Blood Tests 101: Everything You Need to Know
Blood tests are one of the most effective ways to understand what is happening inside your body. They can help detect health conditions, monitor ongoing treatment, and provide valuable insight into your overall wellbeing.
If you are considering a blood test, understanding how the process works can help you feel more confident and prepared.
In this guide, we explain:
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How blood samples are taken
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Where you can have a blood test
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How to prepare for your test
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How results are processed
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Common causes of blood sample errors
How Blood Samples Are Taken
There are two main methods used to collect a blood sample: venous blood sampling and finger-prick testing.
Venous Blood Sample
A venous blood test is the most common method used in clinics and pharmacies.
During the test, a trained healthcare professional inserts a small needle into a vein, usually in the arm, to collect blood. The blood is drawn into one or more tubes depending on how many tests are required.
Because this method collects a larger amount of blood, laboratories can analyse a wider range of biomarkers, making it suitable for more detailed health testing.
Finger-Prick Blood Sample
A finger-prick test uses a small sterile lancet to gently pierce the skin on your fingertip. A few drops of blood are then collected into a small tube.
Finger-prick testing is often used for home blood test kits and is generally considered less invasive than venous sampling.
However, because only a small amount of blood is collected, not all biomarkers can be tested using this method.
Where Are Blood Tests Processed?
Private blood test samples are analysed in professional laboratories that follow strict quality control procedures.
Many laboratories in the UK are accredited by the United Kingdom Accreditation Service (UKAS). This accreditation ensures laboratories meet high clinical standards and operate safely and accurately.
Preparing for Your Blood Test
Preparing properly can make it easier to collect a blood sample and improve the reliability of your results.
Here are some simple tips:
Stay hydrated
Drinking a glass of water within an hour before your test can help improve blood flow.
Warm your body
Having a warm shower or washing your hands in warm water can make veins easier to access.
Encourage circulation
Light movement such as walking or gentle activity can improve circulation before your test.
What to Expect During the Test
It is completely normal to feel slightly nervous before a blood test, but the procedure is usually quick and straightforward.
For a venous blood test, you may feel a brief sharp sensation when the needle enters the skin. The blood draw itself is typically painless. Occasionally, a small bruise may appear afterwards.
Most blood tests only take a few minutes to complete.
When Is the Best Time to Take a Blood Test?
Unless advised otherwise, morning testing is often recommended.
Certain hormones are highest in the morning, which can help improve the accuracy of hormone-related blood tests.
If your test requires fasting, it is usually easiest to fast overnight and have the test shortly after waking.
Morning testing also allows samples to be sent to the laboratory quickly.
Postal Blood Testing
Many blood tests can be safely sent to a laboratory by post. Most biomarkers remain stable for several days when stored correctly.
However, some markers degrade quickly and are not suitable for postal testing. These include:
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Potassium
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Homocysteine
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Calcium
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Insulin
For these tests, it may be necessary to attend a clinic, pharmacy, or laboratory in person for sample collection.
How Long Do Blood Test Results Take?
The time required to receive results depends on the specific test being performed.
Some results may be available within a few hours, while others can take several days or weeks.
In most cases, results are reviewed by a clinician before they are released. Your report will usually include:
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Your test results
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The normal reference range
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An explanation of how your results compare to those ranges
Many private blood tests can be ordered without a GP referral, although certain specialist tests may still require authorisation from a doctor.
What Can Cause Blood Sample Errors?
Occasionally, a blood sample cannot be analysed properly and the test may need to be repeated. The most common causes include the following.
Clotted Samples
Some blood samples must remain liquid for accurate testing. If the blood does not mix properly with the anticoagulant in the collection tube, clotting can occur.
This may happen if the sample takes too long to collect or if the tube is not gently inverted to mix the blood properly.
Clotted samples may produce inaccurate results or prevent the laboratory from processing the test.
Haemolysed Samples
Haemolysis occurs when red blood cells break apart and release haemoglobin into the sample.
This can affect test accuracy and may happen if:
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The finger is squeezed too firmly during a finger-prick test
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Blood is scraped along the tube instead of allowed to drip naturally
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The tube is shaken vigorously instead of gently inverted
Although less common, haemolysis can also occur during venous blood collection.
Insufficient Sample
If the collection tube is not filled to the required level, there may not be enough plasma available for analysis. This can prevent some or all of the requested tests from being completed.