Laboratory user guide
Contents
1. 30 28 28 29 30 32 31 32 36 36 29 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 43 Rhinectomy 28 Sentinel nodes in skin cancer melanoma 31 Skin excision 31 Sleeve gastrectomy 29 Small bowel resection benign 30 Small bowel resection malignant 30 Small frozen section 32 Soft tissue tumour biopsy 31 Soft tissue tumour resection 31 Spinal tumour biopsy 31 Spinal tumour resection 31 Spleen 30 Sputum 34 36 Submandibular gland excision 28 Synovial biopsy 31 Technician only for Hot FNA 36 Temporal artery bx 27 Terminal ileal biopsy 29 Testicular biopsy bilateral 32 Testicular biopsy unilateral 32 Testis 32 ThinPrep 34 Thymus 30 Thyroid lobe 28 Thyroid total 28 Tongue biopsy 27 Tonsil 28 Transbronchial biopsy 28 TURBT dependent on number of blocks 32 TURP dependent on number of blocks 32 Umbilical lesion 29 Urethral biopsy 31 Urine 34 36 Urology marker 36 Uterus 30 Uterus tubes and ovaries 30 Uvulectomy 28 Vasectomy 31 Vulval biopsy 30 Wedge resection of liver 30 Whipple s procedure pancreatectoduodenectomy 30 Wide Local Excision 27 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 29146 16 31 Page 44 Page 44 Examples of Histology and Cytology request forms IHS 360 degree sweep please tick Cervix visualised please tick Digital Pathology Image please tick CPA Histology PLEASE PRINT CLEARLY Patient s Surname Title and Other Names Date of2. Medical School in 1988 and became Chief of Service for Histopathology and Cytopathology at Hammersmith Hospitals NHS Trust in 2000 His responsibilities include the management of cellular pathology services across the Hammersmith and Charing Cross hospital sites His special interest areas include the pathology of HIV gastrointestinal pathology and dermatopathology He is the author of numerous research papers and is frequently invited to speak at national and international meetings GMC Registration Number 2495033 m H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 30 Page 8 Page 8 Professor Marco Novelli MB ChB PhD MRCPath holds a personal Chair as Professor of gastroenterological pathology at University College London and is lead pathologist for the gastroenterology service at University College London Hospitals UCLH He completed a PhD thesis on the genetics and biology of colorectal cancer at the Imperial Cancer Research Fund RPMS University of London He successfully combines his gastrointestinal pathology including pancreatobiliary and liver pathology and research interests with his routine histopathology commitments at Unilabs IHS and UCLH GMC Registration Number 2139724 Sessional pathologists Dr Manuel Rodriguez Justo MB ChB LMS MSc FRCPath is a Consultant Histopathologist at University College London Hospitals UCLH experienced in all areas of histopathology He is part of the team responsible
3. Note If specimens are in excess of 15 blocks multiple coding will be used e g 30 blocks would be HIS5 HIS5 Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 27 Histology by procedure Like most histology providers the Unilabs IHS coding pricing structure is based on case complexity However we are sometimes asked to provide quotations based by specimen or surgical procedures Although we cannot provide a definitive categorisation until the case has been received in the laboratory the following information outlines indicative case complexity by procedure HISTOLOGY DESCRIPTION HIS CODE BREAST Core biopsy 1 specimen HIS1 Core biopsy 2 specimens HIS2 Core biopsy 3 specimens HIS3 Core biopsy 4 specimens HIS4 Microdochectomy HIS4 Lumpectomy HIS3 Wide Local Excision WLE HIS5 Mastectomy HIS5 Mastectomy axillary clearance HIS5 HIS3 CARDIAC VASCULAR Temporal artery biopsy HIS2 Heart valves HIS2 Aorta HIS3 Excision of cardiac tumour HIS3 Cardiac biopsy HIS2 Pericardium HIS2 EAR NOSE AND THROAT LUNG BIOPSIES Tongue biopsy HIS1 Palatal biopsy HIS1 Lingual biopsy HIS1 Nasopharyngeal biopsy HIS1 Pharyngeal biopsy HIS1 Hypopharyngeal biopsy HIS1 Laryngeal biopsy HIS1 Middle ear biopsy HIS1 External canal biopsy HIS1 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 28 Page 28 Bronchial biopsy Transbronchial biopsy Pleural biopsy Pleura decortica
4. e Large Pots 250 ml with 10 formalin HISTOLOGY BUCKETS e Small Bucket 500 ml with 10 formalin e Medium Bucket 1000 ml with 10 formalin e Large Bucket 2500 ml with 10 formalin e Extra Large Bucket 5000 ml with 10 formalin CYTOLOGY POTS e Hologic ThinPrep pots brushes tray of 25 Frozen Sections Unilabs IHS provides a comprehensive technical and clinical service for frozen section Booking must be made at least 24 hours 1 working day in advance UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046416 31 Page 23 Results Reporting It is our aim to report specimens within 48 hours 2 working days of receipt in the laboratory However on occasion extra fixation decalcification procedures or further investigations may prolong this time Immunohistochemistry Immunohistochemistry is a reflex test which follows a preliminary diagnosis Most often it is employed to identify proteins within tumour cells which enables precise diagnosis of tumour type e g melanoma or specific lymphomas It may also be used to identify the presence of particular micro organisms such as HPV and other viruses Immunohistochemistry is also used to identify the potential effectiveness of targeted chemotherapy Gynaecological Specimens Turnaround times are typically 1 2 working days however urgent samples can be reported within 12 hours on request Unilabs IHS examine Hologic ThinPrep and SurePath samples Hologic ThinPr
5. for gastrointestinal pathology at UCLH GMC Registration Number 6036245 Professor Roger Feakins MB BCh BAO FRCPI FRCPath is Consultant Histopathologist at the Royal London Hospital He practises in all areas of histopathology and is lead pathologist for gastrointestinal pathology at the Royal London Hospital GMC Registration Number 3575318 Dr Martin Young BSc MRCOG FRCPath spent most of his training as lecturer in histopathology at University College London He was appointed Consultant at St George s Hospital London and is currently lead pathologist for gynaecology and cytology at the Royal Free Hospital GMC Registration Number 2654975 Dr Ashish Chandra FRCPath Dip RCPath is a Consultant Histo Cytopathologist at Guy s amp St Thomas NHS Foundation Trust His interests are urological histopathology and cytopathology including FNA exfoliative and liquid based cervical cytology GMC Registration Number 4357627 Dr Alison Winstanley MBBS BSc MRCPath is a Consultant Histopathologist at University College London Hospitals UCLH She is a general pathologist with a special interest in gastrointestinal hepatobiliary and pancreatic pathology Dr Winstanley is lead hepatopathologist at UCLH and participates in national EQA schemes for general liver and gastrointestinal GMC Registration Number 4544087 Dr Rupali Arora MBBS MD FRCPath is a full time Consultant Histopathologist at University College London Hospital
