GPs must not take blame for delays to care due to blood test tube shortage, BMA warns

BMA leaders have said that GPs should be protected from any clinical negligence claims that result from patients receiving a delayed diagnosis because of the current blood test tube shortage.

(Photo: Yoshiyoshi Hirokawa/Getty Images)
(Photo: Yoshiyoshi Hirokawa/Getty Images)

Last week GP practices were ordered to stop undertaking non-essential blood tests after disruption to NHS supplies of test tubes.

Vitamin D, infertility and allergy tests, alongside routine screening tests should be deferred, according to the advice from NHS England. The guidance says GPs should only test for a clinical indication and should increase testing intervals for patients who are being monitored where ‘clinically safe’.

However, the BMA has argued that it is unreasonable for NHS England to ask healthcare staff to delay tests until a later date, warning that it could increase the ‘enormous backlog of care’ created by the pandemic.

It has also emerged that the BMA has called on NHS England to provide QOF income protection for GP practices if they are financially impacted by the current blood test tube shortages.

Blood tests

Deputy chair of the BMA council Dr David Wrigley, said the BMA had raised concerns with NHS England about the impact the test tube shortage could have 'on regular tests for NHS Health checks, the monitoring of quality of care, and medication reviews'.

'Unless in exceptional circumstances, doctors have been advised to temporarily stop vitamin D testing, as well as screening for pre-diabetes and blood disorders such as dyslipidaemia, along with allergy testing and routine infertility testing,' he said.

‘While NHS England has provided some guidance for clinicians to follow, no doctor wants the consequence of delayed diagnosis for patients due to these shortages, and they also need to know they are protected from any possible negligence claims.'

The warning comes as frontline GPs have already reported feeling the effect of the test tube shortage and predicting ‘potentially huge impacts’ of not being able to run tests as usual.

NHS England officials have said that the test tube supply problem, which is linked to a global shortage, is expected to last for a 'significant period of time'. But the BMA has called for immediate action to ensure normal testing can resume.

Immediate action needed

Dr Wrigley said: 'We need to have adequate supplies of these tubes resumed without further delay, and it is vital, going forward, that processes are put in place to ensure that supply chains of medical equipment are maintained at all times.’

Last week, London GP Dr Thomas Round warned that he was directly seeing the impacts of the test tube shortage - and that it could have ‘potentially huge knock-on impacts’. Other GPs questioned how they would deliver the news to patients.

NHS England's primary care bulletin on 12 August said supplier Becton Dickinson had alerted it 'to a global shortage of products from their Blood Specimen Collection Portfolio'.

NHS England said its guidance aimed to 'ensure that there is no disruption to urgent care, and services for patients are able to continue as clinically appropriate'. It warned that 'failure to enact this guidance could limit the availability of tests'.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins


Already registered?

Sign in

Follow Us:

Just published


Study reveals 'significant rise in anti-GP rhetoric'

Media coverage of general practice last year saw a 'significant rise in anti-GP rhetoric'...

Dr Alan Stout (left) and Dr Andrew Buist (right) (Photos: BMA)

New co-chairs to focus on reform of BMA UK GP committee

Senior GPs from Northern Ireland and Scotland will lead the BMA's UK GP committee...

Patient receiving flu vaccination

GP practices denied funding to vaccinate their own staff against flu

GPs have hit out at NHS England over a 'maddeningly frustrating' failure to offer...

BMA junior doctor strike action in 2016

Junior doctors to be balloted on industrial action in early January

The BMA looks set to ballot junior doctors in England on industrial action in early...

BMA sign

BMA sets up first-ever ‘strike fund’ to support industrial action

The BMA is about to release £2m from its reserves to pay for possible ballots on...

Dozens of GPs with suicidal thoughts contact specialist service every month

A specialist mental health service for doctors is being contacted by dozens of GPs...