Latent TB Screening in Primary Care

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City and Hackney CCG have commissioned practices to provide latent TB screening for patients from high incidence countries and/or who have been exposed to social risk factors. 

Screening involves:

  • Identifying eligible patients: at registration, through an EMIS Web Search or on an ad hoc basis
  • Taking a T-spot blood test sample on tQuest ( order form T-SPOT-TB ) and sending it to the Homerton.
  • Taking the appropriate next steps following the results of the test being issued

More information can be found in the City and Hackney Latent TB Screening Guide.

Incentives

Practices are paid the following for delivering Latent TB Screening:

  • £25 per Latent TB test
  • £2.50 per letter/text message/phone call inviting patient to attend appointment

Eligibility criteria

Inclusions

Criteria one

  • Age 16-35
  • Spent more than 6 months in a high incidence country (>150 TB cases per 100,000 population)
  • Entered the UK in the last 5 years
  • Not been screened for TB before

Criteria two

  • Age 16-35
  • Social risk factor- current/ex drug user, ex-prisoner, homeless or was homeless, current alcohol misuse
  • Not been screened for TB before