6. pathologist for soft tissue and head and neck pathology Prof Fisher has an extensive second opinion practice in soft tissue tumour pathology and publishes widely in this field having authored or co authored over 500 scientific publications and two comprehensive textbooks GMC Registration Number 1444074 Dr Alan Ramsay BSc MB BS DM FRCPath is a Consultant Histopathologist at University College London Hospitals UCLH who works as a full time specialist in haematopathology Dr Ramsay is the Clinical Lead for Cellular Pathology at UCLH and is Haematopathology Lead for UCLH the Royal Free Hospital and the North Central London Cancer Network He has been a Consultant in the NHS for over 25 years and has been past Secretary and President of the British Lymphoma Pathology Group and haematopathology adviser to the Royal College of Pathologists Dr Ramsay is on the Council of the Pathological Society of Great Britain and Ireland and represents the society on Royal College of Pathologists Specialist Advisory Committee on Cellular Pathology He has published extensively in the field of lymphoma pathology and has co authored a number of national guidelines and datasets on haematological malignancies GMC Registration Number 2492803 IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 20944 16 30 Page 12 subspecialties Laboratory user guide BREAST PATHOLOGY Dr Glen Dixon Imperial College NHS Trust until 2009 Dr Valerie Tho
7. their respective performance of this Agreement will comply with the provisions of the Data Protection Act 1998 PRICING AND PAYMENT In the absence of express agreement to the contrary the Services are supplied by reference to the prices identified in the Proposal prepared and submitted by Unilabs IHS to the Client in respect of the Services Unilabs IHS will exercise reasonable skill and judgement when providing an estimate or indication of price The Client shall recognise that in the healthcare industry coding and pricing of cellular pathology can be subject to a number of factors outside the control of Unilabs IHS These factors include but are not limited to e size of surgical margins excised by consultant users e number of biopsies taken by consultant users e reflex testing e g special stains requested by the consultant pathologist Prices for any new or additional services not within the scope of the Agreement and its Appendices shall be mutually agreed ACCOUNTS Unilabs IHS will submit accounts to the Client by the second 2nd Working Day of each calendar month Unilabs IHS payment terms are 30 days from the date of invoice Interest may be charged on overdue accounts at the rate of two per cent 2 above the base interest rate charged by Barclays Bank Plc if payment is not received within 14 days of a written reminder to the Client INSURANCE Unilabs IHS shall maintain in force public liability medical malpra
8. 044 16 31 Page 31 NEUROPATHOLOGY Brain biopsy HIS2 Brain resection HIS3 HIS4 Pituitary gland resection HIS3 Spinal tumour biopsy HIS2 Spinal tumour resection HIS3 Muscle biopsy HIS5 HIS5 HIS5 ORTHOPAEDIC Synovial biopsy HIS2 Ganglion cyst HIS1 Excision of dupuytren s contracture HIS2 Bone curettings HIS2 Bone biopsy HIS5 OPIN Joint resurfacing or redo prosthesis capsule HIS3 Femoral head resection HIS3 Neuroma HIS1 SKIN AND SOFT TISSUE Curetting HIS2 Skin excision HIS1 Excision of melanoma and tumour HIS2 Pilonidal sinus HIS1 Cyst excision HIS1 Lipoma dependent of size HIS1 HIS3 Punch biopsy tumour HIS1 Punch biopsy inflammatory HIS2 Alopecia biopsy HIS3 Sentinel nodes in skin cancer melanoma HIS5 MOHS excision frozen section MOHS Soft tissue tumour biopsy HIS3 IMM Soft tissue tumour resection HIS3 IMM UROLOGY Vasectomy HIS2 Penile biopsy HIS2 Urethral biopsy HIS1 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 32 Page 32 Bladder biopsy Testicular biopsy unilateral Testicular biopsy bilateral Core biopsy UROLOGY RESECTIONS Circumcision TURP dependent on number of blocks TURBT dependent on number of blocks Testis Kidney Radical cystectomy Cystoprostatectomy Prostatectomy IMMUNOHISTOCHEMISTRY Per antibody HER2 breast HER2FISH breast Immunofluorescence KRAS Gene mutation test KIT PDGFRA Gene mutation test Expert field opinion FROZEN SECTIO
9. 148 5 Layout 1 17 08 294 Page 24 46 31 Page 24 Urgent Samples Any result which is of an urgent nature can be prioritised within the laboratory on arrangement Ensure to provide the clinician s contact details PLEASE NOTE THAT SURPLUS SAMPLE MAY BE USED FOR EDUCATIONAL PURPOSES IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 25 quality assurance Laboratory user guide It is the policy of Unilabs IHS to perform all its work to the highest possible level of quality and compliance with current Clinical Pathology Accreditation CPA standards and applicable regulatory requirements Unilabs IHS is one of the few independent diagnostic providers that are registered with the Care Quality Commission CQC Unilabs IHS provides high quality services to industry standard as measured against the independent healthcare industry and the National Health Service in England We are fully CPA accredited reference number 2380 and participate in all relevant EQA schemes Unilabs IHS Biomedical scientists are registered with the HPC and all Medical Laboratory Assistants are supervised Cytoscreeners are either HPC registered or have the certificate of competence Consultant Pathologists are appropriately qualified FRCPath and are registered with the General Medical Council Royal College of Pathologists and other relevant professional bodies For more information on our quality commitment or quality management syste
10. 6 Dupuytren s contracture excision 31 Bone biopsy 31 Endo mucosal resection EMR ESD 29 Bone curettings 31 Endobronchial FNA 36 Bone marrow 30 Endocervical curettings 30 Brain biopsy 31 Endometrial curettings 30 Brain resection 31 Endoscopic FNA 36 Bronchial biopsy 28 External canal biopsy 27 Cardiac biopsy 27 Fallopian tube 30 Cardiac tumour excision 27 Femoral head resection 31 Cervical biopsy 30 FISH on cytology samples 36 Cervical polyp 30 Flow cytometry 36 Chlamydia 34 FNA 36 Chlamydia swab 34 Gallbladder 29 Chlamydia urine 34 Ganglion cyst 31 Circumcision 32 Gastrectomy 30 Colonic biopsy 29 Gastric biopsy 29 Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 294 Page 42 Gastric wedge resection Gene mutation test 32 Globe Glossectomy Glossectomy neck dissection Gonorrhoea Gonorrhoea swab Gonorrhoea urine Haemorrhoidectomy Heart valves HER2 breast HER2 FISH breast Hernia sac Hot FNA HPV HPV full subtyping HPV RNA Hypopharyngeal biopsy Ileoanal pouch resection Ileocolonic series Immunofluorescence Imprint cytology Joint resurfacing or redo prosthesis capsule Kidney Lacrimal gland biopsy excision Large bowel resection benign Large bowel resection malignant Large frozen section Laryngeal biopsy Laryngeal nodule bilateral Laryngeal nodule unilateral Laryngectomy Laryngectomy neck dissection Lingual biopsy Lipoma dependent on size Liver biopsy medica
11. Birth Tel No Hospital No Consultant s Name s Date amp Time of Specimen Sex Digital Pathology Image please tick apply unless otherwise stated ecimen CPA Cytology PLEASE PRINT CLEARLY Patient s Surname Title an er Names Date of Birth Sex Hospital No Consultant s Name s Date and Time of Specimen GYNAECOLOGICAL CYTOLOGY GOLD STANDARD THIN PREP PAP HIGH RISK HPV CHLAMYDIA COMBINATION UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 204 16 31 Page 45 locations Laboratory user guide Headquarters Unilabs SA Place Cornavin 12 P O Box 1907 1211 Geneva 1 Switzerland Tel 41 0 22 909 77 77 Fax 41 0 22 909 77 34 IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 46 IHS
