Skip to content
Home > Staff and Recruitment > Staff Resources and Support > Lateral Flow Device (LFD) – Information for staff

Lateral Flow Device (LFD) – Information for staff

The guidance around LFD Testing within healthcare settings has been updated. Only staff who work with patients and service users in face-to-face settings should keep using LFD kits to test twice weekly and report their results through the online portal. Staff who do not work in face-to-face settings with patients and service users are advised to follow the Stay at Home guidance for the general population.

Any orders for LFD kits through PECOS for patient facing staff will now be met by Orient Gene (boxes of 7) kits (an order for 1 unit results in 4 x boxes of 7 being issued). Staff may still have Orient Gene (20) or Innova brands of LFD kits and existing supplies should be used, in line with expiry dates, before moving onto newer kits. There are important differences in how each of these tests are carried out. It is therefore essential that all staff familiarise themselves with the correct process for their specific kit, prior to use.

Patient facing staff who require new or replacement kits, should speak to their line manager.

Online registration and reporting – Patient Facing Staff

The information below applies to all LFD kits regardless of brand/number of tests per kit.

Step 1

Please acknowledge receipt of your Lateral Flow Test kit by completing this online form.

The form is available from home device and on your mobile phone.

Step 2 

Once your test is complete please enter the results into the NSS Testing Portal for healthcare staff: www.covidtestingportal.scot. (Do not use the one for the general public). You should report all results, regardless of whether positive, negative or inconclusive.  

You can register for a user account to quickly record your lateral flow test results once your test is complete. When you have registered/signed in, you will only need to enter the details of the test you have taken and its result, which makes reporting even quicker. You can do this via the NSS Testing Portal: www.covidtestingportal.scot 

See the Scottish Covid Testing Portal User Guide FAQs (PDF June 2021)

(Please note that only tests taken within the previous 8 days will now be accepted.)

There is now updated Guidance for health and social care staff following changes to population wide testing and restrictions. This covers:

  • Routine Asymptomatic Testing
  • Staff members with symptoms of a respiratory infection including COVID-19
  • Staff members who receive a positive LDF test result for COVID-19
  • Staff members who are contacts of a confirmed case of COVID-19.

All current Scottish Government guidance can be found here.

Should you have any issues with your testing kit, please contact: Covid-19@ggcprocurementcustomerservices.zendesk.com

Key resources to support self-testing using an LFD

Any orders for LFD kits through PECOS for patient facing staff will now be met by the Orient Gene (7) kits. Services and staff may still have Orient Gene (20) or Innova band of LFD kits and these should continue to be used in line with expiry dates

There are important differences in how each of these tests are carried out. It is therefore essential that all staff are familiar with the specific instructions for the kit that they are using. Full information is available on TURAS and also via the links below. 

A summary of the key differences when testing using the various brands of kit is available in this poster which can be downloaded.

Innova Brand Resources

Guidance document (Innova): a guide for healthcare staff

This guidance document (Innova) outlines the contents of the Innova Lateral Flow Device kit, how to swab yourself and perform the test safely and accurately. The guide also explains how to read and report your results, and actions to take should you receive a positive test result.

Poster (Innova): a summarised guide for healthcare staff

This poster (Innova) (pdf) can be printed off for use in clinical areas or as an additional support material for the guidance document. (Please be aware that it should not be used/displayed where the Orient Gene brand of tests are in use).

Videos (Innova)

This instructional video (Innova) talks staff through the process of performing a Lateral Flow Device test for COVID-19 using the Innova brand of test and demonstrates the key points to ensure you are using the correct technique.

Staff talk about how easy it is to use the Lateral Flow Device testing kit and the benefits it provides.

Orient Gene (box of 20)

The Orient Gene box of 20 test kits (OG20) are largely the same as OG7s. The main change is the OG20 test kits contains 20 tests instead of 7 and there are 2 buffer bottles rather than individual vials of buffer solution. The 2 bottles of buffer solution are to be portioned across all 20 tests.

Staff MUST disregard the instruction for use issued within the box of tests and instead read/follow this step by step guide for use.

There is also a one page summary guide and instructional video available.

Important – Please note

  1. Staff should record positive, negative and inconclusive LFD test results via NSS testing portal. Results for Orient Gene brand tests should be entered either as a registered user or through the single test registration form (the bulk upload option cannot be used for Orient Gene test results).
  2. When recording test results, please ensure you enter the LOT number provided on the outer cardboard packaging of the test kit, not the ID Number printed on the individual test cassette.
  3. The manufacturer’s instructions for use included in the Orient Gene LFD test kits directs users to contact the MHRA via the yellow card scheme if they are harmed by a lateral flow device. In Scotland the appropriate pathway is to notify NSS IRIC.
Orient Gene (box of 7)

There is a Guidance Document (OG box of 7) which outlines the contents of the kit, how to take the swab and process the test safely and accurately. You can also watch an instructional video on how to use the Orient Gene brand of kits.

Important – Please note

  1. Patient facing staff should record positive, negative and inconclusive LFD test results via NSS testing portal. Results for Orient Gene brand tests should be entered either as a registered user or through the single test registration form (the bulk upload option cannot be used for Orient Gene test results). 
  2. When recording test results, please ensure you enter the LOT number provided on the outer cardboard packaging of the test kit, not the ID Number printed on the individual test cassette.
  3. The manufacturer’s instructions for use included in the Orient Gene LFD test kits directs users to contact the MHRA via the yellow card scheme if they are harmed by a lateral flow device. In Scotland the appropriate pathway is to notify NSS IRIC
NHSGGC FAQs
How often should I test? I’ve heard its changing

Only staff who work with patients and service users in face-to-face settings need to keep using LFD kits to test twice weekly and report their results through the online portal. Staff who do not work in face-to-face settings with patients and service users are now advised to follow the Stay at Home guidance for the general population.

