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The 2020/2021 National Genomic Test Directory for cancer specifies the genomic tests commissioned by the NHS in England for cancer, the technology by which they are available, and the patients who will be eligible to access to a test.
National Genomic test directory for cancer can be found here. It is then necessary to open an Excel spreadsheet and CUP is listed on the page relating to ‘solid tumours (adult)’.
That the National Genomic Test Directory for Cancer shows CUP makes it an important document for consultants seeking to get patients genomic testing on the NHS. How this is going to work in practice is yet to be tested. We understand that funding will be needed from a CCG and that may, or may not, be straightforward (and there may be an argument that this is not congruent with the NICE Guideline as it stands).
We do not know how the test scope and eligibility criteria for CUP were derived. Importantly, there is a process for updating the Test Directory. This is presently in draft and NHS England and NHS Improvement (NHSE&I) have launched a consultation to seek feedback on the proposed process to ensure that it is kept up to date with current testing and technologies to get the best possible diagnostic and clinical outcomes. Full details on the consultation are accessible here . The deadline for submissions is 11.59pm on Thursday 19th November 2020.