External Quality Assurance

For Genetics EQA please see the South West Genomic Laboratory Hub website SWGLH Quality | North Bristol NHS Trust

All departments within Severn Pathology participate within External Quality Assurance Schemes where possible. Where external quality assurance schemes are not available, the laboratories will explore alternative mechanisms such as Internal Quality Assessment or Inter-Laboratory Exchange with other diagnostic laboratories.

N.B. All scores are confidential to the participating organisation.  However, we will inform our users should we receive a letter of poor performance in any particular scheme.

Antimicrobial Reference Laboratory

Scheme ProviderScheme

UKNEQAS Antibiotics

Amikacin, Teicoplanin, Tobramycin

UKNEQAS Antifungals

Itraconazole, Posaconazole, Voriconazole, Flucytosine, Isavuconazole

INSTAND Group 198 (Antifungals/Chloramphenicol)

Posaconazole, Voriconazole, Fluconazole, Flucytosine, Chloramphenicol

Instand Group 890 (Antibacterials 02)

Meropenem, Linezoid

SKML (Snti-Tb Drugs)

Ethambutol, Isoniazid, Acetyl-Isoniazid (Isoniazid metabolite), Rifampicin, Rifabutin, Levofloxacin, Moxifloxacin, Linezolid, Bedaquiline

SKML (Antibiotic Drugs II

Piperacillin, Ciprofloxacin, Flucloxacillin, Sulphamethoxazole (Co-Trimoxazole), Trimethoprim (Co-Trimoxazole)

SKML (Antiviral Drugs)Aciclovir, Ganciclovir

Bacteriology

Scheme Provider

Scheme

UK NEQAS 

AAFB microscopy 
Antifungal susceptibility
Antimicrobial susceptibility
BHS B screening
C. difficile toxin  
Carbapenemase-producing organisms
Faecal parasites
General bacteriology
Genital pathogens
MRSA screening
Mycobacterium culture
Mycobacterium molecular 
Mycology ID 
Urinary antigens

Aurevia

Blood cultures
Gram stain
Helicobacter pylori faecal antigen detection
Multi-drug resistant GNBs
Urine cell count
Urine culture
VRE Screening

BMS EQA

Gram stain - vaginitis
Cerebrospinal fluid  

QCMD

MALDI 
CNS1 - Viral
CNS2 - Bacterial
Gastro - Viral
Gastro - Bacterial
Gastro - Parasites

 

Mycology Reference Laboratory

Scheme ProviderScheme

UKNEQAS Microbiology

Fungal Biomarkers, Cryptococcal antigen, Beta glucan (trial)

UKNEQAS Immunology

Fungal & related antigens

Aurevia

Fungal culture & sens

QCMD

Candida DNA, Aspergillus DNA, PCP DNA

Virology

Scheme Provider

Scheme

UK NEQAS 

Anti-HBs detection
Blood borne viruses
Blood donor screen
CMV Detection
CMV DNA quantification
EBV detection
EBV DNA quantification
HBV DNA quantification
HCV RNA detection
Hepatitis A detection
Hepatitis B serology
Hepatitis C serology
Hepatitis E detection
HIV serology 
HIV POC 
HIV type 1 RNA quantification
Measles & Mumps IgG serology
Molecular detection of CT & NG
Molecular detection of respiratory viruses 
Molecular detection of viruses in CSF
Parvovirus B19 & Rubella serology
Rubella IgG serology
Syphilis serology
Toxoplasma serology
VZV serology

CSCQ

Lyme serology

Aurevia

Antistreptolysin serology
Bordetella pertussis antibodies
Borrelia burgdorferi (Lyme) antibodies
CMV antibodies (inc. avidity)
Helicobacter pylori antibodies
Hepatitis E antibodies 
Herpes Simplex 1 & 2 serology
Parvovirus IgG & IgM antibodies
Rubella IgG & IgM antibodies
Measles IgG & IgM antibodies
Trichomonas vaginalis detection
Mycoplasma genitalium detection

QCMD

Adenovirus DNA
Central nervous System (CNS) I 
(Viral Meningitis and Encephalitis)
CMV DNA (whole blood)
CMV Non-blood
EBV DNA (whole blood)
Enterovirus RNA
Transplantation (CMV, EBV, HHV6, BK, B19, AdV)
HBV DNA
HCV Genotype
HCV RNA
HIV RNA
Influenza haemagglutinin typing
Measles & Mumps EQA
Respiratory I Plus 
(Influenza A & B, RSV and SARS-CoV-2)
Respiratory II 
(hMPV, Adeno, Rhinovirus, Coronavirus, Enteroviruses, Parainfluenza viruses)
Respiratory III 
(Bordetella pertussis, Mycoplasma pneumoniae)
Sexually Transmitted Infections I 
(Mycoplasma genitalium, Trichomonas vaginalis)
Sexually Transmitted Infections II 
(Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum, HSV)

Instand eV

Chlamydia serology (C. trachomatis serology)
ASO serology (Streptococcal serology)
Influenza typing
 

