Laboratory Guide 2021 Valid from 1st January 2021 Cover: Daniel Odukoya, BMS, Laboratory Supervisor within Molecular Pathology handling PCR samples. TAP4557/22-11-20/V3 Laboratory Guide 2021 Valid from 1st January 2021 TDL Customer Charter We are committed to being the most helpful pathology service in the UK. Our goal is always to provide a high level of service to our customers, who request pathology services, for their patients. This is a philosophy shared by all Sonic Healthcare Pathology practices. We are medically led, and patients are our first concern. We always try to look to improve our operational expertise, and we strive to provide professional leadership within our specialities. We promise to provide easy access to our pathology services • We will always provide a friendly, helpful service. • Our automated laboratory departments operate 24 hours a day, 7 days a week, and we aim to achieve, or improve, our published turnaround times. • Our medical consultants and laboratory teams are available to provide additional clarification, advice or information for tests or results. We promise to help you • We invest in technical and operational excellence, with an extensive test repertoire, to ensure access to a leading-edge laboratory service. • We return results using the reporting method choice, in an as organised and safe way as possible. We promise to support the communities we work in • We do our utmost to provide a service, even during extreme external disruptions beyond our control. • We are committed to our staff’s continued professional development. • We have an organised programme to provide young people with work experience. • We support our local community. We promise to listen • We acknowledge customer issues, and try to resolve them promptly and consistently. • If our delivery has been adversely affected, we will address and review our procedures so that our service reaches the highest standards. • We actively ask for feedback so that we can continue to improve our service. Complaints policy It is the aim of the company to maintain its core values. Two of these core values are: • Commit to service excellence. • Be enthusiastic about continuous improvement. Where a doctor or patient needs to raise a complaint about service levels they should contact Cyril Taylor, Director of Laboratory Compliance, or Annette Wilkinson, Director of Service at [email protected] giving details of the complaint. The information forwarded will be treated as confidential and investigated by the above persons. This process will link into Quality Management procedure for incident investigation. Corrective and preventative actions will be introduced where indicated. Contents PAGE Index of TDL Profiles 2-3 Location maps for TDL London and Manchester 4-5 Helpful information for using The Doctors Laboratory 6-13 Quality assurance 14-20 Special instructions for samples 21 TDL Screening Profiles DL1 – DL12 22-23 Testing for COVID-19 (SARS-CoV-2) 24-25 Biochemistry 27-35 Haematology 36-39 Microbiology 40-47 Endocrinology 49-55 Reproductive health 56-59 TDL Andrology 60-64 Sexual Health: Tests, profiles and detection information 65-76 Immunology: General / Infectious immunology / Serology 77-85 Tropical and travel related immunology 86-88 Virology: Immune status testing 89 Hepatitis testing and hepatitis profiles 90-93 HIV testing 94-95 General 96-98 Tumour markers 99-100 Genetics – Cytogenetics / Molecular genetics 101-128 In-Vivo Tests 129 Antibiotic assays 129 Therapeutic drug assays 130-131 Allergy 133-141 Vitamins, Nutrition and Lifestyle, Omega 3/6 143-145 TDL Tinies™ and Self-collection samples 146-151 Screening for Drugs of Abuse / Alcohol 153-154 Occupational Health 155-156 Cervical Screening 157-165 Histopathology 166-170 Alphabetical test index 172-203 TDL Referral Laboratories 204-206 Terms and conditions of business from 1st Jan 2021 207-213 Forms 215 Downs risk profile (1st & 2nd trimester) Leukaemic studies request form (Cytogenetics / Molecular genetics) Genetic request form Supplies order TDL request form 1 Index of TDL Profiles TDL SCREENING PROFILES PAGE DL1/DL1L Biochemistry Profile 22 DL2/DL2L Haematology and Biochemistry Profile (24 parameters) 22 DL3 Haematology Profile 22 DL4/DL4L Haematology and Biochemistry Profile (16 parameters) 22 DL5/DL5L Postal Haematology and Biochemistry Profile 22 DL6/DL6L General Well Person Profile 22 DL7/DL7L Well Man Profile 23 DL8/DL8L Well Person Profile 23 DL9M Senior Male Profile 23 DL9F Senior Female Profile 23 DL10 Cardiovascular Risk Evaluation Profile 23 DL11 Cardiovascular Risk Plus Profile 23 DL12 Sexual Health