Do you need a test or certificate for Covid-19 for overseas travel or return to work?

Our Clinic in London can provide a PCR Test result in 48 Hours, complete with a signed certificate.

Price: £149.00

Need to travel overseas? Looking to return to work? A negative PCR test might be a requirement for both. Results are returned in 48 hours. A fit to fly or fit to work medical certificate is available for no-extra charge when requested. Please advise/inform us while booking the test, 100%Specificity and 98% Sensitivity

What is it?

This test is performed by a Clinician and can detect viral RNA. It requires taking a swab from the nose and throat and then analyzing the specimen in the lab using the polymerase chain reaction (PCR). You may see these tests referred to as PCR tests.

They aim to answer; do I carry Coronavirus now?
If you want to see if you have had Covid-19 and have developed antibodies, we can perform the Abbotts Antibody Test at Chase Lodge Hospital.

Specimen

  • Nasal/Throat swabs are collecting either by one of our Clinicians or by yourself at home.
  • Samples should be taken from symptomatic patients between days 1-5 from the onset of symptoms.
  • If attending Chase Lodge Hospital, the swab can be taken either from your car or in our isolation pod and our Clinicians will be in full PPE.

Point-of-care

Clinical background and biology

Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly emergent coronavirus – Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) – which was first recognised in Wuhan, Hubei Province, China, in December 2019. Genetic sequencing of the virus suggests that SARS-CoV-2 is a betacoronavirus closely linked to SARS coronavirus 1. The outbreak was declared a Public Health Emergency of International Concern on 30 January 2020, and has since spread globally, resulting in the 2019–20 coronavirus pandemic. Current measures are in place globally to reduce the spread of the virus, most commonly from droplets (person-toperson) but also from infected surfaces. The target is to reduce the reproduction number (R0) to <1.0 – i.e. < one person infected by one affected individual.

When to Test

People are often infectious before the onset of symptoms, and the virus can be detected from the back of the nose and throat. The virus can also be detected in patients who do not develop any symptoms. These patients are called asymptomatic. Infection with SARS-Cov-2, an RNA virus, is diagnosed using reverse-transcriptase PCR. Our tests are processed at a Public Health England recognized laboratory and have a minimum sensitivity of 98% and specificity of 100%.

Indications

The majority of people with COVID-19 have uncomplicated or mild illness (81%), with non-specific symptoms such as fever, fatigue, cough (with or without sputum production), anorexia, malaise, muscle pain, sore throat, dyspnea, nasal congestion, or headache. Rarely, patients may also present with diarrhoea, nausea and vomiting. Loss of taste and smell has been reported early in the infection. A relatively small proportion of people, particularly but by no means exclusively in those aged >70 years, will develop severe illness requiring oxygen therapy (14%) and approximately 5% will require intensive care unit treatment. Time from the onset of the infection to hospitalisation can be up to ~13 days. Of those critically ill, most will require mechanical ventilation. The most common diagnosis in severe COVID-19 patients is severe pneumonia; this can progress to acute respiratory distress syndrome, and life-threatening multi-organ dysfunction and death. Mortality has been estimated at between 1 and 2% of those infected, the higher figure in men. Current availability of Covid-19 testing is rapidly evolving. This is an essential tool for outbreak management. We also perform the Abbotts Antibody Test to show past infection and the finger prick antibody test which shows any current infection.

Point-of-care

Limitations and clinical interpretation

As with all viral PCR assays, patients with very low viral loads are less likely to be detected. ‘Not detected’ results do Some patients with low levels of the virus can have a negative result. Negative results do not preclude infection with the SARS-CoV-2 virus and should not be the sole basis of a patient treatment/management. Where there is a strong clinical suspicion of an early COVID-19 infection repeat sampling should be considered 24-48 hours later. Results should be interpreted by a trained professional in conjunction with the patient’s history and clinical signs and symptoms, and epidemiological risk factors.

FAQs

Please read the FAQs on PCR tests here.

If you have current symptoms of Covid-19, we can either perform a finger prick test for antibodies or the PCR test to detect the virus.

If you think you have had Covid-19 in the past, we can also perform the Abbotts Antibody Test which can detect infection up to several months.

Yes, the test is done in our clinic, its done by our clinical team.

If you have any concerns

As per the current Government and NHS advice, use the NHS 111 online coronavirus service if:

  • You feel you cannot cope with your symptoms at home
  • Your condition gets worse
  • Your symptoms do not get better after 7 days

You can use the online NHS Coronavirus service here.