[1]It occurs much more frequently in developing countries. The first invitation is sent to eligible people at the age of 24.5 years. Don’t include personal or financial information like your National Insurance number or credit card details. The first invitation is sent to eligible people at the age of 24.5 years. Cytology results and updating recall. A further requirement is linking with education providers for sample taker training. Most HPV infections are transient, and slightly abnormal cells often go away on their own when the virus clears. Information for immunisation practitioners and other health professionals is available to ensure they follow the correct protocols and processes. Cervical intraepithelial neoplasia (CIN) The updated guidance was developed with this in mind. The screening history provided must be entered into the individual’s English screening record and used to calculate their NTDD. All requests for screening data need to be approved by the NHS Cervical Screening Programme Research Advisory Committee. To be eligible for screening under the English programme, individuals must have their primary residence in England. Regular operational review meetings must take place to ensure adherence to contractual agreements. Access to these screens should be strictly controlled and accessed only by senior staff, for example a subject matter expert or key user with a detailed knowledge of implications of changing any of the parameters. The IT system was upgraded in 2006 and the programme now uses the cervical cytology module on the Exeter System to do … You will need this to choose what the result is. Any deferral must specify a reason. fromalarge cervical cytology screening programmein the Manchester region, theapparent response-rate to a letter inviting womento have a second routine smear three years after their first was47*6%. If HPV is positive, or there is moderate/severe dyskaryosis, Sometimes screening results will require redirection to another database. You'll have an opportunity to ask questions. In all cases where a trans man is no longer eligible for cervical screening, the GP practice must ensure that any outstanding treatment or follow up is continued in accordance with national colposcopy guidance. GPs may defer an individual’s screening invitation for a limited number of reasons through the PNL process. Age 65-plus: invitation as required for individuals who have had recent abnormal tests (individuals 65 and over that are undergoing further investigation or treatment will remain in the programme until their treatment is complete). Where a change of address is notified, call and recall must recreate the most recent correspondence and send it to the new address. Routine Recall Colposcopy Referral BØA, EØA, MØA HPV Positive B9S, E9S, M9S test only if < CIN 1 Cytology Neg (2)/Bord (2)/ Low grade dyskaryosis Routine Recall *Set NTDD = 36/60m CIN 1/2/3 -> Treatment Invite for 6m test of cure Invite for 6m test *Set NTDD = 6m Continued on page 3 Cytology Follow-up or Recall *Set NTDD = 6-12m SE1 8UG, Email The electronic link with LabCentre allows the lab to apply a management code to every smear result and this dictates the … Wellington House This responsibility is defined under Section 2 of the National Health Service Act 2006 as amended by Part 1 Section 11 of the Health and Social Care Act 2012. Daily checks should be in place to monitor network transfers to ensure data is not missed. The GP practice must specify how long any deferral is for. This enables timely communication with the individual. Public Health England (PHE) is committed to reducing inequalities and variation in screening participation to help make sure everyone has fair and equal access to screening services. People registered as female (or indeterminate) but who do not have a cervix should be ceased from screening call and recall as soon as possible, stating the reason ‘absence of cervix’. Cervical Screening NHS UK. Cytology Results And Recommendations CervicalCheck. GP practices should check the details and report any changes that may be relevant to the individual’s screening record back to CSAS for updating. Haematological CSF samples must be received in the Cytology department before 4.00pm. Current registration systems are unable to record the gender category of ‘non-binary’. Individuals who remain hrHPV positive, cytology negative at 12 months should have a repeat HPV test in a further 12 months. Testing for HPV first, rather than looking at the cells down a microscope (cytology), is proven to be a more sensitive test. 6 February 2019. All the available read codes for recording the HPV based cervical screening results can be found on this tab. Read the UK NSC recommendation on cervical screening. This includes the details of individuals who have been ceased, to ensure their wishes continue to be respected. All specimens must be sent to the laboratory immediately. Also, current registration systems are unable to record the gender category of ‘non-binary’. The default recall is set for 'normal results' which is based on age. NHS screening records may therefore appear incomplete if the screening laboratory or colposcopy service advises one or more non-routine recalls following unrecorded non-NHS activity. Primary HPV positive and LBC cytology processing negative Samples from women found to be positive for HR HPV will have cytology performed. If there is any delay please store the specimen in a fridge until it can be sent to the laboratory. It