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Consultant physicians working with patients - Royal College of ...

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2 Specialties Clinical genetics<strong>working</strong>inRGCsallocateconsiderabletimeto<strong>working</strong> <strong>with</strong> colleagues across the specialties inorder to ensure that the potential benefits <strong>of</strong>genetic testing are understood, made available to<strong>patients</strong> in all areas <strong>of</strong> medicine (so-called‘mainstreaming’), and ethically applied.10 The development <strong>of</strong> genetic predisposition tests(bothinNHSclinicsandcommercial‘direct-to-consumer’ tests) will increase thedemand on NHS genetic counselling services, as agreater proportion <strong>of</strong> <strong>patients</strong> will not have singlegene disorders or chromosome rearrangements butmore complex multifactorial problems.References1 Department <strong>of</strong> Health. Annual report <strong>of</strong> the Chief MedicalOfficer 2009. London: DH, 2010:38–45.2 <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians. Commissioning clinicalgenetic services. London: RCP, 1998.3 <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians. Clinical genetic services.Activity, outcome, effectiveness and quality. London:RCP,1998.4 House <strong>of</strong> Lords Science and Technology Committee.Genomic medicine. London: Stationery Office, 2009.www.publications.parliament.uk/pa/ld200809/ldselect/ldsctech/107/107i.pdf5 Temple IK, Westwood G. Do once and share: clinicalgenetics. London: National Health Service, 2006.www.bshg.org.uk/documents/<strong>of</strong>ficial docs/DOAS finalprinted report%5B1%5D.pdf6 Department <strong>of</strong> Health. Our inheritance, our future.Realising the potential <strong>of</strong> genetics in the NHS.London:DH, 2003.7 <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians, <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Pathologistsand British Society for Human Genetics. Consent andconfidentiality in genetic practice: guidance on genetictesting and sharing genetic information. A report <strong>of</strong> theJoint Committee on Medical Genetics. London: RCP,RCPath, BSHG, 2011.8 Clarke A. The genetic testing <strong>of</strong> children. Report <strong>of</strong> a<strong>working</strong> party <strong>of</strong> the Clinical Genetics Society, UK. JMedGenet 1994;31(10):785–97.9 Mental Capacity Act 2005. www.legislation.gov.uk/ukpga/2005/9/contents10 SkirtonH,BarnesC,GuilbertP,KershawA.Recommendations for education and training <strong>of</strong> geneticnurses and counsellors in the United Kingdom. JMedGenet 1998;35(5):410–2.11 Clinical Genetics Society. Pr<strong>of</strong>essional roles in themultidisciplinary team in genetics. Aframeworkforpractice prepared by a <strong>working</strong> party <strong>of</strong> the ClinicalGenetics Society and the Association <strong>of</strong> Genetic Nursesand Counsellors. CGS, AGNC, April 2011.www.clingensoc.org/Docs/WP AGNC CGS v2.pdf12 Association <strong>of</strong> British Neurologists and Clinical GeneticsSociety. Genetic services for neurological disorders. Report<strong>of</strong> a <strong>working</strong> party <strong>of</strong> the Association <strong>of</strong> BritishNeurologists and Clinical Genetics Society. ABN, CGS,September 2003. www.clingensoc.org/Docs/GenetServices Neuro.pdf13 Clinical Genetics Society. Clinical genetics andantenatal/fetal medicine: liaison and training. Areport<strong>of</strong>the Clinical Genetics Society prenatal genetics group.December 2008. www.clingensoc.org/Docs/CGS-PGGfinal%20report Dec%2008.pdf14 General Medical Council. Good medical practice.London:GMC, 2006. www.gmc-uk.org/static/documents/content/GMP 0910.pdf15 Clinical Genetics Society. Clinical standards for a geneticsunit. The clinical governance sub-committee. August2005. www.clingensoc.org/Docs/Standards/ClinicalStandards.pdf16 Department <strong>of</strong> Health. Quality markers for clinicalgenetics services. London: DH, 2002.17 <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians. Commissioning clinicalgenetic services. London: RCP, 1998.18 Clinical Genetics Society. Guide to consultant jobplanning: March 2011. www.clingensoc.org/Docs/CGS%20Job%20Planning 2011.pdf19 National Institute for Health and Care Excellence.Familial breast cancer. The classification and care <strong>of</strong>women at risk <strong>of</strong> familial breast cancer in primary,secondary and tertiary care: update. NICE clinicalguideline 41 (partial update <strong>of</strong> NICE clinical guideline14). London: NICE, 2006.20 Clinical Genetics Society. Roles <strong>of</strong> the clinical geneticist,March 2011. www.clingensoc.org/Docs/Roles%20Clinical%20Geneticist 2011.pdf21 Specialised services national definitions set (SSNDS), 3rdedition. Definition no 20: specialised medical geneticsservices (all ages). www.yhscg.nhs.uk/specialised-services-national-definition-set-version-3.htmNote to readers: This chapter has not been updated for the revised 5th edition 2013. The text has been reproduced from the 2011 edition.C○ <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians 2013 65

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