Testing for COVID-19: Early Alert Service
Last reviewed 2 February 2021
The University’s in-house COVID-19 testing service is now open to all staff and students of the University and colleges, providing rapid access to free testing for those with coronavirus symptoms. (Colds, flu and coronavirus can have similar symptoms. This BBC article may be useful in understanding the difference.)
Where to find our sites
The central testing site is in the city centre, located in the Radcliffe Observatory Quarter (ROQ). The service is aligned with NHS and PHE guidelines and uses proven technologies and standard NHS procedures.
(Please note: SSO is required)
For enquiries related to booking a University test, please contact firstname.lastname@example.org. You may also call 01865 (6)19119 between 10am and 2pm Mon-Fri, including to book a test if you are struggling to use your SSO (and you have a Staff or Student University Card). Please note that only the person seeking the test should call. The Early Alert Service cannot allow booking for others.
Important information for those booking a test
**UPDATED 1 FEBRUARY** Staff and student asymptomatic testing:
- If you are a student looking for information about LFD testing at the start of Hilary term, please go to www.ox.ac.uk/hilary-testing. You do not need to book your tests via the EAS.
- Information about the current staff LFD pilot can be found on our staff webpage.
- All LFD results need to be recorded as soon as the test result is visible. This should be done via the Report a Test button above.
My Journey: From first symptoms to your test, please consult this flowchart for the process you need to follow.
When you need to self-isolate
Prompt and effective self-isolation is a vital step in limiting transmission. It is very important that you self-isolate when asked to do so.
You need to self-isolate in the following instances:
- If any member of a household has symptoms of COVID-19: all members of the household must self-isolate in line with NHS and government guidance (the NHS website has guidance on how you need to self-isolate). The asymptomatic members of the household should avoid contact with the member who is positive. For those living with children or with caring responsibilities, go to the gov.uk website for advice on how to reduce the spread of infection in the household.
- While you wait for your test and results: you and the rest of your household must self-isolate until you have the results of your test. The University testing service will aim to provide results within 36 hours of the test.
- If the result is positive: you and your household must continue to self-isolate (go to the NHS website to find out how long to self-isolate for) in case any members are also incubating the virus.
- If you are identified as a close contact of a confirmed case but are asymptomatic: only you need to self-isolate, and you should socially distance yourself from other household members. You should only get a test if you develop symptoms. You should self-isolate for 10 days from the date of last contact with the confirmed case. If you go on to develop symptoms, then at that point the whole household needs to self-isolate.
Reporting external results
If you (staff or student) receive a test result, positive or negative, through a route other than the University Early Alert service (e.g. via the national NHS service), you must report your result by using the Report a Test button on this page. If positive, you should continue to self-isolate, and report your absence to your department and college. The information you provide will enable the University and/or your college to take any action that may be appropriate to protect our community, and to maintain a full picture of the prevalence of COVID-19 within the collegiate University.
Students: adding mobile numbers
So that Track and Trace can contact you as quickly as possible, it is important that students’ mobile phone numbers are included in the Student Record. If you are a student, please log in to Student Self Service and check your mobile number in the 'my contacts information' section is up-to-date. You should also be registered with a local doctors' surgery, and ensure address and contact details are up-to-date on their systems. These are not requirements to access the service.
FACTS research pilot
The University is now taking part in research to assess the use of Lateral Flow Tests (LFTs) in order to identify asymptomatic individuals with COVID-19. Currently students in two colleges are able use the tests on a voluntary basis. This may expand to other parts of the University in the future, depending on the progress of the study.
Students who receive positive tests in the research study need to take a confirmatory test through the University’s Testing for COVID-19: Early Alert Service (or via the NHS if this is not possible). In line with Government advice, students may not travel between University and their permanent home. Everyone should be aware that a negative test does not change this – whether a student received their result through the research project or the University testing service.
How to book a test
Remember the University has finite testing capacity, so it is important that we target it where it is most needed. You should only book a test if you have any of the primary symptoms of COVID-19 (fever, persistent cough, loss of taste or smell) or if you have other new symptoms that you suspect may be caused by COVID-19.