must not be used for future call and recall letters or for results messaging for a future screening episode unless a further instruction is received from the relevant sample taker. The Health Authority now administers the smear recall program. This enables production of the result letters for dispatch to the individuals the same day. It may be taken in other settings (such as community and sexual health (CaSH) clinics). This means that non-standard results or non-protocol code combinations may arise which cannot be accommodated by the call and recall system. Remember the test result from earlier? Cervical screening (a smear test) checks the health of your cervix. For such individuals, appropriate gynaecological referral pathways should be followed. The call and recall system integrity checkers must be run (and entries resolved) at least monthly for live records and quarterly for deducted records. Where an individual relocates from Scotland, Wales, Northern Ireland or the Isle of Man to become a resident in England, the programme expects the relevant NHS body to make the individual’s screening history available. What it means: No abnormal cell changes are noted and there's no evidence of high risk HPV. The search finds patients whose most recent smear recall date falls within the date range of the search (by default this is from five years ago to one month ahead). It also provides information leaflets to support informed choice. All content is available under the Open Government Licence v3.0, except where otherwise stated, reducing inequalities and variation in screening participation, patient confidentiality in population screening programmes, Cervical screening is not recommended for anyone under 25 years old who has not been invited, information on reducing cervical screening inequalities for trans people, Information for immunisation practitioners and other health professionals, national guidance for cervical screening professionals, Infectious diseases in pregnancy screening (IDPS): programme overview, Cervical screening: programme and colposcopy management, Sickle cell and thalassaemia screening: commission and provide, Coronavirus (COVID-19): guidance and support, Transparency and freedom of information releases, how cervical screening helps to prevent cancer. Individuals who do have HPV will have cytology triage carried out on the same sample. PHE collects routine data to monitor the coverage of cervical screening. We’ll send you a link to a feedback form. When your results should arrive Individuals are recalled every 3 years until they turn 50, when the recall interval changes to every 5 years. If no abnormal cells are found, a follow up screen is arranged for 12 months’ time. Processing personal information is necessary to deliver a safe and effective screening service and is required even if a person has opted out of screening. The NHS CSP sends the first invitation for cervical screening when individuals reach the age of 24.5. Age 24.5: first invitation (invitations to first screen are issued at 24.5 years). To maintain S251 approval, PHE must be able to demonstrate to the CAG that appropriate information governance safeguards are in place for all organisations that provide cancer screening services. This is because smoking makes the immune system less effective in fighting HPV. Self sampling may be offered in some areas as part of an approved trial, or as a pilot or formal project within the NHS screening programme. Where the NHS CSP has requirements to retain specific types of document, these are set out in the record retention schedule accompanying this guidance. If the individual becomes a non-responder and the last test was reported as negative routine recall, the registration should be cancelled as O/R (other reason). A period up to 18 months is acceptable. Where individuals move from England to become a resident in Scotland, Wales, Northern Ireland or the Isle of Man, they are no longer eligible for recall in England. If any missing files are suspected they should check with the laboratory the same day. Historic non-NHS test results may appear in a screening record if they were provided to the call and recall service and recorded prior to 2020. We use cookies to collect information about how you use GOV.UK. A trans woman is ineligible for screening as she has no cervix. However, many prisons have procedures for screening their eligible populations. Any GP requiring practice-level text should request this from their local SIT. Self sampling involves test kits for personal use which allow individuals to submit a sample for HPV testing only. Pap Smear Medical Recall Letter Samples smear test recall what do the results mean. If the individual’s screening history is received after the invitation letter has been sent, any sample taken should be processed. A routine recall Rm early repeat in 'm' months S suspend from recall By convention, results are referenced using the form [cytology result] [HPV result] [action] for example, M0A . This process is covered in the latest version of the colposcopy and programme management guidelines. An information leaflet is provided to all people who are referred to colposcopy. Age under 24.5: no invitation. The method of postage used for each result type must be reflected in the appropriate system parameters to enable accurate measurement of the standard. It ensures that screening provides more benefit than harm, at a reasonable cost to the NHS. If this test is negative women will be