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USER MANUAL
For
UCL NEUROPATHOLOGY LABORATORY
July 2014
UCL INSTITUTE OF NEUROLOGY
THE NATIONAL HOSPITAL FOR NEUROLOGY AND NEUROSURGERY
Queen Square
Box 126
London
WC1N 3BG
Telephone: 020 344 84234
Fax: 020 344 84486
www.ucl.ac.uk/ion/divisions/neuropathology.htm
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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CONTENTS
Introduction
3
Contact information
3
Services provided
4
Request forms and specimen labelling
5
Preparation of specimens
5
Histopathology
5
Cytology
6
Procedures for sending muscle biopsy requests
7
Frozen sections
9
Procedures for sending peripheral nerve biopsy requests
10
Molecular Pathology
11
Transport of specimens
11
Referrals
12
Turn around times
13
Communication of results
13
MDT
14
User satisfaction
15
Complaint Form
16
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
Page 3 of 17
INTRODUCTION
The Department of Neuropathology is situated on the 1st floor of the UCL Institute of
Neurology, which is adjacent to the National Hospital for Neurology and Neurosurgery. As of
November 2011, Neuropathology became part of the National Hospital for Neurology and
Neurosurgery (NHNN) Specialist Hospitals Board, Queen Square Division.
This guide is intended to provide our users with information relating to our clinical and
laboratory services, ensuring an accessible and efficient service.
CONTACT INFORMATION
Regular working hours are Monday to Friday between 08:00 and 18:00.
For all laboratory enquiries: 020 344 84236.
For Specimen Reception: extension 84246
For results and general departmental enquiries: 020 344 84234 (Please check results via
CDR before calling).
KEY CONTACTS
Head of Department
Sebastian Brandner
Tel: 020 344 84435
Head BMS
Linda Herbert
Tel: 020 344 84237
Chief BMS
Khadijah Miller
Tel: 020 344 84236
Secretary
Catherine Mackie
Tel: 020 344 84234
Administrator
Joanne Maylin
Tel: 020 344 84234
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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SERVICES PROVIDED

A speedy, high quality diagnostic service to all users using a wide variety of techniques
including paraffin and resin processing and special stains.

Frozen section service on request, pre-booking is essential except for unforeseen
intraoperative circumstances.

24 hour frozen section/smear service (Friday – Monday only).

Peripheral nerve histology, electron microscopy, muscle histochemistry and
immunocytochemistry.

Provision of a full mortuary and post-mortem service.

Molecular service.

The department has close links to the MRC Prion Unit which is located in the Institute.
Department of Neuropathology: case numbers per year (2012/2013)
Surgical pathology and diagnostic brain biopsies
from NHNN
1070
Epilepsy lobes
9
Neuropathology referrals
225
Adult Muscle biopsies
233
Paediatric muscle biopsies
104
Paediatric muscle biopsies NCG
94
Peripheral nerve biopsies
94
Molecular pathology tests NHNN
512
Molecular pathology tests referrals
298
Electron microscopy requests
66
CSF cytology requests
824
Neuropathological post mortem
61
Intraoperative assessments (frozen sections and
smear preparations)
522
Total Neuropathology requests
4112
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
C:\Users\jmaylin\AppData\Local\Microsoft\Windows\Temporary Internet
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REQUEST FORMS AND SPECIMEN LABELLING
Histology request forms have a black box at the bottom right-hand edge; diagnostic cytology
request forms have a yellow box. Please use the correct form as it ensures that the
specimen is delivered to the correct laboratory.
Please fill in the form as completely and as clearly as possible. All information requested is
pertinent to an accurate histological or cytological diagnosis. Incorrectly or insufficiently
labelled request forms and/or specimen containers cannot be processed and may require a
visit from the requesting clinician to authorise the specimen identity. The minimum
requirement needed for samples to be processed is patient name, hospital number and date
of birth. If there is a known risk of infection to laboratory staff this must be clearly written on
the request form along with clinical history. This will result in a delay in the final diagnosis.
The laboratory cannot take responsibility for any incorrectly labelled specimens or forms.
It is important that the patient’s name is spelt correctly and consistently (if more than one
specimen is sent). The correct hospital number is also vital. These are key fields for the
computer and mistakes in entry may render the report non-retrievable. It is essential to
indicate whether the patient is NHS, private or category 2; a check box is provided for this
purpose. It is very helpful if you can also summarise what you are expecting to find out from
the histology/cytology report and include relevant clinical information; a space is provided for
this.
A bag is attached to the form and this is for the specimen pot; if the specimen is too large for
a 60ml container please use a snap-top plastic bucket.
PREPARATION OF SPECIMENS
All pots must be approved rigid containers that are properly closed and clearly labelled. The
porters are instructed not to collect pots which are damaged or leaking. If any such pots do
reach the laboratory, this will be logged as an adverse incident and the Risk Management
Office may be notified.
HISTOPATHOLOGY
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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All specimens must be sent in fixative except in special circumstances where other
arrangements have been made, or if laboratory staff are present to deal with the specimen
as it is taken. The routine fixative is formal saline, which is a hazardous reagent, and
instructions for dealing with it should be followed carefully. Please use a container large
enough to accommodate the specimen without forcing it in, and sufficient volume of fixative
(at least 10x the volume of the specimen). Specimens left without fixative will undergo
autolysis and putrefaction and will not yield a reliable histological diagnosis.
SAMPLE REJECTION CRITERIA
Samples that are received into the department of Neuropathology are never rejected but if
the specimen is not for this department we will send on to the necessary
department/hospital.
CYTOLOGY
The main role of CSF cytology is:

In the investigation of neoplastic or malignant meningitis.

It is debatable how useful CSF cytology is in the investigation of inflammatory or
infectious disease as the findings are non-specific. The main justification in this
clinical situation is the confirmation of an inflammatory versus neoplastic process, to
distinguish an acute from chronic inflammatory response and the identification of
some organisms (e.g. cryptococcus).

CSF cytology can also confirm the presence of siderophages following suspected
SAH

CSF cytology is of little value in the investigation of patients with neurodegenerative
diseases and low CSF cell counts.
Minimum required volume of CSF: 1ml.
This allows us to spin down:
1 x Giemsa side
1 x methanol spare
2 x Acetone fixed spares available for immunocytochemistry.
Without the required volume, we will not be able to process all of the above.
Specimens should be in clean, rigid sided containers without fixative. Generally, 30ml and
60ml sterile Sterilin plastic containers should be used for fluid samples.
Fluids, such as serous fluids, cysts, drains, washings, sputa should be placed in a 30/60 ml
Sterilin container.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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It is essential that CSF specimens are received and processed in the lab ideally within a few
hours after they are taken in order to avoid deterioration of sample and cell preservation.
In cases where underlying leptomeningeal tumour is clinically suspected (eg carcinomatous
meningitis) larger volumes of CSF are recommended for cytology (approx. 5ml) to allow a
broader immunocytochemical panel.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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MUSCLE BIOPSY REQUESTS
Muscle Biopsy Protocol
To ensure that you obtain the best results possible from the muscle biopsy, please follow the
protocol below as closely as possible.
Please telephone Andrew Beckett (Neuropathology BMS) 020 344 84236 as far in advance as
possible when planning to send a muscle biopsy. A biopsy must be taken early enough in the day
to arrive in our laboratory no later than 3pm Monday – Friday.
When muscle has been excised the quality of the histochemistry results rapidly deteriorate after 30
minutes and therefore rapid transport is essential.
Three samples of muscle are required. (The first piece for electron microscopy and 2 for
histochemistry).

Anaesthetise skin and subcutaneous tissue only; do not inject local anaesthetic into the
muscle.

Open the fascia overlying the muscle and excise muscle tissue from beneath the fascia.
Fascia should not be included in the biopsy.
1. Electron Microscopy
The FIRST piece of muscle removed should be that for electron microscopy. The first specimen
for electron microscopy should measure 0.2x1.0cm (similar in width to a match stick). The long
axis of the specimen should be in the direction of muscle fibre axis.
0.2cm
0.2cm
1 cm
This specimen must be pinned at each end to the cork provided and immersed immediately in the
glutaraldehyde fixative provided. Very gently extend the piece of muscle slightly before pinning.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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
Immediately immerse the sample in the fixative (3% EM grade glutaraldehyde in 0.1M
sodium cacodylate buffer with 5mM CaCl2 pH 7.4).