12. ER 21ST MAY 2012 This document outlines the Terms of Business upon which we supply cellular pathology services to you Please read this document carefully You should understand that by requesting any of our services you agree to be bound by these Terms INFORMATION ABOUT UNILABS LTD Unilabs Limited trading as Independent Histopathology Services Company number 04115820 is registered at 142 144 New Cavendish Street London W1W 6YF Unilabs IHS DEFINITIONS AND INTERPRETATION For the purpose of this document the following terms shall have the following Meaning e Agreement means the agreement between Unilabs IHS and the Client for the supply of the Services comprising these terms of business e Cellular Pathology Services means the performance of all aspects of histopathological and cytopathological services for patients and users of the Client Such services may include frozen sections special staining photography transcription reporting services and cytology e Client the company hospital NHS Trust organisation body or representative thereof or any other person who makes a request to Unilabs IHS for Services Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 38 Page 38 e HPC means Health Professions Council e Proposal the written proposal if any prepared by Unilabs IHS on the basis of its understanding of the Clients request for Services outlining the S
13. NS Small frozen section Large frozen section Sk me H HIS1 HIS4 HIS4 HIS4 HIS1 HIS1 HIS3 HIS5 HIS3 HIS5 HIS3 HIS5 HIS5 HIS2 HIS5 HIS5 HIS5 HIS5 1IMM HER2 HER2FISH IMF KRAS KIT PDGFRA OPIN ES FS1 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 33 cytology specimen categorisation Laboratory user guide Cytopathology Services We have a highly specialist team of consultant cytopathologists that provide an integrated screening and diagnostic cytopathology service to users across the UK Screening Cytopathology gynae cytology The introduction of Liquid Based Cytology LBC approximately ten years ago has made a significant change for cervical screening Furthermore the ongoing development and implementation of Human Papilloma Virus HPV testing continues to improve and extend capabilities within gynaecological diagnostics Unilabs IHS has a reputation for being an earlier adopter in this area The Gynaecological Service is headed up by Dr Glen Dixon Medical Director of Cytopathology at Unilabs IHS and previously consultant cytopathologist at Imperial College Healthcare NHS Trust All of our Cytoscreeners hold the national certificate of competence in cervical screening and are fully accredited to examine liquid based cytology samples Unilabs IHS are working in association with Roche and its state of the art cobas 4800 platform to provide a range of Human Papilloma Virus HP
14. UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2016 16 30 Page 1 Mm q N q N UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 204 16 30 Page 2 Ey ARE a 5 3 S 3 g 2 b Office Laboratory Evelyn House 100A New Cavendish Street 2nd Floor London 142 144 New Cavendish Street W1W 6NR London W1W 6YF Opening Hours Office Opening Hours Laboratory Monday to Friday 0830 1730 Monday to Friday 0800 1800 Saturday Closed Saturday 0900 1200 Contact Details Tel 44 0 20 7299 4490 Fax 44 0 20 7299 4491 Email IHSEnquiries unilabs com Website www unilabs ihs co uk contents page Laboratory user guide Welcome Message Introduction to Unilabs IHS Our Pathologists Subspecialties Unilabs IHS Team amp Customer Services The Process Online Pathology Digital Imaging Specimen Transportation Sample Collection and Handling Quality Assurance Histology Specimen Categorisation Cytology Specimen Categorisation Terms amp Conditions of Business Index Sly aeS as U UTED FS HS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 30 Page 4 welcome message Laboratory user guide We are pleased to provide you with the Unilabs IHS Laboratory Guide 2012 13 Cellular Pathology histopathology and cytopathology is an interesting and diverse branch of laboratory medicine with a wide range of diagnostic tests and procedures We have taken onboard feedback from our clients and users to pr
15. V services to women in the UK and internationally Key features of this service include e 24 hour turnaround time same day reporting available e Web access to reports 24 7 via a secure link e Cyto Histo correlational analysis e Processing of both SurePath and ThinPrep samples e Access to the only NHSCSP CE IVD and FDA approved test that provides simultaneous 3 in 1 testing available by prior arrangement We offer an extensive range of services that can be flexed around your a H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 34 Page 34 requirements including standard cervical screening pap smears HPV testing including sub types and reflex testing on positive samples Unilabs IHS also offers a range of associated molecular studies to provide a comprehensive gynaecological diagnostics and sexual health service Cytopathology by procedure CYTOLOGY DESCRIPTION GYNAECOLOGICAL CELLULAR PATHOLOGY ThinPrep Smear cobas HPV on ThinPrep including FREE high risk subtypes 16 amp 18 if positive HPV full subtyping HPV RNA on ThinPrep cobas Chlamydia on ThinPrep cobas Chlamydia on urine cobas Chlamydia on swab Gold Standard test including ThinPrep smear cobas Chlamydia and FREE high risk Subtypes 16 amp 18 if HPV positive Gonorrhoea on ThinPrep Gonorrhoea on urine Gonorrhoea on swab SEXUAL HEALTH PROFILE Mycoplasma genitalium Ureaplasma urealyticu
16. ctice products and employers liability insurance providing cover of at least 5 million for any one claim UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 40 LIABILITY Neither party shall be liable to the other party for any consequential loss or damage as a result of any breach of the terms of this Agreement for any loss of anticipated profits loss of actual profits direct or indirect loss of anticipated savings loss of business or for any indirect profits costs or savings howsoever caused Any claim for damages made against Unilabs IHS not covered under the terms of the insurance policy as above shall be limited to the value invoiced for services under the terms of the Agreement by Unilabs IHS in the preceding 12 months Nothing in this Agreement shall in any way exclude or limit either party s liability for death or personal injury caused by that party s negligence for fraud or fraudulent misrepresentation or deliberate personal repudiatory breaches of this Agreement Page 40 Neither party shall be liable to the other or be deemed to be in breach of the Agreement by reason of any delay in performing or any failure to perform any of their respective obligations in relation to the Services if the delay or failure was due to any cause beyond the defaulting party s reasonable control Without prejudice to the generality of the foregoing the following shall be regarded as causes beyond a party s rea
17. de Dr Andrew Gallimore BSc MRCP FRCPath is a co founder of Unilabs IHS and is our Clinical Director of Histology He holds a part time post as Consultant Histopathologist at University College London Hospitals UCLH where he is lead pathologist for head and neck services in addition to his duties at IHS As well as head and neck pathology Andrew has a special interest in uropathology and has been the pathologist for The Royal National Throat Nose and Ear Hospital in London since 1992 GMC Registration Number 2841122 Dr Glen Dixon MB ChB FRCPath is Medical Director of Cytopathology at Unilabs IHS and was previously the Clinical Lead for Head amp Neck and Breast Cytology at Imperial College Healthcare NHS Trust In 2002 he underwent a period of specialist training in FNA cytology at the Karolinska Institute in Stockholm Sweden He provides a consultant opinion on the entire range of gynaecological and non gynaecological cytology cases provides on site cytology reporting for one stop clinics including EBUS FNA EBUS TBNA and EUS FNA procedures Glen has many years experience reporting histopathology cases from the cervix and breast He has been an invited speaker at the British Society of Clinical Cytology and has recently contributed a chapter to a book on thyroid disease GMC Registration Number 3253227 Dr Nick Francis MBBS FRCPath was appointed Senior Lecturer in Histopathology at Charing Cross and Westminster Hospital
