Almost 200,000 Covid-19 tests are going unused EVERY DAY

A top scientist has called on the NHS to expand its list of Covid-19 symptoms after it emerged almost 200,000 tests for the virus are going un-used every day.

Only those suffering the three key symptoms – a new, continuous cough, high temperature and loss of taste and smell – are eligible for a test, according to the Department of Health.

But Professor Tim Spector, whose team was the driving force behind getting the third symptom formally recognised as a warning sign, said the extra capacity means the list can now be expanded to pick up those in the early stages of infection. 

He told MailOnline it currently diagnose 85 per cent of infections in those aged between 18 and 65, but this is often in the later stages. It can also struggle to identify infections in the elderly, who are more at risk.

To help pick up infections in the early stages, he said skipping meals and fatigue should both be added to the list, alongside an unusual skin rash. ‘Those seem to be the most specific,’ he said.

Government figures reveal it had the capacity to complete on average 190,000 tests more a day than were done over the seven-day spell to November 17. And in the week before more than 200,000 were not used. 

There has been pressure for the Government to start swabbing all NHS employees weekly – but this would require capacity for 1.4million swabs.

Care home workers, people living or working in Liverpool and those going into a hospital can get a Covid-19 test even if they don’t have symptoms. Home carers will also be able to get weekly tests if they have no symptoms from Monday. 

The UK has almost 200,000 Covid-19 tests going un-used everyday, according to figures from the Department of Health

The UK has almost 200,000 Covid-19 tests going un-used everyday, according to figures from the Department of Health

Professor Spector, from King’s College London, and his team have worked to identify the symptoms triggered by a Covid-19 infection with their Covid Symptom Study app. 

Users who are unwell are asked to enter their symptoms, and then their results of a Covid-19 test to reveal whether those were an early sign of the disease.

More than 4million people use the app, including many in the UK. Their data is used to establish symptoms of Covid-19.

Professor Spector said the three key symptoms pick up around 85 per cent of cases in those aged 18 to 65 – who are at lower risk from the virus – , but ‘they don’t always pick up people early’.

Professor Tim Spector, from King's College London, said the extra capacity should be used to  expand symptoms list

Professor Tim Spector, from King’s College London, said the extra capacity should be used to  expand symptoms list

‘That’s why in the first few days you get the headache, sore throat, you get the fatigue you skip your meals before you get some of these other symptoms.’

In those over 65 – who are at higher risk from the virus – and those below 18, however, he cautioned that the symptom list should be ‘more flexible’ because these cases don’t tend to show the ‘classic symptoms’.

‘The over 65s for example, most people do not have coughs or shortness of breath so it’s a pretty useless test in that group,’ he said. ‘They tend to have confusion and other problems.’

His team has offered the Department of Health an algorithm for helping to identify those with the virus based on their symptoms, which they said could be used by GPs to help recognise Covid-19 infections in the early stages.

But officials are yet to take up the offer. 

He added: ‘Our results do suggest that there are certain groups where those symptoms are not particularly appropriate.’

‘Most other countries have a much more relaxed system. In the US, for example, you have 11 symptoms. I’m not advocating that, but I do think a more intelligent list of the symptoms which varies by age should be employed.’

He said that having excess capacity in the system could also be seen as a ‘positive’ given the earlier problems getting tests – with some told to travel hundreds of miles to get swabbed.

The disaster struck when thousands of worried parents and teachers started applying for tests in September, when schools and offices were fully re-opened.

Baroness Dido Harding, in charge of the UK’s testing capacity, was forced to bat off criticism and insisted it is ‘not my job’ to establish whether demand might outstrip supply. 

The Government expanded testing capacity to 500,000 swabs-a-day at the start of November, but many of these swabs are continuing to go unused.

Two more machines that will add 600,000 daily swabs to capacity are tipped to arrive in the UK at the start of January, officials said.

It comes after the Government hurriedly expanded capacity to 500,000 tests a day

It comes after the Government hurriedly expanded capacity to 500,000 tests a day

Boris Johnson has  previously encouraged those suffering from the three key coronavirus symptoms to get a test

Boris Johnson has  previously encouraged those suffering from the three key coronavirus symptoms to get a test

Dr Yoon Loke, professor of medicine at the University of East Anglia, told MailOnline that with tests it’s ‘not about what you got that counts, it’s what you do with it’.

‘Huge capacity is great,’ he said. ‘But you can’t test your way out of a pandemic.’

‘As a doctor, I’d be happy with half the capacity (say 250k) but twice the speed, ideally within 12 hours. Those who are negative can quickly carry on with their lives. Those who are positive can be given the right treatment in the right place.

He added: ‘The test is only useful if it can separate out the infected people from the non-infected, so that spread is reduced. Much more effort needs to be put into implementing correct measures after a positive test – probably a lot more carrot is needed rather than so much stick.’

Spare tests could even be offered to contacts of those who test positive, he said, to establish which ones are infected to reduce spread.

‘If they are cleared, then they could go back to normal life right away. 

‘This repeat testing and shortening of quarantine might help improve the dismal statistics showing that perhaps only 10 per cent of people actually fully adhere to isolate themselves.’

Dr Simon Clarke, an associate professor in cellular biology at the University of Reading, told MailOnline that although there is a lot of left-over capacity he fears that if it was expanded to the contacts of positive cases it would not be able to cope.

‘As winter progresses it can be expected that there will be a significant increase in people with other respiratory tract infections and possibly also Covid-19,’ he said. 

‘Many people with other infections will have the same type of symptoms as Covid-19, so will need to be tested and I suspect that we’ll see a lot of that excess capacity get used. 

‘It may seem like an unwarranted expense now, but it could easily be called into action very quickly over the winter.’

A Department of Health and Social Care spokesperson said: ‘NHS Test and Trace has capacity in place to respond to increases in demand, with capacity also used to expand our testing offer further.

‘Demand for testing will vary and this should give people confidence that if they have symptoms and they need a test, they can get one.’ 

This post first appeared on dailymail.co.uk