Put the sample into a leak-proof container eg small soda glass vial commonly used in
electron microscope departments for processing specimens, or a 20ml universal. Fill the
container to the top, label it, and wrap well in parafilm to seal.

You may use a fixative routinely used in a local Electron Microscopy Unit instead of our
formula but please send us details of the formula used where possible.
2. Histochemistry

For histochemistry on frozen sections TWO samples of muscle must be taken

2 identical pieces of muscle measuring 1x1.5cm (similar in width to a biro). The long axis
of the specimen should be in the direction of muscle fibre axis. Smaller samples than this
may prove to be insufficient for a definite result.
1cm
1.5 cm (longitudinal
axis)

The samples should be loosely wrapped in gauze which has been only slightly soaked in
saline, and placed in a labelled plastic Petri dish. Please note that too much saline will
cause artifact.

Pack the Petri dish in an insulated container of wet ice in order to keep the muscle at
refrigeration temperature.

General points:
o
Always handle muscle tissue with great care and in particular never squeeze with
forceps as this produces artefacts.
o
Never immerse the fresh muscle specimen in any liquid such as saline.
o
Muscle biopsies must be transported to the lab immediately.
o
Always include the request form with the biopsy.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
Page 10 of 17
Pack the samples for histochemistry and electron microscopy in a box. Enclose the patient details,
including clinical information, your contact details, time the biopsy was taken, and any other
relevant information you think would be helpful.
PLEASE INFORM US IF THERE IS ANY RISK OF INFECTION
Please mark this package URGENT and send it by courier IMMEDIATELY to:
Neuropathology Laboratory
UCL Institute of Neurology
First Floor, Queen Square House
Queen Square
London WC1N 3BG
If you contact Dr J Holton 020 344 84239, Andrew Beckett 020 344 84236, or Kerrie Venner on
020 344 84287, we can arrange for a small vial of fixative and a pinning kit to be sent to you. If
you are arranging this at very short notice, and you do not have access to a local Electron
Microscopy Unit, we can courier the kit to you at your expense.
Please state whether the patient is an NHS or private case.
If you have any further queries, please do not hesitate to contact us.
Specimens need to be prepared carefully – please telephone the laboratory well in advance of the
biopsy to arrange for a Biomedical Scientist to attend the procedure and deal with the biopsy,
specimens not handled in the correct way could render them useless for diagnosis.
FROZEN SECTIONS
Specimens are delivered to reception by pneumatic tube or by theatre staff. Complicated and high
risk cases should be discussed in advance with one of the consultants, via the Neuropathology
secretaries on 020 344 84234
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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NERVE BIOPSY REQUESTS
Typical sites for nerve biopsies are:

Brachial plexus

Dorsal

Radial

Sural

Ulnar
Procedure For Sending Peripheral Nerve Biopsies

Surgical removal of the sural nerve: minimum length necessary is 3cm in children and 46cm in adults.

Immediately after removal (any delay after removal is detrimental as it leads to drying
artifacts) it is laid flat on a piece of rough card avoiding any kinks or folds by gripping the
epineurial sheath at one end with fine forceps. Avoid squashing it.

Allow to adhere for 20 seconds and then divide into two equal halves with a thin razor
blade. Make a quick clean surgical cut. Avoid tentative cuts as it may lead to disruption of
the fascicles. Place one half immediately into a specimen container containing 3%
gluteraldehyde in 0.05M Sodium cacodylate (or 0.05M phosphate buffer) buffer pH7.2-7.4
(EM fixative can be provided by us).

The second half goes immediately into a separate bottle containing neutral buffered
formalin (or formol saline).

A copy of the clinical history, relevant investigations and the results of the nerve conduction
studies must be included with the specimens. Nerve biopsies will not be reported in
absence of the relevant clinical documents.

