Recite me link


The Scheme performs External Quality Assessment for Consultant Histopathologists in General Histopathological practice and also has an educational element.




Features of the Scheme

  • Interpretive EQA scheme
  • 10 scoring cases sent each round
  • 9 different organ systems per round (so one organ system will be duplicated each round)
  • 2 educational cases per round (if available)
  • 3 rounds per year
  • Glass slide circulations, but digital images also available
  • Free text answers submitted, reflecting clinical practice
  • Differential diagnoses permitted, reflecting confidence in diagnosis
  • Option of opt-out of organ systems not seen in clinical practice
  • Determination of “correct” answer open to all participants via consultation process, not selective “expert” committee
  • CPD points awarded
  • ISO17043:2010 accredited, fulfilling ISO15189:2010 clause  Click here for the published scope of accreditation
  • Approved RCPath EQA interpretive scheme
  • Participation restricted to GMC registered histopathologists so that expertise is not diluted

If you are interested in joining the scheme, which is hosted by Maidstone and Tunbridge Wells NHS Trust, please contact the EQA office on the email below.


EQA Scheme Management Office Cellular Pathology, Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ

Telephone: 01622 225738 Email:

Scheme Organiser: Professor John Schofield, MB BS FRCPath

Scheme Manager: Mrs Gill Donald

Scheme Administrator: Mrs Louise Knowler

Scheme Quality Manager: Mrs Helen Dasley


The South East England General Histopathology EQA Scheme is a consensus based External Quality Assessment scheme approved by the Royal College of Pathologists based on the guidance “Principles and Guidance for Interpretive External Quality Assessment Schemes in Laboratory Medicine” RCPath 2017 (G153),  and accredited to ISO17043:2010.  The Scheme performs External Quality Assessment for Consultant Histopathologists in General Histopathological practice and also has an educational element. Three times each year, ten cases are circulated that are representative of a routine workload together with two slightly more difficult / unusual cases of educational value which are not scored. Participation in the South East England General Histopathology EQA Scheme is open to any consultant pathologist or Associate Specialist within Essex, Kent, Surrey, Sussex or South London, but consideration will be given to applicants outside the area on a case by case basis, including overseas. Long-term locum pathologists are also able to participate, subject to the payment of the current subscription rate.

How does the scheme work?

There are three circulations each year beginning January, May and September. Laboratories are arranged into groups with an order of circulation within each group. Ten cases are circulated representative of a typical diagnostic workload. These cases are contributed from participants working in UKAS 15189:2012 accredited laboratories. Two cases are also circulated that are more unusual and are for educational purposes only. These cases are clearly identified and are not used for personal analysis.

How the scoring works

  • Each submitted diagnosis for a case is scored based on the percentage of respondents offering the same diagnosis.
  • This is refined at the consultation stage, where suggestions for merging synonym diagnoses are sought. It is important that you participate in the consultation process.
  • Personal scores are based on the submitted confidence level for the proffered diagnosis. A perfect score is only achievable if 10 points were allocated to a single (correct) diagnosis.
  • For further detail, see the EQA Scoring Protocol

Current Round: Slide images, circulation lists and response forms

Final Case Analyses Round pEarn 2 CPD points for answering the general cases

Earn 1 CPD point for answering both educational cases

Earn 1 CPD point for completion of the case consultation

Please take care of the slides whilst in your care ensuring they are not marked with anything, kept out of direct sunlight and labels not removed.

Should you have any problems with the slides when they arrive, or whilst they are with you, please telephone the EQA office straight away.

Round q commences on Monday 6th September

Response form Round q

Digital Slides – Round q

Case 829
Case 830
Case 831
Case 832
Case 833
Case 834
Case 835
Case 836
Case 837
Case 838
Case 839
Case 840

Group Circulation Lists – Round q
Group 1
Group 2
Group 3
Group 4
Group 5
Group 6
Group 7
Group 8
Group 9
Group 10

Previous Rounds - including links to digital slides


Earn more CPD points - Case Submission

Earn more CPD points by sending us a new case – 1 for each sent – 12 duplicate slides per case please. Download the Case Submission Form

Scheme Advisory Panel

The scheme advisory panel consists of representatives for each region. They meet to discuss scheme issues. Please contact them with any suggestions for improvement to the scheme or other issues.

Surrey  Dr L Fulford – East Surrey Hospital –
Sussex  Dr I Hawley – The Conquest Hospital –
Kent  Dr N Bagla – William Harvey Hospital –
London  Dr M Moonim – Imperial College London –
Essex  Dr M Sundaresan – Southend University Hospital –
Wales  Dr S Roberts – Singleton Hospital –


We endevour to run this scheme to your complete satisfaction. If you have a concern, please contact the EQA scheme office in the first instance. If this does not resolve your issues and you wish to make a formal complaint, this will handled in compliance with the MTW Trust complaints policy and procedure. Click here for the Complaint Flowchart


Thank you to all those who have taken the time to respond to our surveys.

Participant survey – General EQA Survey – May 2020

Participant Survey – EBUS Clot Survey – February 2020

Participant survey – AGM – March 2019

Participant survey – Case Submission – September 2018

Participant survey – Digital image survey – March 2018

Participant survey – General survey – November 2017

Participant survey – complaints and appeals – July 2017

Participant survey – new case submission – March 2017

Participant survey – website & digital slides –  November 2016

Participant survey – results suspected collusion –  July 2016

Participant survey – results on AGM attendance – March 2016

Participant Survey – results on use of digital slides – July 2015