National Screening Programmes (Adult Population) Annual Report
|
|
- Ella Hampton
- 5 years ago
- Views:
Transcription
1 National Screening Programmes (Adult Population) Annual Report
2 This report details the range of national screening programmes for the adult population offered by NHS Shetland and reports the latest performance and service developments in each programme (the most recent data are mostly from 2010 or 2011). Some programmes have been in place longer than others and the level of detail in each section of this report reflects this. In addition to the programmes described here, there is also a range of antenatal and neonatal screening programmes which are offered to pregnant women and their babies; and childhood screening programmes including vision testing. The three programmes reported here are all cancer screening programmes: looking at cervical cancer; breast cancer and bowel cancer. A programme is to be introduced in October 2012 to screen men for another (non-cancer) condition called abdominal aortic aneurysm (AAA). 2.1 Epidemiology of cervical cancer Each year in Scotland around 300 women are diagnosed with cervical cancer and approximately 100 women die from it. In Shetland the figures are as follows: Incidence Mortality Because of Shetland s small population it is difficult to interpret the small numbers of cases for individual diseases such as cervical cancer. The most recent available figures show that five women were diagnosed with cervical cancer over a three year period to the end of 2010, and one women died in that period during that time. This appears to be an increase compared to previous years, when there had been no cases diagnosed for three years. Looking at the figures as a rate over several years shows that Shetland s incidence (the number of new cases per year) and mortality (deaths) do not differ significantly from the Scottish average over time, although there may be fluctuations year on year. So in 2008 and 2010 the rate in Shetland was higher, but in 2009 it was lower. There does appear to be a gradual 2
3 increase in the numbers of women being diagnosed with cervical cancer across Scotland. Cervical Cancer EASR 1 Trend in Incidence (new cases) Scotland Shetland It should be noted that these figures are for all cases of cervical cancer not just those picked up through cervical screening (which in fact is designed to pick up pre-cancerous changes before a cancer develops). Mortality rates across Scotland do not appear to have changed over the period Cervical Cancer EASR Trend in Mortality (deaths) Scotland Shetland The screening programme The cervical screening programme has been in place nationally for a number of years. Cervical screening is designed to detect pre-cancerous changes in the cells sampled from the cervix (the neck of the womb). This is known as cervical intraepithelial neoplasia (CIN) and can be effectively treated to prevent cervical cancer developing. The smear test is the process of sampling the cells and is usually carried out at the woman s own GP practice, by the practice nurse or GP. Cervical screening is offered to all women aged between 20 and 60 years in Shetland every three years, as in the rest of the UK, and over 1,800 women in Shetland are screened every year. The only women in this age range who are not offered screening are those who have had a total hysterectomy. This applies to about 6% of Shetland women Uptake figures 80.1% of women offered screening in the past 3.5 years (up to 2011/12) have responded. This has remained fairly stable over the past 3 years after a period of drifting downwards. The graph below shows the cervical 1 EASR: age-standardised mortality rate per 100,000 person-years at risk (European standard population) 3
4 screening uptake rate for Shetland over time, and demonstrates that it has mirrored the national pattern, while staying consistently well above the Scottish average. Very few women actively opt out of the screening programme in Shetland. Those that do are generally over 40 years old. The number of women opting out is decreasing. We are in the process of analysing and feeding back data at GP practice level, to try to ensure we maintain our high rate of uptake and keep opt outs to a minimum Smear taking results The quality of local smear taking is indicated by the percentage of unsatisfactory or inadequate smears. This did decrease with the introduction of a new technique for smear taking (Liquid Based Cytology LBC) a few years ago. Shetland unsatisfactory results decreased to 2.85% in , after an increase in the previous year to just over 4%. This continues to be monitored, and smear takers have been reminded of the need to ensure they have a good technique to try and keep this as low as possible. The percentage of women with any non-negative result (non-negative results includes severe, moderate, mild or borderline changes and unsatisfactory smears) for the last 3 years is shown below. 4
5 2.3 Developments The Test of Cure Study After treatment for CIN, women used to have several repeat smears to see if treatment has been successful. The Test of Cure pilot study showed that women who have a cervical screen that shows normal cervical cells and no Human Papilloma Virus (HPV which causes cervical cancer) six months after treatment for CIN can return to routine three yearly screening. From 30 April 2012, all women who have had treatment for CIN in Scotland are now tested for HPV at their next cervical screening test. This normally takes place six months after treatment. If they are both HPV negative and the cervical smear test is normal then they will return to the usual three yearly screening Training for smear takers A national training resource for smear takers is in development. In the meantime, we are looking at developing and running a local training session for smear takers in Shetland during Further information Further information on the Scottish Cervical Cancer Screening Programme can be found at: 5