returned to routine screening. Individuals aged 65 and over who have not had an adequate screening test reported since age 50 can be screened on request. It describes the call and recall cycle from identifying individuals eligible for cervical screening through to the management of abnormal results. Primary human papillomavirus (HPV) screening is a new way of looking at cervical screening (smear) samples, where the check for HPV is the first test carried out.. Women recalled for a repeat test at 12 months will be HR HPV tested. All cervical screening commissioners must follow the relevant service specification (specification number 25). If HPV is negative, they are returned to normal recall. A separate user guide exists to support these processes. Call and recall should notify the practice, and the SIT should request an action plan from the practice to resolve the issue. Recall for cervical cytology. Further information, an online video and support regarding cervical screening is available on NHS.UK. Any invited individual who has not received a result letter 32 weeks after their initial invitation is classified as a non-responder and a new NTDD is set. Upload and submit a request to CSAS to cease a patient from call/recall Send a query regarding an existing enquiry about one of the above forms Submit a request if you wish to opt out of cervical screening via the NHS Patient button Sending invitations well before a NTDD reduces the chance that someone will go beyond their NTDD before being screened. 1. As a minimum, result letters contain the details of the result and provide information on what follow-up actions are recommended. You will need this to choose what the result is. If any temporary change is made, the call and recall service is responsible for making sure the parameters are reverted to the standard settings in line with agreements. Ages 25 to 49: 3-yearly screening. The cervical screening test (also known as a smear test) takes a sample of cells from the cervix (neck of the womb) and checks it for human papillomavirus (HPV). Current policy is outlined below. Floor 5 Women in follow up for treatment of CIN will be given a 3-year recall if HR-HPV negative 6 months after treatment, and will be referred to colposcopy if HR-HPV positive/any grade of cytology If the HPV test is positive you're referred to colposcopy for investigation, if it is negative then you'll go to 3 or 5 year recall. Providers of services have a responsibility to operate in accordance with this guidance. The programme sends screening invitations to people with a cervix who are registered as ‘female’ or ‘indeterminate’ at the following ages and intervals. The request for permanent withdrawal from cervical screening should be submitted in writing where possible. on page 567. Appendix 2 in Cervical screening: cytology reporting failsafe contains a table of valid result code combinations. Where call and recall has not received a test result from the relevant cytology lab within 126 days (18 weeks) of an invitation letter being created, the individual becomes ‘overdue’ for screening and a reminder letter is created and sent. Under these arrangements, PHE holds responsibility for the national co-ordination and oversight of the screening programmes, and NHS England and NHS Improvement commission and performance manage operational services. The GP practice sends the sample to a cervical screening laboratory (see section 10) for analysis and reporting (see section 11). Without treatment, these changes can sometimes develop into cervical cancer. Where the original address is validated, the most recent correspondence must be sent to this address again. The screens should be returned to ‘read only’ once the changes have been made. In such cases, results should be processed within 24 hours of receipt. Key performance indicator (KPI) data reports are available for all 11 national screening programmes. A more detailed summary of the call and recall timetable for a standard screening round accompanies this guidance. One can be positive, the other negative, or both could be present at various levels. A woman’s risk of developing cervical cancer increases if they are or ever have been sexually active, or if they smoke. This includes trans women who have not previously received screening invitations. The cervical screening test (smear test) involves taking a sample from your cervix (neck of your womb) and examining it for the presence of HPV. NHS England and NHS Improvement will have effective governance mechanisms in place to monitor operational delivery. The notifications are available online for 8 weeks, following which they are archived. Those with normal cytology will be recalled in 12 months for a repeat test. These reports must be reviewed and records processed accurately within 5 working days. Women on non-routine screening (where screening results have shown changes that require further investigation/follow up) will be invited up to the age of 70. It must notify the laboratory via the system generated reports, to ensure that they are updated by the laboratory and returned to call and recall. This is to ensure that there is no misunderstanding and that they are not ceased from call and recall in error. For queries about results, contact your GP or local screening service. One example is the transfer of screening records from laboratory link files that have been transferred between databases. Self-referrals will usually attend a CaSH clinic. Recall of women in a