The role of an NHS Genetic Counsellor is a vital one, bridging the gap between complex genetic information and patient care. These professionals support individuals and families by providing guidance on inherited conditions, helping them understand their risks, and making informed decisions about their health. Genetic counsellors in the NHS typically work within hospitals, clinics, and specialist centres, collaborating with multidisciplinary teams to deliver personalised care. The job often involves assessing family histories, interpreting genetic test results, and offering emotional support to patients. As for remuneration, NHS Genetic Counsellors usually fall under the Agenda for Change pay scale, with salaries ranging from Band 6 to Band 8a depending on experience and seniority, typically between £33,000 and £48,000 annually.

If you’re preparing for a Genetic Counsellor interview with the NHS, you’ll want to be ready to demonstrate both your scientific knowledge and your communication skills. Here are 20 common interview questions along with tailored answers that can help you stand out.

1. Why do you want to work as a Genetic Counsellor in the NHS?
   Answer: I am passionate about using my knowledge of genetics to support patients in understanding complex information and making informed decisions. The NHS provides a unique opportunity to contribute to public health while working in a multidisciplinary environment focused on compassionate care.

2. How do you handle delivering difficult news to patients?
   Answer: I approach difficult news with empathy, ensuring I use clear, jargon-free language while allowing patients time to process the information and ask questions. I also provide ongoing support and referrals to counselling services if needed.

3. What genetic conditions are you most familiar with?
   Answer: I have extensive experience with conditions such as BRCA-related breast cancer, cystic fibrosis, Huntington’s disease, and various hereditary cancer syndromes.

4. How do you stay updated with advances in genetic research?
   Answer: I regularly attend professional development courses, subscribe to journals like the European Journal of Human Genetics, and participate in NHS genetic counselling forums.

5. Describe your approach to taking a patient’s family history.
   Answer: I take a detailed, sensitive approach, asking open-ended questions to build a comprehensive pedigree while being mindful of the patient’s emotional state and cultural background.

6. How do you manage confidentiality in genetic counselling?
   Answer: Confidentiality is paramount. I adhere strictly to NHS guidelines and ensure that any sharing of information is with the patient’s informed consent unless legally required otherwise.

7. Can you explain a genetic test result to a patient who has little medical knowledge?
   Answer: I would use simple analogies and visuals, avoid technical terms, and check frequently for understanding, encouraging questions throughout the consultation.

8. How do you support patients making difficult reproductive decisions based on genetic risk?
   Answer: I provide balanced information on all available options, including preimplantation genetic diagnosis and prenatal testing, while respecting their values and autonomy.

9. What challenges do you expect in this role, and how will you overcome them?
   Answer: Managing emotional distress in patients can be challenging. I plan to use my training in counselling skills and seek supervision regularly to maintain my own wellbeing.

10. How do you work within a multidisciplinary team?
    Answer: I value collaboration and clear communication, regularly attending team meetings and sharing patient insights to ensure cohesive care plans.

11. How would you deal with a patient who refuses to accept a genetic diagnosis?
    Answer: I would explore their concerns and provide additional information, but ultimately respect their decision while offering ongoing support.

12. What experience do you have with genetic databases and software?
    Answer: I am proficient in using tools such as OMIM, ClinVar, and family history software to aid in risk assessment and patient education.

13. Describe a time when you had to deliver a complex message to a non-expert.
    Answer: During my clinical placement, I explained the implications of Lynch syndrome to a patient by breaking down the risks and preventative measures using relatable examples.

14. How do you prioritise your caseload?
    Answer: I prioritise based on clinical urgency, patient distress levels, and waiting times, while keeping clear documentation to manage follow-ups efficiently.

15. How do you maintain emotional resilience in your work?
    Answer: I practice self-care, seek peer support, and attend reflective supervision sessions regularly.

16. What ethical considerations are important in genetic counselling?
    Answer: Patient autonomy, confidentiality, informed consent, and non-directiveness are key ethical principles I adhere to.

17. How do you handle cultural differences in counselling sessions?
    Answer: I approach cultural differences with respect and curiosity, adapting communication style and involving interpreters if needed.

18. What motivates you most about this job?
    Answer: Helping patients navigate complex and often distressing information to improve their quality of life motivates me deeply.

19. How would you handle a disagreement with a colleague over patient management?
    Answer: I would discuss the issue calmly, focusing on evidence and patient welfare, and seek mediation if necessary.

20. Where do you see your career in five years?
    Answer: I aim to advance my clinical skills, contribute to research, and possibly take on a senior or supervisory genetic counselling role within the NHS.

Preparing for these questions will help you feel confident and ready for your interview. Remember to provide clear examples from your experience, demonstrate empathy, and show a commitment to continuous learning.

General interview coaching encouragement and tips: Approach your NHS Genetic Counsellor interview with confidence and authenticity. Listen carefully to each question, pause to organise your thoughts, and communicate your passion for genetics and patient care. Practice your answers aloud, ideally with a friend or mentor, and don’t forget to prepare some thoughtful questions to ask the panel. Most importantly, be yourself—your genuine interest and dedication to helping others will shine through and leave a positive impression.

Good luck—you’ve got this!