Point-of-care testing (POCT) is defined by the MHRA (Medicines and Healthcare products Regulatory Agency) as any analytical test performed for a patient by a healthcare professional outside the conventional laboratory setting. Governing bodies, including the MHRA, the NHS Litigation Authority (NHSLA), the International Organisation for Standardisation (ISO), the Royal College of Pathologists (RCPath) and the Clinical Pathology Accreditation (UK) Ltd. (CPA), have all produced guidelines and standards in relation to POCT. To protect patients and staff, use of POCT devices must therefore comply with these regulations and standards.
The MHRA strongly recommends that the laboratory is involved in the management and regulation of POCT to ensure that quality results are produced.
Description of Service
Our POCT specialty provides management and support for POCT services across several hospital sites in North West London.
The scope of pathology POCT service provision includes (though not exclusively) advice on the appropriateness of POCT, device procurement, device evaluation/verification clinical advice, overseeing of device maintenance, quality assurance, staff training, auditing and overall implementation of the POCT quality management system.
The pathology POCT team provides regular reports to the relevant Trust’s POCT Committee, which has overall responsibility for the service.
POCT devices currently supported by pathology POCT specialty include:
blood gas analysers
blood glucose meter
- blood gas analysers
- blood glucose meters
- urine pregnancy test kits
- Hemocue haemoglobin analysers
- Activated Clotting Time (ACT) analysers
- Activated Partial Thromboplastin Time (APTT) analysers
- drugs of abuse test kits
- automated urinalysis readers, eg. Clinitek urine analysers
- HIV test kits
- RSV test kits
- fetal fibronectin TLiIQ analysers
- thromboelastograph (TEG) analysers
- POCT full blood count analysers
Clinical advice for POCT is available from Prof. Tricia Tan, POCT Specialty Lead and Consultant in Metabolic Medicine and Endocrinology.
General Enquiries and Routine Support
All general enquiries relating to POCT service provision and routine support from 9am – 5.30pm Monday to Friday should be directed to the relevant POCT site leads (contact details below). Alternatively, please contact the POCT Manager.
The POCT specialty is consultant-led and the POCT manager is responsible for the day-to-day management and safe delivery of the service. The POCT manager is supported by five POCT site/ departmental leads.
|Lead clinician, POCT||Prof. Tricia Tan||02083838038/33380||[email protected]|
|POCT manager||Gareth John||020 331 21343||[email protected]|
|POCT lead, St Mary’s Hospital (Blood Sciences)||vacant|
|POCT lead, Charing Cross Hospital (Blood Sciences)||vacant|
|POCT lead, Hammersmith Hospital (Blood Sciences)||Mr Wilbert Gwangwadza||020331 (32446) or mobile 07342062470||[email protected]|
|POCT lead, Chelsea and Westminster Hospital (Blood Sciences)||Mr George Yartey||020331 (55135) or bleep 0143||[email protected]|
|POCT lead, West Middlesex Hospital (Blood Sciences)||Mr George Yartey||0208 321 5930, bleep 337||[email protected]|
|POCT lead, Hillingdon (Blood Sciences)||Esther Bahati||01895 238282|
|POCT lead (Infection and Immunity)||Mr Hitesh Mistry||020331(10173)||[email protected]|
|POCT generic email address||[email protected]|
Out-of-Hours Support (Limited Cover)
5.30pm – 9am Monday to Friday
Saturdays, Sundays and Bank Holidays
Please contact the Duty Biomedical Scientist (BMS) in Clinical Biochemistry at the relevant site.
|St Mary’s Hospital||Duty Biomedical Scientist – 020331 (23752) or bleep 1022|
|Charing Cross Hospital||Duty Biomedical Scientist – 020331 (17004) or bleep 8161|
|Hammersmith Hospital||Duty Biomedical Scientist – 020331 (32113) or bleep 9022|
|Chelsea and Westminster Hospital||Duty Biomedical Scientist – 020331 (55133) or bleep 0143|