GP Special Interest in Genomics

v The post holder will support the delivery of safe, effective and coordinated care for individuals identified as having an inherited predisposition to cancer. The post-holder will provide medical input into surveillance planning, risk management and follow-up, with a particular focus on ensuring that patients with cancer predisposition variants are supported to access appropriate screening, specialist review and preventative or risk-reducing interventions.

The role will complement the work of consultant clinical geneticists, genetic counsellors, specialist nurses and administrative teams by providing a GP perspective on whole-person care, co-morbidity, primary care interface issues, prescribing considerations, shared decision-making and coordination across services.

• Oversee and organise surveillance pathways for individuals with inherited cancer predisposition, ensuring appropriate screening is arranged, documented and followed up.
• Review patients in clinic to discuss medical management issues related to their genetic risk, including hormone replacement therapy, risk-reducing options, feasibility of colonoscopy and other relevant surveillance or management considerations.
• Provide clear, patient-centred explanations of cancer risk, surveillance recommendations and the rationale for onward referral or investigation.
• Liaise with primary care, gastroenterology, breast services, gynaecology, oncology and other specialist teams to support coordinated care.
• Identify gaps or delays in surveillance and contribute to systems that improve safety, tracking and governance for high-risk patients.
• Work within agreed clinical governance processes, escalating complex clinical decisions to consultant clinical geneticists and genetic counsellors as appropriate.
• Support service development by contributing to protocols, patient pathways and multidisciplinary discussion around inherited cancer predisposition management.