Clearly label the packet “For urgent attention” and courier to the following address:
Neuropathology Laboratory
Division of Neuropathology
UCL Institute of Neurology
Queen Square
London WC1N 3BG
Tel: 020 3448 4236
Fax: 020 3448 4486
Please send the biopsy Monday-Friday between 9AM and 4PM. The specimens will not
be collected after 4PM, or on weekends and bank holidays. It will be helpful if you can
notify the laboratory on 020 3448 4236 before sending the biopsy.
For any further queries regarding the procedure, please contact Dr Michael Groves
m.groves@ucl.ac.uk or Andrew Beckett a.beckett@ucl.ac.uk
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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If you do not have the correct fixatives we will send you a padded envelope containing a sealed
plastic bag with a razor blade, some thick rough cardboard and a letter.
1 x nerve biopsy = 1 bijou of formalin and 1 of 3% glutaraldehyde in 0.05M sodium cacodylate
buffer pH7.4.
Please give one weeks notice if you require the pots to be sent to you. When the biopsy is ready
for dispatch, please inform Dr Groves on the number above.
MOLECULAR PATHOLOGY
We are offering a large spectrum of molecule tests for Surgical Neuropathology. These tests
either aid the histological diagnosis of brain tumours or are essential for planning enrollment into
clinical trials or to decide for the optimum therapeutic regimen.
We have recently upgraded our molecular pathology facility and made the tests more efficient,
resulting in a significant reduction of prices. In particular, combinations of tests, e.g. 1p/19q and
MGMT in combination now cost considerably less.
For further details, including pricing and the request form for the molecular pathology service,
please visit our website:
https://www.ucl.ac.uk/ion/divisions/neuropathology/diagnostic_services/molecular_tests
TRANSPORT OF SPECIMENS
Leaking pots will not be collected. If a specimen is received at the laboratory but is not clearly
identifiable, (e.g. the pot is not labelled, or its label does not correspond to the accompanying
request form), it will not be processed. Laboratory staff will contact the requesting clinician to
come to the laboratory to identify the specimen, so please label correctly to save yourself a
journey and to ensure that your specimens can be processed as speedily as possible. All
mislabelled specimens are reported to the Risk Management Office. There are collection points for
specimens in theatres, wards and clinics, and it is important that specimens are left at these
designated places.
Diagnostic cytology fluid specimens should be refrigerated overnight if they have missed the last
delivery.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
Page 13 of 17
Both porters and a pneumatic tube system transport specimens to the Neuropathology laboratory.
Laboratory staff will collect peripheral nerve biopsies directly from theatres, and therefore the
laboratory should be notified of these well in advance.
REFERRALS
Cases are routinely referred for specialist opinion or further testing to the following departments
and hospitals:

Neurogenetics, National Hospital for Neurology and Neurosurgery.

Clinical Biochemistry, National Hospital for Neurology and Neurosurgery.

NCG Programme, Muscle Immunoanalysis Unit, Newcastle-upon-Tyne.

Histopathology, University College London Hospital, London.

