Clinical Genetics

The Genetics Department at City Hospital is the Regional Genetics Centre for the majority of the Trent region (a population of around 2.2 million). We cover Nottinghamshire, Derbyshire, Lincolnshire and North Leicestershire. We are based in Nottingham but our team also runs clinics in Mansfield, Grantham, Boston, Lincoln, Spalding, Skegness and Derby.

Hereditary diseases are often rare and affected families require specialist advice and services. We offer a full diagnostic, genetic counselling, and genetic testing service to individuals and families affected with all genetic disorders affecting all ages. We help people to find out if they are at particular risk of genetic disorders and provide people with information about genetic disorders so that they can make informed choices about their future.

We can offer both urgent and routine consultations as well as a long term follow up service for certain genetic conditions. Our team of doctors, genetic counsellors and scientists work closely together to provide patients with the information and support they need, especially at particularly stressful times in life. We also work closely with a wide variety of medical specialities to provide joint clinics and specialist services for particular genetic disorders. We offer a wide variety of genetic testing: diagnostic, predictive, carrier testing and prenatal testing with the appropriate genetic counselling.

Community paediatrics

The Genetics and Community Paediatrics Clinic is held six times a year at the Children’s Development Centre (CDC), Nottingham City Hospital. Patients are seen by the community paediatrics team and Consultant Clinical Geneticist Dr Ajoy Sarkar. 

Adult learning disability

The Adult Learning Disability Clinic is held three times a year at Highbury Hospital. This is a multidisciplinary clinic with patients seen by Consultant Clinical Geneticist with an interest in adult learning disability Dr Ajoy Sarkar, and Consultant Psychiatrists Dr Peter Cutajar and Dr Bal Powar. 

Paediatric cardiology

The Inherited Cardiac Conditions (ICC clinic) offers detailed investigation, diagnosis and management for families who have or are at risk of inherited cardiac conditions.  This is a multidisciplinary clinic with patients being seen by teams from Genetics (Dr Nora Shannon, Consultant Clinical Geneticist,  Keri Oliver, Genetic Counsellor) and Cardiology (Mel Doyle, Ellen Berry, Cardiac Genetics Nurses, Dr Tim Robinson, Dr Andrew Staniforth, Dr John Walsh, Consultant Cardiologists) .

The ICC clinic also organises investigations for relatives when there has been a sudden cardiac death in the family.

Childrens ICC clinics are held monthly at the Children’s Outpatients Department, Queen’s Medical Centre, Nottingham. 

Referrals for children should be addressed to Dr Nora Shannon, Clinical Genetics Service. Please see information on our website about referring to Clinical Genetics.

Information and support for families with inherited cardiac conditions can be found at the British Heart Foundation website https://www.bhf.org.uk/

Cardiac genetics clinic

The Inherited Cardiac Conditions (ICC clinic) offers detailed investigation, diagnosis and management for families who have or are at risk of inherited cardiac conditions.  This is a multidisciplinary clinic with patients being seen by teams from Genetics (Dr Nora Shannon, Consultant Clinical Geneticist,  Keri Oliver, Genetic Counsellor) and Cardiology (Mel Doyle, Ellen Berry, Cardiac Genetics Nurses, Dr Tim Robinson, Dr Andrew Staniforth, Dr John Walsh, Consultant Cardiologists) .

The ICC clinic also organises investigations for relatives when there has been a sudden cardiac death in the family.

Adult ICC clinics involving genetics are held monthly at the Trent Cardiac Centre at City Hospital, Nottingham.

Childrens ICC clinics are held monthly at the Children’s Outpatients Department, Queen’s Medical Centre, Nottingham. 

Referrals for adults should be addressed to Mel Doyle, Ellen Berry (Cardiac Genetics Nurses) or the Clinical Genetics Service

Tel: 0115 969 1169 ext 57571 Fax: 0115 9627986 

Email: nuhnt.clinicalgenetics@nhs.net

Postal address: Cardiac Specialist Nurses Office, Linby Ward, South Entrance, Nottingham University Hospitals NHS Trust, City Campus, Hucknall Road, Nottingham. NG5 1PB

Referrals for children should be addressed to Dr Nora Shannon, Clinical Genetics Service. Please see information on our website about referring to Clinical Genetics.

Information and support for families with inherited cardiac conditions can be found at the British Heart Foundation website https://www.bhf.org.uk/

Skeletal dysplasia

The Skeletal Dysplasia Clinic is held 9 times a year at the Queen’s Medical Centre. This clinic sees children and their families affected by skeletal dysplasia. This is a multidisciplinary clinic run by Consultant Clinical Geneticist Dr Mohnish Suri and Consultant Paediatric Orthopaedic Surgeon Dr Dominik Lawniczak.