18. do mucosal resection EMR ESD HIS3 Polypectomy HIS2 Appendix HIS2 Meckel s diverticulum HIS3 Haemorrhoidectomy HIS2 Excision of perianal warts HIS2 Anal fistula HIS2 Pilonidal sinus HIS2 Hernia sac HIS2 Umbilical lesion HIS2 Mesentery HIS2 LARGE Oesophagectomy HIS5 HIS2 Sleeve gastrectomy HIS4 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 30 Gastric wedge resection HIS5 IMM Gastrectomy HIS5 HIS2 Whipple s procedure pancreatectoduodenectomy HIS5 HIS5 Distal pancreatectomy HIS5 Biliary resection HIS5 Wedge resection of liver HIS4 2 Partial hepatectomy HIS5 od Small bowel resection benign HIS5 zy Small bowel resection malignant HIS5 IMM a Large bowel resection benign HIS5 HIS2 Large bowel resection malignant HIS5 HIS2 lleoanal pouch resection HIS5 Complex GI cancer resection uterus tubes HIS5 HIS5 IMM GYNAECOLOGY Cervical polyp HIS1 Cervical biopsy HIS2 Endocervical curettings HIS1 Endometrial curettings HIS1 Products of conception HIS1 LLETZ and or cone biopsy HIS4 Ovarian biopsy HIS2 Ovary and tube HIS4 Fallopian tube HIS2 Uterus HIS4 Uterus tubes and ovaries HIS5 HIS2 Placenta HIS5 HIS2 Vulval biopsy HIS1 Peritoneal biopsy HIS1 LYMPHORECTICULAR HAEMATOPATHOLOGY Lymph node HIS2 Lymph node metastatic disease HIS3 IMM Lymph node lymphoma HIS3 IMM Bone marrow HIS5 Spleen HIS5 Thymus HIS5 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2
19. en an invited lecturer to many national and local courses on aspects of breast and cervical histopathology and cytopathology GMC registration Number 3120835 Dr Mihir Gudi MBBS FRCPath DiCP RCPath DMS is a Consultant Histo Cytopathologist at Imperial College Health Care NHS Trust After completing his medical education in Mumbai India he trained in pathology at Hammersmith Hospitals NHS Trust In 2006 Dr Gudi became a consultant and developed his specialist interests in breast pathology He has a diploma in cytopathology from the Royal College of Pathologists and participates in national EQA schemes for breast pathology and cervical cytology GMC Registration Number 5204601 Dr Nuzhat Akbar MBBS MPhil MSc Cytopathology FRCPath was appointed as a Consultant Histo Cytopatholgist at King s College Hospital in March 2000 She is lead breast pathologist lead of cytology and is also the hospital based programme co ordinator for cervical screening at King s College Hospital GMC Registration Number 4451088 Dr Ashish Narula MBBS MD FRCPath works as Consultant Histopathologist in East amp North Hertfordshire NHS Trust He is part of their uropathology breast and gynaepathology team with interest in non gynae cytopathology He has also worked as Honorary Consultant Histopathologist at University College London Hospitals UCLH and Northwick Park Hospital as a part of the uropathology and cytopathology teams GMC Registration Nu
20. ep samples should be tested within three weeks 21 days upon taking the specimen Additional test requests on these specimens are only viable within this period According to current guidelines the samples are discarded after 21 days available by prior arrangement Body Cavity Fluids i e aspirates sputum etc Turnaround times are typically 1 2 working days hours same day services can be provided by prior arrangement The specimens are discarded after one week according to current guidelines Specimen containers without fixative or anticoagulant should be used The specimen should reach the laboratory the same day as being taken but if there is any unavoidable delay overnight refrigeration at 4 C with the exception of sputums is essential Immunocytochemistry is offered whenever necessary Urines When taking a urine sample a minimum of 50 ml volume is required though the entire sample would be preferable Ideally this will not be the first voided sample of the day If there is a delay in the specimen reaching the laboratory the sample may be refrigerated at 4 C For information on the uCyt test contact the Cytology Department Cerebrospinal Fluid Turnaround time is typically 1 2 working days same day service available by prior arrangement Specimens should reach the department within two hours of the aspiration Ensure Unilabs IHS have been advised that the specimen has been sent UNI 01 S007 User Guide 210x
21. er Mr David Ferris Sales amp Marketing Manager Mrs Verity Donovan Sales amp Marketing Manager Miss Carolyn Wood Business Development Manager Mrs Claire Pridige Histology Laboratory Manager Mr Mike Donovan Cytology Laboratory Manager Mrs Diana Davies Office Manager Ms Rochelle Roberts Customer Services for arranging couriers stock invoicing and general enquiries Tel 44 0 20 7299 4490 Fax 44 0 20 7299 4491 Email IHSEnquiries unilabs com Web www unilabs ihs co uk Follow us on Twitter Histopath_IHS twitter W Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 15 the process Laboratory user guide IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 16 Page 16 1 Secure Specimen Collection We collect specimens at a time and location of your choice Our dedicated team of medical couriers are ISO9001 accredited and our secure transportation service complies fully with UN3373 regulations 2 Tracked Delivery Subject to a full audit trail specimens are delivered to the CPA accredited IHS laboratory in Central London Cases are checked barcode numbered and immediately logged onto our laboratory information system 3 Processing Specimens are described macroscopically and tissue samples selected during surgical cut up carried out by a consultant pathologist or competent Biomedical scientist BMS The aim of processing is to remove water from tissue and re
22. ervices to be provided by Unilabs IHS including a quotation in respect of the fees for the Services submitted by Unilabs IHS to the Client prior to the Services being undertaken e Report the diagnostic report following review by a histopathologist if applicable to the requested Services e Services means all the work and services including Cellular Pathology Services performed by Unilabs IHS for the Client pursuant to the Agreement e Specimen means a specimen including wet tissue paraffin blocks aspirates and prepared slides provided by the Client to Unilabs IHS for investigation e TATs means turnaround times e Tests means a laboratory test agreed to be carried out by Unilabs IHS on a Specimen supplied by the Client e Working Day means any day excluding Saturdays Sundays and public holidays where commercial banks in London are open for normal banking business Unilabs IHS laboratory may receive specimens up until midday on Saturdays however Saturdays Sundays and public holidays are not classed as Working Days SERVICES TO BE PROVIDED Unilabs IHS shall provide its Services to the Client with reasonable skill and care in accordance with its usual quality assurance standards Unilabs IHS will maintain the status of accredited from Clinical Pathology Accreditation UK Ltd Unilabs IHS shall be responsible for obtaining and maintaining in force throughout the duration of this Agreeme
