Relocation of the All Wales Medical Genomics Service Laboratory 

Due to the urgent nature of this information the Welsh translation for this will follow shortly. However, for some parts this will only be available in English due to the technical nature of the information.

 

A New Era for Genomic Medicine in Wales
Welsh healthcare has been undergoing an exciting transformation and in November 2023 All Wales Medical Genomics Service (AWMGS) began its transition to the new state-of-the-art facility at Cardiff Edge Life Science Park, Canolfan Iechyd Genomig Cymru (CIGC)/Wales Genomics Health Centre in Coryton, Cardiff.
This co-location of AWMGS with Pathogen Genomics Unit (PenGu) in Public Health Wales and Wales Gene Park aims to create a cutting-edge genomics facility at the forefront of innovation and collaboration in genomics. Thus, supporting the transformation of Welsh healthcare, by streamlining the clinical and laboratory testing, pathogen monitoring and genomics research, all to patient benefit.

 

Next steps
As of November 2023, CIGC became the working hub for PenGu and AWMGS’s Clinical Services and Directorate Management teams. AWMGS Laboratory services (AWGL) relocation to CIGC is the next exciting phase in integrating Welsh Genomic services and is due to begin on 8th November 2024. Due to the complex nature of the relocation of AWGL there will unfortunately be some disruption to our services/provision over the coming weeks. We have developed a robust relocation plan and have approached this with a risk-assessed focus and decision process centred on patient impact. This is to ensure, where possible, there will continue to be testing provision for clinical services.
 
Genetic Testing information
The tables below contain information pertaining to the delay or disruption that will affect services during the AWMGS laboratory relocation to CIGC as we activate service provision contingencies. This will provide information on the date of commencement of contingency, the nature of the contingency, the estimated length of disruption, and if there are any anticipated extensions to reporting times. This information will be updated on a regular basis and communication will be distributed once a services contingency is stood down and the testing provision has resumed normal service in our new facility.

 

Cancer services

 

Test
Service Provision Contingency
Date commencing contingency
Anticipated TAT *
(Calender days)
Anticipated contingency Period **
ALL SNP array 
Send Out
31/10/2024
14
Up to 6 weeks
ALL BCR::ABL1 diagnostic PCR
Send Out
31/10/2024
14
Up to 6 weeks
AML molecular monitoring
Send Out
28/10/2024
10
Up to 6 weeks
Breast DNA NGS
Send Out
28/10/2024
Up to 21 days
Up to 6 weeks
CALR
Send Out
28/10/2024
14
Up to 6 weeks
Cancer of unknown primary (CUP) - DNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
Cancer of unknown primary (CUP) - RNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
Cholangiocarcinoma DNA NGS 
Send Out
31/10/2024
14
Up to 6 weeks
Cholangiocarcinoma FISH
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
CLL DNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
Clonality (T/Bcell screen)
Send Out
04/11/2024
21
Up to 6 weeks
CML BCR::ABL1 Diagnostic PCR 
Send Out
01/11/2024
14
Up to 6 weeks
CMML BCR::ABL1 Diagnostic PCR 
Send Out
28/10/2024
14
Up to 6 weeks
Colorectal DNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
Endometrial DNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
FLT3 ITD & NPM1 testing
Send Out
28/10/2024
3
Up to 6 weeks
Germline Cancer Tests
Pause Service
28/10/2024
N/A
Up to 6 weeks
Germline Cancer Tests -  BRCA 1 & 2 Tests*** 
Send Out
28/10/2024
Up to 21 days
Up to 6 weeks
GIST DNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
Glioma DNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
Glioma RNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
JAK2 exon 12 & MPL 
Send Out
28/10/2024
Up to 21 days
Up to 6 weeks
Lung DNA NGS
Send Out
28/10/2024
Up to 21 days
Up to 6 weeks
Lung RNA NGS
Send Out
28/10/2024
Up to 21 days
Up to 6 weeks
Melanoma DNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
Melanoma DNA NGS
Send Out
31/10/2024
Up to 21 days
Up to 6 weeks
MSI Testing, BRAF, MLH1
Send Out
28/10/2024
14
Up to 6 weeks
Myeloid NGS & AML rapid panel
Send Out
28/10/2024
Up to 21 days
Up to 6 weeks
NTRK RNA NGS
Send Out
28/10/2024
14
Up to 6 weeks
Ovarian DNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
Prostate DNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
QuicDNA (lung ctDNA NGS)
Pause Service
31/11/2024
N/A
Up to 6 weeks
Sex matched Chimerism analysis
Send Out
28/10/2024
14
Up to 6 weeks
Thyroid DNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
Thyroid RNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
Tissue ID
Pause Service
28/10/2024
N/A
Up to 6 weeks
Tumour RNA NGS
Send Out
31/10/2024
14
Up to 6 weeks
         
* Due to the nature of send out provision, there may be unforeseen delays in TAT that extends the TAT up to 21 days. 
 
