Test and Protect - The Scottish Government

Test and Protect
 Social Care Staff – Mental Health and Children and Young people’s community
 services-COVID-19

 LFD Testing
 Webinar pack April 2021

 Coronavirus (COVID-19): social care testing guidance - gov.scot (www.gov.scot)
 CareHomesCPAG@gov.scot
 0800 008 6587 - general helpline for LFD queries

Contents

       This session will provide an overview of the expanded testing pathway and a forum
       to share key questions and any concerns about delivery

      Content
      1. Background – why is testing so important?
      2. Brief overview of testing and supply of kits
      3. Setting up a collection point
      4. Test kit log
      5. What is Lateral Flow Device Testing (rapid test)
      6. Logging of results
      7. Learning and training resources
      8. Undertaking (swabbing) and recording of the test
      9. Q&A next steps and close

Why is staff testing so important?

• Identifies asymptomatic staff who currently have Covid-19 so they are able to self-
  isolate if their result is positive.

• Protects those receiving care from infection passed to them by staff who are confirmed
  positive. It also protects the individual, their families and the wider public.

• Prevents and controls the spread of the virus by identifying asymptomatic cases .

• It is an additional layer of protection – and should not prevent or mitigate the use of PPE
  or infection prevention and control.

• Testing does not change with the roll out of the vaccine – the vaccine does not interfere
  with the covid test and even when staff receive their first and second dose they must
  continue to take part in testing.

Staff testing - kits and dates 1

  Staff Cohort     Start    Supply of tests   Test   Recommended Location/            Recommended
                   date                       type   frequency   delivery             technique
  Mental Health    From 3rd Direct delivery   LFD    Twice weekly   Self testing at   Throat and
  and CYP          May                                              home              nasal swab
  community
  services

Lateral flow testing supplied via Department of Health and Social Care

    Kits sent to providers directly– boxes of 7.
    7 weeks’ supply issued in first place, thereafter services can order new stock via
     Salesforce portal (details will be issued when this is up and running)
    Unlike other social care LFD Tests, these kits have been authorised for use at home

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Staff testing - kits and dates 2

Kits are expected to be delivered by Brakes or Bidfood (depending on existing contracts). A
delivery schedule will be provided to settings. If your setting is closed at the time of delivery,
please ensure that someone is exceptionally onsite to receive delivery, to avoid delays to test
kits being delivered. On arrival, please record the lot number(s) of the test kits delivered.
Please contact the new NHS National Services Scotland, Scottish telephone helpline service 0800
008 6587 if there are any issues

Delivery parcel size
∙ Tests will initially come in boxes of 7 tests for staff (each large carton containing 54 boxes of
   7).
∙ The picture shows an outer case and an example of an LFD 7’s test kit
∙ NB: In addition to a box of test kits there will be a bundle of updated Instructions for Use that
   must be given out with each kit (version 1.3.2)
∙ There will be a sufficient number of kits for two months of testing. You can initially provide 1
   box of 7 testing kits to each member of staff so that they can test twice a week.

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Setting up a collection point

   The collection point does not need any extra infrastructure. However, it must:

   • Be able to be secured to prevent unauthorised access to the test kits

   • Not be outside. The test kits need to be stored in temperatures between 2 and 30
     degrees.

   • Allow enough space for social distancing when handling or distributing test
     kits, etc.

   The member of staff coordinating the handing out of the test kits should wear an
   appropriate face covering at all times and maintain 2m from staff coming to collect their
   test kits.

   Each setting participating in self-testing should undertake a risk assessment prior to
   starting testing and continue to maintain this on their risk register. This should cover risks
   associated with testing, non-reporting, poor uptake, communication etc.

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Test kit log

   When issuing the kits to staff, the issuer must record who takes
   the test kits. This is the Test Kit Log and must include:
   •   Name of setting
   •   Name of person issuing the test
   •   Date of issue
   •   Lot number of test kit
   •   Confirm receipt of new Instructions For Use (IFU)
   • Name of person using the test
   While not a regulatory requirement, the Scottish Government
   also recommends the inclusion of the following field to help
   reinforce the importance of regular testing and reporting, and to
   identify any difficulties in using test kits:                         The Log should be kept for 12 months from
                                                                         the date of the last entries made by the
  •Number of previous tests issued that have been completed              setting. The UK Department of Health and
  successfully, (ii) number that were void, and (iii) have all results   Social Care may from time to time request
  been reported to the NHS via the digital portal?                       that you share this log (or extracts from it)
                                                                         to assist in monitoring and responding to
                                                                         issues with test kits.                          7

What is the LFD test? - 1
A Lateral Flow Device Test (LFD) is a form of rapid testing to identify Covid-19 in individuals.

• The LFD detects a COVID-19 antigen, that is produced when a person is already
  infected. As agreed with the Medical Regulator for social care it must be throat and
  nasal swab.

• Effective for detecting infectiousness in asymptomatic individuals.

• LFDs do not rely on labs for testing and offer faster testing for staff (30 mins)

• Upon testing positive staff member must inform employer immediately, isolate and
  book a confirmatory PCR test.

• Once someone has had a positive PCR test there is no need to resume testing
  (assuming they remain symptom free) for 90 days as fragments of the virus are likely
  to remain. If they do develop symptoms again then they should book PCR test.
                                                                                                   8

What is the LFD test?- 2

A Lateral Flow Device Test (LFD) is a form of rapid testing to identify Covid-19 in individuals.

• Before carrying out their first lateral flow test staff must read the training
  material/Instructions for Use and watch the video.

•   Guidance document: You should read the guidance that is available on the Objective Connect
    document sharing platform. You will soon receive an invitation to join this.

•   https://secure.objectiveconnect.co.uk/login

• Video: Step by step guide to COVID-19 self-testing – YouTube

• Unlike other testing pathways, a supervised first test is not required for this form of LFD testing.

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Logging results (lateral flow) 1

•   We are starting to see data flow/reporting for Lateral flow.
•   Partially complete in many cases which severely limits the usefulness for us nationally but also for
    reporting locally.

• Lateral flow

     • Results (negative, positive, void) should be logged at www.gov.uk/report-covid19-result.
       Important that personal details are filled out accurately including area of work.
     • Select category/job field:
     1. I work in social care
     2. (if available) choose Mental Health/CYP
     3. For job type choose (preferred) Mental Health nurse or
     Youth and Community worker or ‘continue without answering’
     • No results are attributable to individual persons.
     • Data will be only be reported in aggregate terms – which also includes other
       places of work.
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Logging Results 2

To report results using the online portal at www.gov.uk/report-covid19-result
- Users can now create an account to save their information.
- Select “A social care service”
- Then select “I work in social care” for the description of your status- NB: Participants will need to know their
  organisation’s Unique Organisation Number (UON) of their workplace to use the portal. YOU WILL BE SENT THIS.
- If you do not know your organisation number please click “I do not know the UON” and add information manually. If
your setting is not listed, please call NHS National Services Scotland, Scottish telephone helpline service 0800 008 6587 or
email CareHomesCPAG@gov.scot

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Test and Protect
   Part 1 Lateral Flow Device testing (rapid test)

Overview
       Here is a quick checklist for how to use the COVID-19 LFD
       tests. It is really important that you follow these steps in the
       correct order.

 Prepare the test area and unpack your equipment onto a clean and
  dry surface
 Perform a throat then nose swab sample
 Process your sample and wait 30 minutes
 Read and report your result
 Safely dispose of test equipment

Training and Learning Materials – How to swab 1

             Look at Objective Connect for the most up to date Instructions for Use

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Training and Learning Materials – How to swab 2

                                                  15

Training and Learning Materials – How to swab 3

                                                  16

Training and Learning Materials – How to swab 4

                                                  17

Training and Learning Materials – How to swab 5

                                                  18

Training and Learning Materials – How to swab 6

                                                  19

Reporting the results
  If the test result is positive you and your household must self-isolate and
  you cannot go to work. You should arrange to take a confirmatory PCR test
  following Scottish Government guidelines.

If the test result is negative:                      If the test result is invalid:
                                                     Repeat the test with a new test kit.
You can go to work if you have no symptoms of
COVID-19.
If your test result is negative you should not
regard yourself as free from infection – the       No matter what your test result is it should
test could be a false negative – you may also go   be recorded at www.gov.uk/report-covid19-
on to acquire the virus in the period before the   result.
next test. You should remain vigilant to the
development of symptoms that could be due to
COVID-19.

Disposing of your test
     If you are carrying out the test in your own home:
      If your test is negative dispose of the testing equipment in the domestic waste and
        wash your hands using warm water and soap.
      If your test result is positive you should double bag the test equipment including
        the test solution and store safely for 72 hours before disposing in the household
        waste and wash your hands.

     If you are carrying out the test in a service based building:
      Carefully dispose of the test device and equipment and then wash your hands
         using warm water and soap. Do not dispose of in clinical waste (yellow or orange).
      Please see separate detailed guidance regarding disposing of the used tests and
         other waste and consult your local waste operator for removal arrangements.
      Regardless of the test result do not dispose of in clinical waste (yellow or orange
         bags).

Disposal advice may be subject to change based upon future waste disposal guidance.

Q&A, next steps and close

                        What next nationally?
       • Feedback sessions to share updates and learning
       • Monitoring & evaluation of roll out
       • Delivery group feedback with representatives

                    What you need to do next:
       • Complete available training
       • Read the materials pack that we have provided for
         reminders as and when you need them
       • Receive initial delivery of LFD stock
       • Share your feedback with us

Next steps and close

                               Questions

        • Do you have any questions about what was discussed
          today?

        Helpline 0800 008 6587 (9am-5pm)
        CareHomesCPAG@gov.scot

                       Thank you for your time today