1. Regional SIHMDS Update
Paul Virgo
NBT SIHMDS Manager
Southmead Hospital

2. Proposal for Regional SIHMDS
Centralised service for Region Based at NBT Incorporating
Genomic Lab Hub (GLH)
Centralised Flow Cytometry
Histological Reporting by trained Haematopathologists
Aspirate Reporting at local centre
Difficult cases reviewed at weekly diagnostic meeting

3. Service Configuration
Networked SIHMDS service
Single request form
Integrated report
IT system to link diagnostic sections and integrate reports (HILIS) to allow:
Systematic testing - defining order and choice of tests
Standardised reporting terminology (WHO 2017)
Extensive data extract/analysis functions

4. Service Structure Recognised service within NBT
Service Director – Alastair Whiteway
Service Manager/Flow Lead – Paul Virgo
Genomics Lead – Chris Wragg
Histopathology - Lead Joya Pawade

5. Service Metrics 6,000 request per year received (2018)
Integrated BM report in <7 days
Integrated Tissue report in <10 days
Same day urgent flow cytometry
Urgent FISH service (APML etc.)

6. Current Service Participants - SSG
NBT – All Haematopathology Samples
Paediatrics - All Haematopathology Samples
Bath – Bone marrow and molecular diagnostics

7. Drivers for Change SSG has not defined a Regional SIHMDS Centre
GLH Project has defined NBT as local provider of genomics testing
NHSI Pathology Consolidation defines NBT as Hub lab for South 3 Network

8. NHSI Proposed Pathology Network

9. Current Discussions - SIHMDS
Taunton – Proposal to provide SIHMDS review for Lymphoma – awaiting consideration
UHB – Proposals regarding centralisation of Bristol SIHMDS functions– awaiting consideration

10. Future Directions
Potential that NHSI project will deliver centralised SIHMDS
The NHSI agenda is large and progress to date is slow
Recent IOG 47 update 2016 considered:
Slow national implementation of SIHMDS
Recognised network and co-located models
Provided an economic assessment of SIHMDS