Daily Mail - 04.03.2020

(Nancy Kaufman) #1
Daily Mail, Wednesday, March 4, 2020 QQQ Page 

By Sophie Borland
Health Editor

UK’s fate in your hands ... not just Her Majesty’s


Check that spots


illness instantly


‘locally manage their resi-
dents’, rather than referring
them to hospital.
They must also put ‘infec-
tion control measures’ in
place to ensure the virus
is not brought into care

homes by a member of staff
or visiting relatives.
An NHS spokesman last
night pointed out that it has
been on a Level 4 alert for at
least a month since cases
started escalating in China.

THE NHS is restricting coronavirus
testing and even turning away
patients who have suspicious symp-
toms, a senior GP has warned.
Dr Ali Joy said members of the public
who suspect they have the potentially
deadly disease were calling the NHS 111
helpline to try to arrange a test, only to
be told they did not need one.
The GP, who practises in Chelsea, west
London, said she was ‘concerned’ the
‘rigorous checklist’ being used by the
111 call centre staff to decide who gets
tested may be overly restrictive.
She said she had tried to arrange a
test for an 18-year-old with cold-like
symptoms who had just returned from
northern Italy – the worst-affected
country in Europe – and was told ‘cate-
gorically’ that he would not need one.
The NHS announced last week that it
would be rolling out home testing for
coronavirus in a bid to stop people going
to crowded A&E units and infecting
others around them. Individuals with
suspicious symptoms are told to call 111

111 callers


‘told they


don’t need


virus test’



and an adviser will decide if they
need a test. If it is deemed neces-
sary, they will arrange for a nurse or
paramedic to visit their home.
But Dr Joy, pictured right, said in
Chelsea there were just three nurses
carrying out the tests for the whole
borough and they were allowed to
do a maximum of 36 a day.
She said: ‘Everybody in the medi-
cal community knows that NHS 111
doesn’t work for coronavirus testing


  • it’s just simply not working.
    ‘They have this rigorous checklist
    where they have the dangerous
    countries and the symptoms. If you
    don’t fit absolutely into that box,
    they don’t even take your name. It’s
    almost impossible to get testing.’
    Referring to her experience of try-
    ing to arrange a test for the 18-year-
    old through NHS 111, she said: ‘This
    is a real issue. His mother had tried,
    her GP had tried, I tried, the school
    had tried. So four people had tried


and he was refused a test. He had
been through north Italy and he
had symptoms and he was refused a
test. NHS 111 don’t give you a rea-
son, they just say the symptoms
aren’t sufficient enough. I was told
categorically he doesn’t need testing.’
She said another patient with a
bad fever and a cough who had
just flown back from Johan-
nesburg in South Africa had
also been refused a test.
Although South Africa has
not yet reported any
cases, it has a large Chi-
nese population and
e x p e r t s b e l i e v e t h a t
some patients may have
the disease undetected.
Dr Joy also warned that
some hospitals did not
yet have coronavirus
isolation pods, which
are meant to enable

patients to be tested away from
crowded A&E units, including the
Royal Brompton and Harefield hos-
pitals in central London. And she
also believes that when someone
tests positive for the disease, the
NHS is not properly tracing all those
who may have come into con-
tact with the patient and
potentially been infected.
The NHS said it had
ploughed £1.7million
into the 111 service to
offer more corona-
virus advice over the
phone. A spokesman
added: ‘Guidance on
which patients are eligi-
ble for home testing is set
by experts at Public Health
E n g l a n d , a n d a l m o s t
14,000 people have been
tested for coronavirus
in the UK so far.’

A BREATH test that instantly
spots patients with coro-
navirus has been devel-
oped by British scientists.
They say it could be used
to screen people in air-
ports, GP surgeries, phar-
macies or ambulances to
give instant results.
The technology, devel-
oped at Northumbria Uni-
versity in Newcastle, needs
further testing but experts
say it could change the
ways the virus is spotted.
Currently coronavirus is
tested using a cheek swab
which is sent off for analy-
sis at a Public Health Eng-
land lab, which takes
between 24 and 48 hours.
The new test spots bio-
logical information in
breath which can identify

diseases. People simply
breath into a device simi-
lar to a breathalyser used
by the police.
Although diagnosis from
breath sampling has been
used before, previous
methods have not been
reliable enough due to
contamination, loss of the
sample and issues of vari-
ability in breath analysis.
But the device devel-
oped in Newcastle has
solved these problems so
data collected closely
matches results from lung
samples taken surgically.
Researchers hope the
technology could eventu-
ally be used to diagnose
lung diseases, diabetes,
cancers and liver and
brain problems.

Hospitals to shift


‘bed blockers’


HOSPITALS will be cleared
of so-called ‘bed blockers’
if the coronavirus spreads
seriously, health bosses
indicated yesterday.
Those who no longer need
intensive medical treat-
ment will be shifted from
hospital wards to make
room for patients with the
virus under the Govern-
ment’s ‘action plan’ to deal
with the outbreak.
Mostly elderly and frail,
those who need help with
everyday living rather than
treatment will be moved
back to their homes and
given care there, it said.
However, this will increase
pressure on the social care
system, which is expected
to come under strain if
coronavirus begins to affect
large numbers of people.
Health Secretary Matt
Hancock said the threat of

illness among those run-
ning care homes and pro-
viding care at home was ‘a
potentially big challenge’.
He said there would be a
call for volunteers and a
programme to bring back
qualified social care staff
who have left the industry,
i n t h e s a m e w a y t h a t
retired doctors will be
recalled to the NHS.
Speaking on BBC Radio
4’s Today programme, Mr
Hancock also called on
people who develop coughs
not to visit elderly and vul-
nerable relatives.
The move to end bed
blocking if coronavirus
develops into a crisis was
disclosed in the action plan
published yesterday by Mr
Hancock’s Department of
Health and Social Care. At
any one time it would affect
as many as 5,000 people.

can live on some surfaces
for hours. Wash your hands
more often.’ The adverts
tell patients: ‘Use soap and
water for 20 seconds or
hand sanitiser.’
The adverts also urge the
public to wash their hands
when they arrive at work or
at home in the evening. They

must do the same before
preparing or eating food,
including snacks. Mr Han-
cock said: ‘We all have a role
to play in stopping this dis-
ease. Washing hands regu-
larly is the single most
important thing that an indi-
vidual can do. Public safety
remains our top priority.’

Wendy Craig but not at an investiture last November

NHS ON HIG H EST ALERT

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