Regulation 4 Duty on the operators of diagnostic laboratories to notify the United Kingdom Health Security Agency of causative agents found in human samples and of SARS-Cov-2 , respiratory syncytial virus or influenza virus tests processedF37F38F39
England and Wales
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The operator of a diagnostic laboratory must also notify F8the United Kingdom Health Security Agency in accordance with this regulation where the diagnostic laboratory—
processes a test for the detection of F9respiratory syncytial virus or SARS-CoV-2 and the test result is negative or void; or
processes a test for the detection of influenza virus and the test result is indeterminate, negative or void.
The notification must include the following information insofar as it is known to the operator of the diagnostic laboratory—
name and address of the diagnostic laboratory;
the date and time the sample was received by the diagnostic laboratory;
where a causative agent is identified, the details of that agent;
where the test is for the detection of SARS-CoV-2 F12, respiratory syncytial virus or influenza virus, the result of the test;
date of the sample;
nature of the sample;
the results of any antimicrobial susceptibility test and any resistance mechanism identified in respect of the sample;
name of person (P) from whom the sample was taken;
P's date of birth and sex;
P's current home address including postcode;
P's current residence (if not home address);
P's ethnicity;
P's NHS number; F14...
the name, address and organisation of the person who solicited the test F15; and
where the result of a test for the detection of SARS-CoV-2 is positive F16or indeterminate, a telephone number and an email address—
where P is a child or a person with a disability who is unable for that reason to provide the information set out in sub-paragraphs (e) to (j), for an appropriate parent, guardian or carer of that person ;
otherwise, for P.
F17A notification under paragraph (1)(a) where the causative agent identified is not SARS-CoV-2 must be provided in writing within 7 days beginning with the day on which the causative agent is identified.
F19A notification under paragraph (1A) must be provided in writing within 7 days beginning with the day on which the diagnostic laboratory becomes aware of the test result.
A notification under paragraph (1)(a) where the causative agent identified is SARS-CoV-2, must F20... be provided in writing within 24 hours of the causative agent being identified.
F21A notification under paragraph (1)(b) must be provided in writing within 24 hours of the diagnostic laboratory becoming aware of the test result.
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In determining whether the case is urgent, the operator of the diagnostic laboratory must have regard to —
the nature of the causative agent;
the nature of the disease which the causative agent causes;
the ease of spread of the causative agent;
the ways in which the spread of the causative agent can be prevented or controlled; and
where known, P's circumstances (including age, sex and occupation).
This regulation does not apply where the operator of the diagnostic laboratory reasonably believes that F25the United Kingdom Health Security Agency has already been notified in accordance with this regulation by the operator of another diagnostic laboratory in relation to the same causative agent being found in a sample from the same person.
For the purposes of F26paragraph (1)(a), a diagnostic laboratory identifies a causative agent where—
the diagnostic laboratory identifies the causative agent; or
the causative agent is identified by another laboratory under an arrangement made with that diagnostic laboratory.
For the purposes of paragraphs (1)(b) and (1A), a diagnostic laboratory processes a test where—
the diagnostic laboratory processes the test; or
the test is processed by another laboratory under an arrangement made with that diagnostic laboratory.
Where paragraph (7)(b) applies F28—
the day on which the causative agent is identified for the purposes of paragraph (3), is the day on which the diagnostic laboratory became aware of the identification by the other laboratory;
the time at which the causative agent is identified for the purposes of paragraph (3B), is the time at which the diagnostic laboratory became aware of the identification by the other laboratory.
Where paragraph (7A)(b) applies—
the day on which the diagnostic laboratory becomes aware of the test result for the purposes of paragraph (3A), is the day on which the diagnostic laboratory became aware of the result of the test processed by that other laboratory;
the time at which the diagnostic laboratory becomes aware of the test result for the purposes of paragraph (3C), is the time at which the diagnostic laboratory became aware of the result of the test processed by that other laboratory.
It is an offence for the operator of a diagnostic laboratory to fail without reasonable excuse to comply with this regulation.