Lymphodema

The Joint Lymphoedema Genetics Clinic is held four times a year at the Royal Derby Hospital.  This is a multidisciplinary clinic with patients seen by Consultant Clinical Geneticist, Dr Mohnish Suri, and Lead Lymphoedema Consultant at the Royal Derby Hospital Professor Vaughan Keely.

Paediatric dermatology

The Joint Dermatology Genetics Clinic is held three times a year at the Queen’s Medical Centre in Nottingham. This is a multidisciplinary clinic seeing mainly children with genodermatoses and is run by Dr Jane Ravenscroft, Consultant Paediatric Dermatologist and Dr Mohnish Suri, Consultant Clinical Geneticist.

Ophthalmology

The Joint Paediatric Ophthalmic Genetics Clinic offers diagnosis, investigation and management for children with or at risk of hereditary eye conditions. This is a multidisciplinary clinic with patients seen by a Consultant Clinical Geneticist (Dr Nora Shannon, Dr Claire Searle) or a Genetic Counsellor (Catherine Lamb) and a Paedatric Opthalmologist (Dr Rosemary Lambley and Dr Shery Thomas).

This clinic is held four times a year in the Paediatric Opthalmology department at the Queen’s Medical Centre.

Referrals should be addressed to Miss Rosemary Lambley or Mr Shery Thomas (Consultant Ophthalmologists at Queen’s Medical Centre) or the Clinical Genetics Service. Please see information on our website about referring to clinical genetics.

Information and support for families with inherited eye conditions can be found at the RNIB website https://www.rnib.org.uk/

Paediatric nephrology

The Paediatric Nephrology Genetics Clinic is held 4 times a year at the Queen’s Medical Centre for children with a known or suspected genetic kidney condition.  Patients are seen by our Consultant Clinical Geneticist with an interest in kidney disorders, Dr Abhijit Dixit, and consultant colleagues from the paediatric nephrology (children’s kidney diseases) team.

Patients may have blood and urine tests as part of this clinic, and other investigations as appropriate, alongside a discussion of the genetic aspects of their condition.

Paediatric endocrinology

The Paediatric Endocrinology Genetics Clinic is held twice a year at the Queen’s Medical Centre for children with a known or suspected genetic hormonal disorder.  Patients are seen by Consultant Clinical Geneticist with an interest in endocrinology, Dr Abhijit Dixit, and consultant colleagues from the paediatric endocrinology team (children’s hormone specialists).

Patients may have physical examination and other investigations (such as blood tests) as part of this clinic as appropriate, alongside a discussion of the genetic aspects of their condition.

Disorders of sex development (DSD)

The Disorders of Sex Development (DSD) clinic is held four times a year at the Queen’s Medical Centre.  The clinic sees babies, children and young people under 18 years of age. Patients will usually see several members of the DSD team, depending on the reason for their clinic visit.

The DSD team comprises of specialists from paediatric endocrinology (children’s hormone doctors and specialist nurse), Urology (surgeons) and Genetics (Consultant Clinical Geneticist Dr Abhijit Dixit and Genetic Counsellor Marie-Anne O’Reilly).

More information about DSDs can be found via the support group website at www.dsdfamilies.org

Von Hippel Lindau (VHL)

The Von Hippel Lindau (VHL) Clinic is held once a month in Nottingham at City Hospital. This clinic is run by Consultant Clinical Geneticist Dr Rachel Harrison and Genetic Counsellor Elizabeth King for patients with VHL and their families. 

The VHL clinic coordinates surveillance for the features of VHL and supports families and at-risk relatives with the condition.  We often share care with other specialists in Ophthalmology, Urology and Neurosurgery.

Information and support for VHL families can be found at the VHL UK and Ireland Alliance http://vhl-uk-ireland.org/

Regional Neurofibromatosis 2 (NF2) clinic

The Regional Neurofibromatosis Type 2 (NF2) Clinic is held once a year in Nottingham at the Queen’s Medical Centre.  This clinic is part of the Cambridge NF2 Service, more information can be found here https://www.cuh.nhs.uk/neurofibromatosis-type-ii-nf2-service

This is a multidisciplinary clinic run by a team of specialists from ENT (Mr Patrick Axon and Professor O'Donoghue), Genetics (Dr Rachel Harrison), Neurosurgery and Specialist Nurses.

Referrals should be addressed to the Cambridge NF2 team https://www.cuh.nhs.uk/neurofibromatosis-type-ii-nf2-service

Information and support for families with NF2 can be found at the Nerve Tumours UK website https://nervetumours.org.uk/

National Ataxia telangiectasia (AT) clinic

The National Paediatric Ataxia-Telangiectasia Clinic is held 7 times per year at the Children’s Centre, Nottingham City Hospital. This is a multidisciplinary clinic that is held over two day with patients seen by several members of the A-T Clinic team.

