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Principal Genetic Counsellor

3 months ago


London, Greater London, United Kingdom Guy's and St Thomas' NHS Foundation Trust Full time
Provide expert clinical advice in cancer genetics and familial cancer

  • Undertake education, mentoring and clinical supervision of junior members of the team
  • Be the named training office for Genomic Counselling trainees (STP)
  • Act as signoff mentor for colleagues pursuing GCRB/AHCS registration
  • Be the named line manager for a subset of the team including trainees, genomic associates and genetic counsellors.
  • Act as a resource for the wider MDT and healthcare team in cancer genetics
  • Contribute to and lead aspects of the cancer genetics service delivery including courses, supported nursing networks, governance and quality improvement projects
  • Work collaboratively with colleagues across the service to enhance patient care and champion our trust values
  • Present at national and international forums
Guy's & St Thomas NHS Foundation Trust


Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts.

We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.


We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research.


We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally.

We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, and neighbouring NHS organisations, local authorities and charitable bodies and GPs.


We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.


  • Expert Clinical Practice
  • Take responsibility for providing expert cancer genetic counselling for patients and families. This will include seeing patients and their families at within the Trust and various regional clinics both in person, on telephone and through video consultations.
  • Manage an individual caseload autonomously, including taking a lead role in the provision of predictive genetic testing, supporting colleagues in complex decision making clinical appointments, management of urgent referral and enquiries.
  • Communicate effectively with patients and families to elicit concerns and expectations. Obtain, document and interpret family, medical and psychosocial history. Receive and interpret complex and sometimes conflicting information and confirm diagnostic information.
  • Take responsibility for communicating highly complex genetic information to patients and relatives. This will include calculating the chance of patients and families being affected by a wide range of cancer and other genetic disorders, the risks of cancer and the management options available such as surveillance and risk reduction.
  • Making decisions where expert opinion differs or some information is unavailable. In order to do this, source and interpret complex scientific papers and genetic test results.
  • Use advanced counselling skills to expertly communicate highly sensitive and potentially psychologically damaging information, which may cause high levels of distress such as unexpected nonpaternity, risk of further cancer episodes and lack of management options.
  • Lead predictive genetic testing for children at risk of inherited cancer conditions in a sensitive manner and involve the parents to maximise an informed decision.
  • Undertake cocounselling with junior members of the genetic counselling team to enhance their knowledge and skill set
  • Undertake cocounselling with clinical colleagues in complex patients, rapid patients and couples seeking reproductive choices.
  • Undertake risk calculations using recommended tools and in line with national consensus.
  • Participate and support our range of nationally recognised multidisciplinary cancer clinics taking a proactive approach to support the patients and the MDT.
  • Actively engage with and utilise team counselling supervision to promote safe practice and role model the genetic counselling role across all domains of the principal role.
  • Liaise with laboratory colleagues to facilitate appropriate testing and storage of specimens, interpret genetic test results and confirm phenotypic information.
  • Liaise with external colleagues, agencies and organisations to facilitate appropriate sharing of information to facilitate options f