Quality Assurance

The directorate aims to give the highest quality of service and various parts of the service are accredited and/or regulated by UKAS, JACIE, HTA and MHRA.

UKAS Accreditation and Tests

The Department of Cellular and Anatomical Pathology is accredited to ISO 15189:2022. The Combined Laboratory and Department of Microbiology are accredited to ISO 15189:2012; both laboratories have been UKAS assessed against the new standard and are pending official confirmation from UKAS for their transition to ISO 15189:2022 accreditation:

Microbiology (Serology and Bacteriology): UKAS accredited medical laboratory No. 8050.
Cellular and Anatomical Pathology, (Including Histology, Cytology, Neuropathology and Mortuary): UKAS accredited medical laboratory No. 9881.
Combined Laboratory: Coagulation, Haematology, Biochemistry (Automated & Special Investigations), Immunology (Diagnostic and Histocompatibility & Immunogenetics), Transfusion Laboratory: UKAS accredited medical laboratory No. 9088.

The Schedules of Accreditation can be found here:

Schedule of Accreditation Microbiology 8050.pdf

Schedule of Accreditation: Combined Laboratory 9088.pdf

Schedule of Accreditation Cellular & Anatomical Pathology 9881.pdf

‘Non-accredited’ tests

As a dynamic pathology service, that continually seeks to improve for the benefits of patients, there are a number of tests and processes that are being developed or amended between accreditation visits. Until they have been ratified by the annual UKAS assessment process, these new/amended tests/processes are not covered by the current schedules of accreditation. However, our users should be assured that the laboratories subject these tests to the same high level of quality assurance protocols to those that are UKAS accredited.

Non-Accredited-Test-List_29052025.pdf [pdf] 210KB

External Quality Assurance programmes

All laboratories participate in recognised External Quality Assurance schemes and regular Internal Quality Control checks.

Incidents and Complaints

All incidents and complaints are investigated and subsequent corrective and preventative actions are introduced where needed. Internally any complaints received are shared and discussed at a Departmental and Directorate management meetings.

See individual laboratory details for following the complaints process or contact the Quality Team via the Contact Pathology page.