Coronavirus testing for staff

A new way of testing staff for Coronavirus using saliva has been rolled out across Lancashire and South Cumbria. The Government has asked NHS Trusts located in areas with high infection rates to put arrangements in place for the testing of all staff (twice a week from 20 Septmber 2021.) The aim is to reduce the spread of the virus in hospitals and care areas to keep our staff and patients as safe as possible.

Why you need to get tested

Some people can have the virus without symptoms (asymptomatic) and pass it on without knowing. We need to reduce the risk of this happening across NHS services, therefore all patient facing employees will be required to get tested twice a week.

If you are currently working in the NHS in this area, in a patient facing role and feel well, you need to get tested.

Every effort is being made to make the process of testing as quick, easy and pain free as possible for you. Work is progressing at pace to make saliva testing available to all Trusts across Lancashire and South Cumbria. You will be notified when this method of testing is available to you. In the meantime, please refer to the local arrangements that your organisation has put in place or find further guidance to testing.

How to get tested

An app is now live for download which will enable you to process your test quickly and easily. You will need to go through a quick registration process to sign up and download the app – you only need to do this once. Please visit Nexus Intelligence (opens in a new window) to register and download the app. Click here for further guidance on how to do registration. You may register and download the app to your device but please do not start using the app until you have test kits and are ready to provide a sample. You will be notified when this method of testing is available to you.

If you aren’t a techy person, or you don’t have a phone or tablet don’t worry, please follow the steps to register your details on Nexus Intelligence website (opens in a new window) (you can do this on a computer at work) and there will be ‘super-users’ amongst your colleagues who will help you to do the rest.

 

Click here to watch a short video that takes you through the steps of registration (opens in a new window).

If you experience any issues during the registration process, the Referral Management Centre team can help you. They can also support you with:

  • Downloading the app to your phone/tablet
  • Finding your NHS number
  • Following up results

You can email the team, just remember to include your full name, a contact number and an explanation of the issue. The team will respond to your email with a solution, or call you if necessary.

If your query is urgent please call 01772 325100 and select Option 3.  Calls will be dealt with as quickly as possible or a call back will be arranged. The team is available Monday to Friday from 8am to 6pm.  

Android users, please ensure you are using version 4.6.2 of the app. 

The LAMP COVID-19 Testing - Joint Privacy Notice can be found here.

Before you get started

  1. You need to pick up a testing kit.These are being made widely available across all sites that are taking part. Pick up a good supply of these kits so that you have one to hand for several weeks.

  2. You will need your NHS number. You can get this from a prescription, an appointment letter, the MyGP app, the MyNHS app or by following this link (opens in a new window). It is important that you check the NHS number that is returned for you during the registration process is correct.

  3. You will need the login details that you use in work, your username and password.

When you can get your saliva test

Saliva testing is being rolled out gradually to all hospital trusts in Lancashire and South Cumbria, North West Ambulance Service and Lancashire and South Cumbria NHS FT as the main provider of mental health and community services in the area. Please find your Trust on the list below to see when saliva testing will be available to you and your colleagues.

Blackpool Teaching Hospitals

Available 

Lancashire Teaching Hospitals

Available 

East Lancashire Teaching Hospitals

Available 

University Hospitals Morecambe Bay

Available 

Lancashire and South Cumbria NHS FT

Available

North West Ambulance Service

Available 

Other providers delivering local services

Please refer to local arrangements in your Trust for now.

 

 

Do the test when it is most convenient for you but remember, the fresher the sample the better.

You might want to do the test before you leave home to start a shift, you can then drop the sample off on your way in. Ideally, aim to drop the sample as quickly as you can after doing the test and it will be picked up shortly after.

Please avoid doing the sample and leaving it for hours before dropping it off. This could give you an inconclusive result and you would have to repeat the test.    

The sample pots provide a ‘fill line’ and you need to make sure that you put enough saliva in to reach the line. The laboratory cannot do the test on samples that contain phlegm or sputum so please try and make sure your sample is clear to avoid it being rejected and you having to retest.

Do not eat, drink or smoke for 10 minutes prior to collecting the sample. Samples need to be collected prior to any oral hygiene being carried out. So please don’t brush your teeth or use mouthwash prior to giving your sample.

Please note that new Drop Zones will be added all the time, so please check back.

If you work across sites you can deposit your sample in any Drop Zone. 