6 3.1 Epidemiology of breast cancer Each year in Scotland around 4000 women are diagnosed with breast cancer and approximately 1000 women die from it. Early diagnosis and advances in treatment have led to a good prognosis for most women with breast cancer nowadays. In Shetland the figures are as follows: Incidence Mortality Because of Shetland s small population it is difficult to interpret the small numbers of cases for individual diseases such as breast cancer. It can be seen in the table above that the number of cases diagnosed each year varies: this will in part be due to small numbers but also reflects the timing of the screening programme. In Shetland the mobile screening unit comes up every three years, and so most of the women diagnosed with breast cancer through the screening programme will be diagnosed in that year (ie 2004, 2007, 2010). However every year there will be other women who are diagnosed not because of the screening programme, but because they have developed signs or symptoms of cancer. Looking at the figures as a rate shows that over time Shetland s incidence (the number of new cases) and mortality (deaths) do not differ significantly from the Scottish average, although there are year on year fluctuations due to small numbers and the effect of three year screening. Breast Cancer EASR 2 Trend in Incidence (new cases) Scotland Shetland EASR: age-standardised mortality rate per 100,000 person-years at risk (European standard population) 6
7 Breast Cancer EASR Trend in Mortality (deaths) Scotland Shetland The breast cancer screening programme The Scottish Breast Screening Programme invites all women between 50 and 70 years old for breast screening every three years. All women should receive their first invitation by the age of 53. Women aged over 70 are not sent an invitation but are still welcome to attend for screening. The programme in Shetland is delivered in conjunction with NHS Grampian and a mobile breast screening unit comes up to Shetland every three years. The screening consists of having a mammography (like an x-ray) of the breasts Uptake figures Shetland women consistently have among the highest uptake rate for breast screening in Scotland. This is due to a combination of good processes and procedures for calling women for screening, awareness raising in the isles and a sensible attitude adopted by Shetland women towards screening. The graph below shows recent uptake rates for all Boards. Please note that uptake is now measured for women aged 50 to 70 years old, whereas previously it was only 50 to 64 year olds. 7
8 3.2.2 Trends over time As can be seen from the graph above, the Shetland and Orkney uptake rates have been consistently the highest in Scotland over the past six years. Island Boards perform extremely well, and are consistently among the best performing areas and well ahead of the national average. Encouragingly, the national rate has been showing a steady increase over recent years and is now at 75%. Historical data shows that this has increased steadily from around 70% over the last 20 years. 3.3 Developments Review of the breast screening programme The breast screening programme has been running for 22 years and although there have been significant developments and changes to the programme in that time, there has not yet been a review of the whole programme. The National Services Division of NHS Scotland therefore commenced a major review of the programme in 2011 which is due to run until June This has included consultation with all key stakeholders, including the public. The review is considering what is the most cost and clinically effective structure and delivery for the service, consistent with the needs of the population and of the NHS Scotland Quality Strategy. It is also looking at whether or not the Scottish Breast Screening Programme should continue to be designated and co-ordinated as a national service; and if not how it should be funded, planned and managed. As the Breast Screening Programme remains central to Scottish Government policy, this review does not include the rationale behind screening, the methods used, the eligible age range, or any resulting treatments. Further information can be found at: Further information Further information on the Scottish Breast Cancer Screening Programme can be found at: 8
9 4.1 Epidemiology of bowel cancer Bowel cancer (or colorectal cancer) is a major public health problem in Scotland, which has a higher rate of bowel cancer than most other countries in the Western world. In Scotland it is the third most commonly diagnosed cancer in both men and women with approximately 3,400 new cases diagnosed each year. It is the second most common cause of cancer death for men and the third for women with around 1,600 people dying of the disease in Scotland each year, although the death rate is falling. 95% of cases occur in people aged over 50 years. Bowel cancer screening can identify pre-cancerous signs in men and women who otherwise have no symptoms and treatment of these abnormalities at this stage is usually very effective. In Shetland the figures for numbers of new cases diagnosed and deaths due to colorectal cancer are as follows: Incidence Mortality Looking at the figures as a rate shows that over time Shetland s incidence (the number of new cases per year) and mortality (deaths) do not differ significantly from the Scottish average. EASR 3 Trend in Incidence (new cases) Scotland Shetland EASR Trend in Mortality (deaths) Scotland Shetland EASR: age-standardised mortality rate per 100,000 person-years at risk (European standard population) 9
