1. Clinical pathway
Identify a clinical pathway where genomic medicine will be required for delivery (either for testing or management).
The Clinical Pathway Initiative is a collaboration between NHS England and NHS Improvement (NHSE/I), Health Education England (HEE) and the Academy of Medical Royal Colleges (AoMRC) to facilitate the integration of genomic medicine through the alignment of patient pathways, workforce development and education/training requirements.
The aims of the initiative are to:
To support you in developing your own clinical pathway project, we have developed some handy downloads:
Each clinical pathway project is built around a patient pathway and is the approved Genomic Medicine Service resource.
The pathway should be high-level and linear, and many are likely to be smaller sections of larger pathways or networks.
Click through the steps below to see how a pathway project can be developed.
Identify a clinical pathway where genomic medicine will be required for delivery (either for testing or management).
Reduce a larger pathway into its shorter component pathways.*
Break down each pathway into its component steps; likely to be between three and five steps.
Align the steps to the competency required to deliver each of these steps.**
Identify the education and training that is required to develop the competencies to deliver each of the steps.
Align the pathway to the workforce group who will be delivering each step of the pathway.
* For instance, a larger pathway to investigate an intellectual disability might be divided into two smaller pathways: a) requesting genomic testing; and b) interpreting and feeding back results.
**Consult with the Genomics Education Programme’s competency frameworks.
For an in-depth look at how to develop a clinical pathway project, read through the information pack and template.
Among other key areas, we are prioritising five of the national transformation projects (Lynch syndrome, monogenic diabetes, familial hypercholesterolaemia, sudden cardiac death and DPYD) to formulate into a framework structure. By piloting this approach, we hope to develop a sustainable infrastructure going forward.
Once the pathway structures for these projects have been completed, these will be made available on this website so that they can be nationally accessed, modified for local/regional needs and used in clinical practice.
Below you will see a table of established clinical pathway projects so that, if you are inspired to initiate a pathway project, you can see which ones are already under way.
Clinical pathway project | Lead | Status |
Familial hypercholesterolaemia | Jude Hayward, North East and Yorkshire GMSA | Final review |
Glioma | Dani Lynch, South West GMSA | In progress |
Hirschsprung’s disease | Joanne Kennedy, South West GMSA | In progress |
Neurology | Heidy Brandon, South East GMSA | In progress |
Newborn screening | Amanda Pichini, Genomics England | Scoping |
Renal | Heidy Brandon, South East GMSA | In progress |
A considerable education and training package will be required to deliver each of the pathway structures that are developed. Ideally, these resources would be 1) developed in line with a framework or template and 2) hosted/signposted on this website so that they can be easily accessed and nationally shared.
The Genomics Education Programme (GEP) is developing a new resource called GeNotes (genomic notes for clinicians), which we hope will be the ideal platform to develop and disseminate many of these resources.
If you are interested in finding out more about, contributing to or using the GeNotes platform as the repository for relevant framework educational tools, please see Appendix 1 of the information pack, which includes the resource development process and templates.
All clinical pathway projects will be ratified by the NHSE/I and HEE joint workforce steering group and AoMRC’s genomics group before being uploaded to the GEP website and nationally disseminated.
You can choose either to submit your completed project via email or present the project yourself at either of the group’s meetings.
If you have a question about the Clinical Pathway Initiative, please contact the team.
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