Imperial Collage Healthcare

Point-of-care testing

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

The Pathology 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.


Available Tests/Devices

POCT devices currently supported by Pathology POCT specialty include:

  • blood gas analysers
  • blood glucose meters
  • urine pregnancy test kits
  • Hemocue haemoglobin analysers
  • Activated Clotting Time (ACT) analysers
  • Activated Partial Thromboplastin Time (APTT) analysers
  • cardiac markers analysers
  • coagulometers
  • drugs of abuse test kits
  • bilirubinometers
  • 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

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.


Contact Details

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.

Position

Name

Tel no

E-mail

 

 

 

 

Lead clinician, POCT

Prof. Tricia Tan

02083838038/33380

tricia.tan@imperial.nhs.uk

POCT manager

Mrs Olubunmi Martindale-Sheldon

020331(17081)

olubunmi.martindale-sheldon@imperial.nhs.uk

POCT lead, St Mary’s Hospital (Blood Sciences)

Mr Gareth John

020331 (21320) or bleep 1022

gareth.john@imperial.nhs.uk

POCT lead, Charing Cross Hospital (Blood Sciences)

Ms Kate Agunabor

020331 (17077) or bleep 5942

kate.agunabor@imperial.nhs.uk

POCT lead, Hammersmith Hospital (Blood Sciences)

Mr Wilbert Gwangwadza

020331 (32446) or bleep 9606

wilbert.gwangwadza@imperial.nhs.uk

POCT lead, Chelsea and Westminster Hospital (Blood Sciences)

Mr George Yartey

020331 (55135) or bleep 0143

george.yartey@imperial.nhs.uk

POCT lead

(Infection and Immunity)

Mr Hitesh Mistry

020331(10173)

hitesh.mistry@imperial.nhs.uk


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.

Site

Tel no

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