10 4.2 The National Colorectal (Bowel) Cancer Screening Programme This programme was introduced in Scotland in 2007 and rolled out by NHS Board, with NHS Shetland starting in October Men and women aged are invited every two years to take part in the screening using a test kit that is posted out, completed at home and returned to the National Screening Centre in Dundee. The test (called the FOB test) looks for evidence of blood in the faeces, which can be a sign of bowel cancer. If blood is found then the patient is invited to attend for a further investigation, a colonoscopy, at the Gilbert Bain Hospital Uptake figures for home testing kit The uptake figures for the bowel screening programme for are shown in the graph below. These figures are for people invited between November 2009 and October 2011 and so include all the Shetland patients invited during the first two year round of invitations, nearly 7,500 people. The figures do show that Shetland has one of the highest uptake rates, but as noted they need to be interpreted with caution. Notes: 1. Due to small numbers of positive test results recorded for NHS Orkney, NHS Western Isles and NHS Shetland any comparison of figures with these NHS Boards should be treated with caution. 2. NHS Fife unable to produce data. The uptake rates for bowel cancer screening are lower than that those for cervical and breast cancer screening. This is likely to be because this is a 10
11 new programme and it will take a while for people get used to the idea of screening for this particular cancer, and especially using home testing kits. Also, this programme includes both men and women and whereas women have been used to attending for breast and cervical cancer screening, men have not been invited for cancer screening before on a population level Uptake figures for colonoscopy All people who have a positive result on the home testing kit should be invited to attend for a pre-assessment with a view to having a colonoscopy. Most people with a positive FOB test will be advised to have a colonoscopy, but some will not be able to for medical reasons or may decide to decline. The percentage of people with a positive FOB going on to have a colonoscopy in Shetland is slightly higher than the average for Scotland, but again these are small numbers. Notes: 1. Due to small numbers of positive test results recorded for NHS Orkney, NHS Western Isles and NHS Shetland any comparison of figures with these NHS Boards should be treated with caution. 2. NHS Fife unable to produce data Cancer detection rate The crude cancer detection rate varied across NHS Boards from 0.15% to 0.31% in men and 0.05% to 0.19% in women (excluding NHS Orkney and NHS Shetland). NHS Orkney had very low rates, and NHS Shetland higher rates, although due to small numbers of positive test results recorded for 11
12 the Island Boards, any comparison of figures with these NHS Boards should be treated with caution. Screening detected around twice as many cancers in men. The crude cancer detection rates for Shetland and Scotland are shown below: Males Females All NHS Shetland Scotland Overall adenoma detection rate This is the percentage of people with adenomas detected out of those who completed a screening test. Adenomas can be a precursor to cancer and can be classed as high, medium or low risk depending on size and number. Screening detected more than twice as many adenomas in men as in women. The overall adenoma detection rate varied across NHS Boards from 0.42% to 1.46% in men and 0.12% to 0.62% in women. The adenoma detection rates for Shetland and Scotland are shown below: Males Females All NHS Shetland Scotland Positive predictive value (PPV) of current bowel screening test to bowel cancer This is the percentage of screen detected colorectal cancers found in people who had a positive test and went on for further investigation (normally a colonoscopy). Across Scotland, 7.9% of men and 5.7% of women who had a positive screening test result (and who went on for further investigations) had either polyp cancer or invasive colorectal cancer. In Shetland the PPV was 11.9 for men and 18.4 for women, however again due to the small numbers involved it is difficult to interpret these figures Complications arising from colonoscopy Colonoscopy is an invasive procedure and there is the risk of complications, which sometime require hospital admission to manage. The overall rate of complications (requiring admission) across Scotland was 0.6%. In Shetland the rate was 4.1%. However, because the number of colonoscopies performed in Shetland is small, then a very small number of complications makes a big difference to the complication rate. The rate of complications will continue to be monitored closely. 12
13 4.3 Further information Further information on the Scottish Bowel Cancer Screening Programme can be found at: This programme is to be introduced in Scotland from AAA is a cardiovascular condition that can lead to death if the aneurysm gets very big and ruptures. It is more common in older men. Often there are no signs and symptoms of an AAA, but it can be picked up on an ultrasound scan. The screening programme will aim to identify men who have an AAA by inviting them to have an ultrasound scan at the age of 65. If the scan shows evidence of a small AAA then the man may be followed up to see if it grows any bigger. If the scan identifies a large AAA then elective surgery may be offered to prevent it rupturing. NHS Shetland will be delivering this programme in conjunction with NHS Grampian and NHS Orkney. The Grampian, Orkney and Shetland collaborative will commence the programme in late October The ultrasound scans will be carried out in a number of locations across the collaborative with the main administrative Screening Centre being in Aberdeen. In Shetland, the scans will be done by our own ultrasonographers at clinics in the Lerwick Health Centre. 5.1 Further Information Further information on the AAA Screening programme can be found at: Dr Susan Laidlaw Screening Co-ordinator NHS Shetland October
Scottish Bowel Screening Programme Statistics
Publication Report Scottish Bowel Screening Programme Statistics For invitations between 1 November 2010 and 31 October 2012 Publication date 27 August 2013 A National Statistics Publication for Scotland
More informationPublic Health Screening Programmes Annual Report 1 April 2013 to 31 March 2014