Please do not book a test unless you have symptoms or have been instructed to do so by public health authorities.
- Stay at home and notify your department and college COVID-19 contacts
- You and your household self-isolate
- Book a test
- Report absence to your college/department in the normal manner
- Take the test
You may return to your normal way of life as long as you are not self-isolating due to close contact or quarantine (in which case you must complete the 10 days regardless). Your department and college will be notified of the result; but please inform them if you still need to self- isolate.
The Results Liaison Team will notify your department and/or college. You and your household should continue to self-isolate, and public health staff will contact you to initiate the track and trace process.
About the Testing for COVID-19: Early Alert Service
The Testing for COVID-19: Early Alert Service (EAS) is a free, customised service for staff and students of the University that will benefit the local community by reducing the risk of a further COVID-19 outbreak and reducing the pressure on NHS testing facilities. Designed specifically for a University environment, the service will ensure that anyone who becomes unwell is quickly identified, with a rapid response initiated to protect others from transmission.
The University continues to evaluate various future options for better and wider testing of staff and students for COVID-19. It is constantly reviewing developments in government guidance, existing NHS/PHE facilities, local requirements and any new approved and appropriate tests as they become available. Professor Chris Conlon, Chair of the University’s Health Measures Advisory Group, has published a white paper on the University’s current approach to COVID testing. The paper includes an assessment of the COVID testing environment, an explanation of the Testing for COVID-19: Early Alert Service (EAS) and of the alternative testing models and options which the University is keeping under review.
EAS Michaelmas Term Report
Professor David Mant, outgoing EAS Clinical Director, provides a comprehensive analysis of University testing last term.
Who is eligible to use the service?
Any student or member of staff at the collegiate University may use the service who has a University card and an SSO (Single Sign On) password.
Can family members of staff and students use the University testing service?
The University testing service is available to all staff and students. At present, it is unable to provide testing for family members. While we will keep this under review should we be able to resolve legal and capacity issues; for now family members should continue to use NHS testing services.
**UPDATED 2 FEBRUARY** Can I book a test if I don’t have the main COVID-19 symptoms but I'm feeling unwell?
The three main symptoms that NHS guidance asks you to look out for are high temperature, a new continuous cough and loss of taste or smell. Most people with COVID-19 have at least one of these. You may also book a test with EAS if you have other new symptoms that you suspect may be caused by COVID-19, such as sore throat, cough and muscle aches. If you do not have any of these (main or suspected) symptoms of COVID-19, you should not book a test.
If you have respiratory or flu-like symptoms not suspected to be COVID-19, and in the absence of one of the main COVID-19 symptoms (fever, continuous cough or loss of smell/taste), you should take sensible precautions to reduce the risk of infecting others with whatever illness you may have (eg by staying at home for 24 hours). You should monitor your condition carefully, and if COVID-19 symptoms do develop then you should book a test and consult this flowchart for the process you need to follow. (Colds, flu and coronavirus can have similar symptoms – this BBC article may be useful in understanding the difference).
If you’re feeling unwell and living alone, make sure you have informed people who can check on you and offer support. You may of course have another illness that requires medical care, so please do not suffer in isolation if you’re feeling seriously unwell. Seek medical advice if your symptoms worsen.
Where is the testing service and how will I find it?
The central testing site is in the city centre at the Radcliffe Observatory Quarter (ROQ) – postcode OX2 6GG. A second site is located at the Old Road Campus in Headington – postcode OX3 7LG. However, this is not currently in operation. When you receive confirmation of booking, you will receive a site map showing you the precise location of the testing centre. If it's helpful, you can view images of the ROQ testing pod and the Old Road Campus testing pod. 'Early Alert Service' is marked clearly on the sides and door of the testing centres.
How do I book a test?
Booking is done online at https://earlyalert.medsci.ox.ac.uk/. You will need to sign in using your SSO. You will need to complete a booking form, giving your personal details including NHS number, and confirm that you have symptoms that you feel could be due to COVID-19 infection. You will be given a choice of times and, if both testing centres are open, a choice of locations.
What if I can’t use my Single Sign on (SSO) to book a test?
