Genomics is transforming healthcare, but who gets to shape that future?

The NHS England Nursing & Midwifery Genomics Framework is a bold step toward integrating genomics into everyday care. As a Research Nurse and EDI advocate, I’ve seen how genomic insights can revolutionize diagnosis and treatment, but access remains uneven, especially in primary care and underserved communities.

That’s why I developed the Genomics Equity Integration Model, a framework that centers intersectionality, community inclusion, and nurse-led innovation.

This model offers a clear pathway for nurses to champion genomics in ways that are equitable, inclusive, and grounded in real-world care, especially within community and primary care settings where impact is most needed.

It’s built on five strategic pillars, each representing a key area where nurses can make a difference.

1. Equity-Driven Education - Learning that reflects real lives.

Genomic education should be inclusive. Meaning, it considers different cultures, languages, and lived experiences. It helps us understand how genetic risks and treatments may vary across populations, and how to communicate that respectfully.

2. Primary Care Genomics Champions - Leadership starts in the community.

Nurses in GP practices, walk-in centres, and community clinics are often the first to spot patterns in family history or symptoms. This pillar encourages nurses to become a genomics champion - someone who starts those conversations and connects patients to the right care.

3. EDI-Integrated Implementation - Equity, Diversity, and Inclusion at every step.

EDI isn’t a side project, it’s central. This pillar ensures that when genomics is rolled out, it doesn’t leave anyone behind. That means thinking about who gets access, how we explain things, and whether our systems reflect the diversity of the people we serve.

4. Digital Readiness & EHR Integration - Using tech to make care smarter.

Genomic data is increasingly part of electronic health records (EHRs). Nurses need to know how to read that data, understand what it means for patients, and use it to guide care. This pillar is about making sure nurses are confident with digital tools and genomic flags in patient records.

5. Nurse-Led Research & Innovation - Nurse insights shape the future.

Whether you’re noticing patterns in your patients or participating in studies, your voice matters. This pillar supports nurses to lead research especially in underserved communities, and use genomics to improve care and reduce health inequalities.

Remember:

“You don’t need to be an expert in genetics to get started. You just need curiosity, compassion, and a commitment to equitable healthcare.” -AMF