1/n
I have noticed a flurry of 'us and them' tweets (great Floyd track BTW) around NHS Accredited labs versus uni labs and there roles and value in #COVID testing
2/n (their*!)
These are unusual.times and normal business can't resume yet. Some of ya are old enough to remember, and worked in, PHLS labs pre-accreditation.
3/n
For example, fond memories of HIV serology test confirmation: an in-house HIV-IIIB/H9 immunofluourescence test. In house standard positive and negative sera for QC. Worked brilliantly. No external people needed. No bad tests
4/n
Asking students at Milton Keynes, or Universities to pitch in is merely acknowledgment of the scale of the problem we are facing. To get out of lock down, and not be immediately plunged into it again, will need infection control and that will need community testing
This is something we have failed to do. Now here's the point that people might not want to hear. But here goes.
6/n
Let's imagine you entrust your community testing to ill-trained maverick universities. (They are not by the way. They are very skilled scientists able to follow a standard operating procedure produced by even more capable NHS colleagues.)
7/n
And let's imagine worse case scenario they are only 80% accurate (they won't be I assure you. They are skilled people)
8/n
Then that level of accuracy is OK for infection control purposes at the population level. Because to bring the outbreak to an end. You don't need to stop every transmission chain.
9/9
But of course. I am confident that with the guidance of NHS diagnostic teams, accuracy will be very much higher. We are all in this together and together we will get to a solution.
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