The Future of Personalised Medicine: Why Sharing Genomic Data with Your GP Matters
In an era where personalised medicine is rapidly advancing, the integration of genomic data into personal health records holds immense potential for improving patient care. Recently I decided to speak to my GP Practice in NHS Scotland about the possibility and benefits of including my DNA and genomic sequencing profile in my personal health record.
This profile, which includes a wealth of information on my genetic predispositions, potential health risks, wellness insights, and since opting for the enhanced report which provided some very detailed analysis and insights about my genetics, family history and specific results around pharmacogenomics for a number of medicines along with a few increased risk profiles around age related long term conditions, which incidentally is also linked to the genetic data of my dad, my sister and one of my sons, all of whom have 23andMe reports, could be a game-changer in my ongoing healthcare journey.
However, to my surprise, the practice declined my offer to provide them with a copy of my genomic data, despite this being of no cost to them, and offering the potential for better personalised medicine and clinical decision making in the future. This response got me thinking about the broader implications and the potential barriers to adopting genomic data in primary care settings within the NHS.
Understanding Genomic Sequencing
Genomic sequencing involves analysing an individual's DNA to identify variations that may affect their health. This comprehensive analysis can reveal valuable information, such as:
The Benefits of Integrating Genomic Data into Health Records
Including genomic data in personal health records can significantly enhance the quality of care provided by GPs. Here are some key benefits:
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The Reluctance of GP Practices
Despite these benefits, there are several reasons why GP practices might be hesitant to integrate genomic data, particularly within the NHS framework in Scotland:
Moving Forward: Bridging the Gap
To bridge this gap, and realise the future benefits available to the NHS in cost avoidance, patient demand and moving closer to enabling people in general to understand their own responsibilities for their health and wellbeing and aging well, it is essential to address these concerns through:
Conclusion
The integration of genomic data into personal health records represents a significant step forward in personalised medicine, especially when 'consumers' are happy to pay for this service. While there are challenges to overcome, the potential benefits for patient care are substantial. As we continue to advance in this field, it is crucial for government, patients and healthcare providers within the NHS to work together to embrace these innovations and unlock the full potential of personalised healthcare.
I already knew I had an increased risk of developing haemochromatosis in later life, an uncle died from it and probably unsurprising since I have a 100% Irish and Scottish heritage, with much more Irish than Scottish, part of the reason I paid for this report. That said there were other items flagged in the 125 test reports undertaken (nothing urgent or scary at this time) relating to health risks, carrier statuses, general wellness, mental health and trait reports that would most certainly aid clinical decision making in the future.
I know we are struggling to integrate health and social care in a meaningful way when it comes to data just now, and perhaps asking for my personal data to be integrated into my primary care file was possibly just a stretch too far at this stage, however when I opened the conversation with my offer, the practice manager told me I was the first person to ask that question, and upon checking politely declined saying that is not information the practice would seek.
By sharing my experience and insights, I hope to spark a broader conversation about the importance of genomic data in primary care and encourage more discussion about the integration of data offered to the health service by patients (which includes health data from personal (FDA or CE approved) medical devices) for the benefit of themselves and a more efficient and sustainable service delivering better outcomes through a deeper understanding of the individual. This is the future of a sustainable and future proof health and care service surely?
Collaboration | Life Sciences | Public Policy | Health & Care | Digital Health | Patient Safety | Environment & Climate Change
8 个月Dr. Chris Rice, PhD.
Key Accounts Director | UK Government, Healthcare, Education & Public Sector - HETT | DIGIEXPO | POLICE & JUSTICE | COUNTER FRAUD
8 个月Olivia Townsend Millie Savage Sophie Harrington #HETT