit from genomic testing in the current context of increased NHS financial pressures, it is important for us all to work together to maximise benefits for patients.

This means taking care to ensure the right tests are run for the right patients, first time. Every test request received by our genomic laboratories should be appropriate, with patient eligibility checked and confirmed, using the correct test form completed with all relevant clinical information.


You can find out more on our website here. To support you in this, we will be doing the following:

  • Continuing to provide updates on our website for the Cancer test directory and the Rare and Inherited test directory. To be notified of updates via email please complete this form.
  • Offering online sessions on making genetic test referrals - to guide you through the process and answer any questions you might have. If you would be interested in attending a session please register your interest here.
  • Introducing modifications to our referral forms to provide space for you to detail how patients meet the eligibility criteria. These will be required to ensure testing proceeds efficiently
  • Working with our Genomics Communities of Practice (CoP) Leads to explore and understand referral challenges within specialisms so that we can collaborate to address them. You can find out more about which areas our CoPs cover, and how to join them, on our Genomics CoPs web pages.

Read more on our website.

Ordering ctDNA tests

Circulating tumour DNA (ctDNA) tests allow for the detection of cancer genes via blood test, detecting DNA from cancer cells that can be found circulating in the blood. ctDNA tests are currently listed in the national genomic test directory for breast cancer and Non-small cell lung cancer. See our new ctDNA web page for more information on the tests available and how to order them.

News and updates

Genetic blood tests could revolutionise cancer care
Last month NHS England announced that liquid biopsy genomic tests for cancer are now available across England. The tests have the potential to accelerate diagnosis, improve use of tailored treatments and reduce healthcare costs. 


The innovative liquid biopsy tests detect cancer by looking for fragments of circulating tumour DNA (ctDNA) in blood samples. They are now available through the NHS genomic medicine service. 


Dr Brent O'Carrigan, Consultant Medical Oncologist, Addenbrooke’s Hospital and Clinical Cancer Lead, East Genomics said "This is a welcome innovation for patients with cancer across the UK. Using techniques pioneered in our region, we can detect genetic changes in cancer through a simple blood test. This means faster results, reducing the time our patients spend worrying and helping them to access the best treatments sooner". 


Around 15,000 people a year could have liquid biopsy tests to inform diagnosis and treatment of non-small cell lung cancer (NSCLC; Test M4.14) cancer. A further 5,000 liquid biopsies could be used to guide the use of targeted treatments in people with advanced breast cancer (Test M3.13). These tests have specialist referral requirements. Find out how to order.


Read the full story on our website. 

New genetic test can diagnose brain tumours in as little as two hours
Scientists and medics have developed an ultra-rapid method of genetically diagnosing brain tumours that will cut the time it takes to classify them from 6-8 weeks, to as little as two hours – which could improve care for thousands of patients each year in the UK.
The groundbreaking method, which is detailed in a new study published in Neuro-Oncology, has been developed by scientists at the University of Nottingham along with clinicians at Nottingham University Hospitals NHS Trust (NUH).


In the published work, the team at NUH utilised the new approach during 50 brain tumour surgeries to deliver rapid, intraoperative diagnoses. This approach has achieved a 100% success rate, providing diagnostic results in under two hours from surgery and detailed tumour classifications within minutes of sequencing. Moreover, the platform’s ability to continue sequencing enables a fully integrated diagnosis within 24 hours.


Every day in the UK 34 people are diagnosed with some form of brain tumour, equating to more than 12,000 cases a year. The average survival rate can be less than a year for the most aggressive brain cancers....Read the full story here.

New pages for our regional Clinical Genetics Services

We are in the process of updating our website with more information, guidance and resources from the three main Clinical Genetics Services in our region - East Anglian (Cambridgeshire, Peterborough, Norfolk and Suffolk), Nottingham (Nottinghamshire, Derbyshire, Lincolnshire and North Leicestershire) and Leicester (Leicester, Leicestershire and Rutland)

Our updated pages for the East Anglian Clinical Genetics Service now contain detailed information for clinicians on referrals (guidelines, process and what is not routinely accepted by the service), mainstream genetic testing (ordered directly by clinicians), useful resources and sources of guidance, as well as links to information on training and education.

You can see the updated Clinical Genetics Services pages here. You can find out which is your local CGS using this interactive map. If you have any feedback on the CGS information available on our website, please contact i.kingsbury@nhs.net.
Rare Chromosome Day

Rare Chromosome Disorder Awareness Day 2025 was held on Thursday 19 June this year. 


