Table 3.

Suggestions for employers of mainstream GCs.

Needs of a specialist genetic counsellor	Specific suggestions
Access to genetics expert	Clinical geneticist, senior genetic counsellor, clinical scientist
Counselling supervision	Group/individual supervision, within specialist team/outreach to genetics service
Managerial support	Has good understanding of role and is supportive of unique needs
Time to establish links	Opportunities for meetings, journal clubs with other genetic counsellors
GCRB registration	Access to a mentor, support from regional genetics services, time allocated in role
Support from team	Multidisciplinary meetings, time with clinicians to review cases
Administrative support	Dedicated secretary/admin assistant, genomics assistant/associate
Forum to review psychosocial/ethical issues	Attendance at national meetings (e.g. Genethics), forum for internal discussion