Evolving roles within the genomic medicine workforce: a revised framework for UK practice—position on behalf of the Association of Genetic Nurses and Counsellors and the Clinical Genetics Society

This document is written on behalf of the two professional bodies in the UK that represent genetic counsellors (the Association of Genetic Nurses and Counsellors (AGNC)) and clinical geneticists (the Clinical Genetics Society). The delivery of genomic medicine in the UK continues to evolve in response to technological advancements, increasing demand and national strategic priorities. This paper presents an updated framework describing the professional roles within specialist genomic services, refining responsibilities across key domains of clinical care, education, research and mainstreaming.

Building on previous role descriptors, through focused workshops with specific expertise, we integrated national consultation, emerging service models and policy alignment. A new colour-coded matrix delineates role-specific scope of practice for different roles as described in the AGNC career structure.

A key development is the formal inclusion of the genomic practitioner role, reflecting workforce diversification. Expanded emphasis is placed on mainstreaming genomic services and involvement in clinical and psychosocial research.

This updated framework provides a structured and transparent tool for workforce planning, interprofessional collaboration and service development across genomic medicine. The framework remains aspirational and adaptable, acknowledging regional variability and anticipating future service developments.