Useful documents for you to download

Consent pathway

Best Interests meeting example

Best Interests Template

Best Interests Pathway


Cervical Screening Capacity Examples

Desensitisation Cancer Screening

Referral Form

New Pathway

new website is under development which will be an excellent resource for all sample takers. please click  for the link http://www.cornwallandislesofscilly.nhs.uk/CornwallAndIslesOfScillyPCT/InformationforProfessionals/Screening/HealthScreening.aspx

Cornwall PCSA  Submitted from PCSA Department, Cornwall PCT by Tracy Cowling and Jayne Rogers.

For a copy of the Cornwall cervical screening policy, please click on this link from your NHS address only  http://cww.cornwall.nhs.uk/DocLibrary/library/976.pdf

For a copy of the immunosuppressed flow chart please click on this link Immunosuppressed_algorithm_Final_version.pdf 

Electronic Prior notification Lists

Electronic Prior notification Lists (e PNLs) have been introduced in Cornwall. Ten practices have signed up to it and are very positive about the new system and prefer this system to receiving paper copies. The PCSA would encourage practices to change to this system and are asking that people contact Tracy Cowling or Jayne Rogers at the PCSA on the e mail addresses below. They will need to sign up to the ‘Open Exeter’ system.

Other Benefits of signing up to the 'Open Exeter’ system:

• Pre populated HMR101 forms

By signing up  the 'Open Exeter’ system practices now have the opportunity to print off pre populated HMR101 forms. This should save sample takers considerable time in practice.

• Non responders

 Practices will soon be able to access the names of non responders through ' open Exeter' but this is in the pilot stage with NHAIS. This will mena practices will be able to use this infomration for  completion of their cards and print off details.

• HPV vaccination uptake

The system has been recently updated to that information can be downloaded on the populations and uptake of HPV vaccination. Practices will be able to monitor the uptake / refusal or opting out of the smear and vaccination programmeStatistics will be used more for the NHSAIS system , QA, etc in the near future when the HPV programme has run for several years.  Discussions are taking place between Child Health and PCSA as to who will populate the Open Exeter Website as practices are not currently funded to do this.  

• Statistics

• Vault samples

The PCSA is no longer responsible for reminding practices of women who require a vault sample. Letters will be sent from colposcopy units and general practitioners. Letters will be  sent to all practices from Dr Marian O’Donnell the Cancer Screening Commissioner to all practice manager and sample takers  on the 24th /11/08 to this effect.

For further information please contact:

This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

To download the latest ammendments to the Open Exeter HMR101 form please click here

To download the latest flow chart on taking vault samples please click here

To download the latest guidance on taking vault smears please click here

To download the SWQARC Interim Good Practice Guidance for Sample Takers July 2011please click  F000168_Good_practice_guidance_for_cervical_sample_takers.pdf

To download the new  'Information and Guidance for Cervical Sample Takers  December 2008 please Guidance_for_good_Practice.pdf
 
To download the Recall Management Procedure which was issued on the 19th March 2010 please click here

To download the Direct Referral Procedure document please click here

Derriford Hospital (Plymouth, Devon) Submitted by Martina Hornby. Laboratory Manager

The most important issues for us here are:  

LBC Kits:

LBC kits are ordered via email address:   This e-mail address is being protected from spambots. You need JavaScript enabled to view it.  (surgery name and number of remaining kits should be stated in email).  LBC kits must be ordered on regular, monthly basis.  Orders must be placed well in advance to allow for delays in dispatch and transport.

Extra brushes:

Extra brushes can be ordered from Tricia Smith.  Practice Nurse Lead.

Timing of samples:

Please ensure samples are taken midcycle, unless opportunistic.  Contamination of the sample with blood and/or mucus increases the turnaround time for the report as well as the inadequacy rate.  Please note, if the patient is using oestrogen cream, cease treatment about 5 days prior to sample taking to avoid contamination.  Avoid use of lubricants.   Please use warm water only as the use of lubricants is contributing to the reprocessing rates

Endocervical brushes:

Please note, if an endocervical brush is required, it must be used in conjunction with a LBC broom.

Main lab contact number is 01752 792242

Lab Manager contact number 01752 763534

Martina Hornby (Lab Manager).

Updated January 2011. Please ensure samples are transported to the laboratory without delays to ensure compliance with the Cancer Reform Strategy, ie that 50% of women receive their results within 7 days, 95% within 14 days.

*     To ensure accurate identification please can all sample takers print their full name legibly in box 20 on the HMR101 forms.

*     To view recommendations from the recent review by the The Advisory Committee on Cervical Screening (ACCS), following concern that young women who present to their GPs with cervical cancer symptoms are not always being given appropriate advice, follow the link to the NHCSP website

<http://www.cancerscreening.nhs.uk/cervical/news/011.html>

 Patients with no cervix will be ceased from recall and any subsequent vault tests will not be actioned by the recall agencies. This means that a result letter will not be generated and so the sample taker must inform the patient of the result.

CHANGES TO CERVICAL CYTOLOGY REPORTING
Applicable to all Cervical LBC samples taken on or after 1st Feb 2010

Changes agreed by the Local Plymouth Cervical Screening Group and Cancer Services -
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Please circulate to all staff this may concern and amend your policies accordingly.

1. Reports issued as inadequate/unsatisfactory

In line with new national guidance all cervical LBC samples taken on or after 1st February 2010 and reported as inadequate should be repeated after 3 months replacing the current recommendation of 2 months.

