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Biochemistry

Automated biochemistry

Our automated chemistry service has laboratories based at Croydon Hospital, Kingston Hospital and St George’s Hospital.

We offer a comprehensive range of automated biochemical tests, many of which are available 24 hours a day, seven days a week.

Our routine tests include:

  • bone profile
  • glucose
  • lipid profiles
  • liver function tests
  • thyroid function tests
  • urea and electrolytes

Special chemistry

We also have a dedicated laboratory for the more specialised biochemistry tests. This includes:

  • capillary electrophoresis for HbA1c
  • mass spectrometry:  for steroids, aldosterone and renin
  • stone analysis
  • high-performance liquid chromatography for Vitamin A&E and biological amines.

Acute Kidney Injury (AKI) alert system

In line with the national think kidneys acute kidney injury programme, led by NHS England, the Acute Kidney Injury (AKI) alert system is being rolled out to cover patients in the community.

The system will go live on 23 May.

Using a nationally developed algorithm, the alerts will be triggered by the South West London Pathology (SWLP) team at levels 1 – 3. Phone calls will be made for all level 2 or 3 alerts 24 hours a day, alerting you to any patient with acute kidney injury.

In addition, in line with the Royal College of Pathologists critical phoning guidelines, AKI alert level 1 on samples with a potassium of >6.0mmol/l will be phoned within 24 hours of the sample being analysed, but not overnight.

All AKI alerts will have an automated comment attached with guidance for follow up.

The AKI pathway with further guidance, developed by the SWL renal lead, along with the AKI SDEC pathway for reference are below.

Latest news

April 7, 2025

SWLP welcomes new Cellular Pathology General Manager Dalian Beaver

Dalian Beaver, the newly appointed General Manager of Cellular Pathology, embodies the power of resilience, determination, and continuous self-improvement. Her journey from a young immigrant navigating a new education system to a senior leader in the NHS is nothing short of inspiring. With nearly two decades of experience in biomedical science and management, Dalian’s story is a testament to the transformative impact of hard work, ambition, and an unwavering self-belief.

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March 25, 2025

SWLP preparing to launch cutting-edge digital pathology project

SWLP is spearheading a revolutionary digital pathology project aimed at enhancing diagnostic accuracy and reducing turnaround times for patients. This innovative initiative, which spans multiple hospitals across south west London, is part of a broader national programme designed to modernise cellular pathology services and improve cancer diagnostics. The project will go live in July.

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March 13, 2025

New courier contract awarded

Following a lengthy procurement process, the new SWLP courier contract has been awarded to eCourier, which is part of the Royal Mail group.

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March 1, 2025

Clinical blood sciences at St George’s Hospital welcomes young people for a Harvey’s Gang tour

This month, the clinical blood sciences laboratory at St George’s Hospital welcomed a group of young people for a tour of the lab. The young visitors are part of the Children and Young People’s Council at the Trust and are regular patients who have frequent blood tests and blood transfusions.

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