Referrals are accepted from primary, secondary and tertiary care.

• Concern regarding personal or family history of a genetic disease
• In pregnancy, counselling for and organisation of specialist prenatal diagnosis for a known familial genetic disorder when desired
• Diagnosis and counselling on diagnosis of fetal abnormality, either on genetic testing or ultrasound
• Investigation and diagnosis of congenital abnormality
• Investigation and diagnosis of abnormalities of growth or development in childhood
• Investigation and diagnosis of inborn errors of metabolism Diagnosis of a suspected genetic disease, including eye, renal, cardiac and neurological disorders with a known or possible genetic basis
• Strong family history of cancer, click here for a link to MANGEN referral guidelines. Family history of breast cancer should be referred to a local family history clinic for an initial assessment.
• To access testing of family members for carrier status for single gene (Mendelian) disorders when the responsible mutation is known in the family. This includes presymptomatic or predictive gene testing when indicated.

Which referrals do not need to come to Clinical genetics

Genetics and genomics are increasingly part of many different areas of medicine. Genetic testing and clinical management for common conditions can be done within other specialist areas of medicine. Examples of conditions that are not seen routinely in clinical genetics include:

• Sickle Cell / Thalassaemia
• Hypercholesterolemia
• Haemophilia
• Other bleeding disorders/thrombophilia’s, Von Willebrand, Factor V Leiden
• Haemochromatosis
• Alpha 1 antitrypsin
• Joint hypermobility syndrome (EDS III)
• CF carrier screening
• MTHFR common variants

How do I submit a referral?

Referrals can be submitted by, by fax (0161 276 6145) or by letter (Manchester Centre for Genomic Medicine, 6th Floor, St Mary’s Hospital, Oxford Road Manchester M13 9WL).

Referrals can be made to Naz Khan Principal Genetic counsellor she will ensure it is triaged into the most appropriate clinic.

What should I include in the referral?

In order for referrals to be processed efficiently, please include information from the following check list:

• Name and title
• NHS number
• Date of birth
• Full address and postcode
• Telephone details including a mobile phone number (essential as we may need to contact patients prior to an appointment and in addition we operate a text appointment reminder system)
• GP details
• Genetic reference number if patient or relatives previously seen by the genetic service
• Names and dates of birth of relatives who have already been seen in a genetic service; please specify which genetic service the relatives have attended.
• In paediatric referrals please include current social worker details for all Looked after Children
• Please state if an interpreter is needed and specify the language required

When referring a patient with a significant personal and / or family history of cancer, please refer to our specific referral guidelines, click here for a link to MANGEN referral guidelines, for the additional information required.

What happens after the referral has been processed?

If the referral is accepted your patient will receive an appointment informing them of the date, time and location of their appointment. If the referral is rejected, the referrer will be informed of this triage decision by letter.

If you have any questions about referrals please contact Naz Khan on 0161 276 6285 or go to the MANGEN website where further information is available.

You can download this information in pdf format here.