Greater Glasgow and Clyde NHS Board Board Meeting 21 April 2015 Board Paper No: 15/13 Director of Public Health Public Health Screening Programmes Annual Report 1 April 2013 to 31 March 2014 RECOMMENDATION
More informationInformation for trans people
NHS Screening Programmes Public Health England leads the NHS Screening Programmes About this leaflet This leaflet is for trans (transgender) and non-binary people in England. It tells you about the adult
More informationScottish Bowel Screening Programme Statistics
Publication Report Scottish Bowel Screening Programme Statistics For invitations between 1 November 2013 and 31 October 2015 Publication date 02 August 2016 A National Statistics Publication for Scotland
More informationUPDATE REPORT: POPULATION SCREENING PROGRAMMES IN POWYS. This is a briefing report on the delivery of population screening in Powys
BOARD MEETING 25 JUNE 2014 AGENDA ITEM 3.4 UPDATE REPORT: POPULATION SCREENING PROGRAMMES IN POWYS Report of Director of Public Health and Strategic Planning Paper prepared by Purpose of Paper Principal
More informationabcdefghijklmnopqrstu
CMO and Public Health Directorate Health Improvement Strategy Division Dear Colleague Scottish Abdominal Aortic Aneurysm Screening Programme This CEL outlines the plan for the implementation of the AAA
More information7.14 Young Person and Adult (YPA) Screening Programmes
7. ADULT SECTION 7.14 Young Person and Adult (YPA) Screening Programmes Screening is a process of identifying apparently healthy people who are at increased risk of a disease or condition, to offer information,
More informationLearning Event: Cancer Screening Programmes
Learning Event: Cancer Screening Programmes 11:45 12:00 12:05 12:25 12:50 13:20 13:45 Registration & Lunch Welcome/introductions and housekeeping Background: NHSGGC Annual Screening Report Bowel Screening:
More informationNorthern Ireland Cervical Screening Programme
Northern Ireland Cervical Screening Programme ANNUAL REPORT & STATISTICAL BULLETIN 2010-2011 1 Report produced by : Quality Assurance Reference Centre, PHA Date of Publication: September 2012 2 Contents
More informationAneurin Bevan Health Board. Screening Programmes
Aneurin Bevan Health Board Screening Programmes 1 Introduction The purpose of this report is to inform Board Members of the screening services offered nationally by Screening Services, Public Health Wales
More informationScottish Cervical Screening Programme. Colposcopy and Programme Management
Scottish Cervical Screening Programme Colposcopy and Programme Management Addendum to NHSCSP Publication No 20 Second Edition Exceptions Applicable in NHS Scotland April 2013 (Final Version 2.8 to incorporate
More informationScottish Bowel Screening Programme Statistics
Scottish Bowel Screening Programme Statistics For invitations between 1 November 2015 and 31 October 2017 Publication date 07 August 2018 A National Statistics publication for Scotland This is a National
More informationThe introduction of HPV testing to cervical screening in Scotland
The introduction of HPV testing to cervical screening in Scotland Frequently asked questions for professionals Key messages From early 2020, cervical cytology (looking at cells under a microscope) will
More informationAims for public health surveillance of the HPV programme in Scotland
Aims for public health surveillance of the HPV programme in Scotland To establish the body of evidence to Enable overall evaluation of the immunisation programme Uptake Safety Monitor the impact on cervical
More informationAn engaging 12 months. This bulletin is also available in Welsh
An engaging 12 months This bulletin is also available in Welsh screening information packs were sent to GP surgeries across Wales 11 training sessions were held across Wales screening information sessions
More informationSUBJECT: HPV vaccination programme update
Meeting of Lanarkshire NHS Board Lanarkshire NHS Board 14 Beckford Street 29 February 2012 Hamilton ML3 0TA Telephone 01698 281313 Fax 01698 423134 www.nhslanarkshire.co.uk SUBJECT: HPV vaccination programme
More informationScottish Abdominal Aortic Aneurysm Screening Programme Statistics
Scottish Abdominal Aortic Aneurysm Screening Programme Statistics Year ending 31 March 2018 Publication date 5 March 2019 An Official Statistics publication for Scotland This is an Official Statistics
More informationAnnual Report. Public Health Screening Programmes. 1 April 2010 to 31 March Version: 1 Published: 21 February 2012 Public Health Screening Unit
Public Health Screening Programmes Annual Report 1 April 2010 to 31 March 2011 Version: 1 Published: 21 February 2012 Public Health Screening Unit 1 INTRODUCTION...3 CHAPTER 1: CERVICAL SCREENING...9 CHAPTER
More informationInformation for trans people
NHS Screening Programmes Public Health England leads the NHS Screening Programmes About this leaflet This leaflet is for trans (transgender) and non-binary people in England. It tells you about the adult
More informationThe impact of the HPV vaccine in Scotland.
The impact of the HPV vaccine in Scotland Kevin.pollock@nhs.net Cervical cancer by deprivation Scotland 18 Cancer of the cervix uteri (ICD-10 C53) Age-standardised incidence and mortality rates by SIMD
More information2. CANCER AND CANCER SCREENING
2. CANCER AND CANCER SCREENING INTRODUCTION The incidence of cancer and premature mortality from cancer are higher in Islington compared to the rest of England. Although death rates are reducing, this
More informationIMMUNISATION PROGRAMMES IN NHS GREATER GLASGOW AND CLYDE
NHS Greater Glasgow & Clyde NHS BOARD MEETING Jennifer Reid and Dr Syed Ahmed 16 th August 2016 Paper No: 16/51 Insert Title of NHS Board Paper Here IMMUNISATION PROGRAMMES IN NHS GREATER GLASGOW AND CLYDE
More informationAwareness of cervical cancer and prevention among women eligible for cervical screening in Scotland
Awareness of cervical cancer and prevention among women eligible for cervical screening in Scotland A project funded by the Scottish Government Screening Inequalities Fund Contents 1. Background... 2 2.
