PATHOLOGY AWARENESS by Deborah Lakeland Specialist Biomedical Scientist

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PATHOLOGY AWARENESSby Deborah LakelandSpecialist
Biomedical Scientist
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NHS Pathology Service

• Employs 25,000 staff in the UK
• Costs 2.5 billion per year
• Diagnoses 70 of all patients conditions
• Performs disease monitoring tests
• Doctors rely on our diagnostic skills and
  specialist knowledge

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IMMUNOLOGY AWARENESS
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LANCASHIRE LAKELAND IMMUNOLOGY SERVICE

• Located at the Royal Preston Hospital Pathology
  Department

A supportive role in the patients journey by
Deborah Lakeland
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Lancashire Lakeland Immunology Service

• One of 28 Regional centres in the UK
• One of 4 in the North West
• 4th largest Immunology lab in the UK
• (Data from Keele University Benchmarking 2007)
• Serves a population of 1.7million residents in
  South Cumbria and Lancashire!!!!

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We are Clinical Pathology accredited, meeting
  national standards and guidelines
• We participate in national quality assessment
  schemes
• We test 66,000 specimens per year
• We perform 250,000 tests per year!!!!!

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We are a team of 23 dedicated
• Healthcare Professionals
• Consultant Clinical Immunologist
• Consultant Clinical Scientist
• Trainee Clinical Scientist
• Laboratory Manager
• Specialist Biomedical Scientists
• Biomedical Scientists
• Trainee Biomedical Scientists
• Medical Laboratory Assistants
• Medical Secretaries
• Specialist Nurses

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We serve regional acute hospitals
• Lancashire Teaching Hospitals Trust
• Royal Blackburn Hospital
• Blackpool Victoria Hospital
• Burnley General Hospital
• Furness General Hospital
• Lancaster Royal Infirmary
• Westmoreland General Hospital

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We serve other hospitals around the UK for
  specialist referrals
• Hope Hospital
• The University Hospital Aintree
• Wythenshawe
• Royal Liverpool Hospital
• Walton Centre for Neurology Neurosurgery
• Glan Clwyd Hospital
• Wrightington
• Southport Formby District General Hospital
• Wythenshaw Hospital

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We carry out tests for Primary Care
• General Practice
• Fulwood Barracks
• Central Lancashire Prisons

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We provide a Pollen counting service
• 1 of 11 sites in the European Aeroallergen
  Network
• 1 of 20 sites in Pollen UK, who predict national
  pollen forecasts
• as seen on TV weather reports!!!!!!

A supportive role in the patients journey
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The Pollen Monitoring Network


A supportive role in the patients journey
www.pollenuk.co.uk
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The Pollen Trap
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Lancashire Lakeland Immunology Service

• Immunology is the study of all aspects
• of the immune system
• in healthy and diseased states
• Malfunctions of the immune system in
  immunological disorders
• Physical, chemical and physiological
  characteristics of the immune system

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We provide a high quality service used to
  diagnose and monitor patients
• primary and secondary immune deficiencies
• lymphoproliferative disorders
• monoclonal gammopathies
• chronic infections

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We provide the regional service for Primary
  Immunodeficiency and allergy

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We offer a full range of diagnostic autoantibody
  assays to support clinical diagnosis
• thyroid disease
• rheumatoid disease
• SLE
• Vasculitis
• chronic renal lung disease
• neurological syndromes
• gastrointestinal tract disorders

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We provide a comprehensive allergy service
• test for a range of allergens
• Investigate anaesthetic reactions
• outpatient clinic
• offer challenge tests
• specific desensitisation immunotherapy
• e.g. venom and aeroallergens

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We routinely perform phenotyping tests on
  leukocytes
• for assessment of immune status
• for detection of haemato-malignancy
• perform functional cellular assays by prior
  arrangement

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We perform joint fluid microscopy to detect the
  presence of crystals which are diagnostic of gout

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We participate in multidisciplinary team meetings
  with other specialities, which provide education
  and improved liaison for patient care

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We are committed to biomedical research and
  development
• EliSPOT
• neutrophil function test
• Pi typing
• liver blots
• ENA
• free light chains

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We are active in continuous professional
  development
• seminars on current topics of interest
• Internal/external speakers
• journal club for reviewing scientific
  publications
• Internal/external courses for updates

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• We are a comprehensive diagnostic immunology
  laboratory which underpins the diagnosis of all
  immunological disease

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• The investigation of immunological problems can
  be complex and advice is available from the
  laboratory during normal working hours

A supportive role in the patients journey
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Lancashire Lakeland Immunology Service

• The clinical service is covered out of routine
  hours by Consultant Immunologists for discussion
  of clinical problems, and by Biomedical
  Scientists for emergency laboratory
  investigations

A supportive role in the patients journey