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CONTENTS PPi October 2026


Volume 27 Issue 7


COVER STORY Perioperative metabolic monitoring in children Benjamin J Blaise introduces a new study which is using POCT technology to address an under-recognised risk in paediatric anaesthesia.


6


What gestational diabetes can teach us about the future of diagnostics


31


The diabetes test is only as good as the pathway around it; with improved sample handling resulting in a significant rise in positive results. What this can teach laboratory professionals about the future of diagnostics?


Marketing in healthcare: an important role


OPINION Value-based procurement: an opportunity for reform


NEWS


ARTICLES Detection capability at the low end: three related but different limits


Stephen MacDonald explores the intricacies of dealing with three limits – blank, detection and quantitation – and common misconceptions, limitations and cautions to their interpretation.


Accessing advanced practice as a biomedical scientist


Aimee Pinnington considers the barriers and opportunities for biomedical scientists looking to further their career with advanced practice, and the implications for workforce development.


The future of automated IFA diagnostics


Jorn Voigt discusses the latest innovations in indirect immunofluorescence assay (IFA) diagnostics and how they can help laboratories meet growing diagnostic demands.


28 Alzheimer’s disease: the importance of blood-based biomarkers 52


With new treatments for Alzheimer’s disease, early diagnosis is vital, and this is where detection of appropriate biomarkers is crucial. Pathology in Practice Science Editor Brian Nation looks at recent published work in this area.


Editor Andy Myall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .andymyall@stepcomms.com


Science Editor Brian Nation CSci FIBMS. . . . . . . . . . . . . . . . . briannation@stepcomms.com Publisher Geoff King. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .geoffking@stepcomms.com Business Manager Peter Moon . . . . . . . . . . . . . . . . . . . . . . . . petermoon@stepcomms.com


Journal Administration Katy Cockle . . . . . . . . . . . . . . . . . . . .katycockle@stepcomms.com Design Laurence Hallam . . . . . . . . . . . . . . . . . . . . . . . . . . .laurencehallam@stepcomms.com Publishing Director Trevor Moon . . . . . . . . . . . . . . . . . . . . . trevormoon@stepcomms.com


Advisory Panel


Dr Nigel Brown FIBMS Gavin Knight CSci FIBMS Wendy Leversuch CSci FIBMS Dame Suzy Lishman CBE FRCPath Dr Stephen MacDonald FRCPath


Prof Gerry McKenna DSc CSci FIBMS Malcolm Needs CSci FIBMS Dr Sarah Pit CSci FIBMS Dr John Rees FIBMS


23


5 9


17 Exploring professional identity: the mirror that appears too late Drones expanding pathology transport options in London


Drone delivery is currently offering improved speed and reliability of NHS tests for patients served by South West London Pathology with the service provider looking to expand the trial service.


43


Nicky Rouse explores how the training of biomedical scientists and the role itself can present barriers to the formation of a clear professional identity.


49


Independent sector’s role in building better health through NHS services


35


When it comes to marketing, healthcare professionals with an open mind have much to gain, explains Agnieszka Jagiello-Johnstone.


39


The Independent Healthcare Providers Network is calling for a major step change in how the NHS works with the private sector, which it says is essential to the success of the 10-Year Plan.


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by contributors. Editorial views are not necessarily shared by Pathology In Practice. Readers are expressly advised that while the contents of this publication are believed to be accurate, correct and complete, no


reliance should be placed upon its contents as being applicable to any particular circumstances. This publication is copyright under the Berne Convention and the International Copyright Convention.


All rights reserved, apart from any copying under the UK Copyright Act 1956, part 1, section 7. Multiple copies of the contents of the publication without permission is always illegal.


October 2026 WWW.PATHOLOGYINPRACTICE.COM 3


PATHOLOGY IN PRACTICE


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