CPI: Inherited cardiovascular conditions: post-test: causative variant found

A. Ensures that the patient report matches the correct patient with at least three correct patient identifiers. (St, S)

B. Ensures that the genomic report is the most recent and correct/expected for the test that was requested. (St, K, S)

C. Determines whether any genomic variant has been identified, its classification as outlined in the laboratory report and any implications for the patient. (St, K, S)

D. Liaises with other professionals (such as multidisciplinary teams, clinical genetics service and Genomic Laboratory Hubs) regarding any queries relating to the result. (St, S)

A. Arranges feedback of the result to the patient, ensuring it is done in an appropriate setting and format, as well as at an allocated time. (St, S)

B. Uses effective and appropriate genomic communication skills to communicate the result of the genomic test. (St, S)

C. Outlines the implications for any current or future clinical management, including potential advantages/disadvantages of different options, based on the patient’s genomic result. (St, K, S)

D. Informs the patient/next-of-kin that variant reclassification can occur. (P, K, S)

E. Outlines future screening or risk-reducing options that may be offered. (St, K, S)

F. Responds to patient’s queries, or facilitates referral or signposting to an alternative source of information (such as other healthcare professionals, patient resources and support groups). (P, K, S)

A. Describes the inheritance patterns including risks for other family members, with numerical figures or pictures where relevant. (St, K, S)

B. Describes potential genomic testing, clinical screening and insurance implications for family members. (St, S)

C. Responds to patient’s queries, or facilitates referral or signposting to alternative sources of information, such as other healthcare professionals, patient resources and support groups. (P, K, S)

A. Ensures that the result is documented appropriately as per national and local processes, and it is communicated to relevant healthcare professionals who would benefit from knowing the result. (St, S)

B. Acts on local, national and international clinical guidelines to devise an ICC management plan, and facilitates onward referrals to other specialists in accordance with any multidisciplinary team discussion. (St, K, S)

C. Follows local processes for referring eligible patients to clinical genetics service. (St, S)

D. Understands and follows local pathways to enable relatives to gain a referral to clinical genetics services for cascade testing. (St, K, S)

E. Communicates a clear plan to the patient/next-of-kin for follow-up, including the time frame (specific or open-ended), mechanism (such as telephone or face to face) and appropriate contact information for any queries. (St, S)

A. Understands the fundamental principles of genomics and inheritance patterns. (G, K)

B. Recognises and acts within professional/role-specific boundaries and competencies, and understands when to seek multidisciplinary support or when to refer to relevant specialists for further support. (G, A)

C. Knows how to access educational resources to support learning where relevant, such as Good Clinical Practice training and Genomics Education Programme courses. (G, K, S)

D. Understands all relevant clinical pathways, including routes for accessing advice and support, and works collaboratively with colleagues and across specialties when applying pathways and protocols. (G, K)

E. Demonstrates knowledge of avenues of patient support, including resources and onwards referral, and communicates these to patients. Identifies when patients need additional support from another healthcare professional. (G, K, A)

F. Applies the communication and counselling skills needed to engage and communicate effectively in a compassionate manner with patients, their carers and the wider family. (G, S, A)

G. Understands the importance of, and demonstrates, appropriate and effective written documentation and correspondence with patients and other healthcare professionals. (G, S)

H. Considers recruitment of patients to research opportunities where appropriate. (G, S)