The day brings together families, advocates, and healthcare professionals to highlight the unique challenges and remarkable resilience of those living with rare chromosome and gene disorders.

This year’s theme, “We are Unique… and so are you,” celebrates individuality while fostering a deeper sense of understanding and solidarity. Organised by the UK-based charity Unique, the 2025 campaign also commemorates the charity’s 40th anniversary—a major milestone in its mission to support, inform and connect affected families.


To mark the occasion, Unique released a special updated edition of its much-loved “Little Red Book”, now featuring powerful, personal stories from across the globe. This collection not only informs but honours the voices and experiences of the rare chromosome community.


Although individually rare, chromosome and gene disorders collectively affect thousands. Awareness days like this one are vital in driving forward research, advocacy, and public understanding. For more information, please visit: Rarechromo.org. 

Maternity and Midwifery Forum 2025

At the 2025 Maternity and Midwifery Forum in Nottingham last month, East Genomics' Lead Midwife Jo Hargrave and Central and South Genomics’ Lead Midwife Karen Creed put together a presentation on the topic “From DNA to delivery and beyond – Making genomics your ally”, delivered by Karen. You can view the talk in full here.

June awareness dates

There are a number of health awareness dates in June linked to genetics and genomic testing. Below we have listed some of these, along with links to further information, as well as any associated test codes in the National Genomic Test Directory (R=rare, M=cancer, or with a reference to a group of tests e.g. Part IX).


Updates from the Genomics Education Programme

What Pharmacy Professionals Need to Know about Clopidogrel testing

Last month the North West Genomics Medicine Service hosted a webinar on What Pharmacy Professionals Need to Know about Clopidogrel testing. It was co-delivered by their Pharmacy Jessica Keen. You can watch the recording here.

Requesting tests for inherited cancers
The eligibility criteria for diagnostic cancer genetic testing have significantly broadened in recent years, which has many benefits for patients and clinicians. Mainstreaming now means that clinicians who previously submitted referrals to initiate diagnostic inherited cancer gene panels (where eligibility criteria are fulfilled) to the the East Anglian Clinical Genetics Service (CGS) should now send test orders directly to the genomics laboratory. Further details and guidance for clinicians can be found here.

The Road to Genome Podcast

Last month the new series of The Road to Genome (series 5, episode 1) kicked off with a fascinating interview with Eddie Blair, Deputy Chair of our Patient and Public Voice (PPV) Panel. Eddie spoke about his career in genomics, his journey from prostate cancer diagnosis to participation in clinical trials, and his perspective as both scientist and patient. Eddie is a great communicator and it's always a pleasure to hear him speak.

Best of the rest:

News round-up
Research news
Genomic research opens door to new treatments for childhood cancers
Treatment for childhood cancers could change after a genetic study of childhood cancers co-led by Cambridge researchers revealed that they contain many more genetic changes than previously thought, and found a gene responsible for causing some childhood kidney cancers.


Until now, scientists have believed that the genetics of children’s cancers are simpler than those in adults, with fewer changes between healthy cells and cancer cells. This view has been overturned by a study published last month in Nature Communications, which used some of the latest genetic sequencing technology to show that tumours in children could contain millions of genetic changes.


The study used samples collected from young children with Wilms tumour – a kidney cancer that largely affects children under the age of five. In the UK, about 85 children are diagnosed with Wilms tumour every year.


The research was co-led by Professor Sam Behjati, who will lead the Childhood Cancer Centre in the Cambridge Children's Hospital Research Institute. Dr Behjati said: "It has been a widely held belief that childhood tumours had much lower numbers of genetic changes than adult tumours. However, thanks to the development of new genomic sequencing tools, we have been able to show that, at least in these cases, it is not true".


This discovery could lead to new treatments and may mean that treatments currently only used for adult cancers, such as immunotherapies, could also deliver benefits for some children....Read the full story here.

     
Red4Research

Friday 20 June was Red4Research Day - an opportunity to show your support for all of the people who make our research possible. The picture shows some of our regional Generation Study teams celebrating at Cambridge University Hospitals and Norfolk and Norwich University HospitalsThe study aims to help detect over 200 rare diseases using Whole Genome Sequencing. Find out more here.

     
Research round-up

Events, education and training

Upcoming Communities of Practice

Here are some upcoming meetings, with registration links where available, for our Genomics Communities of Practice:

Find out more about all of our 16 CoPs, including upcoming meetings and how to register, on our Genomic Communities of Practice on our websiteYou can access slides and recordings from previous sessions via the 'Clinical Specialisms' folders on our FutureNHS platform (you will need to request access if you have not already done so).