Common reasons for this are:
- You have completed your studies so are not eligible to use the University’s Testing Service. If you are feeling unwell with COVID-19 symptoms then you should book your test with the NHS.
- You have not activated your SSO either because you are new to Oxford University or your job role hasn’t required IT use. You can get help activating your SSO from your own college’s or department’s IT Support Staff or from the service desk at IT Services on 01865 (6)12345.
What if I want to cancel or change the time of a test?
You can cancel a test online. If you want to change the time, simply cancel and rebook. When attending your test, please make every effort to be on time, as late arrivals can seriously disrupt the service.
Can I just turn up?
For safety reasons, and to manage demand, we ask that you use the online booking service. You will not be seen if you attend the testing sites without an appointment.
Do the testing centres have wheelchair access?
Yes, there is ramp access to both entry and exit doors and a bell to press for the door to be opened.
Do I have to wear a face covering?
Yes, please wear a face covering to protect others on your way to the testing centre.
How should I travel to the site?
The two University testing centres are pedestrian or bicycle access only. If you are too unwell to walk or travel by bicycle to the testing centre you should seek NHS help, either by contacting your own GP, phoning 111 or in an emergency phoning 999. You should not travel to a testing centre by public transport.
The NHS testing site at Oxford Parkway, which is not part of the University Early Alert Service, is accessible by car, and tests can be arranged online.
If you use the NHS service, please inform your department or college as appropriate of the test and of the result.
Why should I use this service and not the NHS?
The test we use is provided by the NHS. The main advantages of the University service are that: a) the swab will be done (or supervised, in the case of students, initially) by someone trained and experienced in swabbing, so the result may be more accurate; b) your college/department will be informed about the result, so can take rapid action to support you and protect others when necessary. You may also find that we can offer you a more rapid and convenient appointment for testing.
Will I have to self-isolate if I book a test?
Yes, you should only book a test if you have one of the three main symptoms of COVID-19 (high fever, new continuous cough or loss of taste or smell) or if you have other new symptoms that you suspect may be caused by COVID-19.
Do not wait for a test booking to begin your self-isolation. You and your household should self-isolate immediately if you have any symptoms, whether you have booked a test yet or not. If you receive a negative result, you can all stop self-isolating. But in case you do have COVID-19, you and members of your household should self-isolate until you receive the result.
What happens at the testing centre?
Your mouth and nose will be swabbed. This is a bit unpleasant but you will be given an opportunity to discuss any concerns in advance, and the person conducting the swab will stop immediately if you raise your arm to indicate you are experiencing undue discomfort.
Students will be asked to self-swab. This will be under the careful supervision of a nurse or senior medical student.
Except in periods of very high demand for testing, after the swab you will have a consultation with a nurse or senior medical student. They will ask you about your exposure to proven cases of COVID-19, your current symptoms (giving you advice about what to do if your symptoms worsen), and advise you how to make a list of possible close contacts so you can be ready to give it to the public health team responsible for contact tracing if you test positive.
How long do I have to wait for the results?
We will make every effort to provide results within 36 hours of testing, although during periods of high demand or as a consequence of the swab testing machine breakdown/maintenance, results can be significantly delayed. Please email the Results Liaison Team if you have not received your result within 48 hours.
Can you send my test results elsewhere (eg to a different email address)?
In line with patient confidentiality, we can only give medical test results to the University email address or to the phone number registered on our system.
What happens if I test negative?
If you test negative, you can stop self-isolating except in three circumstances:
- You continue to have a high temperature – in which case you must continue to self-isolate following government guidelines (if you also have diarrhoea or vomiting, self-isolate for 48 hours after these symptoms have subsided).
- You have been instructed to self-isolate because you are a known contact of a proven case – in which case you must continue to do so until the end of the instructed period. A negative test does not release you from these quarantine requirements, as you could still be incubating the virus.
- You are in self-isolation because of government quarantine requirements on arrival from overseas – in which case you must continue to do so until the end of the instructed period. As above, a negative test does not release you from these quarantine requirements, as you could still be incubating the virus.
Your department (and college, if applicable) will be notified of the result, but please inform them if you still need to self-isolate.
