Article| Volume 24, ISSUE 8, P1743-1752, August 2022

A nationally agreed cross-professional competency framework to facilitate genomic testing

  • Amanda Pichini
    Correspondence and requests for materials should be addressed to Amanda Pichini, Genomics England, Dawson Hall, Charterhouse Square, Barbican, London EC1M 6BQ, United Kingdom.
    Genomics Education Programme, Health Education England, Birmingham, United Kingdom

    Bristol Clinical Genetics Service, Department of Clinical Genetics, St Michael’s Hospital, Bristol, United Kingdom

    Genomics England, London, United Kingdom
    Search for articles by this author
  • Michelle Bishop
    Genomics Education Programme, Health Education England, Birmingham, United Kingdom

    Wellcome Connecting Science, Wellcome Genome Campus, Cambridge, United Kingdom
    Search for articles by this author



      The study aimed to develop a nationally agreed, cross-professional competency framework outlining the knowledge, skills, and behaviors required to facilitate genomic tests.


      Using principles of the nominal group technique, a consensus meeting with 25 experts mapped themes to an initial framework and voted on areas of inconsistency. A revised framework was open for consultation with health care professionals and patient communities before being published. An evaluation, using an online survey, was conducted to explore early use and factors to facilitate adoption of the framework.


      The framework identified 8 competencies required to facilitate genomic tests. The evaluation (239 survey responses from health care professionals) indicated that the framework addresses a timely need among users and identified ways to improve awareness and accessibility for different health care professional groups.


      This framework can be used as a guide for best practice by health care professionals who request genomic tests. It can also provide a foundation to identify learning needs and structure training such that conversations about genomic testing can be delivered in a consistent manner across specialties. These competencies can also be used as a reference to evaluate how consent is facilitated in different specialty areas to enhance the responsible delivery of genomic medicine.


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