Getting advice about having a family

Examples of Support
Family planning advice

Advice on whether prenatal testing is right for you

Help & support when pregnant (e.g. prenatal direct mutation & exclusion testing)

Help & support when thinking about starting a family (e.g. Preimplantation Genetic Diagnosis)

Key Services and People

Clinical Genetics

Local Preimplantation Genetic Diagnosis service

Clinical psychology/ neuropsychology

HD Clinics

GP

HD Clinical Lead

HD Specialists

Scottish Huntington’s Association Youth Project (SHAYP)/Specialist Youth Advisors

HD Routes

HD Buzz

NHS Grampian Sexual Health

Integrated Multi Agency Arrangements, Referral Pathways and Resources

All prenatal direct mutation and exclusion testing referrals to ocal Dept. of Clinical Genetics. These can be made by GP, HD Specialist, HD Clinical Lead, Psychiatry, Specialist Youth Advisors and directly by clients.

G.P. information services, such as SCI Gateway/TRAKCare, should clearly identify HD Clinical Leads

Based on individual need clients may be seen by a number of members of the genetics team. This may include Consultant Geneticist, Genetic Counsellors, Genetic Psychologist (where available), HD Specialist and Specialist Youth Advisor.

Standards
The International Protocol for Testing should be followed unless a clinical decision has been made to follow a local alternative.

All appointments should meet the treatment time guarantee and referral standards of individual services used.

Whoever is designated as lead professional should take responsibility for coordinating the support each client requires throughout

Outcomes
People living with the genetic risk of HD and their families have easy access to accurate and understandable information, receive emotional and practical support and feel supported through all family planning outcomes.
National Care Framework for Huntington's Disease

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