** It is anticipated that service provision contingency plan for the described test, will take up to this length of time 
 
***where treatment with Olaparib is indicated (Ovarian tumours, prostate tumours and Breast tumours)
 
 

 

Rare Disease Services
 

 

Test
Test Directory
R/M Number
Service Provision Contingency
Date commencing contingency
Anticipated TAT *
(Calender days)
Anticipated contingency Period **
Cerebral brain malformation gene panel service
R87
Pause service
01/11/2024
N/A
Up to 6 weeks
Cerebral brain malformations SNP array testing
R87
Send Out Option
31/10/2024
42
Up to 6 weeks
Congenital Malformation Syndromes and/or Dysmorphism Service
R27
Pause service
01/11/2024
N/A
Up to 6 weeks
Cystic fibrosis testing
R184, R185, R253
Send Out Option
25/11/2024
No Change
Up to 6 weeks
DFNB1 hereditary hearing loss
 
Pause service
30/10/2024
N/A
Up to 6 weeks
Early onset epilepsy or syndromic epilepsy/Cerebral brain malformations service
R242, R240, R244
Pause service
30/10/2024
N/A
Up to 6 weeks
Early onset or syndromic epilepsy gene panel service
R59
Pause service
01/11/2024
N/A
Up to 6 weeks
Early onset or syndromic epilepsy SNP array testing
R59
Send Out Option
31/10/2024
42
Up to 6 weeks
Familial hypercholesterolaemia
R134
Send Out Option
Existing Send out
No change
Up to 6 weeks
Family follow-up/Known mutation testing/Carrier testing
R242, R240, R244
Pause/Send Out Option
30/10/2024
Yes
Up to 6 weeks
Fetal anomaly gene panel (FAGP)
R21
Send Out Option
01/11/2024
14
Up to 6 weeks
FMR1-related premature ovarian insufficiency testing
R402
Send Out Option
04/11/2024
42
Up to 6 weeks
Fragile X syndrome testing (Asuragen)
R53
Send Out Option
04/11/2024
42
Up to 6 weeks
Fragile X syndrome testing (PCR)
R53
Pause service
04/11/2024
N/A
Up to 6 weeks
Fragile X Testing (familial testing)
R240
Send Out Option
04/11/2024
42
Up to 6 weeks
Fragile X Tremor/Ataxia Testing
R53
Send Out Option
04/11/2024
42
Up to 6 weeks
Frontotemporal dementia/amyotropic Lateral Sclerosis (FTD/ALS)
 
Send Out Option
04/11/2024
42
Up to 6 weeks
Huntington Disease (HD)
R68
Send Out Option
04/11/2024
42
Up to 6 weeks
Huntington Disease family test
R68
Send Out Option
04/11/2024
42
Up to 6 weeks
Intellectual Disability Service
R29
Pause service
01/11/2024
84
Up to 6 weeks
Myotonic dystrophy type 1 (DM1)
R72
Send Out Option
04/11/2024
42
Up to 6 weeks
Urgent Myotonic dystrophy type 1 diagnostic test
R72
Send Out Option
04/11/2024
TBC
Up to 6 weeks
Myotonic dystrophy type 1 family test
R72
Send Out Option
04/11/2024
42
Up to 6 weeks
Myotonic dystrophy type 2 (DM2)
R410
Pause service
04/11/2024
N/A
Up to 6 weeks
NIPT testing 
R445
Send Out Option
04/11/2024
14
Up to 6 weeks
Routine postnatal karyotype testing 
R297
Send Out Option
28/10/2024
42
Up to 6 weeks
Postnatal SNP array testing
 
Send Out Option
31/10/2024
42
Up to 6 weeks
Pregnancy-related rapid sequencing service (PRRS) 
R14
TBC
31/10/2024
TBC
Up to 6 weeks
Prenatal and urgent postnatal karyotype analysis
R297
In-house provision
N/A
No Change
Up to 6 weeks
Prenatal rapid aneuploidy testing by QF-PCR 
R26
Send Out Option
07/11/2024
3
Up to 6 weeks
Prenatal SNP array
R22
Send Out Option
31/10/2024
42
Up to 6 weeks
qPCR analysis for copy number variants (diagnostic)
R240
Pause service
25/11/2024
N/A
Up to 6 weeks
qPCR analysis for copy number variants (family follow-up/known mutation testing)
R242, R240, R244
Pause service
25/11/2024
N/A
Up to 6 weeks
Rapid aneuploidy testing by QF-PCR on postnatal samples 
R26
Send Out Option
07/11/2024
3
Up to 6 weeks
Rapid WGS (WINGS) testing
R14
Send Out Option
31/10/2024
TBC
Up to 6 weeks
SNP Array testing (postnatal)
 
Send Out Option
31/10/2024
42
Up to 6 weeks
Spinocerebellar ataxia (SCA types 1, 2, 3, 6, 7, 17)
 
Send Out Option
04/11/2024
42
Up to 6 weeks
Targeted SNP array testing
 
Send Out Option
31/10/2024
42
Up to 6 weeks
Testing on pregnancy loss samples and post-mortem fetal tissue samples
R318, R22
Pause service
31/10/2024
N/A
Up to 6 weeks
Urgent testing for familial variant(s)
R242, R240, R244
Pause service
31/10/2024
N/A
Up to 6 weeks
DPD deficiency
 
Send Out Option
04/11/2024
7
Up to 6 weeks
Myotonic dystrophy type 2 family test
 
Pause service
04/11/2024
N/A
Up to 6 weeks
Spinocerebellar ataxia (SCA types 1, 2, 3, 6, 7, 17) family test
 
Send Out Option
04/11/2024
42
Up to 6 weeks
 
 
 
 
 
 
* Due to the nature of send out provision, there may be unforeseen delays in TAT that extends the TAT up to 21 days. 
 
 
 
 
** It is anticipated that service provision contingency plan for the described test, will take up to this length of time