London North West Healthcare NHS Trust
Principal Genetic Counsellor

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The Principal Genetic Counsellor
The Principal Genetic Counsellor is a senior autonomous practitioner responsible for delivering, developing and leading specialist genetic counselling services within Prenatal and Rare Disease Genomics. The post holder will provide expert genetic counselling, risk assessment, genomic test coordination and clinical management of a highly specialised caseload, supporting individuals, couples and families with, or at risk of, genetic conditions.
Working as an integral member of the multidisciplinary Clinical Genetics Service, the post holder will provide leadership for prenatal and rare disease pathways, contributing to strategic service development, workforce development, education, audit, research and quality improvement. The role will involve close collaboration with fetal medicine, obstetric, maternity, neonatal, paediatric, laboratory and other specialist services across the region to ensure timely access to genomic testing and genetic counselling.
Clinical Expertise
- Independently manage a specialist caseload in prenatal and rare disease genetics.
- Undertake genetic counselling consultations, risk assessment and psychosocial evaluation.
- Provide counselling on inheritance, reproductive options, genomic testing and genetic diagnoses.
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Prenatal and Rare Disease Genomics
- Deliver specialist counselling for individuals and families affected by rare genetic conditions.
- Support implementation of genomic testing pathways and family testing strategies in line with national guidance.
Clinical Leadership and Service Development
- Provide professional leadership within prenatal and rare disease genetic counselling services.
- Lead development, implementation and evaluation of clinical pathways.
Triage and Clinical Governance
- Lead referral triage and case review processes.
- Ensure compliance with professional standards, national guidance and organisational policies.
Education and Workforce Development
- Supervise, mentor and support Genetic Counsellors, trainees and genomic staff.
- Contribute to professional registration and assessment pathways.
Management Responsibilities
- Support the Consultant Lead Genetic Counsellor in workforce leadership and service development.
- Provide advice and reports on service performance, capacity and workforce needs.
Research, Audit and Professional Responsibility
- Support evidence-based practice, audit and service improvement.
- Present service developments and research outcomes.
About Us
London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.


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Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.
We Run Major Acute Services At
- Northwick Park Hospital: home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country’s top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK
- St Mark’s Hospital: an internationally renowned specialist centre for bowel disease
- Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice
- Central Middlesex Hospital: our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.
We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.
Contact
For further details / informal visits contact:
- Name: Cheryl Berlin
- Job title: Consultant Lead Genetic Counsellor
- Email address: cheryl.berlin@nhs.net
- Telephone number: 02088692795
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