Thousands of GPs and nurses are unable to go into work because they are waiting for results from a coronavirus test, it was claimed today.
The mounting absences caused by NHS staff having to self-isolate — which experts first warned about in the Spring — were revealed by the Royal College of GPs in a letter to testing tsar Baroness Dido Harding.
Delays are impacting doctors ability to see and diagnose patients suffering from life-threatening conditions early, potentially threatening their chances of survival. They said the difficulties are impacting rapid diagnoses of life-threatening diseases, such as septicaemia, kidney infections and meningitis.
It comes as separate data today revealed that more than 1.3million days of work were lost in the NHS in England due to coronavirus-related sickness between March and May.
The testing system has come under pressure since demand surged up to four times above capacity as schools and offices returned, leaving possible Covid-19 patients being asked to drive hundreds of miles to get a swab.
Boris Johnson has promised to raise capacity to 500,000 a day by the end of October, but the industry warned yesterday that it is already a ‘few weeks behind’ the Prime Minister’s target due to delays in deliveries.
And the UK’s seven-day average testing capacity has fallen over the last three days, from a high of 230,000 a day on September 18 to 226,000 on September 20.
Thousands of GPs are off work as they wait for a coronavirus test, it was reported. (Stock)
Expressing their concern to Baroness Harding, who heads the Government’s testing programme, in a letter, they said: ‘GPs tell us that they are struggling to access tests for themselves and their teams.
‘As schools and workplaces open, driving demand for both primary care services and testing, we simply cannot afford to have practice staff having to isolate, taking them out of frontline clinical practice. This is particularly important given the expanded flu vaccination programme which many practices started to deliver last weekend.
‘As a priority, general practice must have access to Pillar 1 testing, akin to access for staff in secondary care.’
They added: ‘The difficulties in accessing testing have also had a knock-on effect in general practice as GPs are being inundated with requests from patients struggling to access testing near them. It’s crucial that access to testing is available for patients who need it within accessible distances.
‘GPs should also have rapid access to testing for patients within general practice, where clinically appropriate.
‘GPs will be better able to diagnose other diseases that present similarly to Covid-19, such as kidney infections, septicaemia and meningitis, if they can access testing for patients within general practice.
‘However, this must be alongside significant expansion to testing capacity, and general practice should not be the first port of call for Covid-19 testing, as this would lead to unmanageable GP workload levels.’
The Royal College of GPs (Main office in London pictured) issued the warning and said GPs needed to be prioritised in the testing regime
Matt Hancock has already announced that, in order to manage demand for tests, there will be a prioritisation list, with doctors and nurses placed at the front of the queue.
In a priority list published on September 21 the Department of Health said: ‘While capacity is at a record high, demand has rapidly increased and is currently above these levels.
‘As we look towards winter, we have set out below those who we intend to test, as well as how and why we will test them.
‘The exact allocation of tests across these key areas is dynamic and may change, as it is based on the latest evidence on risk and demand.’
In ranking order this is how tests will be prioritised:
- NHS hospital patients, including all new inpatient admissions
- Care home staff (weekly) and residents (monthly on admission)
- NHS staff
- Surveillance studies to collect data, and targeted testing at high-risk environments
- Teachers who have symptoms
- Members of the public with symptoms in areas with high infection rates
- Members of the public with symptoms in other areas
Mr Hancock said: ‘The testing capacity we have is valuable. And we must together prioritise it for the people who need it the most.’
Testing will also be targeted in outbreak areas and teachers will also be given priority.
Among the wider public, people in areas with high incidence will be given priority.
Speaking in the House of Commons, Mr Hancock said testing capacity was at a record high 253,521 but ‘alongside this record expansion, demand has gone up too’.
He told MPs: ‘We need to prioritise the tests on those who need the most to save lives, protect the most vulnerable and make sure our health and care services and our schools can operate safely.