cervical cytology screening programme: An estimate of the true rate of response. All women and people with a cervix aged 25 to 64 should be invited by letter. We have a recall system and the Doctor or Nurse may remind you during a … If the screening history is received after this failsafe NTDD is set and before invitation letters are created, the correct NTDD should be calculated and set in the system and the GP practice notified. You can change your cookie settings at any time. Provider incident policies should reference both sets of guidance. Historical data held by NHS organisations may need to be retained (for example in case there is an incident and an affected individual needs to be told). This is defined by setting the sender code as a source code 7. Results letters must be sent to the address supplied by the laboratory via the laboratory links process. They must contain clear instructions regarding the operational processes in place to enable the safe delivery of the service in line with the agreed standards as set out within the contract with NHS England and NHS Improvement. Information on the NHS Cervical Screening Programme, including commissioning, quality assurance, education and training. Call and recall runs a process to identify those individuals who have a NTDD within the following 10 weeks. Cervical Cytology. The HPV testing is used as a triage to assess who needs colposcopy investigation. Additional text must be clear, factual and of direct relevance to the screening programme. All data needing manual input requires validation by a second member of the call and recall screening team to confirm accuracy. A delay of several months may occur between a person receiving their invitation and booking their screening test. Cervical Cytology (smears) All women between the ages of 25 –64 years are strongly advised to have regular smear tests. Where individuals do not respond to a screening invitation, they are designated as ‘non-responders’ after 32 weeks and may receive additional reminder letters from their GP practice. If HPV is negative, they are returned to normal recall. Pap Test Reminder Service From Partners In OB GYN Waterloo. The HMR101 (2009 version) available from the Open Exeter system is pre-printed with each person’s demographic details and screening history. Helpful links: Swindon CCG; After 4 weeks, irrespective of whether or not all PNLs have been reviewed, invitation letters are sent to the identified individuals minus those removed from the current round by their GP (see section 8). They require user action to review, validate and update systems at the intervals described below. Recall of women in a cervical cytology screening programme. Call and recall must send all PNL lists to GP practices 70 days prior to the individuals’ NTDDs. If your last test showed borderline and this one does) and to all women on annual follow up after CIN if their cytology is negative, borderline or mild. The cervical screening test (smear test) checks cells from the cervix – neck of the womb – for human papilloma virus (HPV), HPV causes 99% of all cervical cancers. The NHS call and recall system invites women who are registered with a GP. A Large Population Based Randomized Controlled Trial to. Result files received after 12.30pm must be processed no later than 12.30pm the following working day. There are also more general screening resources to support screening professionals in their initial training and continuing professional development (CPD). Have a repeat cervical screening test at a shorter time interval. Results files received before 12.30pm must be processed on the same day. 4KA.. You have a very low chance of developing cervical cancer, but it's not a guarantee that cervical cancer won't occur. Guidance on how this should be done is available from NHS Digital. Cytology results and updating recall. Consent to receive further screening invitations is assumed unless an individual makes an informed choice not to participate in the screening programme and tells the programme through their GP practice. You’ve accepted all cookies. PHE has also published information about patient confidentiality in population screening programmes. The National Health Application and Infrastructure Service (NHAIS) is due to be replaced with a new call and recall IT system. Further information can be found on the NHS.UK website. This will ensure none of these individuals are lost to follow up. This document is intended for those involved in the commissioning, management, governance, delivery and quality assurance of cervical screening call and recall services. The NTDD calculated from their full screening history must be recorded in their screening history record. The schedule includes the business reasons for the period of retention. A borderline grade is between moderate and mild. The Immunisation and Screening National Delivery Framework and Local Operating Model defines the governance structures for screening programmes in England. Colposcopy departments must use the colposcopy discharge notification template form (or an equivalent electronic output) to notify the call and recall service of individuals discharged, and to specify their NTDD. The helpdesk is not for media enquiries and does not have access to screening results. The process for referring individuals into colposcopy and discharging them back to call and recall is covered in the Colposcopy and programme management guidelines. 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