Craig Webster
Consultant clinical scientist. Pathology services, laboratory quality and laboratory software.
Profile
Consultant clinical scientist in clinical biochemistry and Fellow of the Royal College of Pathologists, with a career that runs from analytical method development to leading multi-site pathology services.
Professional interests are how pathology services are organised, how analytical quality is specified and assured, and how laboratory data and software can be made useful to the people who depend on them. Clinical interests are phaeochromocytoma and vitamin D metabolism.
Teaches clinical data interpretation and mass spectrometry, and speaks at national and international meetings. Independent work is undertaken as Webster Lab Consulting.
Expertise
Pathology service strategy
Options appraisals, business cases and service models for multi-site pathology services, grounded in activity, capacity and workforce data. Business cases for new platforms and services, including mass spectrometry and toxicology.
Laboratory quality and governance
Quality management and accreditation to ISO 15189, analytical performance specifications derived from biological variation, and governance reporting to boards.
Demand management and requesting
Rules-based demand management, such as minimum retesting intervals for CRP, TSH and haematinics, and profile-based requesting at source. Profile-based requesting in an emergency department cut test requests by about 30% and won a regional innovation award.
Analytical science
Tandem mass spectrometry and capillary electrophoresis, with automated LC-MS/MS methods for vitamin D, steroids, biogenic amines, metabolites of the methionine cycle, prostaglandins and peptides including hepcidin. Clinical interests in phaeochromocytoma and vitamin D metabolism.
Laboratory systems, data and software
LIMS and order communications, automated interfaces between laboratory systems and mass spectrometers, grant-funded work on the message standards that underpin NPEx, and production web applications in Ruby on Rails, TypeScript and Python.
Career
2004–present
Consultant Clinical Scientist
NHS teaching hospital trust
Independent practitioner in clinical biochemistry in a large multi-site laboratory service.
Clinical service lead for biochemistry, immunology, toxicology and point-of-care testing 2019–2020
Service delivery across four hospital sites and more than 120 whole-time-equivalent staff, with responsibility for clinical leadership and for quality to ISO 15189.
Clinical lead for blood sciences 2013–2019
Automated biochemistry and haematology. Member of the team that built a new laboratory, then led the implementation of an automated track handling more than 4,500 tubes a day, around 4.5 million tests a year.
Head of department, biochemistry and immunology 2011–2013
Clinical leadership of the department, with continued responsibility for specialist chemistry, research and development.
Consultant clinical scientist, biochemistry and immunology 2004–2011
Service development, procurement and business cases, including mass spectrometry and a new toxicology service. Developed automated methods for vitamin D at 80,000 samples a year. Training lead for clinical scientists.
2001–2004
Principal Clinical Scientist
Nottingham City Hospital
Electrophoresis and Down's syndrome screening services alongside general clinical biochemistry. Developed capillary electrophoresis methods for the diagnosis and monitoring of multiple myeloma.
1999–2001
Senior Clinical Scientist
Nottingham City Hospital
Development and implementation of point-of-care testing, and clinical support for general clinical biochemistry.
1995–2001
Senior Clinical Scientist
Broomfield Hospital, Chelmsford
Clinical support for general clinical biochemistry and implementation of a quality management system.
1992–1995
Clinical Scientist in training
Leeds General Infirmary
Master's research on a method for the glycosylation patterns of proteins in the acute phase response.
Qualifications
2002
Fellow of the Royal College of Pathologists (FRCPath)
1996
Master's degree in clinical biochemistry, University of Manchester
1992
BSc (Hons) Biochemistry and Food Science, University of Leeds
Registered Clinical Scientist; Chartered Scientist (CSci)
Roles and memberships
- Honorary Senior Lecturer, University of Birmingham
- Course leader in clinical tandem mass spectrometry and in clinical interpretation, University of Greenwich
- Expert member, EFLM Working Group on Biological Variation
- Member, RCPath Pathology Informatics Group
- Member, Association for Laboratory Medicine
Previously
- Chair, Communications and Publications Division, European Federation of Clinical Chemistry and Laboratory Medicine (EFLM)
- Vice chair and member, Communications and Publications Division, International Federation of Clinical Chemistry and Laboratory Medicine (IFCC)
- Regional chair, Royal College of Pathologists
- Member, demand management group, Association for Clinical Biochemistry and Laboratory Medicine
Projects
biologicalvariation.eu
Involved in development
The EFLM Biological Variation Database. A live meta-analysis of published biological variation studies, updated as new papers are added.
Referral Labs
Design and development
A web application connecting laboratories for specialist test referrals. Due to be retired.
