Covid-19: No ‘immediate prospect’ of mass NHS staff testing

&Tab;&Tab;<div class&equals;"wpcnt">&NewLine;&Tab;&Tab;&Tab;<div class&equals;"wpa">&NewLine;&Tab;&Tab;&Tab;&Tab;<span class&equals;"wpa-about">Advertisements<&sol;span>&NewLine;&Tab;&Tab;&Tab;&Tab;<div class&equals;"u top&lowbar;amp">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;<amp-ad width&equals;"300" height&equals;"265"&NewLine;&Tab;&Tab; type&equals;"pubmine"&NewLine;&Tab;&Tab; data-siteid&equals;"111265417"&NewLine;&Tab;&Tab; data-section&equals;"1">&NewLine;&Tab;&Tab;<&sol;amp-ad>&NewLine;&Tab;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;&Tab;<&sol;div>&NewLine;&Tab;&Tab;<&sol;div><p>The UK government is coming under increasing pressure over Covid-19 tests as healthcare leaders warned there is &OpenCurlyDoubleQuote;no immediate prospect” of mass NHS staff testing&period;<&sol;p>&NewLine;<p>Chris Hopson&comma; the chief executive of NHS Providers&comma; which represents NHS trusts&comma; said maximum testing capacity in the UK was currently &OpenCurlyDoubleQuote;very constrained” at around 13&comma;000 tests per day&period;<&sol;p>&NewLine;<p>At present&comma; the focus is on testing patients in hospital to see if they have coronavirus&comma; with NHS trusts told earlier in the week they should use up to 15&percnt; of any spare testing capacity for NHS staff&period;<&sol;p>&NewLine;<p>British Health Secretary Matt Hancock has now scrapped that cap&comma; telling NHS hospital labs to use all spare capacity to test their frontline workers&period;<&sol;p>&NewLine;<p><img class&equals;"aligncenter size-full wp-image-152671" src&equals;"https&colon;&sol;&sol;londonglossy&period;com&sol;wp-content&sol;uploads&sol;2020&sol;04&sol;2&period;53262857&period;jpg" alt&equals;"Coronavirus cases in Spain increase" width&equals;"640" height&equals;"645" &sol;><&sol;p>&NewLine;<p>It comes as Housing and Communities Secretary Robert Jenrick admitted on Wednesday that just 900 NHS staff were tested over the weekend as staff testing is rolled out&period;<&sol;p>&NewLine;<p>He told Radio 4’s Today programme&colon; <em>&OpenCurlyDoubleQuote;Clearly that’s a low number but one we want to build on significantly&period;<&sol;em><&sol;p>&NewLine;<p><em>&OpenCurlyDoubleQuote;We now have capacity today to be testing 12&comma;750 people and we expect that within a couple of days to be 15&comma;000&period;<&sol;em><&sol;p>&NewLine;<p><em>&OpenCurlyDoubleQuote;So we should now have the growing capacity to test NHS staff in addition to the patients in critical care&period;”<&sol;em><&sol;p>&NewLine;<p>Mr Jenrick denied the government and Public Health England &lpar;PHE&rpar; would only agree to centralised testing after claims from scientists and universities that their offers of help have been rejected&period;<&sol;p>&NewLine;<p>He said the Government was willing to &OpenCurlyDoubleQuote;work with any provider” who had the &OpenCurlyDoubleQuote;right infrastructure and skills” and urged them to get in touch&period;<&sol;p>&NewLine;<p>The minister also said he expects there to be 25&comma;000 tests per day by the &OpenCurlyDoubleQuote;middle of April”&period;<&sol;p>&NewLine;<p>Asked when the national coronavirus testing centre near Milton Keynes would be fully operational&comma; Mr Jenrick replied&colon; <em>&OpenCurlyDoubleQuote;I don’t know precisely when that’s going to be coming on board&period;<&sol;em><&sol;p>&NewLine;<p><em>&OpenCurlyDoubleQuote;Everything is being brought forward as quickly as it possibly can&period;”<&sol;em><&sol;p>&NewLine;<p>The