Blackpool, Fylde and Wyre

  • Scrub Hub (BVH)
  • Halo – A&E Entrance (BVH)
  • Oliver’s Restaurant (BVH) 
  • Outpatients Department (BVH) 
  • Women and Children's Reception (BVH)
  • Ambulance Crew Entrance, A&E (BVH)
  • Cardiac Reception (BVH)
  • Pathology Reception (BVH)
  • Cleveleys Health Centre
  • Lytham Primary /Health Care Centre
  • Moor Park Health and Leisure Centre
  • Poulton Clinic
  • QVC Site - Queen Victoria Centre
  • South Shore Primary Care
  • St Annes Primary Care Centre
  • Blackpool Stadium
  • Thornton Health Centre
  • Whitegate Health Centre
  • Fleetwood Hospital
  • Freckleton Health Centre
  • Garstang Medical Centre

Central and West Lancashire

Royal Preston Hospital 

  • Main Entrance (Blue Street)
  • Gordon Hesling Entrance (Green Street West)
  • Green Street East (St Clare’s Entrance)
  • Rosemere Cancer Centre Entrance
  • Sharoe Green Unit Entrance

Chorley Hospital

  • Main Entrance
  • Preston New Road Entrance
  • ATC Entrance
  • Old Chorlies Restaurant Entrance

Colleagues that are using the drop-bins at these hospital sites can park in the visitors car park for 30 minutes. You do not need to go to any pay point to add your car registration.

Preston Business Centre:  Front Foyer Entrance (Garden side not car park)

East Lancashire and ​​Blackburn with Darwen

Royal Blackburn Hospital

  • Main entrance (level 1) 
  • Pharmacy entrance (level 1) 
  • Grane restaurant (level 2) 
  • Park View offices 
  • UCC 
  • Emergency Department (side entrance level 1) 

Burnley General Hospital 

  • Women's and Newborn Centre 
  • Phase 5 entrance 
  • Old outpatients 
  • Edith Watson 
  • Edith Watson (bottom entrance/exit) 
  • Fairhurst Building 
  • Wlson Hey 
  • UCC 

Satellite Sites 

  • Accrington Victoria Hospital (main entrance) 
  • Clitheroe Community Hospital (main entrance)  
  • Pendle Community Hospital, Nelson (main entrance)
  • Rossendale Primary Health Care Centre (main entrance) 
  • St Peters Centre, Burnley (main entrance) 
  • Barbara Castle Way Health Centre, Blackburn (main entrance) 

North West Ambulance Service

  • NWAS Manchester and 111 Service - Top Floor, Sefton House, Horwich 
  • NWAS Broughton 
  • NWAS Estuary Point, Liverpool 
  • NWAS Carlisle, Salkeld Hall
  • NWAS Fylde Coast, Blackpool Ambulance Service on Waterloo Road 
  • NWAS East Lancashire, George Street West 
  • NWAS Greater Manchester, Robin Park Road, Wigan 
  • NWAS Greater Manchester, Ladybridge Hall, Chorley 
  • NWAS Cheshire and Merseyside, Church Road, Formby 

Lancashire & South Cumbria Foundation Trust

Central & West 

  • Chorley District Mental Health Inpatient
  • Chorley District Perinatal Unit
  • 16 Euxton Lane
  • 18 Euxton Lane
  • Adlington Clinic
  • Bamber Bridge Clinic
  • Buckshaw Health Centre
  • Chorley Union St Offices
  • Charnley Fold House
  • Chorley Health Centre
  • Coppull Clinic
  • Leyland Clinic
  • Leyland House
  • Lingmell House
  • Pathways
  • Penwortham Health Centre
  • Ribble House
  • Sceptre Point
  • Shawbrook House
  • Westfields
  • Wordsworth Terrace
  • Ashton Health Centre
  • Astra Park - medical records
  • Avondale Unit (CRF, MHUAC, Skylark)
  • Brookfield Clinic
  • Ellen House
  • Fulwood Clinic
  • Geoffrey St Health Centre
  • Guild Lodge Mental Health Inpatient
  • Parlick Centre
  • Lantern Centre
  • 93 Garstang Rd - Learning Disability Service
  • Longridge Community Hospital
  • Minerva Health Centre
  • Oxford Annex
  • Preston Healthport
  • Ribbleton Clinic
  • Ringway Dental Centre
  • West Strand House
  • Birleywood Health Centre
  • Brookside Residential Centre
  • Burscough Health Centre
  • Hants Lancs Clinic
  • Hillside Health Centre
  • Ormskirk DGH - Bickerstaff House
  • Ormskirk DGH - Child Development Centre
  • Ormskirk DGH - SIPU

