Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential merits of increasing adoption of rapid point of care diagnostics to support antimicrobial stewardship objectives within (a) primary and (b) community care settings across the NHS.

As part of the United Kingdom’s national action plan for antimicrobial (AMR) resistance, NHS England and NHS Improvement’s AMR programme is examining the adoption of innovations in diagnostics, improving clinical best practice and applying point-of-care testing for urinary tract infections, respiratory tract infections, surgical site infections and acute deterioration, including sepsis.

This aims to identify any gaps in diagnostic pathways and practices with a focus on improving patient outcomes and antimicrobial stewardship in National Health Service and community care settings. Optimising the potential use of point-of-care multiplex testing in primary care is also being considered. NHS England and NHS Improvement supports the appointment of diagnostics and antimicrobial stewardship leads in each regional team in England. Additionally, national guidelines and national toolkits such as TARGET in primary care and ‘Start SMART then focus’ in secondary care, support antimicrobial stewardship, including the appropriate use of diagnostic tests and tools.