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Graphic with information about a new genetic test for people of African & Caribbean ancestry who are considering donating a live kidney.

NHS England have announced funding for a new genetic test for APOL1 gene variations.

It’s available for anyone of African, Brazilian or Caribbean ancestry who is considering donating a kidney.

The test is already part of the British Transplantation Society guidelines and will be available for Chronic Kidney Disease risk stratification.

Changes to the APOL1 gene can increase your risk of developing kidney failure and is seen almost exclusively within the African and Caribbean community. The test is now available from us nationally.  It will be included in the next update to the National Genomic Test Directory on April 1st but can be ordered now directly from our Lab.

To order a test in the meantime, contact the South East Genomics Laboratory Hub on gst-tr.southeastglh@nhs.net

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With any Whole Genome Sequencing (WGS) test ordered, a Record of Discussion (RoD) form will also need to be submitted. This document is to record the patient’s consent for genomic testing and their choice on taking part in research. Guidance on the patient choice conversation can be found here. 
 
This RoD form will be available for clinicians to download from this webpage. Once completed with the patient, it can be send to the lab with the corresponding test order form and sample.
Tests available to order will be listed in the National Genomic Test Directory. A test order form will soon be made available for clinicians on this webpage to download and complete. This form will include the address of the laboratory that the appropriate sample and completed form needs to be sent to.
 
Until the new Genomic Laboratory Service goes live, please continue to follow existing test order processes.
 
Later this year, the online test ordering tool for Whole Genome Sequencing will be integrated into the National Genomics Informatics System (NGIS) and clinicians will be able to search or filter to find a clinical indication, confirm eligibility criteria and start the test request process for their patient.