Clinical Biochemistry

Scheme Provider

Scheme

UKNEQAS - general Chemistry assays

Sodium, potassium, chloride, bicarbonate, urea, urate, glucose. Lactate, calcium, adjusted calcium, phosphate, bilirubin, iron, transferrin, total protein, albumin, magnesium, AST, ALT, LD, CK, ALP, amylase, GGT, lipase, AFP (Tumour) Albumin, AMH, B12, Ca-125 .Ca15-3, Ca19-9, CEA, Bililrubin, Cholesterol Creatinine, CRP, Ferritin, Folate, Glucose, Haem pigments, HCG, Icterus, Lactate, Lipaemia, Lipase, Macroprolactin, Parathyroid hormone, PSA, SHBG, Total Bilirubin, Total Protein, Triglycerides, Urea, Vitamin D

UKNEQASErythropoetin (EPO)
General Immune Serology (TPO)
Intrinsic Factor Antibodies (IFAB)
Lipids
Paracetamol, salicylate, ethanol & TDM
Peptide hormones
FSH, LH, Prolactin, macroprolactin, AMH
Thyroid
UKNEQASFluids (total protein, albumin, glucose, amylase, creatinine, urea, lactate, total cholesterol, triglyceride)

UKNEQAS

Urine Chemistry (electrolytes, osmolality, protein, calcium, albumin)

UKNEQAS

CSF Spectroscopy scheme

German Scheme RfB

Blood spot 17OH progesterone 

ERNDIM

Acylcarnitines in Serum (carnitine)

ACDB scheme (Acylcarnitine’s in dried blood spots, includes interpretation)

ERNDIM

DPT Scheme (Diagnosis Proficiency Testing)

ERNDIM

Special assays in urine (GTL)

ERNDIM

QLOU scheme (Qualitative Organic Acids in urine)

ERNDIM

Quantitative amino acids 

ERNDIM

Quantitative methyl malonic acid (ORGS) (urine)

ERNDIM

Quantitative special serum assays (hydroxybutyrate, phytanate, VLCFA, pristanate, 7-dehydrocholesterol, free carnitine, NEFA ) 

ERNDIM

CN, PHE and TYR in dried blood spots

Centre for Disease Control (USA)

CDC DBS galactose-1-phosphate uridyltransferase (GALT)

UKNEQAS

Newborn screening includes following blood spot markers (TSH, IRT on the GSP)

UKNEQASNewborn screening for markers Phe, Tyr, C8 , C10,  C8/10

UKNEQAS

Sickle Cell

LGC International Proficiency SchemeAntipsychotics/SSRI/TCA
Carboxyhaemoglobin
Case studies for toxicology
Ethanol (blood, urine, serum)
Paracetamol
Tacrolimus, Cyclosporin and Sirolimus 
Toxicology
Serum Toxic Alcohols 

UKNEQAS

Cholinesterase inhibitor and activity
MSS Down's screening (First trimester)
Trace metals (Chr, Co, Cu, Pb, Se, Zn)

RIQASUrine drugs of abuse
Equalis (Swedish)Iohexol 

Instand Ev

Gentomycin, Vancomicin

Immunology

Scheme Provider

Scheme

UK NEQAS

 Anaemia Related Antibodies Scheme (previously general autoimmune serology)

UK NEQAS

 Antibodies to Nuclear and Related Antigens

UK NEQAS

 Bullous Dermatosis

UK NEQAS

 Diabetic Markers

UK NEQAS

 for Neutrophil Cytoplasmic and Glomerular Basement Membrane Antibodies

UK NEQAS

 for PLA2R Antibodies

UK NEQAS

 Liver Disease Antibodies Scheme (previously general autoimmune serology)

UK NEQAS

 Myositis Antibodies

UK NEQAS

 Paraneoplastic Antibodies

UK NEQAS

 Phospholipid Antibodies

UK NEQAS

Rheumatoid Antibodies Scheme (previously general autoimmune serology)

UK NEQAS

 Scleroderma Associated Antibodies

UK NEQAS

 Thyroid Antibodies Scheme (previously general autoimmune serology)

UK NEQAS

 Allergen Component Testing 

UK NEQAS

 Allergen Specific IgE 

UK NEQAS

 Fungal and Related Antigens

UK NEQAS

 IgE

UK NEQAS

 Tryptase

UK NEQAS

 B2 Microglobulin

UK NEQAS

 Cryoglobulin 

UK NEQAS

 CSF Beta 2 Transferrin

UK NEQAS

 CSF IgG Oligoclonal Bands

UK NEQAS

C1 Esterase Inhibitor and Functional Complement Assays

UK NEQAS

 IgG Subclasses

UK NEQAS

 Monoclonal Protein Identification

UK NEQAS

 Faecal Markers of Inflammation 

UK NEQAS

 Faecal Pancreatic Elastase

UK NEQAS

 Specific Proteins 

UK NEQAS

 Immune Monitoring

UK NEQAS

Leukaemia Diagnosis Interpretation

UK NEQAS

 Leukaemia Immunophenotyping

UK NEQAS

 Measurable Residual Disease in Acute lymphoblastic Leukaemia

UK NEQAS

 Paroxysmal Nocturnal Haemoglobinuria

UK NEQAS

 Measurable Residual Disease in Chronic Lymphoblastic Leukaemia (pilot)