More informationCervical screening: your results explained. Updated guidance
Cervical screening: your results explained Updated guidance This leaflet will explain the results of your cervical screening test which is designed to pick up any changes in cells on the cervix (lower
More informationCervical Screening. What Pacific women need to know
Cervical Screening What Pacific women need to know To avoid cervical cancer and to stay well, Pacific women aged from 20 until they turn 70 need to have smear tests every three years. The smear tests look
More informationReport on Population based National Screening Programmes in Abertawe Bro Morgannwg University Health Board
Report on Population based National Screening Programmes in Abertawe Bro Morgannwg Author: Kimberley Cann, Specialty Registrar in Public Health, Dr Sikha de Souza, Locum Consultant and Dr Sharon Hillier,
More informationPrimary High Risk HPV Testing with Cytology Triage
Primary High Risk HPV Testing with Cytology Triage NHS Cervical Screening Programme Public Health England leads the NHS Screening Programmes Human papillomavirus (HPV) High risk (HR) HPV is associated
More informationReport on Population based National Screening Programmes in Aneurin Bevan Health Board
Report on Population based National Screening Programmes in Aneurin Bevan Health Board Author: Dr Sharon Hillier; Deputy Director, Screening Division Date: 8 th March 2012 Version: 1 Purpose and Summary
More informationPOPULATION BASED NATIONAL SCREENING PROGRAMMES IN POWYS TEACHING HEALTH BOARD
BOARD MEETING 24 JUNE 2015 AGENDA ITEM 3.2 POPULATION BASED NATIONAL SCREENING PROGRAMMES IN POWYS TEACHING HEALTH BOARD Report of Paper prepared by Purpose of Paper Action/Decision required Director of
More informationSTOP Cancer, before it starts*
About your cervical screening (smear test) Going for screening could save your life. STOP Cancer, before it starts* This leaflet is available in Easy Read, BSL, audio and large print. www.cervicalscreeningwales.wales.nhs.uk
More informationCervical Screening - The Facts Sgrinio Serfigol - Y Ffeithiau AWARDED FOR EXCELLENCE
Cervical Screening - The Facts Sgrinio Serfigol - Y Ffeithiau AWARDED FOR EXCELLENCE This leaflet tells you about cervical screening. Cervical Screening Wales (CSW) invites all eligible women who live
More informationTARGETS To reduce the age-standardised mortality rate from cervical cancer in all New Zealand women to 3.5 per or less by the year 2005.
Cervical Cancer Key points Annually, around 85 women die from, and 230 women are registered with, cervical cancer. The decline in both incidence and mortality rates for cervical cancer has accelerated
More informationNATIONAL CERVICAL CANCER SCREENING PROGRAMME Monitor 2017
a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a a NATIONAL CERVICAL CANCER SCREENING PROGRAMME Monitor
More informationNHS BREAST & CERVICAL SCREENING PROGRAMMES
NHS BREAST & CERVICAL SCREENING PROGRAMMES PERFORMANCE REPORT HARINGEY Reducing mortality from breast and cervical cancer December 2012 Breast cancer is the most common cancer among women in the UK, affecting
More informationLearning disabilities and Cancer screening. North Yorkshire taskforce group. Dr Jenni Lawrence NHS Scarborough and Ryedale CCG
Learning disabilities and Cancer screening. North Yorkshire taskforce group. Dr Jenni Lawrence NHS Scarborough and Ryedale CCG What we will cover today. National drivers. Bowel cancer screening. Breast
More informationNHS cervical screening Helping you decide
NHS cervical screening Helping you decide What is cervical cancer? 2 What causes cervical cancer? 2 What is cervical screening? 3 Cervical screening results 6 What is a colposcopy? 8 Making a choice the
More informationHPV Immunisation Statistics Scotland
Publication Report HPV Immunisation Statistics Scotland School Year 2016/17 Publication date 28 November 2017 A National Statistics Publication for Scotland Contents Contents... 1 Introduction... 2 HPV
More informationAbout your cervical screening (smear test) Going for screening could save your life.
About your cervical screening (smear test) Going for screening could save your life. STOP Cancer, before it starts This leaflet is available in Easy Read, BSL, audio and large print. www.cervicalscreeningwales.wales.nhs.uk
More informationCervical screening update What you need to know about HPV primary testing
even if you ve had the HPV vaccine whether you re sexually active or not and whatever your sexual orientation And speak to your GP if you haven t GPN Insight January 2019 Cervical screening update What
More informationWorking with a Primary Care Trust (PCT) Caroline Hulett Health Promotion & Information Manager
Working with a Primary Care Trust (PCT) Caroline Hulett Health Promotion & Information Manager What we re going to cover Context: breast cancer in the UK and the importance of early diagnosis Background
More informationEpidemiological notes Susan Vaughan
Epidemiological notes Susan Vaughan BHF: http://www.bhf.org.uk/heart-health/statistics.aspx or http://www.bhf.org.uk/publications/view-publication.aspx?ps=1546 BCIS Audit 2009: http://www.bcis.org.uk/pages/default.asp
More informationFamilial Hypercholesterolaemia
Familial Hypercholesterolaemia What is the disease? FH is due to mutations of our DNA which prevent our bodies breaking down cholesterol Patients will have very high cholesterol from birth Very high cholesterol
More informationbreast screening explained
breast screening explained The Scottish Breast Screening Programme has been part of NHSScotland for more than 10 years. Breast cancer is more common in women aged over 50; therefore, all women aged 50
More informationMortality amenable to Health Care in Scotland
