developing fh patient pathways in scotland dr bill simpson consultant chemical pathologist, clinical...

17
Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Upload: jonathon-wilken

Post on 31-Mar-2015

226 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Developing FH patient pathways in Scotland

Dr Bill SimpsonConsultant Chemical Pathologist,

Clinical Biochemistry Laboratory, NHS Grampian

Page 2: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Declaration of interestsWilliam G Simpson

• Unrestricted educational grants from Schering Plough

• Honoraria for lectures and advisory boards, Astra-Zeneca, Menarini, Randox, Schering Plough

Page 3: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Why am I here?

• Chair, Scottish Senior Clinical Biochemists• Chair, Association for Clinical Biochemistry Scotland • Chair, Scottish Lipid Forum

Page 4: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Why am I here?

• Chair, Scottish Senior Clinical Biochemists• Chair, Association for Clinical Biochemistry Scotland • Chair, Scottish Lipid Forum

Page 5: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Why am I here?

• Chair, Scottish Senior Clinical Biochemists• Chair, Association for Clinical Biochemistry Scotland • Chair, Scottish Lipid Forum

Page 6: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

• 2008 - 9

Page 7: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

• 2008 - 9

• 2009 - 10

Page 8: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Current questions:

• Lipid clinic coverage in Scotland?

Page 9: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Current questions:

• Lipid clinic coverage in Scotland?

Page 10: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Current questions:

• Lipid clinic coverage in Scotland?

Page 11: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Current questions:

• Lipid clinic coverage in Scotland? • DNA testing?

Page 12: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Current questions:

• Lipid clinic coverage in Scotland? • DNA testing? • Trained FH genetic nurses or counsellors?

Page 13: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Current questions:

• Lipid clinic coverage in Scotland? • DNA testing? • Trained FH genetic nurses or counsellors? • Paediatric input? • National register?• Appropriate computer software and connectivity?• Audit of service?

Page 14: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

The Pathway Forward

Page 15: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

The Pathway

Page 16: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

The Pathway

Page 17: Developing FH patient pathways in Scotland Dr Bill Simpson Consultant Chemical Pathologist, Clinical Biochemistry Laboratory, NHS Grampian

Scotland Summary

• 2008 – 9Testing genetic testing

• Proof of concept• Assessing SNP prevalence• Developing pathways & documentation

• 2009 – 10Cascading cascade testingNetworking with other networksClinical management system aquisition