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Only just got round looking at this in detail. TFT data is particularly interesting - far more variation in FT4 testing than TSH. Must largely be a reflection of differing laboratory practice i.e. TSH only first-line vs TSH+FT4 vs whatever the GP asks for? Isn't it about time we tried to standardise our approach around best evidence? Stuart Stuart Jones | Principal clinical scientist Clinical biochemistry / Pre-natal screening King George Hospital Barking, Havering and Redbridge University Hospitals NHS Trust Barley Lane Ilford Essex IG3 8YB Technical lead | Lab Tests Online UK http://www.labtestsonline.org.uk/ -----Original Message----- From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Freedman Danielle (RC9) Luton & Dunstable Hospital TR Sent: 28 November 2013 11:59 To: [log in to unmask] Subject: FW: for info - The NHS Atlas of Variation in Diagnostic Services Interesting stuff ! regards Danielle Dr Danielle B. Freedman MB BS, FRCPath,EurClinChem Divisional Director Diagnostics, Therapeutics and Outpatients Luton and Dunstable University Hospital NHS FT Luton, LU4 0DZ +441582 497212 http://www.rightcare.nhs.uk/index.php/atlas/diagnostics-the-nhs-atlas-of-variation-in-diagnostics-services ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ Barking, Havering & Redbridge University Hospitals NHS Trust: Working to make our hospitals better. This communication, together with any files or attachments transmitted with it contains information which is confidential and may be subject to legal privilege and is intended solely for the use by the person(s) or entity to whom it is addressed. If you are not the intended recipient you must not copy, distribute, publish or take any action in reliance on it. If you have received this communication in error, please notify [log in to unmask] and delete it from your computer systems. Barking, Havering & Redbridge University Hospitals NHS Trust reserves the right to monitor all communications for lawful purposes. Receipt of this email does not imply consent to use or provide this email address, or any others contained therein, to any third party for any purposes. The contents of this email are protected under international copyright law. To save energy and paper please print this email only if you really need to. _____________________________________________________________________________ This email has been scanned for viruses using antivirus software by Barking, Havering & Redbridge University Hospitals NHS Trust. Whilst every care is taken to avoid the transmission of virus code; please ensure that you have up to date virus detection software before opening any E-mail messages or attachments ______________________________________________________________________________ ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/