A HEREFORD doctors' surgery has told patients who have routine blood tests that they could have their appointments cancelled as the NHS grapples with a shortage of specimen bottles.

Due to a national shortage of blood specimen bottles, Hereford Medical Group, which runs Station Medical Centre, said it would only be able to carry out urgent blood tests until September 17.

This guidance was received from NHS England, it said. Routine blood tests could be rescheduled, but any urgent tests would still go ahead.

"Our reception team have received clear guidance from GPs to ensure patients are booked appropriately," a spokesperson said.

"All urgent blood tests will continue to take place.

All appointments currently booked before September 17 will be reviewed by a clinician to ensure appropriate action is taken.

"If you have a routine blood test booked before the September 17 we will contact you to rearrange your appointment if necessary."

The British Medical Association warned the shortage of blood tubes put doctors and patients in a "terrible, unenviable position", with GPs facing "difficult choices" about who gets blood tests.

The BMA said shortages across hospitals and GP surgeries were "severe" and if the NHS did not reduce usage in the coming days "even the most clinically important blood tests may be at risk".

Earlier this month, NHS England issued guidance amid a global shortage of blood tube products.

It came after medical technology company Becton Dickinson (BD) reported temporary supply chain issues for tubes used to collect samples in blood tests.

All clinically necessary blood tests will go ahead but others have been scaled back.

The BMA urged doctors to follow guidance and carry out "only the most critical tests for the time being".

A spokesman for BD said the NHS had been clear that the supply disruption was not limited to BD and affected other companies producing blood tubes.

He said BD took its responsibility to provide consistent product supply "very seriously" and that it was taking steps to "maximize supply" and divert products from other regions to help the UK.

Dr David Wrigley, BMA council deputy chair, said: "This crisis has put doctors and their patients in a terrible, unenviable position.

"No doctor knowingly undertakes unnecessary blood tests and to now have to ration all those we are doing, as well as cancel hundreds more, goes against everything we stand for as clinicians.

"However, if we don't try to follow the NHS guidance, it's clear we will get to the point where even the most clinically urgent of blood tests may not be able to be done as we simply won't have the tubes for the blood to go into.

"We are at a very perilous point and it's surprising that NHS England hasn't declared a critical incident given the very strong possibility that NHS organisations may temporarily lose the ability to provide lifesaving diagnostic testing."

He called on NHS England to provide information for patients about the situation.

On Thursday, NHS bosses wrote to England's GPs and hospital trusts warning that supply was "forecasted to become even more constrained over the coming weeks".

"While it is anticipated that the position will improve from the middle of September, overall supply is likely to remain challenging for a significant period," they wrote, adding that it was "important and urgent that demand is reduced as much as possible".

Alternative products were being sought but it is expected to take time for these to be imported and delivered in volume.

The NHS guidance recommended stopping vitamin D testing except in exceptional circumstances and deferring routine infertility testing unless the patient is over the age of 35.

It also said allergy testing was "not a priority at this time" unless there was clinical need, and that routine wellness screening was "not a priority".

The guidance also advised against stockpiling tubes.

A Department of Health and Social Care spokesperson said: "Patient safety is a top priority and we are working closely with NHS England, the devolved administrations, and NHS Supply Chain to minimise any impact on patient care.

"The health and care system continues to work flat out with the supplier and stakeholders to put mitigations in place, and restore normal supply, and there continues to be stock in place."

The BD spokesman said there had been "unprecedented" demand for its vacutainer blood collection tubes in recent months.

This was driven by the need for tubes for testing for Covid-19 patients, as well as routine testing for procedures delayed due to the pandemic.