Mortality amenable to Health Care in Scotland 1981-4 Grant I, Munoz-Arroyo R, Oduro S, Whyte B and Fischbacher C Scottish Public Health Observatory Programme Information Services Division June 6 1 Background
More informationAnnual Report. Public Health Screening Programmes TO 31 MARCH Extract: Chapter 3 : Planning for Bowel Screening Programme
Public Health Screening Programmes Annual Report TO 31 MARCH 2007 Extract: Chapter 3 : Planning for Bowel Screening Programme Version 1.0 Published: 18 December 2007 1 Contents INTRODUCTION...3 SUMMARY...5
More informationNorthern Ireland cervical screening programme. Information for primary care and smear takers
Northern Ireland cervical screening programme Information for primary care and smear takers From January 2011, the Northern Ireland cervical screening programme will no longer invite women aged under 25
More informationDirector of Public Health Board Paper No. 12/43. Report of the Director of Public Health : Childhood Immunisation and Staff Flu Vaccination Programmes
Greater Glasgow and Clyde NHS Board Director of Public Health Board Paper No. 12/43 Report of the Director of Public Health : Childhood Immunisation and Staff Flu Vaccination Programmes Recommendations:
More informationTeenage Booster Immunisation Statistics
Publication Report Teenage Booster Immunisation Statistics Teenage Td/IPV booster immunisation uptake rates for school years 2011/12 to 2012/13 Publication date 25 March 2014 An Official Statistics Publication
More informationScreening. Dr Helen Raison Consultant, Public Health Royal Borough of Kingston
Screening Dr Helen Raison Consultant, Public Health Royal Borough of Kingston What is screening? Screening is a process of identifying apparently healthy people who may be at increased risk of a disease
More informationActivity Report April 2012 to March 2013
North, South East and West of Scotland Cancer Networks Brain/Central Nervous System Tumours National Managed Clinical Network Activity Report April 2012 to March 2013 Professor Roy Rampling Emeritus Professor
More informationCancer Screening Nottingham City Joint Strategic Needs Assessment April 2009
Cancer Screening Nottingham City Joint Strategic Needs Assessment April 2009 Introduction Cancer screening aims to detect disease at an early stage in people with no symptoms, when treatment is more likely
More informationNHS Cervical Screening Programme in Kingston and Richmond ANNUAL REPORT
Kingston Borough Team Richmond and Twickenham Borough Team 1. Introduction NHS Cervical Screening Programme in Kingston and Richmond ANNUAL REPORT 2010-12 All women between the ages of 25 and 64 are eligible
More informationTeenage Booster Immunisation Statistics
Publication Report Teenage Booster Immunisation Statistics Teenage Td/IPV booster and teenage MenC booster immunisation uptake rates for school year 2013/14 Publication date 16 December 2014 An Official
More informationHPV Immunisation Statistics Scotland
HPV Immunisation Statistics Scotland School Year 2017/18 27 November 2018 A National Statistics publication for Scotland This is a National Statistics Publication National Statistics status means that
More informationImplementation of Faecal Immunochemical Testing as the screening test for Bowel Screening. Programme in Wales
Immunochemical Testing as the screening test for Bowel Screening. Programme in Wales Information to Public Health Wales Board prior to introduction Author: Dr Sharon Hillier, Acting Director Screening
More informationCERVICAL SCREENING WALES CERVICAL SCREENING PROGRAMME, WALES: 2001/02
CERVICAL SCREENING WALES INFORMATION TEAM STATISTICAL REPORT CERVICAL SCREENING PROGRAMME, WALES: 2001/02 For more information about this report contact: Helen Beer, Information Analyst / Manager, Screening
More informationYou have been asked to come for a Colposcopy examination because your cervical screening test (smear) has shown evidence of abnormal cells.
Colposcopy Examination One Stops Patient Information Sheet Why do I need a Colposcopy examination at the one stop clinic? You have been asked to come for a Colposcopy examination because your cervical
More informationSOUTH WEST of SCOTLAND BREAST SCREENING SERVICE
SOUTH WEST of SCOTLAND BREAST SCREENING SERVICE Area covered Ayrshire and Arran and Dumfries and Galloway Population to be invited is 80,161+ over three years (Period:2014/17) The service is located within
More informationNorthern Ireland Abdominal Aortic Aneurysm (AAA) Screening Programme
Northern Ireland Abdominal Aortic Aneurysm (AAA) Screening Programme Frequently asked questions The condition What is an abdominal aortic aneurysm (AAA)? The aorta is the main blood vessel that supplies
More informationShared Decision Making screening for abdominal aortic aneurysm. Deciding whether to get screened for an abdominal aortic aneurysm (AAA)
Shared Decision Making screening for abdominal aortic aneurysm Next clinical review date March 2018 Deciding whether to get screened for an abdominal aortic aneurysm (AAA) This short decision aid is to
More informationDeciding whether to get screened for an abdominal aortic aneurysm (AAA)
Shared Decision Making screening for abdominal aortic aneurysm Next clinical review date March 2018 Deciding whether to get screened for an abdominal aortic aneurysm (AAA) This short decision aid is to
More informationInformation Services Division NHS National Services Scotland
Cancer in Scotland April 2017 First published in June 2004, revised with each National Statistics publication Next due for revision October 2017 Information Services Division NHS National Services Scotland
More informationScotPHO Tobacco Profiles Second release (January 2015)
ScotPHO Tobacco Profiles Second release (January 2015) Salomi Barkat, Shivani Karanwal, Richard Lawder, Anna MacKinnon, Diane Stockton (ISD Scotland) and Fiona Moore (NHS Health Scotland) Contents Background...