Assay Specification and Six Sigma
Design and development
An iOS app that derived assay specifications from biological variation, compared observed performance with the minimum, desirable and optimum specifications, and calculated a sigma score. No longer on the App Store.
Publications
Papers indexed in PubMed, newest first, refreshed from PubMed whenever the site is built. Other publications follow.
2025
2024
- Age-specific Reference Intervals of Abbott Intact PTH-Potential Impacts on Clinical Care.J Endocr Soc
- Analytical performance specifications based on biological variation data - considerations, strengths and limitations.Clin Chem Lab Med
- Vitamin D deficiency and duration of COVID-19 symptoms in UK healthcare workers.Front Med (Lausanne)
2023
2022
2021
2020
- Co-administration of 5α-reductase Inhibitors Worsens the Adverse Metabolic Effects of Prescribed Glucocorticoids.J Clin Endocrinol Metab
- Rapid implementation and validation of a cold-chain free SARS-CoV-2 diagnostic testing workflow to support surge capacity.J Clin Virol
- Vitamin B12 deficiency and altered one-carbon metabolites in early pregnancy is associated with maternal obesity and dyslipidaemia.Sci Rep
- Development and Clinical Application of a Prednisolone/Cortisol Assay to Determine Adherence to Maintenance Oral Prednisolone in Severe Asthma.Chest
2017
2016
- Simultaneous detection of five one-carbon metabolites in plasma using stable isotope dilution liquid chromatography tandem mass spectrometry.J Chromatogr B Analyt Technol Biomed Life Sci
2015
- Rapidly Escalating Hepcidin and Associated Serum Iron Starvation Are Features of the Acute Response to Typhoid Infection in Humans.PLoS Negl Trop Dis
- Low maternal vitamin B12 status is associated with lower cord blood HDL cholesterol in white Caucasians living in the UK.Nutrients
- Hepcidin is suppressed by erythropoiesis in hemoglobin E β-thalassemia and β-thalassemia trait.Blood
2014
- Distinct patterns of hepcidin and iron regulation during HIV-1, HBV, and HCV infections.Proc Natl Acad Sci U S A
2013
- Subclinical thyroid dysfunction and cardiac function amongst minority ethnic groups in the UK: a cross sectional study.Int J Cardiol
- Relationship of total 25-OH vitamin D concentrations to Indices of Multiple Deprivation: geoanalysis of laboratory results.Ann Clin Biochem
- Vitamin D deficiency amongst minority ethnic groups in the UK: a cross sectional study.Int J Cardiol
- Circulating DBP level and prognosis in operated lung cancer: an exploration of pathophysiology.Eur Respir J
2011
2010
- Measurement of urinary metadrenaline and normetadrenaline by liquid chromatography tandem mass spectrometry for the diagnosis of phaeochromocytoma.Ann Clin Biochem
- Ethnic differences in umbilical cord blood vitamin D and parathyroid hormone--South Asians compared to Whites born in the UK.J Matern Fetal Neonatal Med
Other publications
- Gallier S, Zou X, Hodson J, Atia J, Webster C, et al. The impact of electronic order communications on laboratory turnaround times in acute hospital care. medRxiv preprint. 2024.
- Manley SE, Mostafa S, Webber J, et al., Webster C, et al. When is HbA1c useful and what do the numbers mean: do they help or hinder? Br J Diabetes. 2023;23(2):105-13.
- Aarsand AK, Fernandez-Calle P, Webster C, Coskun A, et al. The EFLM Biological Variation Database. biologicalvariation.eu.
- Lawson AJ, Marrington R, Jewkes C, Webster C, Jones A. Comparison of serum lipoprotein(a) concentration and two single-nucleotide polymorphisms associated with elevated lipoprotein(a) to kringle repeat number determined from genomic DNA. Atherosclerosis. 2012;223(2):529.
- Marrington R, Webster C, Jewkes C, Jones A. Effect of historical changes in HDL-cholesterol measurements on cardiovascular risk assessment. Atherosclerosis. 2011;218(2):e2.
- Marrington R, Webster C, Sturges P, Macerola E, Jewkes C, Jones A. Are our HDL assays fit for purpose? Atherosclerosis. 2010;213(1):e2.
- Delivering multimedia education in clinical biochemistry. eJIFCC. 2006;17(2).
- Case-of-the-Week: connected, collaborative clinical chemistry. eJIFCC. 2006;17(2).
- Web usability and database connectivity: how to use them in the laboratory. eJIFCC. 2004;15(1).
- Web sites for everyone. ACB News Sheet. March 2001.
- Electronic publication of the eJIFCC [editorial]. eJIFCC. 2000;12(3).
- The Internet. Journal of the International Federation of Clinical Chemistry. 1997.
- An Internet resource guide. ACB News Sheet. March 1995.