23. et of the bag 3 OUTER PACKAGING This should be a hard outer packaging For same day collections in London Unilabs IHS couriers provide these containers For specimens being sent using the overnight courier or postal service appropriate UN3373 compliant transport containers can be provided by Unilabs IHS on request Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 20 Page 20 Specimen Transportation COURIERS Unilabs IHS employs full time couriers who are fully trained in handling UN3373 diagnostic specimens The local foot couriers visit consultant practices and hospitals within a one mile radius of the laboratory on request daily to collect specimens and replenish stock supplies Our drivers collect specimens within central London and Greater London SAME DAY AND OVERNIGHT COURIERS For clients throughout the UK we subcontract to a reputable medical courier company The couriers are fully trained in transportation of Category B UN3373 diagnostic specimens carry medical transport containers and are supplied with emergency spill kits Our courier suppliers are certified with QMS Quality Management Systems ISO14001 and UKAS Quality Management ISO9001 2008 POSTAL PACKS For clients outside of London who need to refer small histology specimens or ThinPrep vials we have recently sourced robust postal packs which are UN3373 approved The pre paid packs are very easy to use and include specime
24. g and advice of patient management Any slides or samples should be labelled with full name and date of birth For results which are needed as a matter of urgency it is important to note this on the request form as well as contacting Unilabs IHS medical secretaries Ensure that the appropriate contact details for the requesting clinician are recorded on the request form so that they may be contacted once the results are ready Histology Specimen Immediately after removal the patient s tissue sample should be placed inside an appropriately sized histology container containing 10 Neutral Buffered Formalin to avoid damage to the specimen Ensure the lid has been securely tightened to avoid spillage during transportation It is not necessary to refrigerate the specimen if it is in formalin Ensure the appropriate sized container is used and that the specimen is fully immersed in formalin Bouins solution can be provided for testicular biopsies and Michels medium for skin specimens requiring immunofluorescence on request Gross specimens from reported cases will be discarded after five weeks according to current guidelines However some additional tests may be possible on material subsequently retained indefinitely Specimen Containers Supplied to Unilabs IHS clients HISTOLOGY POTS e Extra Small Pots 20 ml with 10 formalin tray of 25 e Small Pots 60 ml with 10 formalin tray of 25 e Medium Pots 125 ml with 10 formalin
25. he hospital clinic to perform and or assist the surgeon in an EUS FNA procedure Cytopathological analysis is performed immediately and a preliminary result is made available to the surgeon A confirmatory report is available within 12 24 hours To arrange an appointment for any of our FNA services clinics please contact the cytology department on 44 0 20 7299 4490 Co sa DIAGNOSTIC CYTOLOGY DESCRIPTION CODE S DIAGNOSTIC CYTOLOGY a Urine Gyan Body fluids and sputum CYT2 Fine needle aspiration FNA CYB Rapid FNA results within 4 hours of receipt in lab RFNA Hot FNA pathologist and technician on site HFNA Technician only for Hot FNA TFNA FISH on cytology samples FISHC UroVysion FISH for urine UROV Flow cytometry CYT7 Endobronchial FNA rapid on site evaluation EBUSFNA Endoscopic FNA rapid on site evaluation EUSFNA Gene mutation test EGFR Gene mutation test KRAS Urology marker UROV Imprint cytology One Stop Breast clinic only IC Rapid FNA breast result 1 site One Stop Breast clinic RFNA1 Rapid FNA breast result 2 sites One Stop Breast clinic RFNA2 Rapid FNA breast result 3 4 sites One Stop Breast clinic RFNA3 Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 37 terms amp conditions of business Laboratory user guide Standard Terms of Business UNILABS LIMITED THESE TERMS OF BUSINESS APPLY TO ALL CONTRACTS AND AGREEMENTS FOR SERVICES UNDERTAKEN BY UNILABS LTD ON OR AFT
26. ine pathology Laboratory user guide SafirLIS Connect is a 24 7 web access based portal designed to allow clients to securely view their patients results including images online from a computer that has internet access This allows for faster response times and convenient worldwide access to reports and images All your reports are protected by personal password and privileged access making it a highly secure system There is a facility to print digitally store or archive the resulting viewable PDF files By contacting Unilabs IHS and requesting access the client is issued a username and password by a Unilabs IHS Information Systems Administrator The system requirements for accessing SafirLIS Connect include an internet browser Internet Explorer Apple Safari Mozilla Firefox Google Chrome etc and Adobe Reader For further information on Unilabs IHS SafirLIS Connect contact reception on 44 0 20 7299 4490 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 20944 16 31 Page 18 digital imaging Laboratory user guide Visual presentation of pathology findings results in clear accurate and objective reporting and is fast becoming standard clinical practice At the same time diagnostic imaging is going through a digital revolution Images are now readily accessible and reporting is improving dramatically Unilabs IHS provides reports with embedded pathology images Using digital imaging means tha
27. ing that the specimen aspirated is adequate for cytological diagnosis Available seven days a week this is a flexible tailor made service that is designed around the individual needs of clinicians and their patients Because a portion of the FNA specimen is analysed at the time of the aspiration a preliminary impression can usually be provided to both the patient and the referring physician A final diagnosis is usually available within 24 hours TAs recommended by the British Society for Clinical Cytology code of practice Hot FNA A Consultant Cytopathologist and a technician attend the hospital clinic to perform and or assist the consultant user in FNA procedure Cytopathological analysis is performed immediately and a preliminary result is made available to the consultant and the patient The specimen is then couriered to Unilabs IHS laboratory for further analysis and a confirmatory result available within 12 24 hours Endobronchial ultrasound guided FNA EBUS FNA A Consultant Cytopathologist and a technician attend the hospital clinic to perform and or assist the surgeon in an EBUS FNA procedure Cytopathological analysis is performed immediately and a preliminary result is made available to the surgeon A confirmatory report is available within 12 24 hours UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046416 31 Page 36 Endoscopic ultrasound guided FNA EUS FNA A Consultant cytopathologist and a technician attend t
28. l Liver biopsy tumour LLETZ and or cone biopsy Lumpectomy Lung lesion small wedge resection Lung tumour resection nodes Lymph node Lymph node lymphoma Lymph node metastatic disease Mastectomy 30 36 29 28 28 34 34 34 29 27 32 32 29 36 34 34 34 27 30 29 32 36 31 32 29 30 30 32 27 28 28 28 28 27 31 29 29 30 27 28 28 30 30 30 27 16 31 Page 42 Mastectomy amp axillary clearance Maxillectomy Meckel s diverticulum Melanoma amp tumour excision Mesentery Microdochectomy Middle ear biopsy MOHS excision frozen section Muscle biopsy Nasal polyps Nasopharyngeal biopsy Neck dissection Neck dissection bilateral Neuroma Oesophageal biopsy Oesophagectomy Orbit contents or eye Ovarian biopsy Ovary and tube Palatal biopsy Pancreatic biopsy Parathyroid Parotidectomy Partial hepatectomy Partial thyroidectomy Penile biopsy Perianal warts excision Pericardium Peritoneal biopsy Pharyngeal biopsy Pharyngectomy Pharyngectomy neck dissection Pilonidal sinus 29 Pituitary gland resection Placenta Pleura decortication specimen Pleural biopsy Polypectomy Products of conception Prostatectomy Punch biopsy inflammatory Punch biopsy tumour Radical cystectomy Rapid FNA Rapid FNA breast Rectal biopsy 27 28 29 31 29 27 27 31 31 28 27 28 28 31 29 29 29 30 30 27 29 28 28 30 28 31 29 27 31 27 28 28 31 31
