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East Genomics

Service turnaround times

Below are our Turn Around Times (TATS) for tests carried out at our main laboratory in Cambridge. We will update these figures every month, at the end of the following month, and will be adding those from our laboratories in Nottingham and Leicester in due course.

The laboratories aim to report all genomic tests within the NHS England genomic test reporting time guidelines. Please note that reporting times will vary depending on the test type and referral type.

Results from tests requested through East GLH will be delivered by e-mail to a designated email address, which you will need to include on the request form. It is preferable for us if you use an nhs.net account and you are advised to use a departmental, rather than an individual, account if possible.

Patient information is only secure when sent via email from one nhs.net account to another nhs.net account. As such, when sending laboratory reports across networks, these will be encrypted.

If you have not sent in samples to us before for any particular test, please do make contact with the Laboratory in advance to make sure we have the capacity to process your request. Please email us on genetics.laboratories@nhs.net

Turn around times were last updated w/c 14 November 2022

Rare Disease turnaround times

The below times are just for our Cambridge Genomics Laboratory. We will be adding those for our local laboratories in Nottingham and Leicester soon.

Pre-Rep and Cytogenomics October average TAT
Clinical Urgency Example Tests NHSE Target TAT (Days) Percentage within Standard Average TAT (Mean, Days)
Urgent – Ultra Rapid Example Tests QF-PCR for rapid trisomy detection NHSE Target TAT (Days) 3 Percentage within Standard 87.0 Average TAT (Mean, Days) 2.5
Urgent - Rapid Example Tests Microarray / karyotypes for prenatal / urgent postnatal (e.g. neonatal referrals) NHSE Target TAT (Days) 14 Percentage within Standard 80.0 Average TAT (Mean, Days) 11.3
Non-urgent - Standard Example Tests Haemato-oncology microarrays NHSE Target TAT (Days) 21 Percentage within Standard 100 Average TAT (Mean, Days) 13.5
Non-urgent - Standard Example Tests Routine QF-PCR (for pregnancy loss samples) NHSE Target TAT (Days) 14 Percentage within Standard 94.2 Average TAT (Mean, Days) 10.0
Non-urgent - Standard Example Tests Standard paediatric or fetal loss microarray NHSE Target TAT (Days) 42 Percentage within Standard 0.7 Average TAT (Mean, Days) 90.5
Non-urgent - Standard Example Tests Postnatal karyotyping (e.g. fertility or familial microarray follow-up) NHSE Target TAT (Days) 42 Percentage within Standard 54.9 Average TAT (Mean, Days) 41.5
Non-urgent - Standard Example Tests PWS/AS and Fragile X NHSE Target TAT (Days) 42 Percentage within Standard 20.6 Average TAT (Mean, Days) 45.9

NB from June: 7 day category (CF IRT & EGB) removed (merged with 14 day TAT)