Any person who commits an offence under this regulation is liable on summary conviction to a fine not exceeding level 5 on the standard scale.
In this regulation—
F32“carer” has the meaning given in section 10 of the Care Act 2014;
“causative agent” means—
- (a)
a causative agent listed in Schedule 2, or
- (b)
evidence of an infection caused by such an agent;
- (a)
F33“child” has the meaning given in regulation 2(7);
“diagnostic laboratory” means an institution (or facility within an institution) which is equipped with apparatus and reagents for the performance of diagnostic tests for human infections;
“director of a diagnostic laboratory” means—
- (a)
the clinical microbiologist, consultant pathologist or other registered medical practitioner or other person in charge of a diagnostic laboratory, or
- (b)
any other person working in the diagnostic laboratory to whom the function of making a notification under this regulation has been delegated by the person mentioned in paragraph (a); F34...
- (a)
F35“disability” has the same meaning as in the Equality Act 2010 (see section 6 of, and Schedule 1 to, that Act);
“guardian” has the meaning given in section 107 of the Children and Young Persons Act 1933;
“operator of a diagnostic laboratory” means the corporate body that operates the diagnostic laboratory or, if there is no such body, the director of the diagnostic laboratory;
F36“parent” has the meaning given in regulation 2(7).
Annotations
Textual amendments
- F1
Words in reg. 4(1) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)
- F2
Punctuation mark in reg. 4(1) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(b)(i)
- F3
Words in reg. 4(1) renumbered as reg. 4(1)(a) (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(b)(ii)
- F4
Reg. 4(1)(b) and word inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(b)(iii)
- F5
Words in reg. 4(1)(b) omitted (3.3.2022) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/125), regs. 1(2)(c)(ii), 36(2) (with reg. 37(1)(2))
- F6
Reg. 4(1ZA) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(i)
- F7
Reg. 4(1A) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(c)
- F8
Words in reg. 4(1A) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)
- F9
Words in reg. 4(1A)(b) inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 3(b)
- F10
Reg. 4(2)(aa) inserted (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(2)(a)(i)
- F11
Reg. 4(2)(b)(ba) substituted for reg. 4(2)(b) (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(d)(i)
- F12
Words in reg. 4(2)(ba) inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 3(c)
- F13
Reg. 4(2)(da) inserted (1.10.2020) by The Health Protection (Notification) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/674), regs. 1, 2(2)
- F14
Word in reg. 4(2)(j) omitted (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(d)(ii)
- F15
Reg. 4(2)(l) and word substituted for words in reg. 4(2)(k) (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(d)(iii)
- F16
Words in reg. 4(2)(l) inserted (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(2)(a)(ii)
- F17
Words in reg. 4(3) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(e)
- F18
Reg. 4(3A)-(3C) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(f)
- F19
Words in reg. 4(3A) substituted (18.3.2022 at 4.00 a.m.) by The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(ii)
- F20
Words in reg. 4(3B) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(iii)
- F21
Words in reg. 4(3C) substituted (18.3.2022 at 4.00 a.m.) by The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(iv)
- F22
Reg. 4(3D) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(v)
- F23
Words in reg. 4(4) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(g)(i)
- F24
Words in reg. 4(4) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(g)(ii)
- F25
Words in reg. 4(6) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)
- F26
Words in reg. 4(7) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(h)
- F27
Reg. 4(7A) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(i)
- F28
Punctuation mark in reg. 4(8) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(j)(i)
- F29
Words in reg. 4(8) renumbered as reg. 4(8)(a) (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(j)(ii)
- F30
Reg. 4(8)(b) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(j)(iii)
- F31
Reg. 4(8A) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(k)
- F32
Words in reg. 4(11) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(i)
- F33
Words in reg. 4(11) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(ii)
- F34
Word in reg. 4(11) omitted (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(iii)
- F35
Words in reg. 4(11) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(iv)
- F36
Words in reg. 4(11) inserted (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(v)
- F37
Reg. 4 heading substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(a)
- F38
Words in reg. 4 heading substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)
- F39
Words in reg. 4 heading inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 3(a)