100 000 Genomes Project Participant Stories - Libby's story

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Libby's Story

A mother whose daughter died from cancer after treatment at the Royal United Hospital (RUH) in Bath has spoken about the value of joining the 100,000 Genomes Project for research and for helping her to come to terms with her grief.

Diane Woodland’s daughter Libby volunteered for the project after she was admitted to the RUH and diagnosed with a rare cancer. She died aged 25 in August 2018.


Diane said: “The doctors told us they’d never seen a cancer before like the one Libby had and they didn’t know what treatment to give her. “My deepest fear was that, having produced Libby and her brother George, it was something my husband and I had passed on to her.”


Tracie Miles, RUH gynaecology clinical nurse specialist for gynaecology cancer and legacy genomics practitioner, recruited Libby to the 100,000 Genomes Project through the West of England Genomic Medicine Centre (WEGMC) while she was being treated at the hospital. The national project was a major NHS initiative to sequence 100,000 genomes from patients with rare inherited diseases or with cancer and to transform NHS services to include genome sequencing as standard care for future patients. The ambitious aim to sequence 100,000 genomes (DNA sequences) from NHS patients was reached in December 2018.


Tracie said: “Libby wanted to know about her cancer. Her biggest fears were for her family and their future – she wanted more information for herself and for them. In addition she wanted to help patients in the future with information from her stored genomic data. The results that came back showed there was no inherited reason for her succumbing to this cancer. This was a real relief for her mum and her dad.”


Diane said: “It was just amazing to find out that George is very unlikely to have it, I can’t express how much that means.“Signing up for the trial means that, hopefully, things will be discovered that go on to help other people, which is what Libby so wanted to do from such an early age. It might take five or 15 years but I just hope that the information that’s needed is supplied – and I’m so proud and lucky that my daughter has been able to take part in this research.”


Tracie added said: “Genomics has the ability to influence the care we give today. For example a woman newly diagnosed with ovarian cancer will have her tumour tested to see if she carries an alteration of her BRCA 1 or 2 gene.  If that’s the case it may mean that her oncologist, the doctor who prescribes her chemotherapy, could have other therapeutic choices for her, and it may increase her survival advantage. It will also give important health information for her family, who may choose to be tested to see if they carry the altered gene, enabling them to access relevant screening and other cancer risk reducing strategies. So, the learning is already making a difference now for patients, not just in the future.”


The current focus for the local WEGMC teams is on returning results to patients and their families, where appropriate, and also sharing the important impact that this project, and genomic medicine in general, will have on future patients locally, nationally and potentially across the world.


Diane kindly agreed to share her story and that of her daughter Libby through a video which can be viewed here

The WE GMC team wanted to express our upmost thanks to Diane for taking the time and the courage to share this extremely personal experience and sharing her view of the importance of being involved in projects such as the 100,000 Genomes Project.
 

 

The National Genomic Laboratory Network

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NHS England began a major reorganisation of the genetic laboratory network in England in 2018 with the aim of improving genomic testing in the NHS through standardisation, increasing capacity, acceleration of uptake of new technologies and by improving equity of patient access.

 

  • All English Genomic laboratory services are now consolidated into a network of seven Genomic Laboratory Hubs (GLH) each hosted by an acute NHS Trust.

 

  • The GLHs provide core rare disease and cancer genomic testing services for NHS patients in their geographical region. GLHs also provide specialist rare disease and cancer genomic testing for more than one region according to their areas of expertise.

 

This page was last updated 20:19 Tuesday 8th March 2022

maps of England with names of genomic services

North & South American Virtual Certificate in Urodynamics Course

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2026 date to be confirmed

This virtual Certification in Urodynamics Course is to be run in collaboration with The Prometheus Group LATAM and the Bristol Urological Institute (BUI). It is an online course specifically for specialists in North and South America.

The course will be taught in both English and Spanish and aimed at doctors, nurses, clinical scientists and all allied-healthcare professionals who are already have some knowledge of urodynamics and not for those with no experience. The course finishes with a multiple choice quiz. Those who achieve satisfactory marks will be awarded the Certificate in Urodynamics. Those who do not pass are awarded a Certificate of Attendance. 

Course Director: Hashim Hashim, Consultant Urological Surgeon, Honorary Professor of Urology & Director of the Urodynamics Unit, Bristol Urological Institute

Faculty: 
Arturo Garcia, Consultant Urological Surgeon. Mexico
Andrew Gammie, Clinical Scientist, Bristol Urological Institute

Cost: US$850

To register your interest send an email directly to The Prometheus Group: dilucca.tpglatam@gmail.com

 

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Workforce Development Partner Organisations

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Workforce Development Partner Organisations

The delivery of the genomic medicine service workforce development strategy and it's compenent education and training plan is reliant on the collaboration of many individuals and teams across a network of organisations. 