29. m Trichomonas vaginalis Gardnerella vaginalis Herpes simplex I Il Combination Chlamydia gonorrhoea mycoplasma genitalium ureaplasma urealyticum trichomonas vaginalis gardenerella vaginalis herpes simplex II CODE GYN2 GYN3 HPV20 RNA GYN4 GYN4U GYNA4S GYN5 TGON TGONU TGONS MG3 UG3 GVP3 HS3 GYN6 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 35 Diagnostic Cytopathology The laboratory offers services including non gynaecological exfoliative cytology and Fine Needle Aspiration cytology Our experienced team provide evaluation of fluids e g urine synovium sputum CSF washings and brushings from various sites in the body Rapid On Site Cytological Diagnostic Evaluation ROSE Unilabs IHS is one of the only providers of the gold standard Consultant Cytopathologist led service for ad hoc Fine Needle Aspiration FNA for the one stop clinic evaluation of superficial palpable lesions We support a number of clinics including Breast Head amp Neck and Respiratory Medicine Referrers commonly request aspirations of breast lumps enlarged lymph nodes palpable thyroid nodules and salivary gland masses A crucial component for the success of the FNA is to have an experienced Consultant Cytopathologist examine the cellular aspirate on site in the clinic This practice ensures accurate and consistent results for delivering a preliminary on site diagnosis as well as ensur
30. m please call the laboratory Operations Manager on 44 0 20 7299 4490 Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 26 histology specimen categorisation Laboratory user guide Cellular pathology is quite unique to other areas of laboratory medicine in that it involves a high level of manual technical workload Furthermore the output is wholly qualitative rather than quantitative Cellular pathology reports are subjective medical opinions rather than measurements In the healthcare industry coding and pricing of cellular pathology can be subject to a number of factors outside the control of the histopathology provider These factors include but are not limited to e size of surgical margins excised by consultant users e number of biopsies taken by consultant users e reflex testing e g special stains requested by the consultant pathologist Therefore the quoted fee for a given surgical procedure may vary based on the number of specimens submitted the location and size of the specimens and the additional studies needed for proper evaluation of the specimen At Unilabs IHS we use the basic and transparent method of quantifying workload in terms of paraffin blocks generated from a case This is the most accurate way of reflecting case complexity in terms of categorisation and pricing STANDARD CODING PER BLOCK HIS1 1 Block HIS2 2 Blocks HIS3 3 Blocks HIS4 4 8 Blocks HISS 9 15 Blocks
31. mas St George s Healthcare NHS Trust Dr Mihir Gudi Imperial College NHS Trust Dr Nuzhat Akbar King s College Hospital NHS Foundation Trust Dr James Carton Imperial College NHS Trust Dr Paul Cane Guy s amp St Thomas NHS Foundation Trust DERMATOPATHOLOGY Dr Nick Francis Imperial College NHS Trust Dr Andrew Gallimore University College Hospital London NHS Foundation Trust Dr James Carton Imperial College NHS Trust GYNAECOLOGY Dr Glen Dixon Imperial College NHS Trust until 2009 Dr Martin Young Royal Free London NHS Foundation Trust Dr Rupali Arora University College Hospital London NHS Foundation Trust Dr Ashish Chandra Guy s amp St Thomas NHS Foundation Trust Dr Roberto Dina Imperial College NHS Trust Dr Mihir Gudi Imperial College NHS Trust Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 30 Page 13 GASTROINTESTINAL PATHOLOGY Prof Marco Novelli University College Hospital London NHS Foundation Trust Prof Roger Feakins Royal Free London NHS Foundation Trust Dr Manuel Rodriguez Justo University College Hospital London NHS Foundation Trust Dr Alison Winstanley University College Hospital London NHS Foundation Trust UROLOGY Dr Glen Dixon Imperial College NHS Trust until 2009 Dr Andrew Gallimore University College Hospital London NHS Foundation Trust Dr James Carton Imperial College NHS Trust Dr Ashish Chandra Guy s amp St Thomas NHS Foundation Tru
32. mber 5196938 Dr Mufaddal T Moonim MD FRCPath is a Consultant Histopathologist at Guy s and St Thomas Hospitals where he is subspecialty lead for haematopathology and non gynaecologic cytology He has a specialist interest in haematopathology lymphoma and leukemia diagnosis flow cytometry and molecular diagnostics endocrine pathology thyroid parathyroid and adrenal general and osteo articular pathology lumps amp bumps bone joints and soft tissue and non gynaecologic cytology He has extensive expertise in Fine Needle Aspiration FNA and is available to perform FNA on palpable lumps He also provides rapid onsite assessment at One Stop Breast amp Head amp Neck FNA clinics and for EUS and EBUS services GMC registration no 6087693 Dr Ezra Nigar MSc FRCPath DipRCPath dermatopathology has been a Consultant Histopathologist at Northwick Park Hospital since 2001 She is lead pathologist for dermatopathology and has a special interest in head and neck breast and gastrointestinal pathology GMC Registration Number 4605533 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2016 16 30 Page 11 Professor Cyril Fisher MA MD DSc FRCPath Hon MRCR is an internationally renowned surgical pathologist who specialises in the diagnosis of soft tissue tumours He is Consultant Histopathologist and Professor of Tumour Pathology at the Royal Marsden Hospital and the Institute of Cancer Research London At the Royal Marsden he is lead
33. n containers and packaging material Request forms are available on request Specimens known to be infected with high risk organisms should be appropriately labelled and placed into a biohazard bag Leaking specimens may neither be collected nor accepted into the laboratory IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 21 sample collection and handling Laboratory user guide All histopathology and cytopathology specimens need to be submitted with a request form Request Forms In order to comply with CPA Standards E2 1 E2 2 the following information is required on all request forms e surname e forename e hospital number e date of birth e date and time of specimen collection e name of consultant e location to which results are to be sent e origin type of specimen e clinical details investigation requested The patient details should be clear on the specimen container It is essential to complete the forms as accurately and legibly as possible Poorly written or illegible forms are more likely to result in errors and delayed result reporting SAMPLES OR REQUEST FORMS RECEIVED UNLABELLED OR WITHOUT THE MINIMUM ESSENTIAL IDENTIFICATION CRITERIA MAY BE REFERRED BACK TO THE REQUESTING PRACTITIONER ymm UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 31 Page 22 Page 22 It is important to provide all relevant clinical data and history to allow for accurate reportin