Profile 7 STI’s by PCR 23 TDL SPECIFIC PROFILES Alcohol Profiles 153-154 Allergy Screens 133-141 Amenorrhoea Profile 49, 55 Anaemia Profile 36, 39 Andropause Profile 49, 54 Antenatal Profile 36, 39 Autoantibody Profiles 77, 85 Azoospermia Profile 108, 128 Bone Screens 28, 35 Calprotectin / Elastase Profile 77, 85 Cardiovascular Risk Profiles 28, 35 Chest Pain Profile 28, 35 Chlamydia (Species Specific) Antibody Profile 78, 85 Chronic Fatigue Syndrome Profile 78, 85 Clotting Profiles 36, 39 Coeliac Profiles 78, 82 NEW COVID-19 (PCR & Antibody testing) 24-25, 96-97 Deep Vein Thrombosis (DVT) Profile (Pre-travel screen) 36, 39, 86-87, 111,128 Diabetic Profiles 29, 35 Drugs of Abuse / Alcohol Screens 153-154 Enteric Organism Rapid Antigen Detection 86-87 Epstein-Barr Virus Profile 96 Erectile Dysfunction Profile 49, 54 Female Hormone Profile 49, 54 First Trimester Antenatal Screening Bloods 49, 55 Genetic Profiles 128 Haematology Profile 36, 39 2 PAGE Hepatitis Profiles 90 Hirsutism Profile 49, 55 HIV Profiles 65, 75-76, 94-95 HRT Profile 49, 55 Impotence Profile 50, 54 Infertility Male Profile 50, 54 Iron Overload Profile 31, 34, 115, 128 Iron Status Profile 31, 34 Jewish Carrier Screen 108, 115, 123,128 Lipid Profile 31, 34 Liver Function Tests 31, 34 Male Genetic Reproductive Profile 113, 116, 128 Menopause Profile 50, 55 Metabolic Syndrome Profile 50, 55 Mineral Screen 143-144 Myeloma Screen 31, 34 Natural Killer Profile 36, 39 Needle Stick Injury Profile 97 Neurological Viral Screen 97-98 Osteoporosis Screen 32, 35 Pituitary Function Profile 50, 55 Pneumonia (Atypical) Screen 97-98 Polycystic Ovary Syndrome Profile 50, 55 Post-Travel Screens 86-87 Pre-Travel Screen 36, 39, 86-87, 118,128 Prostate Profile 99 Recurrent Miscarriage Profile 119, 128 NEW Respiratory Viral Screen 25, 97-98 Rheumatology Profiles 80, 84 Rickettsial Species Antibodies 80, 86 NEW SARS-CoV-2 (COVID-19) PCR & Antibody testing 24-25, 96-97 Sports/Performance Profile 143-144 STI / Sexual Health Profiles 65-66, 74-76 Thrombotic Risk/Miscarriage Profile 37, 39, 120, 128 Thyroid Profiles 51, 54 Torch Screen 80, 97-98 Trace Metal Screen 144, 155 Tropical Screen 86-87 Urea and Electrolytes 33-34 Viral Profiles 98 Vitamin Screens 144-145 Von Willebrand Profile 37, 39 Personal Profile (Doctor’s own) are available on request. 3 P H E King’s a v Y St Pancras a n e o m c r Cross r s r International k h a p Francis Crick W o s s l M t t Institute a R e i S d y a t o r la d e e n a A40 Westway t d d King’s R o a Cross G M40 THE DOCTORS LABORATORY British d r a Library HALO BUILDING y Paddington ’ s 1 MABLEDON PLACE I n n J M R u R a d o o b d a a d A Euston a l o e d d S l R d b on t o st r a Eu an n e n W m e ax P l t Madame Tussauds y F e t h S l t o ac a ou b rr m S d Te c Si u e t r ce G Euston n Pla o Regent’s P ck r o t d d l is o a a v Baker Park R Square o a M s t o n c T H E u n e a a r y l e b o n e R o a d Street M S H r u c e n t Warren h r t Marylebone W b m e ar G ren St r r Street o Sq a o S M n n Great w on t ay d d t a r r ton W e o Graf T S e G S r r G Portland o t e y l t t S t o B l t t e t S S t u re Street le e a shi ap b on M n v c e k D Russell G o h t e W R S e n r a ord s u ilf r e e on St h m s Square Gu t t ing i d P a t t S d e s a H P S fi t t d e r o i S t n e th g u la l r l l ymo r w P e d e h o W t H S F l l e S W H a i q a S t S C t t z t n h a c t is d l r i r aven e C m r w o d e e e N v Goodge l y e S e e p P l S o t y a o Street l P t u n l S a t e o d C B h c t t S r S o a S e e l t t g u o m d t l o o t a o r e S G t p nn m A n en t e PATIENT RECEPTION Qu R o d C s d d n a o h b t N R S r a u R s 76 WIMPOLE STREET d e e l m r t o a ti w l S r b r o o y w o y M m c e h t r t T e C S a e P R a t v n S S e e t n S t St d g ore t m is Wig e J h O a n S rch m q t H e Holborn a Pl S Tottenham tt o nrie V s e a H e l l t e r r e 0 S s A4 d Court Road S S t t t Marble S Oxford St Arch t t xford S O D Ne a Take Exit 4: Regent St v w i Oxford e B s o (North), Oxford St (West) n Circus Bond S d t S Street t Selfridges Debenhams John Lewis THE DOCTORS LABORATORY Out of hours samples The Halo Building, 1 Mabledon Place, London WC1H 9AX can be dropped at: Tel: 020 7307 7373 Patient Reception E-mail: [email protected] 76 Wimpole Street Web: www.tdlpathology.com London W1G 9RT Or at any time at PATIENT RECEPTION/PHLEBOTOMY SERVICES the main laboratory: 76 Wimpole Street, London W1G 9RT The Halo Building Telephone: 020 7307 7383 1 Mabledon Place Email: [email protected] London WC1H 9AX OPENING TIMES Samples are taken at Monday to Friday 7.00am – 7.00pm Patient Reception only.