1. Newborn Bloodspot Screening (NBBS) Pathway Template
Collection of Bloodspot Samples:
Community midwives (UHCW, SWFT, GEH, WAHT, WVT) [some samples taken by HVs, phlebotomy, neonatal or paediatric services]
For retest and older children: Paediatric liaison nurses (CWPT, SWFT, HACW, WVT)
Via regional arrangement with BHBC AT
Sample Analysis (Screening):
Newborn lab (BCH)
Second line testing (Assessment) for CF, SCT, DNA analysis and MCADD:
Specialist lab (lab subcontract)
Reporting of results:
General: CHRD’s (CWPT, SWFT, HACW, WVT)
Carriers: HVs / specialised genetics / CF services (BCH)
Reporting of results:
Positive results: designated specialist service
First referral to clinician:
Designated specialist service