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Hi Trish, We have tightened our QC ranges for the glucose meters by calculating our own in-house QC limits as per Richard's approach. We monitor the glucose meter QC by device on a monthly basis to detect any trends. This is a time consuming process (we have ~65 meters) however as the standard clearly states 'quality control data shall be reviewed at regular intervals...' I see no other way around this. UKAS are happy with our approach to QC review. The standards do not define 'regular intervals' so that is down to the individual to decide upon. There may be some scope for less frequent monitoring however it would be hard to justify this for devices where the QC is run daily. Kind Regards Sarah Dr Sarah Glover PhD FRCPath Consultant Clinical Biochemist & POCT Clinical Lead Blood Sciences, Biochemistry Harrogate and District NHS Foundation Trust H Tel: 01423 55 3056 e-mail: [log in to unmask] -----Original Message----- From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of KUA, Richard (PLYMOUTH HOSPITALS NHS TRUST - RK9) Sent: 12 April 2018 16:32 To: [log in to unmask] Subject: [SPAM] Re: UKAS Findings Hello Trish We would not be able to do this on our (UniPOC) software either. My proposed solution is to calculate the true SD of the set of glucose meters from all the QC material run over a set time period. Set the QC lock out more tightly that the 3SD normally allowed by our manufacturer. The deviation permitted by the QC level should be less than an agreed maximum deviation set by users (in our case clinical leaders or POCT governance group). This would in effect be a tighter level of control and should keep the deviation within a clinically insignificant range. What do you think? Kind Regards Richard Kua POCT Co-Ordinator Derriford Hospital Plymouth Tel- 01752 792299 -----Original Message----- From: ACB Point-of-Care Testing [mailto:[log in to unmask]] On Behalf Of Patricia Lockett Sent: 12 April 2018 10:12 To: [log in to unmask] Subject: UKAS Findings Hi, During our recent UKAS inspection for Point of Care it was highlighted that there was no IQC trend analysis in place for every individual glucose meter (we have 281 meters). Our glucose meters are linked to Cobas IT1000, but the IQC summaries are limited, and you are unable to produce results per site for every meter, just individual meters, which means this could be a very time consuming task every month. Can anyone suggest a possible solution. Trish Patricia Lockett MSc (Clin Chem) Senior Biomedical Scientist for Point of Care Testing and Laboratory Lead for the Bowel Cancer Screening Programme Hub Clinical Support & Screening Services | Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital | Queen Elizabeth Avenue | Sheriff Hill | Gateshead NE9 6SX | T: 0191 445 8563 | E: [log in to unmask] | ******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in relation to its contents. To do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland. NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and other accredited email services. For more information and to find out how you can switch, https://portal.nhs.net/help/joiningnhsmail