promise of 25&comma;000 tests per day by mid-April is in stark contrast to comments made by NHS medical director Professor Stephen Powis last Wednesday who said there would be &OpenCurlyDoubleQuote;hundreds of thousands of tests” per day within the next few weeks&period;<&sol;p>&NewLine;<p>Asked on LBC radio if the kit was in place&comma; Prof Powis said&colon; <em>&OpenCurlyDoubleQuote;We are getting the kit… you heard me correctly&comma; we need to get to hundreds of thousands of tests a day&comma; and we will do that over the course of the next few weeks&period;”<&sol;em><&sol;p>&NewLine;<p>On Tuesday&comma; Cabinet minister Michael Gove acknowledged at the daily Number 10 news conference that the Government needed to go &OpenCurlyDoubleQuote;further&comma; faster” on testing&period;<&sol;p>&NewLine;<p>But he warned that a shortage of the chemical reagents needed for the tests was proving to be a &OpenCurlyDoubleQuote;critical constraint” on the government’s ability to ramp up capacity&period;<&sol;p>&NewLine;<p>Currently about 8&comma;000 tests a day are being carried out&comma; despite ministers having previously claimed to have met a target of 10&comma;000 a day&period;<&sol;p>&NewLine;<p>Mr Hopson said on Twitter on Wednesday that if existing NHS pathology labs <em>&OpenCurlyDoubleQuote;had unlimited swabs and reagent&comma; there would be enough test machine capacity to process around 100&comma;000 tests a day”<&sol;em>&period;<&sol;p>&NewLine;<p>He added&colon; <em>&OpenCurlyDoubleQuote;It’s important to understand the constraints&period; Recognise view of chemical industry but trust leaders tell us major shortages of swabs and chemicals&sol;reagents needed to complete tests&period; There is a global shortage&period; But everyone is doing everything they can to maximise supply&period;”<&sol;em><&sol;p>&NewLine;<p>He said a small sample of tests from NHS staff over the weekend showed very few were positive for coronavirus&comma; and the majority could go back to work&period;<&sol;p>&NewLine;<p>NHS staff have expressed frustration that they are being forced to self-isolate just as they are most needed&comma; because tests are not available to show whether they are clear of the disease&period;<&sol;p>&NewLine;<p>Mr Hopson said of the weekend data&colon; <em>&OpenCurlyDoubleQuote;Only around 15&percnt; of those in 14 day isolation tested positive so other 85&percnt; could come back to work&period; If anything like right&comma; a huge opportunity&period;<&sol;em><&sol;p>&NewLine;<p><em>&OpenCurlyDoubleQuote;However&comma; before getting carried away&comma; remember testing capacity is still v constrained &lpar;currently 13k&sol;day&rpar; and there are 1&period;2 million NHS staff&period; So no immediate prospect of mass staff testing&period;”<&sol;em><&sol;p>&NewLine;<blockquote class&equals;"twitter-tweet" data-width&equals;"550" data-dnt&equals;"true">&NewLine;<p lang&equals;"en" dir&equals;"ltr">12&sol;22 What about who is tested&quest; Constrained capacity means potentially difficult prioritisation decisions on the balance between staff and patient testing &lpar;see my earlier thread&rpar;&period; Up until last Friday&comma; the instruction to trusts was no staff testing&comma; just test patients&period;<&sol;p>&NewLine;<p>&mdash&semi; Chris Hopson &lpar;&commat;ChrisCEOHopson&rpar; <a href&equals;"https&colon;&sol;&sol;twitter&period;com&sol;ChrisCEOHopson&sol;status&sol;1245231265009238016&quest;ref&lowbar;src&equals;twsrc&percnt;5Etfw">April 1&comma; 2020<&sol;a><&sol;p><&sol;blockquote>&NewLine;<p><script