Chris Scott is the Service Manager and Lead Biomedical Scientist for Immunology at Barts Heath NHS Trust. The trust covers St. Bartholomew's Hospital and The Royal London Hospital in the city of London and three District general Hospitals in East London. The laboratory services are ever-evolving. In the past five years Pathology at Barts has undergone a trust merger, entered into a managed service contract with a primary provider, implemented a single LIMS, and became ISO accredited with a single quality management system over 4 sites and 15 different disciplines. Currently, the trust is undergoing feasibility studies to join with two other NHS trusts to form a Pathology Network as part of the NHS Improvement program. In addition to managing pathology laboratory services, Chris is the Chief Examiner for Immunology at the Institute of Biomedical Science, and a member of the Scientific Advisory Panel. He co-edited Clinical Immunology, which is part of the Fundamentals of Biomedical Science book series. He has over 30 years' experience in running an ever-changing diagnostic laboratory service.