Fylde Coast 

  • Dock Street - Fleetwood
  • Lytham EMI
  • Mountcroft Resource Centre
  • Shorelands
  • The Gateway
  • The Harbour
  • Whitegate Drive Health Centre
  • Woodlands

Pennine Lancashire 

  • Barbara Castle Way
  • Bridge House
  • Daisyfield Mill
  • Darwen Resource Centre (1st Floor)
  • Royal Blackburn Hospital - Pendleview
  • Royal Blackburn Hospital - Hillview
  • Darwen Health Centre
  • Gannow Lane
  • The Mount
  • Oak House Dental
  • Burnley Wood
  • Balladen House
  • Pendle House
  • Acorn Primary Care Centre
  • Bacup Primary Care Centre
  • St Peters Centre
  • Shadsworth Children's Centre

The Bay 

  • College House
  • Duddon House
  • Fairfield Clinic
  • Dane Garth - Barrow-in-Furness
  • Kinta Annex
  • Westmorland General Hospital - (Garburn)
  • Barrow in Furness General Hospital
  • Murley Moss - Kirkstone House
  • Murley Moss -  Honister House (LDNP)
  • Alfred Barrow
  • Altham Meadows
  • De Vitre
  • The Orchard
  • North and East barn
  • Ross Children Centre
  • The Cove
  • Victoria House
  • White Cross Cameron
  • Willow Lane
  • Longlands Child Development Centre

Gold Command 

Jubilee House, Leyland 

Pathology Collaboration 

Croston House, Leyland 

North Lancashire and South Cumbria

Details coming – please check back


 

Watch this video about how to give a good sample: 

Results

The aim is to provide your results 24 hours from you dropping off your sample.  

If you get a positive result

Your line manager and occupational health services will be notified (if you consented) and will contact you to offer support. They will also alert any colleagues and patients that you have been in contact with so that they can take the necessary steps. You will also need to isolate and notify any friends, family and others that you have been in contact with.

Find the latest guidance on isolation (opens in a new window) along with self-care information to follow if you start to feel unwell. You will be advised on when to test again.  

 

Negative result – you will be asked to repeat the test again as per your usual pattern.

Inconclusive result – you will be asked to repeat the test as soon as possible.

 

About the technology

The technology being used to do the testing is known as LAMP (Loop-mediated Isothermal AMPlification). It is designed to test samples of saliva. One machine and one 8 hour shift of staff can process more than 1000 samples.  

Thank you to our partners

A multi-agency task team was set up in response to the Government’s requirement to test the whole frontline workforce. There has been a fantastic response from partner organisations to get this in place to support the NHS locally. The University of Central Lancashire has provided state of the art laboratory facilities and a highly skilled workforce comprising bio-medical students and other experts to do the testing. Local military liaison officers provided expertise in planning the set up and logistics and the Centre of Defence Pathology have played a key role in providing specialist bio-medical training. The input of these partners has been pivotal in establishing the testing programme at the pace and scale required. NHS providers from across the county have worked together tirelessly to deliver this programme of work and the Lancashire and South Cumbria Pathology Collaboration has formed a key part of the project team as well as providing essential clinical oversight.

Please check the FAQs for any additional information that you need. If it isn’t covered please go to ‘Contact Us’ to get in touch.

Why are we being asked to do this?

Coronavirus continues to have a massive impact on our lives and we need to do everything we can to stop the spread especially in our hospitals and frontline services during the winter months. Some people can have the virus without feeling unwell or displaying any symptoms (asymptomatic) and this can result in the virus spreading. The Government has asked those areas where there are high rates of infection to put measures in place for testing patient facing NHS staff (twice a week from 20 September.) Lancashire and South Cumbria was identified as one of 11 areas nationally to roll this out. 

How is the testing being done?

The technology being used is known as LAMP (Loop-mediated Isothermal AMPlification). It is designed to test samples of saliva. One machine and one 8 hour shift of staff can process more than 1000 samples, and we are setting up 6 machines as soon as we can. A laboratory has been set up at the University of Central Lancashire and will be staffed by bio-medical scientists and students with the right training and safeguards. This will take the pressure off NHS pathology labs which are already working at maximum capacity due to the pandemic.

How do I get a saliva test?

