VIEWS: 10 PAGES: 4 POSTED ON: 2/2/2010
ENCLOSURE M TRUST BOARD – SUMMARY REPORT th Date of Trust Board meeting: 9 March 2006 Name of Report: Cervical screening and breast screening performance Author(s): Dr Gillian Holdsworth Approved by (name of Director): Dr Alan Maryon Davis Presented by: Dr G Holdsworth Purpose of the Report: Brief board members Action required: Note the contents Risk Implications & Actions Taken: Not applicable Public & User Involvement Not applicable Equality & Diversity Implications None Legal Issues: None known Relevant Core/Developmental Health Care Standard Core standard C23 This report addresses ongoing activities in Southwark to improve breast and cervical screening coverage ENCLOSURE M Cervical screening and breast screening performance report, Southwark PCT, March 2006. Dr G Holdsworth, Screening Commissioner Cervical screening Cervical screening programme performance is assessed on cervical screening coverage. This is calculated as the number of eligible women between the ages 25 to 64 year who have received an adequate smear in the last five years. The cervical screening coverage target is 80%. Nationally coverage is 80.3%1 and has been falling. Coverage at September 2005 in Southwark was 71.88%. Cervical screening coverage has decreased in Southwark since December 2004 (72.8%). The higher coverage in December 2004 is a result of the impact of the ‘women never screened initiative’ on the programme. Current coverage remains above the pre December 2004 rates. Practice coverage in Southwark ranges from 86% to 49%. London coverage is 75.5%1. Southwark has the third lowest coverage in London after City and Hackney and Westminster. Trends in cervical screening coverage rates Percentage of eligible 25-64 wome n 78% 77.1%77.1% 76.76% 76.2% 76.3% 76.44% 76.1% 76.33% 76.36%76.56% 76.23% 76% 75.68%75.62% 74.5% 74.2% 74.3% 75.53% 74% 75.05%74.9% 74.82% 74.75% 74.73% 74.4% 74.25%74.30% 74.18% 71.6% 71.7% 72.80% 72% 71.2% 72.39% 72.0% 71.76% 72.30% 72.15%71.88% 71.7% 71.58%71.52% 70% 68% 66% Sep- Dec- Mar- Jun- Sep- Dec- Mar- Jun- Sep- Dec- Mar- Jun- Sep- 02 02 03 03 03 03 04 04 04 04 05 05 05 Lambeth Southw ark Lew isham The main reasons for low cervical screening coverage in Southwark are high population mobility, ethnic diversity of the population and language barriers. In addition the ‘inadequate rate’ of 9.9% will also contribute to our inability to meet our coverage targets (although the London inadequate rate is similar to the national inadequate – so all are affected equally). ENCLOSURE M Current activities ongoing to address cervical screening coverage rates in Southwark 1. Introduction of ‘Electronic Prior Notifcation Lists’ (EPNLs). Prior notification lists are issued to practices in advance of their women being invited for screening. This allows the practice to update clinical and administrative details (particularly address) since the last invitation. If these are not returned in time then the invitations may be sent out to an earlier address. Currently in Southwark we are introducing electronic PNLs – which allows practices to update information on line. Fifty percent of PNLs are now returned on time, compared with 8% in September 2005. 2. Improving coverage action plan developed by the PCT screening coordinator – this covers a number of approaches to working with practices on coverage, including: Targeting low coverage practices - the PCT screening lead has identified the lowest performing practices in Southwark and is working with them on developing their systems to address this. Practice Coordinators - Each practice to provide a named Cytology Co- coordinator for the practice. Open Exeter - Promoting awareness of the web based system Open Exeter that provides practices with individual patients screening history. 3. Introduction of liquid based cytology – this new technique for taking cervical smears will be introduced in 2006. It is likely to reduce the inadequate rate over the next few years from 10 per cent to 1-3 percent, which will almost certainly impact positively on coverage rates. Breast screening The breast screening programme offers mammography to women between the ages of 50 and 70 years on a three yearly basis. Performance of the programme is measured on the number of eligible women between the ages of 53 and 64 years who have had a mammogram in the preceding three years. The national target for breast screening coverage is 70%. Currently in Southwark our breast screening coverage at June 2005 was 62%. This compares with 63% coverage in Lewisham and 57% in Lambeth, 75.5% in England and 64.3% in London. Southwark PCT is the ninth lowest PCT in London Region in breast screening, although the overall trend in breast screening has been upwards over the last few years. ENCLOSURE M Breast Screening Programme: coverage of women aged 50-64 at 31 March 1996 to 2001 and women aged 53-64 at 31 March 2002 to 2004 80 Coverage (less than 3 yrs since 70 60 50 last test) % 40 30 20 10 0 1996 1997 1998 1999 2000 2001 2002* 2003* 2004* * T he f i gur e s f or 1 9 9 6 - 2 0 0 2 a r e ba s e d on a s c r e e ni ng a ge r a nge of 5 0 - 6 4 howe v e r i n 2 0 0 3 i t wa s a gr e e d t ha t c ov e r a ge wa s be s t a c c e s s e d us i ng t he 5 3 - 6 4 a ge gr oup a s wome n ma y be c a l l e d a t a ny t i me be t we e n t he i r 5 0 t h a nd 5 3 r d bi r t hda y s England London LSL Lambeth Southwark Lewisham Improving Breast Screening in Southwark The South East London Breast Screening Programme in collaboration with Southwark PCT Department of Public Health have developed a Breast Screening Information Pack for Practice Staff and have initiated a targeted programme of health promotion in Primary Care. Practices who’s women will be called for breast screening over the coming year will be visited by the team and a pack of health promotion materials including a template for ‘pre invitation letters’ and ‘DNA letters’ which the practice can use – an approach which has been demonstrated to improve uptake in other areas. The programme will be evaluated and rolled out if appropriate. There are a number of proposals which are being considered by the London Cabinet which may be implemented London wide – if they are thought to improve uptake in London, these include possible centralisation of the call recall service.
Pages to are hidden for
"Cervical screening and breast screening performance report "Please download to view full document