Genomics & molecular pathology · NHS Bands 2–8

Genomics interview questions and training for NHS biomedical scientists

Virtual NHS genomics suite, advanced LIMS, NGS sequencing methods, variant analysis, pharmacogenomics and bioinformatics tools, built around the NHS Genomic Medicine Service and its National Genomic Test Directory.

Reviewed by Desmond O., HCPC-registered Biomedical Scientist, and the PathologyLabTraining editorial team

NHS Genomic Medicine Service
NGS & bioinformatics
National Genomic Test Directory
Bench simulation

Advanced interactive genomics laboratory suite

Practise the full NHS genomics workflow (WGS, cancer genomics, pharmacogenomics, ISO 15189 compliance, UKAS accreditation prep) across 16 NHS-aligned modules.

Advanced Interactive Genomics Laboratory Suite is available to premium subscribers and trial users.

LIMS

Advanced genomics & molecular pathology LIMS

Next-generation laboratory information management for genomics validation, NGS analysis and molecular diagnostics.

Advanced Genomics LIMS System is available to premium subscribers and trial users.

NGS platforms

Sequencing methods

Comprehensive guide to NGS platforms, library preparation methods and sequencing chemistry principles.

Next-Generation Sequencing Workflow Guide

Sample Preparation

  • DNA/RNA extraction and quality assessment
  • Fragment size distribution analysis
  • Concentration determination
  • Sample integrity evaluation

Quality Control

  • Pre-sequencing QC metrics
  • Library quantification
  • Cluster density optimisation
  • Run performance monitoring
Variant interpretation

Variant analysis & interpretation

Guidelines for variant calling, filtration, annotation, classification and clinical reporting: the core Band 6+ molecular pathology competency.

Pharmacogenomics Guide

Pharmacogenomics studies how genetic variations affect drug responses, enabling personalised medicine approaches.

Drug Metabolism

  • Cytochrome P450 enzymes
  • Phase I and Phase II metabolism
  • Drug transporter proteins
  • Pharmacokinetic variations

Adverse Reactions

  • HLA-associated drug hypersensitivity
  • Serious skin reactions
  • Drug-induced liver injury
  • Cardiovascular complications
Pipelines

Bioinformatics tools

Overview of essential bioinformatics pipelines and tools for genomic data analysis.

Clinical Genomics Interpretation

ACMG/AMP Five-Tier Classification

Pathogenic (P)High confidence
Likely Pathogenic (LP)Moderate confidence
VUSUncertain significance
Likely Benign (LB)Probably not pathogenic
Benign (B)Not pathogenic

Evidence Criteria

  • Population frequency data
  • Functional studies
  • Segregation analysis
  • De novo occurrence
  • Computational predictions
  • Conservation analysis

UK laboratories apply these criteria using the ACGS Best Practice Guidelines for Variant Classification in Rare Disease (2026, version 3).

Variant landscapes

Genomics data visualisation

Interactive visualisations of genomic data including variant distributions, pathogenicity scores and sequence coverage.

Genomic Variant Distribution

Illustrative visualisation of variant types and their relative frequencies across a genome. The counts are approximate teaching values, not results from a real sample.

Variant Type Distribution

Variant types: SNVs 3,500,000, Indels 500,000, SVs 20,000, CNVs 1,000, Inversions 124.

Mutation Signature

Foundations

Genomics quick guide

Essential knowledge areas for genomics, from fundamental concepts to advanced molecular techniques.

Genomics Fundamentals

Core concepts in genomics that form the foundation for understanding sequencing technologies, data analysis, and clinical applications in molecular pathology.

Genomic Structure & Organisation

  • Genome size and complexity across species
  • Chromosomal organisation of genomic material
  • Gene structure (exons, introns, regulatory regions)
  • Repetitive elements and their significance
  • Pseudogenes and their challenges in analysis
  • Structural genomic elements (centromeres, telomeres)

Genomic Variation

  • SNVs and small indels
  • Copy number variations
  • Structural variations (inversions, translocations)
  • Repeat expansions and contractions
  • Mitochondrial variation
  • Population genetics and allele frequencies
  • Linkage disequilibrium and haplotype blocks

Central Dogma & Genetic Mechanisms

  • DNA replication: Semi-conservative model, replication machinery
  • Transcription: RNA polymerases, promoters, enhancers, silencers
  • RNA processing: Splicing, alternative splicing patterns, RNA editing
  • Translation: Ribosomal function, genetic code, codon usage
  • Epigenetics: DNA methylation, histone modifications, chromatin structure

Inheritance Patterns

  • Mendelian inheritance: Autosomal dominant, autosomal recessive, X-linked
  • Non-Mendelian inheritance: Mitochondrial, imprinting, mosaicism
  • Penetrance and expressivity: Variable expression of genetic traits
  • Compound heterozygosity: Two different mutations in the same gene
  • Digenic inheritance: Mutations in two different genes causing disease

Sources and guidance

This hub's content aligns with the UK's professional and regulatory references for the specialty: