Coronavirus: Fewer than one in 50 NHS frontline staff forced to stay at home have been tested

Just 2,000 of NHS frontline staff forced to stay home by coronavirus have been tested to see if they have the disease or can return to work, Downing Street has admitted.

The figure - which makes up only a tiny fraction of the 125,000 frontline staff currently self-isolating - emerged as the government faced mounting criticism for its failure to move to mass testing for Covid-19.

Public Health England medical director Yvonne Doyle told a Downing Street press conference it was hoped to have hundreds of thousands of staff tested “within the coming weeks”.

But ministers were unable to give clear answers on how quickly the antigen tests - which show whether someone has the disease - can be ramped up or when the UK will see the introduction of antibody tests indicating if an individual has been infected and recovered.

Industry figures and scientists questioned ministers’ claims that a lack of chemicals and swabs is to blame for the UK lagging behind Germany, where as many as 70,000 are being tested every day.

Unions issued a joint demand for personal protective equipment (PPE) for all frontline health and social care staff, warning that the lack of kit was “a crisis within a crisis”.

And there were demands for testing to be extended to all care home staff, with one MP claiming there has been rationing of antigen tests showing whether residents have the infection.

The UK’s death toll from the pandemic reached 2,352 as a further 563 patients who had tested positive died in hospital.

Among them were 13-year-old Ismail Mohamed Abdulwahab, who reportedly died alone without his family as he became the youngest victim of Covid-19 in England. And retired doctor Alfa Saadu, 68, died from coronavirus after returning to the NHS to join the fight against the infection. Defence secretary Ben Wallace became the fourth cabinet minister to be hit by the contagion.

NHS England wrote to all hospital trusts ordering them to lift a 15 per cent cap on the number of antigen tests devoted to staff, as it emerged that increased laboratory capacity was not being reflected in the number of tests completed.

The antigen test is regarded as crucial, as it could allow the return to work of thousands of staff currently self-isolating because they or a member of their household has symptoms such as a persistent cough or high temperature.

The cap was blamed for the fact that fewer than 5,000 tests were conducted on Saturday, rising to 8,630 on Monday, at a time when labs have a capacity to complete 12,750 a day.

A new lab devoted to checking swab samples for coronavirus began operations in Milton Keynes as the government struggled desperately to push up capacity.

But Chris Hopson, the chief executive of NHS Providers, which represents NHS trusts, said maximum testing capacity remained “very constrained” and there was “no immediate prospect of mass staff testing”.

Mr Hopson told the BBC that a small sample of tests from NHS staff over the weekend showed only 15% were positive for coronavirus, and 85% could go back to work

He said on Twitter that if existing NHS pathology labs “had unlimited swabs and reagent, there would be enough test machine capacity to process around 100,000 tests a day”.

The Chemical Industry Association expressed surprise at minister Michael Gove’s claim of a shortage of reagents needed for the tests, insisting that they “are being manufactured and delivered to the NHS”.

And government adviser Peter Openshaw of Imperial College London told the BBC: “As far as I know there isn’t a great shortage of supply, so that’s really new to me.”

Asked if it could have been stockpiled in advance, he said: “Potentially, yes.” He criticised “pretty systematic underinvestment in the infrastructure we need to tackle this sort of thing over the past 10 years”

Lincoln University associate professor Colin Butter said that universities and other institutions would have “lots” of kits to extract virus RNA from swab samples on their shelves and several companies were able to supply testing kits to order. It was “not clear” which reagents the government believed to be at short supply, he said.

Dr Al Edwards of Reading University’s school of pharmacy said there could be shortages of individual enzymes, swabs or containers in the current global rush to conduct tests.

But he said: “It’s hard to square the government suggestion that centrally we are running out of chemicals, with the comment this morning from (health secretary) Matt Hancock that local hospitals can use spare lab space to test staff – how can they do this if there aren’t enough reagents to do tests centrally?”

Warwick University’s professor of molecular oncology Lawrence Young said that today’s crisis highlighted a “lack of investment in virology over many years” in the UK.

While Germany had a “more joined-up approach” which had allowed its virologists to produce a diagnostic tests as early as January, Britain’s response suffered from a lack of national co-ordination, he said.

In a joint statement, a group of industry bodies - the Association of British HealthTech Industries (ABHI), Association of British Pharmaceutical Industries (ABPI), UK Bioindustry Association (BIA) and British In-Vitro Diagnostics Association (BIVDA) - said the life sciences sector was mobilising “in an unprecedented way” to make tests available to all NHS staff and patients.

“Inevitably, with the urgent and unprecedented demand for the new antigen tests across the world, demand is out-stripping supply,” they said.

“A balance needs to be struck between rolling out at rapid speed and ensuring testing can be delivered reliably across the UK.”

Issuing their demand for more PPE, unions including the Royal College of Midwives and Unison said frontline staff were being exposed to “unreasonable and unnecessary risk” by inadequate out-of-date kit and some had been threatened with disciplinary action for complaining.

The Royal College of Physicians underscored the importance of PPE support from the government. In fresh guidance to medical workers, the RCP's ethics committee called on frontline staff to “immediately report any instance of being asked to care for patients without PPE to their clinical director".

Meanwhile, Hove MP Peter Kyle wrote to Boris Johnson to demand testing and adequate PPE for all social care workers to protect residents of care homes.

Mr Kyle told the PM that he understood homes were being rationed to five Covid-19 tests each, and warned conditions were “nothing short of a petri-dish that spreads infections”.

“Bluntly speaking, when Covid-19 enters a car home with residents living into extreme old age, it will likely kill those it infects,” wrote Mr Kyle.

“There is only one strategy therefore to protect residents and that’s to stop the virus entering care homes at all.”

Speaking at the 10 Downing Street press conference, business secretary Alok Sharma said increasing testing capacity was “absolutely the Government’s top priority”.

“We’re now at 10,000 tests a day, we’re rolling out additional networks of labs and testing sites,” said Mr Sharma.

“And in terms of PPE, over the last two weeks 390 million products have been distributed. And of course we will continue to do more and work to make sure that PPE is available.”

Read more

When can we really expect coronavirus to end?

Everything you need to know on supermarket delivery slots

The dirty truth about washing your hands

Which countries around the world has coronavirus spread to?

Listen to the latest episode of The Independent Coronavirus Podcast