UK NEQAS

 Measurable Residual Disease in Acute Myeloid Leukaemia (pilot)

UK NEQAS

 CSF Immunophenotyping (pilot)

UK NEQAS

 Interferon Gamma Release Assay

UK NEQAS

 Scheme 1b HLA B27 Testing

UK NEQAS

 Scheme 2b Flow Cytometry Crossmatching

UK NEQAS

 Scheme 3 Antibody Specificity Analysis

UK NEQAS

 Scheme 4A1 DNA HLA Typing at 1st Field Resolution

UK NEQAS

 Scheme 6 HLA Antibody Detection

UK NEQAS

 Scheme 7 HLA-related Pharmacogenetics

UK NEQAS

 Scheme 8 HLA Genotyping for Coeliac and other HLA associated diseases

UK NEQAS

 Educational Crossmatch Scheme

UK NEQAS

 ABO Titration 

WEQAS

 Quantitative Faecal Hb

 

Cellular Pathology

Scheme Provider

Scheme

UK NEQAS

UK NEQAS for Cellular Pathology Tecnique - Tissue Diagnostics

UK NEQAS

UK NEQAS for Cellular Pathology Tecnique - Specialist Techniques

UK NEQAS

UK NEQAS for Cellular Pathology Technique - Mohs procedure

UK NEQAS

UK NEQAS for Cellular Pathology Technique - Bone Marrow Trephine 

UK NEQAS

UK NEQAS for Cellular Pathology Technique  - Renal biopsy

UK NEQAS

UK NEQAS for Cellular Pathology Technique  - Mega Block and slide H&E

UK NEQAS

UK NEQAS for Cellular Pathology Technique - Frozen section H&E 

UK NEQAS

UK NEQAS for Cellular Pathology Technique - Direct Immunofluorescence

UK NEQAS

UK NEQAS for Cellular Pathology Technique - Digital Pathology

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - General Pathology 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Breast Pathology (Hormonal Receptors – ER/PR) 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Breast HER2 IHC

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Breast HER2 ISH

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Lymphoid Pathology 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Alimentary Tract Pathology  (Lynch Syndrome/HNPC)

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Gastric HER2 IHC 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Non-Small Cell Lung carcinoma (NSCLC) ALK IHC 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Non-Small Cell Lung carcinoma (NSCLC) PD-L1 IHC 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Mis-Match Repair Proteins 

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Head and Neck HPV

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Head and Neck P16

UK NEQAS

UK NEQAS for Immunocytochemistry and In-Situ Hybridisation - Cytopathology

Inter-laboratory comparison

Immunohistochemistry and In-Situ Hybridisation - various 

Inter-laboratory comparison

Immunohistochemistry various

Inter-laboratory comparison

In-Situ Hybridisation - various 

LABQUALITY

Synovial Fluid Crystals

UK NEQAS

Diagnostic Cytology Cell Block

UK NEQAS

Diagnostic Cytology

UK NEQAS

Interpretive (Digital)

UK NEQAS

HPV

QCMD

HPV

Screening Quality Assurance Service

Gynaecological

Screening Quality Assurance Service

Technical

 

Haematology

Scheme Provider

Scheme

UK NEQAS

Full Blood Count

UK NEQAS

G6PD

UK NEQAS

Auto WBC Differential

UK NEQAS

Retic Count

UK NEQAS

Haemoglobinopathy

UK NEQAS

Sickle Screen

UK NEQAS

Cytochemistry, FE Stain

UK NEQAS

Blood Film Morphology/Parasitology

UK NEQAS

Manual WBC Differential

UK NEQAS

Rapid Malaria Antigen Test

UK NEQAS

nRBCc

UK NEQAS

Plasma Viscosity

UK NEQAS

Ferritin

UK NEQAS

Intrinsic Factor Antibodies

UK NEQAS

B12/Folate

UK NEQAS

HbA1c

UK NEQAS

INR/PT

UK NEQAS

APTT

UK NEQAS

Thrombin Time

UK NEQAS

Heparin Dosage Assessment

UK NEQAS

Heparin Assay

UK NEQAS

Fibrinogen

UK NEQAS

D-Dimer

UK NEQAS

Coagulation Factor Assays: VIII, IX II,V,VII,XI,XII,FXIII
(Assay & Screen), VIII (Quantitative Inhibitor)

UK NEQAS

VWF RiCof VWF antigen

UK NEQAS

Antithrombin Activity

UK NEQAS

Protein C Activity

UK NEQAS

Free Protein S Antigen

UK NEQAS

Activated Protein C resistance

UK NEQAS

Lupus Antigoagulant

UK NEQAS

Blood Transfusion

UK NEQAS

BTLP (Blood Transfusion)
(Grouping, Crossmatching, Antibody Investigation, DAG)

UK NEQAS

FMH (Blood Transfusion) Acid Elution

ECAT (Dutch EQA Scheme)

Anti-Xa tests