Initially this invite could come via your line manager or the testing lead for your organisation and they will give you clear guidance about what to do. Going forwards, we will be using an app to send notifications to employees to get tested (after you have provided your first sample.) So please get registered and download the app as soon as you can so that you are ready. 

How do I download the app?

There are a few steps to take to get everything set up first of all. It won’t take you long and this only needs to be done once, then you are set up for all future tests. Please visit Nexus Intelligence (opens in a new window) where you will be asked to register your details  -  to do this you will need to have your NHS Number handy.  As part of the registration process you will receive instructions about how to download the app onto your phone or tablet. 

If your organisation has put the app on your work mobile phone or tablet you still need to complete registration or it will not work. You can watch a short video about how to complete registration at www.youtube.com/watch?v=dTjpPqmMs-c&feature=youtu.be

If you experience any difficulties with registering or using the app, help is available by emailing healthierlsc.spititout@nhs.net (please give your name, contact number and summary of the issue) or for urgent queries call 01772 325100 (Option 3.)

The app is asking me to enter a pin code, what shall I do? 

When the app is asking for this, it requires you to type in 55. Or you can re-scan the QR code that you used when you registered. This is pictured below  and you can also find this on the NEXUS Intelligence website (opens in a new window). 

QRLAMP.png

The test requires me to provide my NHS number – how do I get that?

Your NHS number can be found on prescriptions, appointment letters and apps like MyGP and MyNHS. You can find your NHS number here (opens in a new window). 

What if I don’t have a phone/tablet or don’t want to use the app?

You can still get tested. There are ‘super users’ of the app in each area who can process the test for you by using their work phone to log your sample. You will still need to do the registration part of the process first before you can go through the next stages of having the test – but again the ‘super user’ can help you with that.

When I first registered to use the app I opted to only administer to myself. I now want to be able to administer to someone else, how do I change this?

You can do this on the Nexus Intelligence website. Login to the site with the user name and password that you use for work. Click ‘My Content’ then ‘Apps’ then ‘HiPres Administrator.’  Click on ‘Training’ on the left hand side then scroll down to the section ‘Update Access Level.’ Select ‘I will potentially be testing myself, other staff members or any patient using this application.’ Click submit. You will now be able to test others aswell as yourself or even act as a Super User in your Trust.

Can all staff get the saliva test?

Saliva testing is now available to all NHS staff working in provider organisations within Lancashire and South Cumbria. The testing has also been made available to staff working for North West Ambulance Service (NWAS) and some partner organisations.   

How will I know when the option to have a saliva test is open to me?

If you are in the first cohort of employees to be tested your line manager will let you know that you are able to take the test. In the meantime, please refer to the local arrangements that your Trust has put in place for testing.   

How often do I need to get tested?

In line with national guidance, from 13 September 2021 all staff who attend care homes as part of their role will be required to test twice a week.  From 20 September 2021, all staff who are registered on the saliva testing programme will be asked to take a saliva test twice a week. This aligns the guidance for saliva testing to the national testing frequency that is in place for lateral flow devices to reduce confusion amongst sectors by applying a consistent approach.  Increasing the frequency of testing may also help to reduce the risk of transmission of the virus as we move into the busy winter period. This will help us to keep our care areas safe as you can have the virus and pass it on even when you do not have symptoms.    

Where can I get the testing packs from?

Packs will be widely available within your workplace. We have asked all Trusts to provide details of where to collect testing packs from and will share this on these pages along with details of drop zones (if provided by Trusts.)  You may want to get a supply of saliva testing packs to see you through several weeks/a few months.  

How much spit do I need to provide?

The sample pots provide a ‘fill line’ and you need to make sure that you put enough saliva in to reach the line. The laboratory cannot do the test on samples that contain phlegm or sputum so please try and make sure your sample is clear to avoid it being rejected and you having to retest.

My mouth is quite dry. How can I make sure I have enough saliva to do the test properly?

To provide a good sample, relax and take your time. To encourage saliva production, you can rub the inside of your cheeks with your tongue and/or gently massage your cheeks.

To help produce enough saliva, imagine you are eating or move your mouth as though you are chewing. This will help the build-up of saliva. Tilt your head forward to allow the saliva to collect in the front of your mouth. Spit into the collection pot without coughing saliva from your throat.

Do not eat, drink or smoke for 10 minutes prior to collecting the sample. Samples need to be collected before any oral hygiene being carried out. So please don’t brush your teeth or use mouthwash. 

When should I do the sample?