More informationBoard Meeting Tuesday 17 August 2004 Board Paper No. 04/52 PUBLIC HEALTH ISSUE - GGNHSB CERVICAL SCREENING PROGRAMME - ANNUAL REPORT 2002/2003
EMBARGOED UNTIL MEETING Greater Glasgow NHS Board Board Meeting Tuesday 17 August 2004 Board Paper No. 04/52 DIRECTOR OF PUBLIC HEALTH PUBLIC HEALTH ISSUE - GGNHSB CERVICAL SCREENING PROGRAMME - ANNUAL
More informationFaecal Immunochemical Testing (FIT) for Screening and Symptomatic Patients
Faecal Immunochemical Testing (FIT) for Screening and Symptomatic Patients Caroline Addison NE BCSP Hub Director and Consultant Clinical Scientist What is FIT Type of Faecal Occult Blood test Designed
More informationA patient s guide to understanding. Cancer. Screening
A patient s guide to understanding Cancer Screening Contents 04 06 10 12 Cancer Screening Who Should Go For Cancer Screening 05 Nasopharyngeal Carcinoma Colorectal Cancer 08 Lung Cancer Liver Cancer Breast
More informationSCREENING MATTERS - Issue 26
SCREENING MATTERS - Issue 26 What s in this issue? [Front page] Call/recall Breast screening Practice visit [2] Text reminders Implementation of digital mammography Breast screening leaflets [3] Breast
More informationHaringey. CCG Governing Body. Immunisation and Screening Update. Report. May 2015
1 Haringey CCG Governing Body Immunisation and Screening Update Report May 2015 Aim of the report This report is an update for the Haringey CCG Governing Body on the section 7a Immunisation and Screening
More informationAudit Report. Breast Cancer Quality Performance Indicators. Patients diagnosed during Published: December 2015 NORTH OF SCOTLAND PLANNING GROUP
NORTH OF SCOTLAND PLANNING GROUP Breast Cancer Managed Clinical Network Audit Report Breast Cancer Quality Performance Indicators Patients diagnosed during Published: December 2015 Mr Douglas Brown NOSCAN
More informationCytology Update M Laing QEUH
Cytology Update M Laing QEUH Age change to 25 to 65 Age 25 to 50 Three yearly smear invitation Age 50 to 65 Five yearly smear invitation Women on non routine screening will be invited up to age 70 OUTCOME
More informationAbdominal Aortic Aneurysm (AAA)Screening. Elizabeth Rennie
Abdominal Aortic Aneurysm (AAA)Screening Elizabeth Rennie Aim of the AAA Screening Programme Reduce the mortality rate associated with the risk of rupture in men aged 65 years and older. Shift the balance
More informationHPV Immunisation Uptake Statistics for the Catch-up Programme
Publication Report HPV Immunisation Uptake Statistics for the Catch-up Programme 1 September 2008 31 August 2011 Publication date 25 September 2012 An Official Statistics Publication for Scotland Contents
More informationAbdominal Aortic Aneurysm (AAA) Screening. Date: 7 March 2017 Version: 1.0
Information Services Division/ National Specialist and Screening Services Directorate Abdominal Aortic Aneurysm (AAA) Screening Guidance and information on the key performance indicators (KPIs) for the
More informationInformation Services Division NHS National Services Scotland
Cancer in Scotland October 2012 First published in June 2004, revised with each National Statistics publication Next due for revision April 2013 Information Services Division NHS National Services Scotland
More informationAbnormal Smear (Cytology) Results What do they mean?
Abnormal Smear (Cytology) Results What do they mean? Obstetrics & Gynaecology Women & Children s Services This leaflet has been designed to give you important information about your condition / procedure,
More informationAnnual Report. Public Health Screening Programmes TO 31 MARCH Extract: Chapter 1 : Cervical Screening
Public Health Screening Programmes Annual Report TO 31 MARCH 2007 Extract: Chapter 1 : Cervical Screening Version 1.0 Published: 18 December 2007 1 Contents INTRODUCTION...3 SUMMARY...5 CHAPTER 1: CERVICAL
More informationCervical Skills. Dr Margaret Laing Queen Elizabeth University Hospital
Cervical Skills Dr Margaret Laing Queen Elizabeth University Hospital What is screening? Screening is a test offered to an apparently well person with the possibility of detecting a serious disease before
More informationAbdominal aortic aneurysm screening: A decision for men aged 65 or over
Abdominal Aortic Aneurysm Abdominal aortic screening: A decision for men aged 65 or over Screening is a choice. Men aged 65 and over have the following choice: Get screened for abdominal aortic or Do not
More informationActivity Report April 2012 March 2013
North, South East and West of Scotland Cancer Networks HepatoPancreatoBiliary Cancers National Managed Clinical Network Activity Report April 2012 March 2013 Mr Colin McKay Consultant Surgeon NMCN Clinical
More informationTeenage Booster Immunisation Statistics Scotland
Publication Report Teenage Booster Immunisation Statistics Scotland Teenage Td/IPV booster and teenage Men C booster immunisation uptake rates for school year 2014/15 Publication date 15 December 2015
More informationAn evaluation of liquid-based cytology and human papillomavirus testing within the UK cervical cancer screening programme Sherlaw-Johnson C, Philips Z