     

National Genomics Lunch & Learn series 

Next up in our series of national Genomics Lunch and Learn webinars is a session on Wednesday 23 July on Practical family history taking skills for holistic care. This 45 minute webinar is free to attend and is aimed at anyone working in healthcare wanting to learn more about the application of genomics to their clinical practice. It will be delivered by our Nursing and Midwifery Leads, Anita Murphy and Jo Hargrave. Register your free place today.

Sessions:
     
Master's-level funding for 2025/26
The Genomics Education Programme have announced that the funding application process is now live for Master’s-level CPPD modules and qualifications in genomic medicine. These are delivered by seven university partners across England. Funding is available for individual modules, or for up to four modules initially to achieve a postgraduate certificate, with potential to build to a postgraduate diploma or full Master’s degree. Click here to learn more and how to apply.

     
The genomic journey in maternity: a guide for midwives and neonatal teams
The NHS England Genomics Medicine Service are delighted to be collaborating with the Maternity and midwifery forum to launch a series of events and webinars to highlight the role of genomics in maternity and neonatal services.


The aim of the series is to support and enable midwives, neonatal practitioners, maternity support workers and allied health professionals to start or continue their genomic medicine journey by hearing from midwifery experts in the use of genomics in maternity care. Some of the presentations will include case studies to illustrate the role of genomics in personalised maternity care and its importance in improving outcomes. You can find out more here, where you can also watch a session delivered by our Lead Midwife, Jo Hargrave, on Exploring awareness of genomic testing at the initial midwifery appointment.

     

24 June: METChats - Navigating METex14 skipping in NSCLC

This webinar on Tuesday 24 June 2025 (6.30pm - 7.45pm) will explore the evolving landscape of METex14 skipping mutations with a focus on ctDNA – and how these insights inform personalised first-line treatment strategies. There will be opportunities for you to ask questions and discuss these topics. Register your place here.

     

3 July: CanRisk training for Breast Care teams

CanRisk is an online tool that enables healthcare professionals to calculate an individual's future risks of developing breast and ovarian cancer using cancer family history, genetic and other risk factors. CanRisk also calculates mutation carrier probabilities in breast and ovarian cancer susceptibility genes. This training session is specifically aimed at breast cancer teams in the East Midlands and East of England. To enquire about attending please email Maz O'Reilly.

     

15 Aug: Our voices, our stories: Lived experience of genomic testing

This webinar will explore the lived experiences of people who have gone through genomic testing, research and diagnosis. Each of the webinar participants has a unique and impactful story, and will provide powerful insights into the human side of the genomic testing process. With experiences across cancer and rare disease, from parent carers through to those diagnosed as adults, it will shine a light on the emotions involved in testing, diagnosis and treatment. You'll also have the opportunity to ask questions and learn more about the importance of patient and public involvement in genomic testing and research. Find out more and register your place here.

     

15 Oct: EI Innovate event

EI Innovate is the annual engagement event of the Earlham Institute, Norwich, which aims to achieve impact from research and expertise through collaborations and partnerships. This year's event will focus on the innovation journey, with examples of how the EI nurtures and develops early career scientists. EI Innovate provides the platform to connect across disciplines and between academia and industry to discuss current scientific and technical advances and industry challenges. You can view the programme and register here.

     

6 Nov: Cambridge Rare Disease Network RAREsummit25

The 7th annual RAREsummit takes place in November at the Wellcome Genome Campus in Cambridge. This flagship CamRARE event welcomes and unites patients, advocates, experts and leaders to address the challenges faced by people affected by rare diseases. By reflecting on progress made, showcasing best practices and new developments, sharing knowledge and experience, and finding ways to work together, the journey towards better diagnosis, treatment and support for patients and their families is smoother and more certain. Find out more and register here. You can also submit a poster here.
     

Events calendars of other organisations (A-Z)

Quick links

Contact us

  • Enquiries regarding any specific genomic tests should be directed to East Genomic Laboratory Hub (East GLH) at cuh.geneticslaboratories@nhs.net
  • Enquiries in relation to projects, mainstreaming, pathway development and wider education, training and and engagement should be directed to the East Genomic Medicine Service Alliance (East GMSA) at egmsa@nnuh.nhs.uk

To share future newsletter content or suggestions please email Ian at i.kingsbury@nhs.net.


If you have been forwarded this email by a colleague and would like to be on our mailing list, please register here.

If you would like to unsubscribe to these newsletters please email us