34. nt all licenses consents and approvals of any governmental or quasi governmental or regulatory authority as may be required in connection with the provision of the Services PROFESSIONAL STANDARDS Unilabs IHS staff will be registered with the HPC or if in a laboratory assistant grade be suitably supervised All consultant pathologists will be appropriately registered with the General Medical Council Royal College of Pathologists and other relevant professional bodies KEY PERFORMANCE INDICATORS The Client acknowledges that except as expressly outlined in this Agreement Unilabs IHS gives no warranties or representations to the Client whether UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046416 31 Page 39 express or implied in respect of the Services In particular whilst every effort is made to achieve the turnaround times quoted by Unilabs IHS for the provision of Services no warranty or guarantee is given that such turnaround times will be achieved in any particular instance Unilabs IHS consultant pathologists may deem it necessary for some cases to be referred for additional tests such as special staining immunohistochemistry or molecular diagnostics In such circumstances overall turnaround time will extend beyond the quoted turnaround time In these cases the initial report will be made available to the referring clinician clearly stating that further studies have been requested DATA Unilabs IHS and the Client in
35. ovide more information on the handling of specimens the portfolio of services available and of course how we charge for those services Here at Unilabs IHS we understand the importance of making the right choice of provider for histopathology and cytopathology services particularly in the cancer pathway We pride ourselves on providing a high quality diagnostic service led by teams of specialist consultant pathologists Our turnaround times are unrivalled and as a CPA accredited laboratory we have a strong track record in quality and clinical governance Thank you for your interest in Unilabs IHS we hope that this Laboratory Guide meets your requirements IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 201 16 30 Page 5 introduction to Unilabs IHS Laboratory user guide Unilabs IHS is a major provider of diagnostic cellular pathology services to both the independent sector and the NHS Holding full unconditional CPA Accreditation reference number 2380 Unilabs IHS offers a comprehensive range of investigations including histopathology and cytopathology immunohistochemistry and molecular diagnostics In 2002 the company was acquired by the Swedish company Capio Diagnostics part of Capio Healthcare now Ramsay Healthcare In 2007 Capio Diagnostics merged with Unilabs Ltd a pan European company specialising in pathology and radiology covering 11 countries which include Denmark Finland Spain France Italy Norway S
36. place with a medium paraffin wax that solidifies to allow thin sections to be cut 4 Embedding Cutting and Staining Once tissues are embedded into hardened wax blocks thin sections are able to be cut using a microtome The slides are routinely stained with H amp E haematoxylin and eosin and cover slipped Increasingly immunohistochemistry IHC stains are also used to demonstrate the presence of specific antigens in tissue sections to aid diagnosis Mutational analysis may also be used to support diagnosis and treatment 5 The Pathologist s Report The resultant slides together with the request forms are issued to the pathologist in the relevant subspecialty for rapid diagnosis Digital pathology images are available on request 6 Access to Reports Unilabs IHS results reporting is flexible to your needs Reports can be faxed to a secure line or posted to your chosen location Alternatively they can be viewed online using our secure Unilabs IHS web link 7 Doctors for Doctors We understand the important relationship between surgeon and pathologist Our pathologists will be happy to discuss any aspect of your case with you directly A clinical consultant pathologist is available 7 days a week Out of hours please call 44 0 20 7299 4490 where an automated response will give you a telephone number for the on duty pathologist Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2946 16 31 Page 17 onl
37. s UCLH and a member of the Unilabs IHS diagnostic gynaecology and uropathology team Her special interest is in oncology GMC Registration Number 6045747 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 30 Page 9 Dr Safa Al Sarraj MB ChB MSc MRCPath FRCPath is Head of the Department of Clinical Neuropathology at King s College Hospital NHS Foundation Trust director of the Brain Bank and co director of Brain for Dementia Research He has established a comprehensive neuropathology service incorporating brain biopsies and tumours CSF analysis muscle and nerve biopsy in addition to full examination of autopsy brains including those for medico legal purposes Dr Al Sarraj is one of the national experts on forensic neuropathology with special interest in head injury GMC Registration Number 3633885 Dr Roberto Dina MD FIAC FRCPath qualified as Histopathologist at the University of Bologna in 1983 where he was Lead Cytopathologist and Honorary Professor until 1999 In 2000 he was appointed Consultant and Honorary Senior Lecturer at Hammersmith Hospital where he is lead pathologist for gynaecological oncology and cytopathology His main research interests are in gynaecological cancer and e learning He is also lead pathologist for thyroid cancer GMC Registration Number 4666062 Dr Emma McLean MB BCh FRCPath is a Consultant Histo Cytopathologist at Guy s amp St Thomas NHS Foundation Trust Her interests are re
38. sonable control e act of God explosion flood tempest fire or accident e war or threat of war sabotage insurrection civil disturbance or requisition e acts restrictions regulations bye laws prohibitions or measures of any kind on the part of any governmental parliamentary or local authority import or export regulations or embargoes e strikes lock outs or other industrial actions or trade disputes whether involving employees of Unilabs IHS or of a third party e difficulties in obtaining raw materials labour fuel parts or machinery e power failure or breakdown in machinery SUBCONTRACTING In some cases specialist or esoteric tests may be required to support the Services Unilabs IHS may sub contract any one or more tests to be performed to a suitably accredited laboratory GOVERNING LAW This Agreement shall be governed in all respects by English Law and any disputes shall be subject to the exclusive jurisdiction of the English Courts Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2016 16 31 Page 41 index Laboratory user guide DESCRIPTION PAGE NO DESCRIPTION PAGE NO Adrenal 28 Conjunctival biopsy 28 Alopecia biopsy 31 Core biopsy breast 27 Ampullary biopsy 29 Cornea 29 Anal fistula 29 Curetting 31 Aorta 27 Cyst excision 31 Appendix 29 Cystoprostatectomy 32 Bile duct biopsy 29 Dental cyst 28 Biliary resection 30 Distal pancreatectomy 30 Bladder biopsy 32 Duodenal biopsy 29 Body fluids 3
39. spiratory histopathology and all aspects of cytopathology particularly EBUS FNAs GMC Registration Number 4532734 Dr Paul Cane FRCPath is a Consultant Histopathologist at Guy s amp St Thomas NHS Foundation Trust where he is part of the thoracic and breast specialist reporting teams He is currently the lead consultant for thoracic pathology and has a special interest in thoracic and breast oncology GMC Registration Number 4319841 Dr James Carton MA MB BChir FRCPath is a Consultant Histopathologist at Imperial College Healthcare NHS Trust and his areas of interest are skin urology and breast pathology GMC Registration Number 6040057 Dr Valerie A Thomas MBBS PhD FRCPath trained in pathology at the Royal Free Hospital after qualifying MBBS from St George s University of London During her training she undertook an intercalated BSc and PhD in Developmental Biology She became a consultant at St George s NHS Healthcare Trust in 1992 and has been lead breast pathologist and lead cytopathologist with responsibility for the local Cervical Screening Programme since 1994 The department established subspecialty reporting in 1998 with a small group of pathologists undertaking all breast and cytology work UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 30 Page 10 Page 10 Dr Thomas is an active participant in all aspects of the National Training School for the Breast Screening Programme St George s Hospital and has be
