RE: Share price collapse imminent?23 Jul 2025 13:12
Roger, a 3‑5 month gap between a pilot ending and the publication of an NHS implementation guide is normal.
Typical sequence:
1. Data lock & cleaning (4–6 weeks): sites finish case report forms, resolve queries.
2. Health‑economic modelling & drafting (≈4 weeks): costs, pathways, KPIs, commissioning wording.
3. Multi‑layer sign‑off (4–6+ weeks): NHSE Genomics/Diagnostics leads, NICE liaison, clinical reference groups, finance/coding teams.
4. Publication prep (1–2 weeks): web build, comms plan, aligning the Genomic Test Directory addendum and Payment Scheme notice.
Recent genomics roll‑outs (e.g., DPYD chemo testing in 2020, rapid WGS in ICU in 2021) followed almost exactly that cadence: pilot end → toolkit in ~3–5 months. So the current wait for CYP2C19 is very much in line with precedent.
The pilot ended the first week of May so the current mid August expectation for publication sounds spot-on and suggests it's being done as fast as possible.
I'm hopeful we'll hear some of the findings before then though, and quite probably news regarding; further group 2 RNR1 live sites, Scottish rollout details and EU sales.