Histopathology, Royal National Orthopaedic Hospital, Stanmore.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
Page 14 of 17
TURN AROUND TIMES
The agreed turn around times are detailed below. Please note that the time taken to process and
report a specimen can depend on its size, and the complexity of the case.
Specimen
Turn around time
To include cancer biopsies
90% in 5 working days
All surgical specimens
98% in 10 working days
External and referral histology
80% in 20 working days
Nerve biopsy
80% in 20 working days
Muscle biopsy – Adult
80% in 20 working days
Muscle biopsy – Paediatric
65% in 30 working days (90% in 50) after
receipt of slides or wet tissue, including
complete set of paperwork.
Epilepsy
80% in 20 working days
CSF
40% in 1 working day
85% in 2 working days
98% in 5 working days
PM CJD
80% in 2 months
PM other
75% in 3 months
100% in 6 months
COMMUNICATION OF RESULTS
Summary reports of neuropathology requests are available via the CDR. Results are available as
soon as the report has been electronically authorised by the consultant pathologists; no printed
report will be sent to internal UCLH locations. It is helpful if you can check results on the computer
before ringing the secretaries.
Clinicians are welcome at all times to visit the laboratory to discuss their cases and view the slides.
No samples are routinely referred to other laboratories; from time to time, a specialist opinion is
sought from an expert in the relevant field.
Neuropathological specimens are kept for six months and then disposed of after checking that the
case has been finally reported. Further examinations must therefore be requested within these
time parameters. All neuropathology and diagnostic cytology slides are kept for a minimum of 20
years; blocks for a minimum of thirty years.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
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MULTIDISCIPLINARY TEAM MEETINGS
Discipline
Type /
Frequency
Venue / facility
Peripheral
Nerve
Pathology
Meeting
with clinical
team
Weekly
Neuromuscular
Centre meeting
room 8-11 Queen
Square
Paediatric
muscle
pathology
MDT
Weekly
Institute of Child
Health
Neuropathology
Epilepsy
Meeting
with clinical
team
Monthly
Multiheaded
microscope
Endocrinology
(pituitary)
MDT
Weekly
Wolfson Lecture
Theatre, NHNN
Neuropathology
Neuropathology
Joint
diagnostic
meeting
Weekly
microscope
MDT
Weekly
Neuromuscular
Centre meeting
room 8-11 Queen
Square
Muscle
Pathology
Neuro-oncology
MDT
Weekly
Time
Monday
8.00
Monday
9.00
Monday
16.00
Tuesday
8.30
Tuesday
Multiheader
09.00
Wolfson Lecture
Theatre, NHNN
Tuesday
11.30
Wednesday
8.00
Members
Neuropathology consultant,
SpR, Neurology (nerve
clinic) Consultant(s) &
SpR(s)
Neuropathologists,
consultant paediatric
neurologists, special
registrars, nurse specialist
and family care officer
Neuropathology consultant,
SpR, Neurologist (epilepsy)
consultant & SpR(s)
Neuropathologists,
neurosurgeons,
neurologists, neurooncologists, radiotherapists
of consultant and specialist
registrar level
All Neuropathology
consultants and SpR
Neuropathologists,
paediatric muscle
pathologist, 2 consultant and
specialist registrars from
muscle clinic.
Neuropathologists,
neurosurgeons,
neurologists, neurooncologists, radiotherapists
of consultant and specialist
registrar level
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
Page 16 of 17
MDT
Skull base
2-weekly
MDT
Spine
Weekly
Bradley Krett
Room, NHNN
Wednesday
15.30
Bradley
Krett Friday
Room, NHNN
8.00
Neuropathologists,
neurosurgeons,
neurologists, neurooncologists, radiotherapists
of consultant and specialist
registrar level
Neuropathologists,
neurosurgeons,
neurologists, neurooncologists, radiotherapists
of consultant and specialist
registrar level
USER SATISFACTION
The Department of Neuropathology is committed to producing a high quality product in a timely
and competitive manner for the good of the patient and to the specifications of its users.
The Department of Neuropathology covers a wide range of diagnostic activities with a particular
expertise in neuro-oncology, epilepsy, inflammatory diseases of the CNS, neurodegenerative
diseases including prion diseases, peripheral nerve and adult and paediatric muscle.
All medical and biomedical staff are members of the relevant professional bodies.
To ensure user satisfaction the department will:

Adhere to a quality management system.

Set quality objectives.

Ensure all personnel are familiar with the departmental quality manual.

Commit to health, safety and welfare of all its staff and visitors.

Comply with the Human Tissue Act.

Comply with the Data Protection Act.

Uphold professional values and adopt UCLH/UCL policies.
It is an essential prerequisite of a quality service that the organisation and management of the
laboratory relates to the needs and requirement of its users. We are always keen to receive any
comments you may have in which we might be able to improve the service. Once a year we will
send out an online user satisfaction questionnaire and make improvements where necessary.
Please contact the Laboratory Quality Manager (linda.herbert@uclh.nhs.uk) with any comments or
suggestions.
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .
Page 17 of 17
COMPLAINT FORM
Complaint forms are available on the UCLH Neuropathology website:
http://insight/departments/MedicineBoard/Pathology/Neuropathology/Pages/default.aspx
UCL Hospitals is an NHS Foundation Trust comprising: the Eastman Dental Hospital, Elizabeth
Garrett Anderson & Obstetric Hospital, The Heart Hospital, Hospital for Tropical Diseases,
National Hospital for Neurology & Neurosurgery, The Royal London Homoeopathic Hospital and
University College Hospital (incorporating The Middlesex Hospital) .