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

Declaration of interestsWilliam G Simpson

• Unrestricted educational grants from Schering Plough

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

Why am I here?

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

Why am I here?

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

Why am I here?

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

• 2008 - 9

• 2008 - 9

• 2009 - 10

Current questions:

• Lipid clinic coverage in Scotland?

Current questions:

• Lipid clinic coverage in Scotland?

Current questions:

• Lipid clinic coverage in Scotland?

Current questions:

• Lipid clinic coverage in Scotland? • DNA testing?

Current questions:

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

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?

The Pathway Forward

The Pathway

The Pathway

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