The National Genomic Test Directory

See the latest National Genomic Test Directory

A central feature of the NHS Genomic Medicine Service (GMS) is the National Genomic Test Directory (Test Directory) which outlines the full range of genomic tests that are funded by the NHS in England. The Test Directory sets out which tests are available and the patients who are eligible to access a test.

Public consultation

NHS England and NHS Improvement held a public consultation on the approach to updating the Test Directory in Autumn 2020. The consultation documents and our response to the feedback received can be found on our consultation hub.

Our response to the consultation is also available below.

Updating the National Genomic Test Directory – the process

The Test Directory will be updated annually from 2021/22 following the structured, evidence-based process set out below. This will allow for a wide group of stakeholders to contribute to updating the Test Directory. For further information about the process, please see the guidance documentation.

Applications for amendments to the Test Directory must be submitted using the application forms available at the bottom of this page, noting the annual evaluation timescales below.

2021/22 update to the Test Directory

For the 2021/2022 update, NHS England and NHS Improvement implemented a bespoke application window. Applications to update the Test Directory for 2021/22 were accepted until 31 January 2021.

Engagement in the first application round was very positive, with over 100 applications received. Subject to governance approvals the 2021/22 update to the Test Directory will be published in three separate stages before the end of the financial year.

Future annual updates to the Test Directory

Subject to governance approvals, further annual updates to the Test Directory will be completed as described in the NHS England and NHS Improvement policy document for Updating the National Genomic Test Directory.

Please note: The deadline of 1 August 2021 for the receipt of applications for the next update to the Test Directory has been extended to 5pm on 29 October 2021. This deadline is subject to further extension contingent on the publication date of the 2021/22 Test Directory update.

NHS GMS virtual gene panel content

NHS England and NHS Improvement will undertake a quarterly review and update of NHS GMS virtual gene panel content. Proposed amendments to the content of NHS GMS virtual gene panels should be submitted as evidence reviews via the Genomics England PanelApp platform.

For more information please see the guidance documentation.

Update to NHS GMS Virtual Gene Panels during 2020/21

A review of NHS GMS virtual gene panel content will take place during February – March 2021. Any evidence reviews relating to NHS GMS gene panel content submitted prior to 11.59pm 31 January 2021 will be reviewed during this update.

Update to NHS GMS Virtual Gene Panels during 2021/22

The quarterly reviews of NHS GMS virtual gene panel content will take place as per the below timescales*:

Date of review

Deadline for evidence reviews for inclusion in review

June 2021 1 June 2021
September 2021 1 September 2021
December 2021 1 December 2021
March 2022 1 March 2022

*Please note that following the 2021/22 update to the Test Directory the timescales for the 2022/23 update may be reviewed for suitability and effectiveness. Please check this page following the publication of the 2021/22 update to the Test Directory for confirmation of the timescales.

Fast track process

A fast track process for applications to amend the Test Directory is provided to support amendments that may be identified as requiring implementation more urgently than through the annual update to the Test Directory. Further information on this process and relevant documentation can be found in the documentation section below.

Fast track applications must be submitted to the Genomics Unit at england.testevaluation@nhs.net.

Horizon scanning

NHS England and NHS Improvement undertake ongoing horizon scanning to identify potential future changes to the Test Directory.

To support this horizon scanning, stakeholders can notify NHS England and NHS Improvement of activity which may result in a future change to the Test Directory via the notification form provided.

Please submit the form to the Genomics Unit at england.testevaluation@nhs.net.

Documentation