BSMHFT & SWBH Partnership Path News

SWBH & BSMHFT Partnership
July 2014
Pathology News Download here...

pathology news SWBH

Referred Labs 
April 2014
 Pathology News Download here...




SWBH Legal High

Download information leaflet here...

HSJ SWBH Pathology Services




SWBH Pathology TV News

We are pleased to announce that we now have a SWBH Pathology TV News YouTube channel. To view this channel please click here...


These are our current videos - click on the images and you will go direct to the video.

SWBH Pathology TV News Legal Highs
SWBH Pathology TV News SWBH Pathology TV News

 Legal Highs and how our Toxicology Laboratory is helping with the clinical problems caused by them. Upload here...

This video looks at SWBH Pathology staff learning to sail at Olton Mere as a team building event .  View here...

Applicant information with useful tips for writing a personal statement and more. Upload the video here ...


Legal High Service Update

Effective: 1st July 2014

Change Control Notification – New Repertoire for Drugs of Abuse Screening Oral Fluid & Urine

We are making important changes to our drugs of abuse screening methods from the 1 July 2014 as follows:


Substances Removed From Repertoire




No reported positives


Very few reported positives.  Khat ban from 24/6/14


No reported positives


No reported positives for over 6 months


Substances Added To Repertoire


Comment – All unscheduled legal highs


Cocaine mimic.  Reported links to psychotic episodes

Methiopropamine (MPA)

Metamfetamine analogue.  Reported as highly addictive


Many times more potent than cannabis.


Repertoire changes reflect current legal highs on sale in the UK. We are seeing a number of positive samples from patients presenting having used legal high smoking products containing AKB-48, 5F-AKB-48 and STS-135 and we are detecting this use on a daily basis. MPA and ethylphenidate we see particlarly in many patients taking legal high powder and tablets.


For detailed enquiries about our Toxicology service please contact Dr Loretta Ford, Consultant Clinical Scientist, Email:  or Telephone: 0121 507 6026 /4138.

We are trying to let everyone know that we have a service that includes looking for major legal highs being sold and used in the UK at the present time. This information sheet is being widely distributed. If you would like to help us create awareness please download and circulate by email or any other means here...


Legal High Game Over Video

We have been helping with a campaign to create public awareness about the challenging issues with legal high use in the UK at the present time. See the you tube video Legal High Game Over here.....


This somewhat hard hitting short film features BBC Television Presenter Kay Alexander along with our very own Consultant Clinical Biochemist Dr Jonathan Berg, Dirty Sanchez and Birmingham & Solihull Senior Coroner Louise Hunt.

SWBH Legal High Game Over

Legal High Analysis

We are pleased to announce our Toxicology laboratory is able to detect markers in urine that shows the use of a number of the newer cannabiNOIDS  commonly found in products on sale across the UK in "head shops".

Since November we have seen eleven cases from around the UK where we have been able to help with the diagnosis of NOIDS "legal high" chemicals being implicated in the clinical presentation.

If you suspect substance misuse then our LC-QTOF service is here for you. We only require a urine sample for this which will be run through the time of flight method and compared to our growing library of over 1,200 drugs and metabolites. Further details in Pathology News.


legal high swbh analysis clinical

Urvesh with his hands deep in the LC-QTOF!

The work of our laboratory helping with clinical cases of "street high" hospital admissions features on Midlands Today this Thursday evening.


E-Cig Research Chemicals Sold in UK "Head Shops"

Current substances being sold as research chemicals by "head shops" include a number of products where chemicals with cannabis-like (THCs) receptor activity have been added to plant material, which may then be smoked or taken in some other way. These products certainly account for many patients with which we get involved.

5p-AKB-48 and AKB-48 vapor refill SWBH Toxicology

SWBH Biochemistry staff purchase a vapour refill in a Birmingham "head shop" which contained the active ingredients AKB-48 and 5F-AKB-48, confirmed by LC-QTOF. We of course asked for a receipt to claim back from the R&D fund!

Of great concern to us this week has been to see examples of "research chemicals" on sale in Birmingham in the form of e-cigarette (vapour) refills.  We have previously received vapour devices for analysis but this is the first direct evidence that shops as well as internet sites are stocking these products.

Clinical laboratories need to be aware of this new delivery method now being actively promoted in "head shops" in the UK. The use of vapour devices for drug delivery other than nicotine and "juice" is potentially a very big area of concern.


April 2014 Pathology News to Referral Labs

We are pleased to present our annual Pathology News aimed at laboratories that use our services. This has a lot of useful information, audit data and special features including

  • Our new toxicology services
  • Audit of the TPMT service
  • Immunology services provided to other laboratories
  • Our updated turn round times and pricing for the coming year

Printed copies should come to all laboratories or you can download here.....

pathology news city assays

Urine Drugs of Abuse Service

Toxicology SWBH Drugs of Abuse Service

Rachel Jones and Andy Whiles are part of the team delivering our new urine Drugs of Abuse Service


From Monday 13 January 2014 we are moving to our new drugs of abuse testing service. All samples received from that date will be analysed using our new LC-MS/MS methods as our primary testing regime. Please note:

  • The new standardised prices for the range of tests offered is 20. This gives a significant saving to those who send us samples for confirmation.

  • Cannabis: If required this needs to be separately requested as it is not part of our new urine drugs of abuse service


Ethylene Glycol and Diethylene Glycol

Our Toxicology Laboratory offers a service for plasma ethylene glycol and diethylene glycol. During working hours turn round is 2 hours. Out of normal working hours and at weekends we try and provide a service but this depends on staff availability, you can discuss these requirements with the Consultant Biochemist On-Call through the SWBH Switchboard (Tel: 0121 554 3801).  Further details including downloadable address label...


Trace Elements Laboratory

Dr Nicola Barlow has now taken over as our lead for the Trace Elements service. You can contact Nicola at Email: Tel: 0121 507 3737


Infliximab Service Available to Everyone...

We are pleased to announce that our new Infiliximab therapeutic drug monitoring service is now available for hospitals around the country to refer their samples. This service comprises:

Infliximab serum levels and anti-infliximab antibodies testing

  • Serum Infliximab
  • Anti-Infliximab antibodies

Please see our Infliximab test page on this service where you can also download our user information leaflet. Go to Infliximab page...

Oral Fluid Drug Testing Services

enhanced oral fluid srugs of abuse service


We are pleased to announce our enhanced oral fluid drugs of abuse screen and confirmation service. This includes:

  • LC-MS/MS screen and confirmation all in one
  • Low limits of detection for this clinical service
  • Detection of newer street 'drugs' including 4-MEC (NRG-2), meow meow (mephedrone), bath salts (MDVP)m Khat (cathinone) and more.

For further information please see our oral fluid drugs of abuse test page click here....


Vitamin D Dried Blood Spot Public Service

Our direct to the public service for serum 25-hydroxy Vitamin D based on dried blood spots has been running since July 2011. This service is available to UK and overseas members of the public click here....


Vitamin D on my iphone

If you would like to undertake the test please click here......


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SWBH NHS Trust 2014