A step-by-step method to identify workforce development and education needs aligned to patient pathways across the NHS Genomic Medicine Service

The Framework Project 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:

  1. introduce a unified approach to the integration of genomic medicine across the different specialties;
  2. identify the workforce development and education needs;
  3. harness and share expertise from around the country;
  4. avoid duplication of effort around resource development; and
  5. provide a ‘bite-sized’ clinically relevant approach to genomic medicine.

To support you in developing your own framework project, we have developed some handy downloads:

Developing a framework project

Each framework project is built around a patient pathway and is the approved Genomic Medicine Service resource.

The patient pathway should be a high-level, linear pathway, and many are likely to be smaller sections of larger pathways or networks.

Click through the steps below to see how a framework can be developed.

* 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.

View the guidance

You can view an exemplar of a framework as part of our information pack, which includes further details, handy flow charts, templates and guidance.

Supporting the national transformation projects

In the first instance, 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 with these five projects, we hope to develop a sustainable infrastructure going forward.

Once the framework structures for the five projects have been created, 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.

We also plan to publish a table of completed and ongoing projects so that, if you are inspired to move on to subsequent projects, you can see which have been developed and which need developing.

Developing education to support the framework

A considerable education and training package will be required to deliver each of the framework structures that are developed. Ideally, these resources would be 1) developed in line with a template/guide 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 framework 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.

Contact us

If you have a question about the framework project initiative, please contact the team.