What happens if I test positive?
You and your household will need to continue to self-isolate. A public health body will contact you – Public Health England, NHS Test and Trace, or Oxfordshire County Council's contact tracing service – to initiate the track and trace process. We will also inform your college and/or department, as applicable, both to ensure that you have the support you need and to initiate a rapid response to minimise the risks to others.
How accurate are the tests?
The test assays have high accuracy. Inaccuracy in the test result occurs because either: 1) the swab does not pick up the virus when present; or 2) despite having the illness, the virus is not present in your mouth/throat.
In the first week of symptoms, a well conducted swab will pick up the virus in only 75-80% of people who have become infected. However, the 20-25% of cases who do not have detectable virus in their mouth/throat are at less risk of transmitting it to others. Hence if you test negative (and don’t have continuing symptoms or haven’t already been instructed to self-isolate by Public Health England for other reasons) you will be able to stop self-isolating.
How do you define 'recent close contact'?
You are likely to be considered a 'recent close contact' of someone who has tested positive (and therefore at risk of infection) if:
You have had face-to-face contact (eg a close conversation or a hug);
You have been within one metre, without face-to-face contact, for one minute or more; or
You have been less than two metres away from them for more than 15 minutes over the course of a single day, particularly in an enclosed space (the 15 minutes test applies to cumulative exposure, not just to individual events); AND
The contact occurred any time from the two days before they experienced COVID-19 symptoms onwards.
For help in understanding when someone is a recent close contact, including guidance on how to reduce your risk, please read this factsheet.
What do I do if I'm told I may be a close contact?
If NHS Test and Trace contacts you, you must follow their instructions carefully.
If you are notified by an individual or by a college, you should consider whether you have been exposed to the virus and need to self-isolate.
If you are a student, your college will be able to help you with this decision, and will provide support if you need to self-isolate.
Remember, you should only get a test yourself if you develop COVID-19 symptoms (see testing and self-isolation section above).
If I need to travel internationally, can I use the Oxford COVID-19 test as proof that I am negative for the virus?
Regrettably, the University’s Early Alert Service cannot be used for this purpose. The University’s Early Alert Service uses NHS services and is not available for any purpose other than the testing of people with COVID-19 symptoms, or as a way of managing an outbreak. As such, it does not produce the correct certification accepted for international travel. If you need to have proof of a negative test for international travel you will need to take a test through a private provider. Please be aware that COVID-19 entry requirements vary from country to country, and individuals may wish to contact their airline or travel agent for further information before arranging a test.
What happens if my UK visa expires before my self-isolation period ends?
If you have been advised to self-isolate and the isolation period is longer that your UK visa end date, then contact the staff immigration or student immigration team for advice on what steps to take.
How does this service differ from track and trace?
The service is working in close partnership with Public Health England (PHE) and our local public health team. We will help them contain any outbreak by providing a point of liaison with colleges/departments. But if you test positive, the contact tracing itself will be undertaken by PHE, not the University Early Alert Service. We will provide advice (at the post-test consultation) to help you prepare a list of possible contacts to give to PHE if you test positive, but we will not collect any contact information from you ourselves.
How does this work with the NHS COVID-19 app?
We encourage you to use the NHS COVID-19 app, which is available to download from Google Play and the Apple App Store. It includes a number of tools to protect you, including contact tracing, local area alerts and venue check-in. Public places such as shops, cafes and bars – as well as certain public parts of the University and Colleges will be required to display QR codes for you to check-in to venues. Non NHS app users will need to sign a register.
Important: the app directs users to the NHS testing service. However, Oxford staff and students should always, where possible, use the University’s own testing service instead. You cannot use the NHS app to book a test at the University service. Instead you should a book a test via the Early Alert Service.
What about privacy?
The booking form explains how the data you provide might be used. It also provides a link to a fuller privacy statement that you can read (please note: you will need to log in via SSO). We will inform your college/department as appropriate of the results of your test in order to help them provide you with support and to take immediate action to protect others if necessary. If you test positive, we are legally obliged to inform Public Health England. They will then contact you and seek your help in tracing contacts.