Changes to Covid-19 testing come into effect

Most symptomatic nurses and other healthcare staff in England are no longer being tested for Covid-19.

The changes came into effect at the weekend and were announced by the UK Health Security Agency (UKHSA).

The organisation said the changes had been brought in to ensure testing continues to focus on those at highest risk, enables appropriate clinical treatment and supports the management of outbreaks in high-risk settings including health and social care.

The changes will be set out in detail in guidance for those working in NHS, social care and high-risk settings.

It means that routine testing will end for the following groups and settings:

·       routine asymptomatic testing, including testing on admission, for staff and patients across all health and social care settings including hospitals and care homes – the majority of this testing has already been paused since August 2022

·       routine symptomatic testing of staff and residents in care settings – routine symptomatic testing will also end in other settings including prisons and places of detention, homelessness and refuge settings and asylum settings

·       all PCR testing outside NHS settings

Testing will continue for the following groups, using LFD tests:

·       people in the community and residents in care or other high-risk settings, if they have symptoms and are eligible for COVID-19 treatment, to enable rapid access to treatment

·       some NHS staff with symptoms working on inpatient wards with severely immunosuppressed patients

·       staff with symptoms who work in hospices

·       all patients being discharged from hospitals into care settings

·       outbreak testing in the NHS, care settings, hospices, including prisons and places of detention, homelessness and refuge settings and asylum settings

·       some hospital patients with symptoms, where needed to inform decisions such as ward transfers.

PCR testing will continue to be used by the NHS for diagnosis where needed for patients before accessing COVID-19 treatment or for specific personal clinically directed care.

The UKHSA said capacity will also be retained to ensure testing can be scaled up swiftly if a Covid-19 wave, or a new variant, results in significantly increased pressure on the NHS.

Dame Jenny Harries, Chief Executive of UKHSA said: “Fewer people now experience severe illness due to COVID-19, due to vaccinations, infection-related immunity and treatments for those who need them and the risk of hospitalisation has decreased overall.

“This means we are now able to further bring our testing programmes in line with management of other viral infections whilst still maintaining focus on those at highest risk to protect them from the virus.

“COVID-19 and other respiratory illnesses haven’t gone away and simple actions, like washing your hands and staying at home and avoiding vulnerable people when unwell, can make a big difference.

“For those at highest risk of severe illness, the spring booster programme also provides an opportunity to keep immunity topped up.”

Further guidance about COVID-19 testing will be published in due course.

The NHS COVID-19 app, which alerts close contacts of a positive case and provides the latest health advice about the virus, will close on 27 April 2023 and current users will be notified of this through the app.

Scientists at the University of Oxford and University of Warwick have estimated that the app prevented around 1 million cases, 44,000 hospitalisations and 9,600 people dying during its first year alone.

The knowledge, technology and lessons learned from the app will be used to help inform planning and response to future pandemic threats.