Rare Disease Paediatric, Endocrinology and Neurology October Average TAT
Clinical Urgency Example Tests NHSE Target TAT (Days) Percentage within Standard Average TAT (Mean, Days)
Urgent – Ultra Rapid Example Tests PCR based tests where the result is needed urgently for prenatal diagnosis NHSE Target TAT (Days) 3 Percentage within Standard 33% Average TAT (Mean, Days) 6 days
Urgent – Ultra Rapid Example Tests DPYD NHSE Target TAT (Days) 5 Percentage within Standard 100% Average TAT (Mean, Days) 3 days
Urgent – Rapid Example Tests PCR based tests for predictive testing NHSE Target TAT (Days) 14 Percentage within Standard 55% Average TAT (Mean, Days) 18 days
Non-Urgent – Standard Example Tests Rare disease single gene screening, small panel testing (<10 genes), known familial variant testing & standard STR based analysis NHSE Target TAT (Days) 42 Percentage within Standard 34% Average TAT (Mean, Days) 77 days
Non-Urgent – Complex standard Example Tests Large gene panels (>10 genes), WES and WGS NHSE Target TAT (Days) 84 Percentage within Standard 5% Average TAT (Mean, Days) 332 days
Haemato-oncology (Haem-Onc) Molecular October 2022
Clinical Urgency Example Tests NHSE Target TAT (Days) Percentage within Standard Average TAT (Mean, Days)
Urgent – Ultra Rapid Example Tests FLT3 TKD
FLT3 ITD
NHSE Target TAT (Days) 7 Percentage within Standard 95%
96%
Average TAT (Mean, Days) 3
3
Urgent - Rapid Example Tests T-cell Clonality
B-cell Clonality
NHSE Target TAT (Days) 14 Percentage within Standard 89%
96%
Average TAT (Mean, Days) 8
7
Urgent - Rapid Example Tests Bone marrow Chimerism
Peripheral blood chimerism
Pre-transplant chimerism
NHSE Target TAT (Days) 14 Percentage within Standard 74% (BM and PB)
50% (Pre-transplant)
Average TAT (Mean, Days) 15
11
16
Urgent – Rapid Example Tests JAK2V617F
JAK2 exon 12
MPL exon 10
CALR exon 9
NPM1 exon 12
NHSE Target TAT (Days) 14 Percentage within Standard 37%
76%
42%
65%
65%
Average TAT (Mean, Days) 15
12
18
14
12
Non-urgent – Standard Example Tests BCR-ABL diagnostic
BCR-ABL quantitative
c-KIT
MYD88
NHSE Target TAT (Days) 14 Percentage within Standard 86%
6%
50%
74%
Average TAT (Mean, Days) 11
18
12
14
Non-urgent - Standard Example Tests NGS panels for haemato-oncology referrals (Haem-Onc NGS panels) NHSE Target TAT (Days) 21 Percentage within Standard 4% Average TAT (Mean, Days) 40
Haem-onc Cytogenomics October 2022
Clinical Urgency Example Tests NHSE Target TAT (Days) Percentage within Standard Average TAT (Mean, Days)
Clinical Urgency Urgent – Ultra Rapid Example Tests Urgent haemato-oncology FISH (e.g. BCR/ABL1, PML/RARA) NHSE Target TAT (Days) 3 Percentage within Standard 100% Average TAT (Mean, Days) 9 hours
Clinical Urgency Urgent Example Tests Urgent haemato-oncology FISH NHSE Target TAT (Days) 7 Percentage within Standard 91% Average TAT (Mean, Days) 2 days
Clinical Urgency Urgent - Rapid Example Tests Urgent haemato-oncology karyotyping NHSE Target TAT (Days) 14 Percentage within Standard 0% Average TAT (Mean, Days) 22 days
Clinical Urgency Non-urgent - Standard Example Tests Standard haemato-oncology karyotyping (e.g.MDS) NHSE Target TAT (Days) 21 Percentage within Standard 5% Average TAT (Mean, Days) 29 days

Cancer turnaround times

The below times are just for our Cambridge Genomics Laboratory. We will be adding those for our local laboratories in Nottingham and Leicester soon

Solid Cancer October average TAT
Clinical Urgency Example Tests NHSE Target TAT (Days) Percentage within Standard Average TAT (Mean, Days)
Urgent – Rapid Example Tests NGS – targeted DNA NHSE Target TAT (Days) 14 Percentage within Standard 41% Average TAT (Mean, Days) 17
Urgent – Rapid Example Tests NGS - targeted RNA NHSE Target TAT (Days) 14 Percentage within Standard 43% Average TAT (Mean, Days) 17
Urgen – Rapid Example Tests NGS - expansive NHSE Target TAT (Days) 21 Percentage within Standard 26% Average TAT (Mean, Days) 24
Urgent - Rapid Example Tests FISH for solid cancers NHSE Target TAT (Days) 14 Percentage within Standard 96% Average TAT (Mean, Days) 9
Urgent – Rapid Example Tests MGMT promoter methylation NHSE Target TAT (Days) 14 Percentage within Standard 50% Average TAT (Mean, Days) 15
Urgent - Rapid Example Tests MSI testing (immunotherapy) NHSE Target TAT (Days) 14 Percentage within Standard - Average TAT (Mean, Days) -
Non-urgent Std Example Tests MSI testing (Lynch syndrome) NHSE Target TAT (Days) 42 Percentage within Standard 33% Average TAT (Mean, Days) 50
Non-urgent Std Example Tests MLH1 promoter methylation NHSE Target TAT (Days) 42 Percentage within Standard 100% Average TAT (Mean, Days) 14