The SWGLH team collaborates with:

NHSE/I Genomics Unit
HEE Genomics Education Programme
HEE SW Office Genomics lead
AHSNs - SWAHSN and WEAHSN
HEI’s - Plymouth, Exeter, Bristol, Bath, UWE and Gloucestershire
WFDL in acute trusts
CCG leads for Primary Care

Representatives from some of these organisations are members of the SWGMS partnership board 


 

Working with Genomic Medicine Service Stakeholders

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The SWGLH works with the Genomics Unit in NHS England, and as of February 2021 the SWGLH is aligned with the activity of the South West Genomics Medicine Service Alliance (SWGMSA), to ensure that genomic laboratory services are aligned with national policy and with the needs of the SW population.

NHS England alignment maps for GMSA and GLH

Our main NHS Acute hospital partners are the 9 Trusts that provide acute care for the SW England population of about 5 million people:

Oversight and governance of the SWGLH and the SWGMSA  are currently provided by a Partnership Board which meets regularly and is accountable to an oversight board consisting of the CEOs of the acute Trusts in the NHS and onward to NHS England and the Genomic Unit.

 

This page was last updated at 18:16 on Tuesday 8th March 2022

Services provided by the South West Genomic Laboratory Hub

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The SWGLH is the point-of-access for all genomic tests listed in the National Genomic Test Directory for rare diseases and for cancer


Funding of tests

The SWGLH is directly funded for service delivery so there will be no provider-to-provider invoicing for tests specified by the national Genomic Test Directory (NGTD), and patients meeting the eligibility criteria.

 

The following tests will be performed in one of the SWGLH laboratories:

  • All cancer and haemato-oncology indications - Bristol
  • All common rare disease indications -  Bristol or Exeter
  • Specialist tests for neurology, cardiac and renal indications - Bristol
  • Specialist tests for endocrine indications  - Exeter
  • National rapid exome sequencing service (R14) -  Exeter


Samples for the following test indications should be sent to the SWGLH but will be processed and forwarded to a different specialist laboratory in the GLH network. Results will be sent directly to the requesting clinical team:

  • Specialist haematology
  • Specialist ophthalmology
  • Specialist gastrohepatology
  • Specialist hearing
  • Specialist immunology
  • Specialist inherited cancer
  • Specialist metabolic
  • Specialist mitochondrial
  • Specialist musculoskeletal
  • Specialist respiratory
  • Specialist skin
  • Non-invasive pre-natal diagnosis

 

The information on requesting these tests can be found on the SWGLH Sample and Test Information pages

This page was last updated 20:11 Tuesday 8th March 2022

The South West Laboratories

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The SW Genomic Laboratory Hub (SWGLH) is one of the network of seven English Genomic Laboratory Hubs that was commissioned from 2018 to deliver genomic testing services in accordance with the National Genomic Test Directories.

The SWGLH is a partnership between two laboratories and their host NHS Trusts:

  • Bristol Genetics Laboratory at North Bristol NHS Trust (Southmead site). This is the main laboratory where all cancer and most rare disease genomic testing is performed.

 

  • Exeter Genomics Laboratory at the Royal Devon and Exeter Hospital NHS Foundation Trust (Wonford site)This laboratory provides some specialised rare disease genomic testing services, including some national services.View Exeter Website here

 

The SWGLH is the NHS provider for Genomic testing for the 5 million NHS patients in Cornwall, Devon, Somerset, North Somerset, Bristol, South Gloucestershire, Gloucestershire, and some parts of Wiltshire. The SWGLH also provides some specialist rare disease tests for NHS patients in other regions

 

Exeter Genomics Laboratory

BGL Contact info image

Address

Level 3 RILD building
Royal Devon & Exeter NHS Foundation Trust
Barrack Road
Exeter
EX2 5DW

General Enquiries

tel:01392 408229
rduh.exetergenomicslaboratory@nhs.net

Opening hours

Monday – Friday
8am – 5:30pm

 

Bristol Genetics Laboratory

BGL Contact info image

Address

Bristol Genetics Laboratory
Southmead Hospital
Westbury-on-Trym
Bristol
BS10 5NB

General Enquiries

01174146168

SWGLHenquiries@nbt.nhs.uk

Opening hours

Monday – Friday
8:30am – 6:00pm

 

Map of South West Genomic Laboratory hub partnerships

This page last updated 12/04/2022

About Us

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About the South West Genomic Laboratory Hub (SWGLH)

 

This section gives more information about how the SWGLH is organised and the structure within the national laboratory network.

It includes pages with content covering:

  • The National Genomic Laboratory Network
  • The South West Genomic Laboratory Hub
  • Working with other Genomic Medicine Stakeholders and Patients
  • Meet the Team
  • Services provided by the South West Genomic Laboratory Hub

These can be accessed from the menu to the left of the page

This page was last updated 20:16 Tuesday 8th March 2022