title: Attitudes of genetic clinicians in Wales to the future development of cancer genetics services.
abstract: BACKGROUND
  Cancer genetics is one of the fastest-growing areas of clinical genetics and it is imperative to identify how services should be organized and delivered in the future.
  
  
  METHODS
  A qualitative study utilizing focus group methodology which explored the attitudes of clinicians working in the Medical Genetics Service for Wales to a number of possible models for future service delivery.
  
  
  RESULTS
  There was no consensus for any particular model. Greater involvement of primary care practitioners is anticipated, but this requires investment in information, education and professional development initiatives. Self-referrals were not encouraged, though the promotion of genetic literacy amongst the general population was supported, particularly in conjunction with pharmacists.
  
  
  CONCLUSIONS
  As demand for cancer genetics services continues to increase, some consensus about the future delivery of such services is necessary. Consultation with other stakeholder groups, especially primary care practitioners and patients, should also contribute to service planning.
authors.affiliation: Institute of Medical Genetics, School of Medicine, Cardiff University, Heath Park, Cardiff, UK. Rachel.Iredale@cardiffandvale.wales.nhs.uk
authors.forename: Rachel
authors.initials: R
authors.lastname: Iredale
authors.forename: Glyn
authors.initials: G
authors.lastname: Elwyn
authors.forename: Adrian
authors.initials: A
authors.lastname: Edwards
authors.forename: Jonathon
authors.initials: J
authors.lastname: Gray
mesh_terms: D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000379:methods*; D005817:Genetic Counseling / Q000379:methods / Q000592:standards; D005823:Genetics / Q000193:education; D006801:Humans; D009369:Neoplasms / Q000235:genetics*; D010820:Physicians; D014852:Wales