Implementation of LFD Testing in Workplace Settings
Introduction to LFD testing in workplaces covers foundational principles, steps to set up a testing service for employees, and roles/responsibilities of stakeholders. Employers must ensure testing is adaptable to different settings, observed/supervised, and recorded. The process involves engaging employees, setting up test sites, training staff, ordering test kits, conducting testing, analyzing samples, and notifying results. NCC provides support, guidance, and supplies necessary for testing. Employee engagement, training, and communication are key for successful implementation.
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INTRODUCTION TO LFD TESTING IN WORKPLACES Overview of approach 8 February 2021
OFFICIAL SENSITIVE COMMERCIAL Founding Principles 1 Testing is adaptable to the setting, as long as Social Distancing and safe practice is applied. The Guidebook covers settings of ALL sizes, but settings are all different (e.g. Testing a setting of 5 people is not the same as for one of 250+) 2 All Testing MUST be observed / supervised All results MUST be recorded and registered via the Digital Solution as per the Guidebook 3 4 Employers are to maintain the twice weekly per person regime wherever possible / practical to give the greatest degree of efficiency. 5 We are developing and learning together, in line with DHSC direction and guidance. It is collaborative and we will improve. 6 Further DHSC initiatives and schemes are being developed however we are trying to enable you to Test, ensure the safety of your employees, and break chains of infection in this way NOW. 8
Setting up a test service for your employees will require the following six steps ENGAGE EMPLOYEES SET UP TEST SITE& TRAIN STAFF ORDER TEST KITS & PREPARE FOR TESTING CONDUCT TESTING TESTSAMPLE ANALYSIS RESULT NOTIFICATION & FOLLOW UP Inform your Employees of your testing / test site(s) and its purpose, materials with them, explain the testing process and ask them to provide consent to participate in testing Return accepted legal terms & conditions NCC will supply LFTs in line with your staff numbers NO SPECIFIC ORDERING REQUIRED other than your initial return form. The collected samples are processed and analysed on site in the allocated area, results will be determined on the day share related Receive Guidebook from NCC (future online access upcoming) Identify the space for your testing and set up according to the Guidebook Mobilise staff to perform training (45mins eLearning) , and organise your employees for testing as per Guidebook Set up Digital Sites and Test Operatives on the Results Logging Website (NCC will do this upon receipt of details) Begin testing employees Your consenting employees with receive their results to the contact provide when they register details they 2
Roles and responsibilities are divided as follows: NCC-Supported Test Site Responsibilities Organisation NCC Guidebook with full spatial, workforce and testing requirements Online training and assessment for your Staff Identify and set up testing area/test site Conduct site risk assessment in line with Template supplied, & set up test site and testing regime in accordance with guidance and RA SET UP TEST SITE& TRAIN STAFF ORDER TEST KITS & PREPARE FOR TESTING Your initial return provides NCC with staff numbers to calculate your order PPE will be provided in your order or as part of your standard NCC PPE deliveries as required Provide and fund testkits including PPE EMPLOYEE ENGAGEMENT Engage employees, and explain testing processes Ensure employees undertake online training Provide standard communications pack for employees and medialines, videos/posters and FAQs CONDUCT TESTING Employee self-registers online on their device Move employees through the testing for supervised self- swab Subject registrationportal Test Operatives process the swabs and analyse the LFD results Device and Operative to submit results on Results Logging service and on employer s records Approved clinical protocol (SOP) Web-based Results Loggingservice TESTSAMPLE ANALYSIS Subject notification through T&T Support documentation on Self-Isolation guidance and schemes RESULT NOTIFICATION & FOLLOW UP Employees notified via text or email entered during self- registration, in some instances in person 3 Note: subject to change, Terms and Conditions apply and must be accepted prior to receiving testkits
Your employees will be tested using our validated Lateral Flow Antigen tests The LFD brand currently available in this schemeis: Innova s SARS-CoV-2 Antigen Rapid QualitativeTest 1 Swab 4 Test kit composition Lateral Flow Antigen testing involves the processing of nasal and throat samples witha Lateral Flow device, highlighting a coloured strip on the device to show a positive result 2 Extractionvial 3 1 3 Extraction solution Fast result (20-30 minutes) Outside of a formal laboratorysetting Well-suited for frequent testing of large numbersof asymptomatic people 4 Lateral flowdevice 2 Product Name Innova SARS-Cov-2 Antigen test Sensitivity est. Specificity est. Sample-to- analysisest. Manufacturer TestType Innova has an overall sensitivity of 76.8% for all PCR-positive individuals but detects over 95% of individuals with high viral loads, and minimal difference between the ability of the test to pick up viral antigens in symptomatic and asymptomatic individuals Key Facts InnovaTried & Tested Swab 76.8% 99.68% 20 30mins Register & Swab Process Analyse Log result 1 2 3 4 Negative result: Log result against test ID by scanning the barcode (individual does not have to self isolate) Positive result: self-isolate according to national guidelines if positive Prepare and load ( dropping ) the sample onto the cartridge, conduct proper extraction and wait 20-30 minutes Analyse result against manufacturer IFU andinterpret result as Negative, Positive or Invalid Complete a self-administered throat & nasal swabtest 4 Invalid result:retest
Full documentation and training is available to support you (Further to follow as produced) Introduction Guidebook Online Training Comms pack An overview of asymptomatic testing, including end-to-end testing process, Innova product overview, and roles and responsibilities. Detailed guidance for testing setupand how to operationalise testing in accordance with the SOP, for all types of setting Self-service training and assessment for Operatives (link is in the Guidebook). Operatives receive a certificate to document successful training. Provides helpful messages and materials such as FAQs, sample engagement products, technology explainer, etc. Standard legal terms SOP DPIA Legal agreement with NCC under standard terms and conditions.Signed as part of initial return to NCC Explains the approved clinical procedure and protocol requirements to implement a safe and effective test site. Give to SRO, Counsel, and HSE/Medical Lead Data Protection Impact Assessment Guidance explains the data flows and data protection for the digital solution. 5
Each organisation agrees to accept NCCs Terms and Conditions which are underpinned by the following core assumptions Commercial & Legal Policy 6. The organisation will construct and set up testing environments in accordance with SOP guidelines (including storage areas for tests) for sample collection, analysis, disposal andreporting 1. Testing will not remove requirements to follow all national government guidance on COVID-safe workplaces, such as social distancing 2. Those who test positive, and their close contacts, will need to self isolate as per government guidelines 7. NCC will fund and supply the tests, subject to contractual agreement, for a limited period. All other associated costs will be funded by the employer. Outcomes Operations 8. Test results will be shared with NPEx (National Pathology Exchange) prior to anonymised onward distribution to Public Health England (All Tests registered as per the Guidebook on the portal) 3. Tests must be supervised by staff who will be given suitable training via an online platform 4. Employees will be tested under a schedule of twice weekly. Testing will not be compulsory 9. Under current legislation, employers do not receive results directly 5. Sample materials need to be treated as healthcare waste. Disposalwill take place at the place of test, per SOP & Guidebookrequirements 6 Note: subject to change, Terms and Conditions apply and must be accepted prior to receiving testkits
