# NHS Genomic Medicine Service

Source: https://onco.cc/collections/nhs-genomic-medicine-service/  
OnCo record `nhs-genomic-medicine-service` (Collection). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

In England, tumour and inherited cancer gene testing is free on the NHS when the National Genomic Test Directory lists it for your cancer. Your hospital team orders it.

## Summary

The NHS Genomic Medicine Service brings cancer genomic testing under one national structure. The National Genomic Test Directory, updated each year, states which tests the NHS funds for which indication, from single-gene companion tests to large panels, whole genome sequencing for some cancers, and germline testing where family history or tumour features meet the criteria. Regional Genomic Laboratory Hubs run the tests; clinical teams order them and there is no charge to the patient. Scotland, Wales and Northern Ireland run their own genomic services with similar principles. For a patient, the practical questions are whether the directory lists a test for their situation and whether the team has requested it.

## Fields

- Kind: Collection
- Last checked: 2026-09-17
- Tags: free; patient-programme; public
- URL: https://www.england.nhs.uk/genomics/nhs-genomic-med-service/
- Holds: The NHS route to tumour and inherited-risk testing in England, free at the point of use for eligible patients: the National Genomic Test Directory lists which tests are funded for which cancers, delivered through regional Genomic Laboratory Hubs.

## Sources

- NHS Genomic Medicine Service: https://www.england.nhs.uk/genomics/nhs-genomic-med-service/
- National Genomic Test Directory: https://www.england.nhs.uk/publication/national-genomic-test-directories/

## Connected records

- collections: [NHS Jewish BRCA Testing Programme](https://onco.cc/collections/nhs-jewish-brca-testing/), [PanCAN Know Your Tumor](https://onco.cc/collections/pancan-know-your-tumor/), [PROMISE registry: free germline testing in prostate cancer](https://onco.cc/collections/prostate-cancer-promise/)
- technologies: [Comprehensive genomic profiling](https://onco.cc/technologies/cgp/), [Germline (hereditary) testing](https://onco.cc/technologies/germline-testing/), [Whole-exome & whole-genome sequencing](https://onco.cc/technologies/wes-wgs/)

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JSON: https://onco.cc/api/v1/entities/nhs-genomic-medicine-service.json