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Genetics and mainstream medicine : Service development and integration

1. Instroduction

The greater inclusion of generalists in giving genetic care to patients was first signalled in April 2001 by the Secretary of State for Health who noted that the NHS needed to ‘change and adapt its services’ to meet the challenge of genomics1. Genetic services would need to spread from specialist centres and into GP surgeries, health centres and local hospitals. In other words, genetic services would become more ‘mainstream’. In 2003 developing genetics in mainstream services was one of the main themes of the Genetics White Paper² with substantial initiatives in modernising laboratories to provide essential infrastructure, engaging other specialties to ‘spur the take-up of genetics’ through service development pilots in the hospital sector and developing GPs with a Special Interest in Genetics. It was expected that specialist genetics centres would play a leading role in ‘spearheading diffusing genetics knowledge and expertise across the NHS’².

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