 

The A-T Clinic team consists of Consultant Clinical Geneticist with a specialist interest in A-T, Dr Mohnish Suri, respiratory paediatricians, paediatric neurologists, paediatric immunologists, paediatric physiotherapist, paediatric chest physiotherapist, occupational therapist, speech and language therapist, dietician, genetic information nurse and psychotherapist.   All team members have many years of experience of managing A-T in children.

 

Information and support for families with ataxia telangiectasia can be found on the A-T Society website https://www.atsociety.org.uk

Complex vascular anomalies (CoVAC) MDT

The Complex Vascular Anomalies Multidisciplinary Team Meeting is held four times a year at the Royal Derby Hospital.  This MDT brings together specialists from Genetics, Lymphoedema Service, Dermatology, Interventional Radiology and Vascular Surgery to discuss complex cases of vascular anomalies.

Contact us

Tel: 0115 962 7728
Fax: 0115 962 8042
Email: nuhnt.clinicalgenetics@nhs.net

Cancer referral management guide

New referrals for breast, ovarian and bowel cancers should be sent to the appropriate family history clinic as detailed below unless the patient is terminally ill or there is a known mutation in the family.

If you have any questions regarding whether to refer a patient or want to discuss any details, please do not hesitate to contact us. 

 

Breast cancer and ovarian cancer

Nottingham and Newark area

Nicky Scott or Joanne Featherstone, Breast Care Nurse Specialist. Breast Family History Clinic at the Breast Institute, Nottingham City Hospital Campus

Mansfield area

Gill Clark, Breast care nurse specialist. Breast Family History Clinic, Welcome Breast Unit, King's Mill Hospital

Derbyshire

Wendy Chorley, Samantha Crockett or Karen Potts, Family History Clinic Specialist, Familial Cancer Team, Royal Derby Hospital

Lincolnshire

Mr Ahmed, Consultant Breast Surgeon, Breast Unit, Lincoln County Hospital

Mr Thekkinkattil, Consultant Oncoplastic Breast Surgeon, Breast Unit, Pilgrim Hospital, Boston

Mr Potdar, Consultant General/Breast Oncoplastic/Reconstructive Surgeon Breast Unit, Grantham and District Hospital

Newark area

Please contact the specialists from the Nottingham or Mansfield areas as appropriate.

 

Bowel cancer

Nottingham area

Sarah Thomson, Colorectal Nurse Practitioner, Bowel Cancer Family Service, QMC Campus

Mansfield area

Sue Godber, Louise Smith, or Emma Heighway, Colorectal Nurse Specialist, Department of Surgery, King's Mill Hospital

Derbyshire

Wendy Chorley, Family History Clinic Specialist, Familial Cancer Team, Royal Derby Hospital.

Lincolnshire

Mr. S. Pillai, Consultant Colorectal and General Surgeon, Colorectal Services, Lincoln County Hospital;

Mr G Ortonowski Consultant General and Colorectal Surgeon, Colorectal Services,  at Pilgrim Hospital, Boston

Miss A Varma, Consultant General Surgeon, Grantham and District Hospital

Newark area

Please contact the specialists from the Nottingham or Mansfield areas as appropriate

 

Other inherited cancers, complex cancer histories or referrals with known family mutations for pre-symptomatic testing should be referred directly to the Nottingham Clinical Genetics Service.

Outpatient referrals

Clinical referrals are accepted from GPs (via EBS), consultants, associate specialists, cancer family history clinics, antenatal services and other relevant health professionals such as health visitors.

All referrals should be made to the Clinical Genetics Service at Nottingham City Hospital. If the referral is urgent, such as obstetric cases, please telephone with the referral or fax a referral letter to allow earliest possible intervention. All referrals are reviewed on a daily basis by an experienced clinician.

Please include as much relevant information as possible, including contact details of your patient and names of significant relatives if known. It is particularly helpful to us to have a daytime telephone number. Prior to making any referrals please ensure that you have discussed this with the patient and that they wish to be seen.

If you have any questions regarding whether to refer a patient or want to discuss any details, please do not hesitate to contact us

Tel: 0115 962 7728

 

We currently run outpatient clinics at:

Nottingham City Hospital

King's Mill Hospital

Grantham Hospital

Pilgrim Hospital (Boston)

Lincoln County Hospital (paediatric clinic)

The Johnson Community Hospital (Spalding)

Skegness and District General Hospital

Royal Derby Hospital

Upcoming events- BRIDGE course

Upcoming events

The team actively participates in academic and educational programmes at all levels. Invitations to give seminars or provide training are always welcome.

Brain Imaging in Diagnosing Genetic Disorders (BRIDGE)

27 - 28 November 2019, Queen's Medical Centre, Nottingham

BRIDGE event poster

See here for the full programme and details of how to book  BRIDGE course 2019 Provisional programme.docx [docx] 18KB