• Organisation of specialist prenatal diagnosis for a known familial genetic disorder
• Diagnosis and counselling on diagnosis of fetal abnormality either on genetic testing or ultrasound
• Investigation and diagnosis of congenital abnormality
• Investigation and diagnosis of abnormalities of growth or development in childhood
• Diagnosis of a metabolic disorder
• Diagnosis if a possible genetic disease, including eye, renal, cardiac and neurological disorders with a known or possible genetic basis
• Strong family history of cancer
• Concern regarding personal of family history of a genetic disease
• To access testing of family members for carrier status for single gene (medelian disorders) including presymptomatic or predictive gene testing when indicated.

All GP Referrals should be submitted by the e-Referral System (e-RS). The exclusions on the e-RS Directory of Services is as follows:

• Sickle Cell / Thalassaemia
• Hypercholesterolaemia
• Haemophila
• Other bleeding disorders / thrombosis
• Haemochromatosis
• Alpha 1 antitrypsin
• Joint hypermoblility syndrome (EDS111)
• CF carrier screening
• MTHFR common variants

All non GP referrals can be can be submitted by letter (Manchester Centre for Genomic Medicine, 6th Floor, St Mary’s Hospital, Oxford Road, Manchester, M13 9WL).

Metabolic referrals (excluding GP referrals) should be by letter and addressed to the Willink Biochemical Genetics Unit at the above address.

Note for referral to Urgency Genetic Clinics and Neonatal Urgency Genetic Referrals – please use appropriate form.

Referrals are usually to a named consultant, but if not specified, are allocated to a consultant with a special interest, an appropriate out-reach clinic or to the urgent referral team.

You can find out which consultant to refer to, by clinical condition through our clinical genetic service pages. There is also a list of all consultants and genetic counsellors.

We do accept referrals from outside our area on the basis of patient choice. However as patients often require follow-up appointments, a referral to a neighbouring regional service may be more appropriate.

In order for referrals to be processed efficiently, please include information from the following check list:

• Name and title
• NHS number
• Date of birth
• Full address and postcode
• Telephone details including a mobile phone number (essential as we may need to contact patients prior to an appointment and in addition we operate a text appointment reminder system)
• GP details
• Genetic reference number if previously seen by the MCGM service
• Names and dates of birth of relatives who have already been seen in a genetic service; please specify which genetic service the relatives have attended.
• In paediatric referrals please include current social worker details for all Looked after Children
• Please state if an interpreter is needed and specify the language required

For cancer referrals you may submit a Family History Form.

When referring a patient with a significant personal and / or family history of cancer, please refer to our specific cancer referral guidelines, for the additional information required.

If the referral is accepted your patient will receive an appointment informing them of the date, time and location of their appointment. If the referral is rejected, the referrer will be informed of this triage decision.