40. st Dr Ashish Narula Ealing Hospital NHS Trust HEAD AND NECK PATHOLOGY ENT THYROID Dr Andrew Gallimore University College Hospital London NHS Foundation Trust Dr Glen Dixon Imperial College NHS Trust until 2009 Dr Roberto Dina Imperial College NHS Trust Dr Mufaddal Moonim Guy s amp St Thomas NHS Foundation Trust Dr Ezra Nigar The North West London Hospitals NHS Trust CARDIO THORACIC Dr Glen Dixon Imperial College NHS Trust until 2009 Dr Paul Cane Guy s amp St Thomas NHS Foundation Trust Dr Emma McLean Guy s amp St Thomas NHS Foundation Trust Dr Ashish Chandra Guy s amp St Thomas NHS Foundation Trust BRAIN AND MUSCLE BIOPSIES Dr Safa Al Sarraj King s College Hospital NHS Foundation Trust HAEMATOPATHOLOGY LYMPHOMA Dr Alan Ramsay University College Hospital London NHS Foundation Trust Dr Mufaddal Moonim Guy s amp St Thomas NHS Foundation Trust Dr Glen Dixon Imperial College NHS Trust until 2009 TUMOUR PATHOLOGY SOFT TISSUES Prof Cyril Fisher The Royal Marsden NHS Foundation Trust Sk mae H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 30 Page 14 Unilabs IHS team amp customer services Laboratory user guide Unilabs IHS TEAM Managing Director Mr Andrew Lunt Financial Director Mr Andrew Coutts IT Director Mr Jason Biggs Commercial Director Dr Marisa Logan Ward Operations Manager Mr Neil Barrett IT Systems amp LIS Manag
41. t written reports can be visually supported The extent of disease is also clearly illustrated as are involved or clear margins A visual archive allows for the easy tracking of the progress of disease and consultants using digital imaging find visual aids invaluable in explaining diagnosis and treatment to patients Subject to appropriate consent visual material can also be archived for teaching and research purposes Molluscum contagiosum 2 IHS UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 31 Page 19 specimen transportation Laboratory user guide Specimen Packaging Most cellular pathology specimens are generally classified Biological Substance Category B and should be handled and packaged in accordance with UN3373 regulations Any sample which is to be transported to Unilabs IHS for diagnostic purposes must adhere to the following instructions for packaging 1 PRIMARY PACKAGING A specimen container or specimen pot should be of relevant size to the specimen and contain the appropriate fixative Ensure that the lid is securely tightened to avoid leakage during transportation 2 SECONDARY PACKAGING A polythene bag provides the secondary packaging layer into which the specimen container is placed There should be absorbent tissue paper within this bag to soak up any leakage should this occur This bag will need to be sealed and the corresponding request form placed into the outer side pock
42. te cellular pathology in Central London We owe our success to providing a consistently high quality diagnostic service to users underpinned by responsive customer care and account management Our Experience NHS CONTRACTS AND BACK LOG SUPPORT Unilabs IHS has supported a number of NHS Trusts in providing short and long term cover in histopathology and cytopathology Our flexible approach has helped NHS departments to tackle critical back logs as well as day to day operations when challenged by staff shortages of both biomedical scientists and consultant pathologists All of our consultant pathologists hold substantive posts in NHS teaching hospitals and therefore at Unilabs IHS we are acutely aware of the financial and operational challenges currently faced by the NHS We offer a high quality CPA accredited cellular pathology service at affordable transparent rates with no hidden costs DUTY OF CARE REVIEWS In addition to clinical diagnostics Unilabs IHS provides expert medical review services to the NHS and private sectors With a diverse team of experienced medical experts Unilabs IHS has the in house capability to provide world class duty of care reviews and second opinions In some subspecialty areas our pathologists belong to a limited worldwide network that has experience and expertise to review complex cases Sk me H UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046 16 30 Page 7 our pathologists Laboratory user gui
43. tion specimens Lung lesion small wedge resection Lung tumour resection nodes EAR NOSE AND THROAT RESECTIONS Tonsil 1 specimen Tonsils 2 specimens Nasal polyps Uvulectomy Dental cyst Laryngeal nodule unilateral Laryngeal nodule bilateral Excision of submandibular gland Parotidectomy Partial thyroidectomy Glossectomy Rhinectomy Glossectomy neck dissection Maxillectomy Pharyngectomy Pharyngectomy neck dissection Laryngectomy Laryngectomy neck dissection Neck dissection Neck dissection bilateral ENDOCRINE usually resections Parathyroid Thyroid total Thyroid lobe Adrenal EYES Conjunctival biopsy HIS2 HIS2 HIS2 HIS5 HIS3 HIS5 HIS1 HIS2 HIS1 HIS2 HIS1 HIS1 HIS2 HIS3 HIS4 HIS4 HIS5 HIS2 HIS5 HIS2 HIS5 HIS5 HIS5 HIS2 HIS5 HIS5 HIS5 HIS5 HIS5 HIS5 HIS5 HIS5 HIS2 HIS5 HIS5 HIS5 HIS5 HIS3 HIS5 HIS5 HIS1 UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2046416 31 Page 29 Cornea HIS1 Orbit contents of eye HIS1 Lacrimal gland biopsy excision HIS2 Globe HIS4 GASTRO INTESTINAL BIOPSIES Oesophageal biopsy HIS1 Gastric biopsy HIS1 Ampullary biopsy HIS1 Terminal ileal biopsy HIS1 Duodenal biopsy HIS1 Colonic biopsy HIS1 Rectal biopsy HIS1 Ileocolonic series HIS1 Liver biopsy tumour HIS3 IMM Liver biopsy medical HIS5 Pancreatic biopsy HIS1 Bile duct biopsy HIS1 GASTRO INTESTINAL RESECTIONS SMALL Gallbladder HIS2 En
44. weden Portugal Russia Switzerland and UK Our service is led by a team of highly experienced consultant pathologists with many years of experience serving both the NHS and independent sectors Most of our consultants hold substantive appointments in teaching hospitals in Central London Due to these close links with academic institutions we have ready access to specialty areas including more esoteric fields including neuropathology ophthalmic and bone pathology ymm UNI 01 S007 User Guide 210x148 5 Layout 1 17 08 2044 16 30 Page 6 Page 6 Key elements of the Unilabs IHS service e High quality service led by experienced pathologists e High calibre technical clerical and customer service teams e Full range of diagnostic cellular pathology services e Wet specimens tissue blocks or prepared slides accepted e Pathologists available for advice and discussion of cases e Responsive and bespoke service focussed on clients requirements e Rapid turnaround times e Access to online results 24 7 through our secure Unilabs IHS web link Working with Unilabs IHS Unilabs IHS has an excellent track record of delivering cellular pathology services to the health sector It has a portfolio of major clients spanning GPs NHS Trusts private acute hospitals and corporate organisations Unilabs IHS is the preferred histology provider to some of the UK s largest private hospital groups and has around 65 market share of priva
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