To ensure consistency of communication both the cytology report sent to the sample taker and the result letter issued to the patient by the recall agency will recommend a 3 month recall interval.

Please note:  repeat samples taken prematurely may affect the cellular yield of the sample. Midcycle samples are essential. In cases where the use of topical oestrogen is recommended, it is advisable to initiate the treatment in the second half of the recall interval and to cease treatment 5-7days before the sample is due to ensure optimal sample consistency.

2. Reports issued as ?invasive carcinoma or ?glandular neoplasia

All cervical LBC samples taken on or after 1st February 2010 reported as ?invasive carcinoma (result code 5) or ?glandular neoplasia (result code 6) will be treated as Direct Referrals. 

It will therefore no longer be the responsibility of the sample taker to refer these patients.  As with all other referrals to the Colposcopy Clinic, referral will be undertaken by the Cytology Laboratory.  The reporting pathologist will continue to inform the patient's GP of the result by telephone and it remains the GP's responsibility to communicate the result to the patient as soon as possible.

Devon, Torbay, Plymouth Cervical Smear Policy Document

NHSCSP_-_Local_Cervical_Screening_Policy_2011_Version_5.pdf  

Here is a link to the page it is on (login required):
http://www.infopoint.devonpct.nhs.uk/your-sites/Directorates/Public_Health/Screening.asp

Devon Primary Care Support Services (PCSS) Reviewed Mach 2009
The centralisation of services has been successful

Invitation letters
All screening invitation letters will now be sent from a central site. So instead of practices sending invitations to patients the PCSS will send them.

SMART card information

Please contact Rydon Lane Exeter.

Prior Notification Lists
Prior notification list (PNL) will be sent from the PCSS ( Primary Care Support Services) to practices electronically instead of by hard paper copy.

14 day turnaround times
The government target for the turnaround of the time the sample is taken to the time the woman receives her result will be no longer than 14 days. We aim to achieve this across Devon as soon as possible. To help us to achieve this please ensure that samples are sent to the laboratory without delay.

Inappropriate removal of women from the screening prgramme
Please carefully observe your ‘informed dissenters‘ list to ensure that all those women who have been removed from the screening programme are appropriately entered.

Results letters

Women will now receive their results directly from the PCSS . A copy of the results will be sent to general practices.

Updated on 14th March 2012

For the HPV newsletters from Treliske Hospital please click on the relvant links below

14._RCH_HPV_no1._May_2011.doc

16._RCH_HPV_no2._Aug_2011.doc 

17_RCH_HPV_no3._Sept_2011.doc

The following documnets are essential reading can be download from here:

Vault Policy please click here

Inadequate Advice please click here

How to print HMR 101 Forms from the Open Exeter System please click here

For  a copy of the algorithm for immunosupressed women please Immunosuppressed_algorithm_Final_version.pdf

To link to the Cornwall and IOS website www.cornwallandislesofscilly.nhs.uk/CornwallAndIslesOfScillyPCT

for information on Coverage click tab 'Information for professionals' and 'Screening'

From Carina Hume Laboratory Manager.

To view/download a copy of the new Guidance for Health Professionals Version1 (13th March 2009) Why is cervical screening not recommended for women under 25?

for the SWQARC Guidance for Good Practice for Cervical Sample Takers please click here For the management of abnormal bleeding in women under 25 click here

Contact: Carina Hume (Laboratory Manager). Email:  This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

SOUTH WEST OBSERVATORY

http://www.swpho.nhs.uk/resource/view.aspx?RID=9235

HPV Testing

The Bristol lab is one of those involved in the Sentinel sites project to look at feasibility of implementing HPV testing into the routine lab setting. Currently samples showing low grade abnormalities on cytology are tested for high risk HPV types. If positive, they are referred to colposcopy, if negative they are returned to routine recall. We are also using HPV testing as a test of cure for women who have been treated for high grade CIN. If cytology and HPV test are negative, these women can be put on 3 year recall instead of having annual follow up samples.
The project is ongoing. More information can be found on the NHS cancer screening website www.cancerscreening.nhs.uk/cervical/hpv-sentinel-sites.html.

More information can be found on our website www.cytology-training.co.uk.

Royal United Hospital Laboratory Bath

This information was submitted by Nichole Villeneuve (Laboratory Manager)
We have similar problems to other areas regarding reprocessing rates and would ask all sample takers to avoid the use of lubricants and avoid including plugs of mucus that block the filters. More information regarding the implementation of the send back policy will be available shortly. Please use the Avon website for other useful information

Great Western Hospital Swindon processes samples from Swindon.

To download a copy of Swindon NHS Cervical Screening Operational policy please click here

To download copies of the NHS Swindon sample taker's newsletters please click against the appropriate link For the September 2010 newsletter please click here

For the December 2010 newsletter please click here

For the May 2011 newsletter please click here

For the March 2012 newsletter please click Cervical_Screening_Newletter_March_12.doc

For the document - Learning Disability: Improving Health Outcomes in Cervical Screening ( May 11th 2011) please click here

Your sample taker commissioning lead is: Frances Mayes. Senior Public Health Manager. Public Health Directorate

NHS Swindon

North Swindon District Centre

Thamesdown Drive

Swindon

SN25 4AN

This e-mail address is being protected from spambots. You need JavaScript enabled to view it.

Telephone 01793 708752

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