async src&equals;"https&colon;&sol;&sol;platform&period;twitter&period;com&sol;widgets&period;js" charset&equals;"utf-8"><&sol;script><&sol;p>&NewLine;<p>Public Health England &lpar;PHE&rpar; has also come under fire over wider testing of members of the public with Covid-19&period;<&sol;p>&NewLine;<p>PHE has said repeatedly that most adults in good health who develop symptoms will fully recover and do not need to be tested&period;<&sol;p>&NewLine;<p>However&comma; many scientists disagree and say it is only through widespread testing that the UK will be able to emerge from lockdown&period;<&sol;p>&NewLine;<p>On Tuesday&comma; former World Health Organisation director Prof Anthony Costello said the UK has the capacity to test hundreds of thousands more people&period;<&sol;p>&NewLine;<p>He said&colon; <em>&OpenCurlyDoubleQuote;By mass testing&comma; we can detect new outbreaks and there will be much less disruption rather than isolating the whole economy&period;<&sol;em><&sol;p>&NewLine;<p><em>&OpenCurlyDoubleQuote;We have 44 molecular virology labs in the UK&period; If they were doing 400 tests a day&comma; we would be up to Germany levels of testing &lpar;around 70&comma;000 a day&rpar; and that is perfectly feasible&period;”<&sol;em><&sol;p>&NewLine;<blockquote class&equals;"twitter-tweet" data-width&equals;"550" data-dnt&equals;"true">&NewLine;<p lang&equals;"en" dir&equals;"ltr">Why it is essential we adopt mass community testing as our national strategy&colon; my video today <a href&equals;"https&colon;&sol;&sol;t&period;co&sol;QriHoYAhYa">pic&period;twitter&period;com&sol;QriHoYAhYa<&sol;a><&sol;p>&NewLine;<p>&mdash&semi; Jeremy Hunt &lpar;&commat;Jeremy&lowbar;Hunt&rpar; <a href&equals;"https&colon;&sol;&sol;twitter&period;com&sol;Jeremy&lowbar;Hunt&sol;status&sol;1244948819810365440&quest;ref&lowbar;src&equals;twsrc&percnt;5Etfw">March 31&comma; 2020<&sol;a><&sol;p><&sol;blockquote>&NewLine;<p><script async src&equals;"https&colon;&sol;&sol;platform&period;twitter&period;com&sol;widgets&period;js" charset&equals;"utf-8"><&sol;script><&sol;p>&NewLine;<p>Conservative former health secretary Jeremy Hunt said it was &OpenCurlyDoubleQuote;very worrying” that the government was not pursuing a policy of mass testing&period;<&sol;p>&NewLine;<p><em>&OpenCurlyDoubleQuote;However difficult it is to source the reagents to ramp up the capacity of laboratories up and down the country&comma; it is essential that mass community testing is part of our national strategy&comma;”<&sol;em> he said&period;<&sol;p>&NewLine;<p>It comes as 13-year-old Ismail Mohamed Abdulwahab became the youngest victim of Covid-19 in England&period;<&sol;p>&NewLine;<p>He died at King’s College Hospital in London and his family said to their knowledge he did not have any underlying health conditions&period;<&sol;p>&NewLine;&Tab;&Tab;&Tab;<div style&equals;"padding-bottom&colon;15px&semi;" class&equals;"wordads-tag" data-slot-type&equals;"belowpost">&NewLine;&Tab;&Tab;&Tab;&Tab;<div id&equals;"atatags-dynamic-belowpost-68ed302201948">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;<script type&equals;"text&sol;javascript">&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;window&period;getAdSnippetCallback &equals; function &lpar;&rpar; &lbrace;&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;if &lpar; false &equals;&equals;&equals; &lpar; window&period;isWatlV1 &quest;&quest; false &rpar; &rpar; &lbrace;&NewLine;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&Tab;&sol;&sol; 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