Full blood count (FBC)
WBC count: may be increased with infections, inflammation, cancer, leukaemia; decreased with some medications, some autoimmune conditions, some viral or severe infections, bone marrow failure, enlarged spleen, liver disease, alcohol excess and congenital marrow aplasia
RBC count: decreased in anaemia; increased when too many are produced and with fluid loss due to diarrhoea, dehydration or burns
MCV: increased in B12 and folate deficiency, liver disease, underactive thyroid, pregnancy, alcohol excess, some bone marrow disorders; decreased in iron deficiency, long-standing inflammatory disorders and thalassaemia
MCH: may be low in iron deficiency, inflammatory conditions and thalassaemia
RDW: increased RDW indicates abnormal variation in RBC size; can indicate iron deficiency or bone marrow disorders
Platelets: increased numbers of platelets occur with bleeding, inflammation, bone marrow disorders and in patients with absent or underactive spleens; decreased numbers are associated with immune conditions such as ITP and SLE, vitamin deficiencies, some drugs (especially chemotherapy), alcoholism, liver disease, enlarged spleens, bone marrow disorders and some rare inherited disorders, such as Wiskott-Aldrich and Bernard-Soulier syndromes
Record last updated
August 19, 2025
Sample Container
4ml EDTA Vacutainers (Lavender top)
Sample Container
K2EDTA Paediatric Tube (Lavender top)
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Test Results
Yes, we have a Pathology User Guide
Yes. Please email your request to Imperial.nwlpcustomerservice@nhs.net
Results are communicated to clinical staff and are normally not communicated direct to patients either on telephone requests or in written report. If you need to contact us please click here to view the contact details page
Please contact the Customer Service Team Monday to Friday from 8:30am – 6:00pm on 0203 313 5353. Alternatively, see the Pathology User Guide for how to contact the relevant department. If advice is not urgent you can also email your query to Imperial.nwlpcustomerservice@nhs.net
Additional tests may be added by discussion with the relevant laboratory. The time limit for adding additional tests to a sample already received in the laboratory will depend on the type of sample and the department it was sent to.
Information on the repertoire of tests performed by pathology, including reference ranges, turnaround times and specimen requirements, can be found in the test directory.
Phlebotomy services are not managed by NWLP. For further information please see:
Imperial College Healthcare Trust Phlebotomy services
Chelsea and Westminster Hospital NHS Foundation Trust Phlebotomy services
NWLP operates UKAS accredited medical laboratories as per the references below. The current scope of accreditation for all NWLP’s laboratories can be found on the UKAS website.
See the following UKAS ref numbers:
- Clinical Biochemistry Ref: 8673
- Haematology and Blood Transfusion Ref: 8674
- Infection & Immunity Sciences (Including Immunology, Virology, Microbiology and Histocompatibility and Immunogenetics ) Ref: 8659
- Cellular Pathology (Including Histopathology, Cytology and Molecular Pathology) Ref: 9615
If you require copies of our certificate of accreditation and associated documentation please contact Imperial.nwlpcustomerservice@nhs.net.
UKAS requires the laboratories to be accredited for a particular repertoire/scope (ISO15189), any changes or additions to repertoire require assessment by UKAS (extension to scope).
The BD Hospital Tube Guide, BD GP Tube Guide and BD Paediatric Tube Guide provide visual references to the correct tube types and collection instructions.
Home testing
INSTRUCTION SHEET FOR BLOOD SAMPLE COLLECTION
We also have two instruction videos available (one with subtitles and one without) – please click on the links to view the videos on Google.
Our accreditations
Upholding excellence in diagnostic standards
Our laboratories are accredited by the UK Accreditation Service (UKAS) against the international standard ISO15189:2022. UKAS is the accreditation body for the UK that assesses medical laboratories.
Find out more about our accreditations on the UKAS website.
UKAS website