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Oxford University Hospitals NHS Foundation Trust
Clinical Biochemistry

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Diagnostic laboratories

John Radcliffe Laboratory

The John Radcliffe Laboratory is a large teaching hospital laboratory, which provides a comprehensive range of biochemical investigations.

Up to approximately 4,000 specimens are received on each weekday for analysis. 60 percent of the laboratory's workload is from primary care.

The main analytical sections of the laboratory are:

Core Automated Laboratory

This laboratory is equipped analytically with four Abbott Architect c16000 analysers and four Abbott Architect i2000 analysers. These analysers are linked to an Inpecco automated track system, which is also equipped with a bulk input module, input/output sorting module, three online centrifuge units, one decapper module, one aliquotter module, one resealer module, one recapper module and two storage/retrieval modules. Haematology and Virology analysers are also connected to the Inpecco track.

Screening Laboratory

The screening laboratory provides neonatal and antenatal screening for:

  • Oxfordshire
  • Buckinghamshire
  • Wycombe
  • Milton Keynes
  • East Berkshire
  • West Berkshire.

The lab is equipped with two PerkinElmer AutoDELFIA analysers, a Beckman Access analyser and two API 4000 LC-tandem mass spectrometers.

Immunosuppressant drug monitoring is also performed within this laboratory.

Point of Care Testing (PoCT)

The Point of Care Testing section in Clinical Biochemistry has responsibility for:

  • All i-Stat support in OUH and Oxford Health. There are 30 analysers sited around the Trust and in community hospitals offering Chemistry profiles, Troponin I, INR, Blood Gas and Creatinine.
  • All point of care blood glucose analysis in the Trust and provides support for Oxford Health.
  • There are over 220 data-networked blood glucose meters in operation across the Trust at any one time with over 3000 operators providing over 350,000 blood glucose and 40,000 blood ketone results per annum. There are also 200 non data-networked blood glucose meters out in the community which POCT support.
  • Data networked urine strip readers (16 across the Trust).

The support the section provides includes providing stock control and supply, quality control and quality assurance, connectivity and first-line technical support.

Manual Laboratory

This laboratory provides a range of esoteric assays not routinely performed by larger analytical platforms. This laboratory is equipped with the following analysers.

  • 2 Bio-Rad D-100 HPLC analysers for HbA1c analysis
  • 1 KoneLab 30 analyser used for zinc, ACE, b-hydroxybutyrate, NEFA, urinary oxalate and urinary citrate analysis.
  • 1 IDS iSys analyser used for P1NP, IGF-1, renin and aldosterone analysis.
  • One Sherwood Scientific Chloride analyser used for sweat analysis.
  • 1 API 4000 LC-MS/MS analyser used for the analysis of urinary 5-HIAA and Metadrenalines.
  • 1 Waters Acquity UPLC anlayser used for the calculation of GFR using Iohexol measurement.
  • 1 Waters HPLC anlayser with UV detection used for analysis of amino acids for the investigation of metabolic disorders.
  • Other smaller pieces of equipment for analysis of pH, faecal constituents etc.

Training

A smaller section provides support to all staff in the department in laboratory induction, completion of formal laboratory-based training, further education and CPD.

The Core Automated Laboratory offers a 24 hours a day, seven days a week, 365 days a year service.

The Manual Laboratory, Screening Laboratory and PoCT section are staffed from 8.30am - 5.00pm Monday to Friday, not including Bank Holidays.

Churchill Laboratory

The Churchill Laboratory is a combined Biochemistry and Haematology Laboratory that provides a service to the whole Churchill Hospital site.

For consistency of analysis this laboratory is equipped with similar equipment to the other laboratories within the Trust. This laboratory is equipped with two Abbott Architect c8000 analysers and one Abbott Architect i1000 analyser. Approximately 500 specimens are received each day.

The operating hours for this laboratory are 8.00am - 7.00pm Monday to Friday, not including Bank Holidays.

Horton Laboratory

The Horton Laboratory provides Biochemistry services to the Horton General Hospital and the general practices in and around Banbury, Brackley and North Oxfordshire.

For consistency of analysis this laboratory is equipped with similar equipment to the other laboratories within the Trust.

This laboratory is equipped with two Abbott Architect ci8200 combined chemistry/immunoassay analysers. Approximately 1,000 specimens are processed daily.

The Horton Laboratory offers a 24 hours a day, seven days a week, 365 days a year service.

Specimens for analyses not provided on site are referred to the John Radcliffe Laboratory.