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Covid-19 testing in care homes ‘chaotic and sporadic’

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Coronavirus testing in care homes is ?chaotic? with only a small proportion of staff and residents being tested, sector leaders have warned.

Covid-19 testing in care homes is ‘chaotic’ with only a small proportion of staff and residents being tested, sector leaders have warned.

Umbrella-group National Care Forum (NCF) is calling on the government to increase the number of routine tests in care homes from 30,000 a day to 200,000 ‘as a matter of priority’.

Health secretary Matt Hancock made testing available for all care home staff and residents in mid-April. He pledged at Friday’s government press briefing that all care home staff and residents would be tested by early June.

The NCF conducted a poll between 23 April and 14 May of 78 social care members. It found 8% of staff (3,466) 28% of residents (4,619) had been tested for Covid-19, out of 43,152 staff and 16,240 residents.

The organisation concluded testing in care homes was ‘chaotic’ as the survey also revealed most testing results take between 24 hours and six days, but that a large number were returning ‘void’ or ‘inconclusive’ owing to delays in obtaining results or faulty tests.

NCF executive director Vic Rayner said: ‘We are asking for more tests to be made available for care providers to make sure that the government holds to its promise to keep the most vulnerable and those who care for them safe during this pandemic.’

George Coxon, a care home owner in Devon, agreed. He told Nursing in Practice testing ‘feels well-meaning’ but was ‘completely chaotic and variable’.

The invasiveness of the test can cause additional problems in care homes, he added: ‘It requires people to gag and almost be ill. In care homes where residents have advancing dementia, you’re going to have a serious problem on your hands.’

Mr Coxon also raised concerns that the responsibility for testing in his area has been ‘passed around’ between authorities including the clinical commissioning group, the local authority and Public Health England, adding to confusion over how to access tests.

An anonymous care home nurse based in north Wales, where every care home has also been promised access to testing, told Nursing in Practice they believe staff and residents were not being tested often enough.

For example, his colleague tested positive for Covid-19 and was told to return to work after 14 days: ‘Only after constant pestering, another test was done and they were positive still. After 21 days, another test was done and it again came back positive.’

He continued: ‘We feel testing should be done every seven to ten days as we have a lot of positive tests with no symptoms.’

Earlier this week, a Royal College of Nursing survey found just over a third of nursing staff were still under pressure to care for patients with suspected or confirmed Covid-19 without adequate personal protective equipment.

Last week,  in the House of Commons, Labour leader Sir Keir Starmer pointed to government guidance before March that said care home residents were ‘very unlikely’ to contract Covid-19.

Prime minister Boris Johnson accused the Labour leader of ‘selectively quoting’ the guidance.

Care home directors have also told Nursing in Practice that adult social care has not yet faced the peak of coronavirus infections.