I’ve got symptoms of a respiratory infection – what should I do?

On the 1st May 2022, the guidance on health and social care staff isolation exemption/ close contact testing changed. Please see Updated Guidance – Managing Staff Symptoms – NHSGGC.

What do I do if I receive a positive LFD test result?

On the 1st May 2022, the guidance for health and social care staff on isolation exemption/close contact testing changed. Please see Updated Guidance – Managing Staff Symptoms – NHSGGC

What happens if my test is negative but I have coronavirus symptoms?

On the 1st May 2022, the guidance on health and social care staff on isolation exemption/ close contact testing changed. Please see Updated Guidance – Managing Staff Symptoms – NHSGGC.

What should I do if I’m a contact of a confirmed case of COVID-19?

On the 1st May 2022, the guidance on health and social care staff isolation exemption/ close contact testing changed. Please see Updated Guidance – Managing Staff Symptoms – NHSGGC.

I’ve heard that the brand of kits being issued is changing again, do I stop using the tests I’ve already got?

No, all existing LFD brand of kits should continue to be used as normal until their expiry date. All existing stock held in service areas should be issued to staff before new kit is ordered/distributed.

Are there any differences between the different brand of kits?

Yes! There are different numbers of tests in each, but more importantly, there are also key differences in how the tests are carried out and processed. It’s essential that you familiarise yourself with the requirements for the kit that you are using – details are in the resources section.

How do I get an LFD kit/replacement kit?

Only staff in patient facing settings should now be requesting/using LFD kits to test twice weekly. Any patient facing staff who need a new/replacement kit should speak to their line manager. Those services can order additional LFD kits through PECOS.

Nurse Bank

Staff working with the Nurse Bank should contact the Nurse Bank directly to arrange a time slot to pick up a kit.

Independent Contractors

Any queries and requests to order more kits should be directed to: nss.PrimaryCareLFDOrderKits@nhs.scot

Will the changes to Kits affect how services order/issue them to staff?

The ordering of LFD kits through PECOS will now be met by Orient Gene (boxes of 7) kits. The order of 1 unit will result in 4 x boxes of 7 kits being issued. The ordering process for both patient facing staff and patients within acute services has been streamlined and details of the order code is on PECOS. Staff and services are reminded that they should continue to use up all existing LFD kits within their areas, in line with expiry dates, prior to ordering new supplies.

Why should I test myself using the LFD kit?

By taking regular tests, you will be able to determine if you are asymptomatic. Even when community prevalence is low, we must stay vigilant so as to remain on top of any clusters especially in a healthcare environment.

I have had both shots of the vaccine and the booster, do I still need to be tested?

Yes. LFD testing should continue after vaccination. Vaccines reduce risk of infection after 14-21 days but do not eliminate it. It is even more important to keep testing once you are vaccinated as you are more likely to be asymptomatic – infection will be harder to identify without testing.

Do I need to be trained how to carry out the test?

The tests are very straightforward to administer. Staff will be supported with appropriate resources including guidance documents and videos. Staff should then be able to self-administer the tests either at home, or in the workplace.

I’ve got my new/replacement kit – what now?

Each time you get a new kit/box of LFD tests it is essential that the box is registered using the Online Form and that all results are uploaded (regardless of whether they are positive or negative) onto the Covid Testing Portal– this is quick and easy to do. 

Do I need to record all my test results?

Yes! It’s important that all test results are reported (both positive and negative!). We need this to get a clear picture of COVID-19 rates so reporting all test results, including negatives ones is important. Try the new and improved Covid Testing Portal – It is so much easier to record your results!

The e-Portal isn’t easy to use! Is there another way?

The Covid Test Portal has been updated again in response to feedback. It’s now much simpler to register for an account and to quickly record your results! You can register for an account via the Covid Testing Portal.

I couldn’t find my work location listed when registering for an account with the Covid Testing Portal

The list of locations has now been updated. If you’ve already registered you can now update your personal details, including work location. If your specific work base isn’t listed at present, then you should choose the ‘other’ option for that field.

What should I do if the test kit is defective or causes an adverse event?

You should report it through the DATIX system. These reports will enable the responsible manager to investigate and identify mitigating actions. You should also report any suspected side effects to medical devices used in coronavirus treatment, or issues relating to spurious results, to NSS IRIC to ensure safe and effective use.

IRIC is responsible for prompt onward notification of Scottish incident data to MHRA (rather than the service reporting direct via the MHRA Yellow Card reporting site).

My kit is damaged (or bottle spillage). What should I do?

Do not use potentially contaminated elements of the kit. Contact your line manager to arrange any replacements.

I have a question about my test result?

Please forward any questions relating to your test result (including PCR-related questions) to west.ssvc2@nhs.scot.

Scottish Government FAQs

The Scottish Government guidance on all aspects of Lateral Flow Device (LFD) testing can be found here and includes further information on:

  • Isolation exemption / close contact testing
  • Symptomatic testing (include testing positive and returning to work)
  • Training materials
  • Recording test results
  • IRIC reporting for defective test kits or one which causes adverse events
  • Data to be collected when LFD tests are issued to staff
  • Students on clinical placements
  • Visiting care hoes
  • If you can’t use a nasal swab
  • Disposal of Lateral Flow Devices (LFD’s)
  • Testing kits specifications (latex/halal/vegan)
  • More information
  • Primary care-specific information
  • Archived guidance