What will happen after you have been referred?

Why is it called genetic counselling?

It is called genetic counselling because as well as providing information about genetic conditions, we are able to discuss any options available to individuals and their families in a non-directive way. We will not be advising you on what you should or should not do but will try to provide an environment within which you can make the best decisions for your own particular situation. It is not a therapeutic counselling service.

 

What will happen now?

The number of appointments you have and whether they are with a genetic counsellor or a specialist genetic doctor (Clinical Geneticist) varies depending upon the genetic condition, whether there is a clear diagnosis and your particular circumstances.

 

For appointments at a genetic clinic

  • Please check your appointment letter for the location of the clinic as we have a number of different clinics and different hospitals.
  • Your partner or another relative or friend is welcome to come with you.
  • If you need any type of interpreter, please let us know; we can provide one for home visits, clinic appointments and telephone contacts.
  • A clinic appointment will usually last for between 3/4 hr to 1 hr so that there is plenty of time to answer your questions.
  • If you are unable to come, it is very important that you let us know as soon as possible so that we can give your appointment to someone else. Late cancellations cannot be offered to another patient leading to a wasted appointment.

First contact

We strive to see patients within 18 weeks. The initial contact may be with a genetic counsellor or genetic information nurse. You will either get a telephone call or receive an appointment by post for you to come straight to the clinic. In certain circumstances we may arrange to visit you at home. In this appointment you will be able to tell us your view of the referral and what questions you would like us to try and answer. To help to give you accurate information there will also be a detailed discussion about any relevant medical and family history. Sometimes at this appointment information about a genetic condition and the options available will be given and genetic tests may be carried out.  Depending on the type of genetic test, due to the processes, it can take around 6 to 8 weeks to be completed. 

 

Further appointments

An appointment with a specialist genetic doctor is always needed if a medical examination is required to try to make a diagnosis of a genetic condition. At this appointment the doctor will review the information you gave to the genetic counsellor and they may ask to examine you. Sometimes it is necessary for the doctor to gather more information or to arrange tests.

 

What family details are helpful?

For as many close relatives as possible, and for any other affected members of your family, it is helpful for us to know:

  • Their full name
  • Their date of birth
  • Their address

If appropriate, it may also be helpful to know:

  • The diagnosis they were given
  • When and where they were diagnosed or treated.

Please note that we will not contact any of your relatives directly without you having discussed this with them first, and will not ask for the medical records of relatives without their permission.

 

What will happen afterwards?

You may be offered a follow-up appointment either with a genetic counsellor or a genetics doctor. You will also be sent a letter to summarise what has been discussed. If you agree, we will send a copy to your GP and any other specialists who are looking after you.

NHS Nottingham University Hospitals
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