An evaluation of liquid-based cytology and human papillomavirus testing within the UK cervical cancer screening programme Sherlaw-Johnson C, Philips Z Record Status This is a critical abstract of an economic
More informationObjectives. I have no financial interests in any product I will discuss today. Cervical Cancer Screening Guidelines: Updates and Controversies
Cervical Cancer Screening Guidelines: Updates and Controversies I have no financial interests in any product I will discuss today. Jody Steinauer, MD, MAS University of California, San Francisco Objectives
More information14. Cancer of the Cervix Uteri
KEY FACTS 14. Cancer of the Cervix Uteri ICD-9 180 On average 78 cases of invasive cervical cancer were registered per year. Half of cases occurred under 49 years of age. 2% of female cancers. Higher than
More informationUK Bowel Cancer screening Dr Voi Shim Wong BsC MD FRCP. Consultant Gastroenterologist Accredited BCSP colonoscopist Whittington + UCL Hospitals
UK Bowel Cancer screening 2017 Dr Voi Shim Wong BsC MD FRCP Consultant Gastroenterologist Accredited BCSP colonoscopist Whittington + UCL Hospitals Bowel Cancer Contents UK Bowel Cancer Screening Programme
More informationSCREENING. Highlights. Introduction HEALTH STATUS REPORT CHAPTER 9: SEPTEMBER 2016
HEALTH STATUS REPORT SCREENING CHAPTER 9: SEPTEMBER 2016 Highlights Screening represents an effective secondary prevention strategy to reduce the burden of disease, such as cancer. Not having a Pap test
More informationBowel Cancer Screening
Bowel Cancer Screening Dr John Hancock FRCP Consultant Gastroenterologist University Hospital of North Tees Outline Background Current bowel cancer screening programme Tees Screening Centre Future Flexi
More informationPreventing Cervical Cancer 2018 WHAT THIS WILL MEAN FOR PRIMARY CARE
Preventing Cervical Cancer 2018 WHAT THIS WILL MEAN FOR PRIMARY CARE DR GARY FENTIMAN, CLINICAL LEADER COLPOSCOPY, N C S P TAKE-HOME LESSONS Vaccination is Primary Prevention for Cervical Cancer Women
More informationCervical Cancer Screening. David Quinlan December 2013
Cervical Cancer Screening David Quinlan December 2013 Cervix Cervical Cancer Screening Modest variation provincially WHO and UK begin at 25 stop at 60 Finland begin at 30 stop at 60 Rationale for
More informationPreventive Services Explained
Preventive Services Explained Medicare covers many preventive care services without charge. Most of these services have been recommended by the U.S. Preventive Services Task Force. However, which beneficiaries
More informationSHETLAND NHS BOARD NEWS RELEASE
SHETLAND NHS BOARD NEWS RELEASE 3 October 2016 Seasonal flu immunisation The seasonal flu immunisation campaign starts this week. As in previous years, people in Shetland aged 65 and over, along with pregnant
More informationAccess to Male & Female Sterilisation
Access to Male & Female Sterilisation The number of female sterilisation procedures and male vasectomies performed by each NHS board per women and men of reproductive age and the waiting times for these
More informationNHS GRAMPIAN, NHS ORKNEY & NHS SHETLAND COLLABORATIVE ABDOMINAL AORTIC ANEURYSM (AAA) SCREENING PROGRAMME ANNUAL REPORT NOVEMBER 2013 TO OCTOBER 2014
NHS GRAMPIAN, NHS ORKNEY & NHS SHETLAND COLLABORATIVE ABDOMINAL AORTIC ANEURYSM (AAA) SCREENING PROGRAMME ANNUAL REPORT NOVEMBER 213 TO OCTOBER 214 Prepared by: Mrs Alison Mundie AAA Screening Programme
More informationNHS cervical screening
NHS cervical screening Cervical screening the facts This leaflet tells you about cervical screening. It aims to help you choose whether or not to take part in the NHS Cervical Screening Programme. What
More informationCERVICAL SCREENING WALES
CERVICAL SCREENING WALES Cervical Screening Wales Audit of Cervical Cancer (CSWACC) National Report 1999-2009 For more information about this report contact: Dr Rose Fox Director Cervical Screening Wales
More informationThe new Cervical Screening Test for Australian women: Louise Farrell
The new Cervical Screening Test for Australian women: Louise Farrell Outline and explain the changes to the National Cervical Screening Program due to commence in Dec 2017 LEARNING OBJECTIVES FOR TODAY
More informationMental Health Collaborative. Dementia Summary of Activity. April 2010
Mental Health Collaborative Dementia Summary of Activity April 2010 The following extracts provide either one example of a Board s dementia improvement activity or a brief summary of a Board s current
More informationProgramme Report Irish Cervical Screening Programme. October 2000 to August 2008
Programme Report Irish Cervical Screening Programme October 2000 to August 2008 Members of the Board of the National Cancer Screening Service Dr Sheelah Ryan, Chairperson Dr Gráinne Flannelly Dr Marie
More informationScottish Abdominal Aortic Aneurysm Screening Programme. December 2017 National Review
Scottish Abdominal Aortic Aneurysm Screening Programme December 2017 National Review Healthcare Improvement Scotland is committed to equality. We have assessed the review process for likely impact on equality
More information