Early adopter sites will be guided though this. Going forwards, do the test when it is most convenient for you. This might be before you leave home to start a shift, you can then drop the sample off before you start. It does need to be as fresh as possible so please consider this and drop it off as quickly as you can – don’t leave it in your car for hours/over a full shift and then drop it off later as it is likely to give an inconclusive result and you will have to repeat the process.

Where are the Drop Zones?

Local arrangements will be put in place initially. Please ask the people who are supporting the testing in your work area.

If you travel across multiple sites you can deposit your sample at any Drop Zone at any site. The app will ask you where you want to drop your sample. If you change your mind and drop it somewhere else, it doesn’t matter.   

If provided by Trusts, details of drop zones will be made available within this website. 

How do I get the results and how quickly?

The aim is to notify you 24 hours from you dropping off your sample. Therefore, in the event of a positive result, immediate action can be taken to support you.

What if I want to receive my results alert to my mobile phone and not my email?

On the NEXUS Intelligence registration, leave the email address blank and just add your mobile phone number – results alerts will go to your phone.

What do I do if I get a positive result?

Your line manager and occupational health services will be notified (if you have consented to this) and will contact you to offer support. They will also alert any colleagues and patients that you have been in contact with to take the necessary steps. You will need to isolate and notify any friends, family and others that you have been in contact with. You can find the latest guidance on isolation here (opens in a new window) along with self-care information to follow if you start to feel unwell.  

People who have tested positive should be exempt from routine re-testing by LAMP within a period of 28 days from their initial illness onset or test (if asymptomatic) unless they develop new COVID-19 symptoms. This is because fragments of inactive virus can be detected after a person has completed their isolation period and is no longer infectious.

Please note, a negative test result does not exclude Coronavirus infection and there is a chance that you may be infectious. Continued compliance with current infection control guidelines is required.

What if my sample gets lost?

The chance of this happening is low as each test has an identifier that is personal to you. If you have used the app to submit a test the lab will be expecting your sample. You will be notified if it is not received. In this event you will be asked to do the test again.

What if the test does not give a result?

If the sample is not big enough, fresh enough or if it has phlegm in it, it may not be possible to get a conclusive test result. If this happens you will be notified and asked to do the test again. 

What if I don’t want to have the test?

You have the option to not take part in the testing.  However, it is something that we are urging all staff to do.  There is a significant number of people who carry the virus without symptoms and they do not feel unwell. So there is a risk that if you work with patients and closely with other team members, you could spread the virus to them without knowing. The more we can control the spread, the better chance we have of protecting each other and our NHS. 

How long do we have to carry on with testing?

The testing programme will continue to evolve depending on the need locally and nationally.  As long as the virus is around we will need to keep up a concerted effort to reduce the spread and testing is a crucial part of doing this. 

Will it really make a difference?

Yes! Any steps we can take to reduce the spread will make a difference. If you have the virus and do not know you could pass the virus on many times during the course of a working day. If a positive result is identified, action can be taken immediately to reduce the risk of it being spread further. We know that repeat testing can be troublesome – that’s why we are trying to do this via an app and make as easy as possible and widely available to as many people as possible. Offering a test that uses saliva instead of the nose/throat swab will hopefully mean that more employees will get the test which will help to reduce the spread.    

How effective is saliva testing in detecting coronavirus?

The Loop-mediated Isothermal Amplification (LAMP) test is helpful in detecting individuals who have no symptoms, but who could infect others. The LAMP can detect 95/100 individuals when there is a significant amount of the virus present in saliva.

How is this being funded?

The Department of Health and Social Care have provided funding so that extensive testing can be carried out in those areas where there are high levels of infection. 

Do I have to have a swab test and saliva testing?

Once you are registered for the new method of saliva testing this will replace the need for you to have the swab test. You will be asked to have a saliva test twice a week. Some organisations may ask you to do a swab test in the event of a positive saliva test.   

Can my family have the saliva test?

At this stage, the saliva test is being made available to NHS employees. If you have a family member that needs a test, please click here to find out what they need to do.

I was able to register but can’t log in anymore?

Please raise this with your testing lead.

I am not able to register and getting an error message that there are duplicate accounts.

This has happened because the username of your account was not unique across the multiple NHS organisations participating in LAMP.  A fix has been implemented to ensure that the system no longer relies on usernames being unique which will stop any further occurrences.  At this time you will not be able to register until the system is upgraded which will be completed by Autumn.  In the meantime, please ask one of your super users to administer the test for you. If you aren’t sure who they are please contact your Covid testing lead.    

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