Dr Jo Horne

Jo is an Advanced Practitioner in Histopathology at University Hospital Southampton NHS Foundation Trust, specialising in gastrointestinal and hepatobiliary histopathology. She is dual registered with the HCPC as a Biomedical Scientist and Clinical Scientist, and is an IBMS Fellow and Diplomate Member of the RCPath. Jo was awarded a national CSO WISE Fellowship in 2017, which is a national leadership programme for women in Healthcare Science, and she won the Advancing Healthcare Awards national Biomedical Scientist of the Year award in 2019.

Jo was one of the original pilot participants in the UK national histopathology reporting diploma programme, completing her training in 2017.  Since then she has been working as part of the consultant specialty team at Southampton, independently dissecting and reporting gastrointestinal specimens, representing the department at MDT meetings and participating in research and audit. 

Jo is a national member of IBMS council, and also sits on the conjoint boards for both the histological dissection and reporting qualifications, and with the National School of Healthcare Science as an examiner for the national STP training programme, and as lead editor for the histopathology STP curriculum review.  Jo is part of a national working group reviewing training pathways within histopathology for Healthcare Scientists, and is passionate about the development and promotion of advanced careers for all Healthcare Scientists working within Pathology.

Jo’s other professional interests are leadership, education, clinical audit and the use of media to promote the profession and engage with the wider public.  She also provides mentoring, coaching and academic support to colleagues and peers.   

TITLE: Advanced Practice in Histopathology – the UK perspective


Advanced Practice in Cellular Pathology has been established for many years, in terms of cytology and specimen dissection. With an escalating workforce crisis in histopathology departments across the UK, the need for developing advanced qualifications and roles for Healthcare Scientists in other areas such as histopathology reporting is now also recognised.

In 2012, a UK-wide pilot programme for histopathology reporting was set up by the Institute of Biomedical Science and the Royal College of Pathologists.  This programme is now established, with a number of Healthcare Scientists having successfully completed training and working in Consultant roles within histopathology departments, and many more in training in either gastrointestinal, gynaecological or dermatopathology reporting. 

This talk will document the development of this qualification, including examples of good practice and positive outcomes, as well as identifying some of the challenges and lessons learned.  In 2020, we now have a well-established workforce crisis within histopathology departments across the UK. There is more work to do to develop these types of advanced practice roles further, and this is well-documented within national healthcare policy. 

This talk will demonstrate the need to develop advanced practice in histopathology, as well as in other areas of pathology. It will show where developments could lead within the next few years, and how the UK experience could be built upon to develop advanced practice roles in other countries, to both address workforce issues and improve clinical career opportunities for Healthcare Scientists.

Major developments in pathology raise many questions. Be part of the discussion on the way forward.

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