2009 10 Cervical Bulletin Final Report AI v1F

Copyright © 2010, Health and Social Care Information Centre, Public Health Indicators and Population Statistics team. All Rights Reserved. 1

Cervical Screening Programme

England

2009-10


The NHS Information Centre is England’s central, authoritative source of health and social care information. Acting as a ‘hub’ for high quality, national, comparative data, we deliver information for local decision makers, to improve the quality and efficiency of care.

www.ic.nhs.uk Author: The NHS Information Centre, Public Health Indicators and Population Statistics team Responsible Statistician: Clare McConnell – Section Head Version: 1.1 Date of Publication: 21 October 2010


Contents Contents 5

Executive Summary 7

Introduction 10

Background 10

Data Sources 11

Quality Statement 12

Report Structure 15

User Feedback 16

Analysis and Commentary 17

Call and Recall Programme 17

Cervical Cytology 32

Colposcopy 40

Data Tables 49

Appendices 91

Appendix A - Definitions 91

Appendix B - Glossary 94

Appendix C - Related Publications and Useful Web Links 96


Executive Summary Cervical Screening Programme, England 2009-10 Women between the ages of 25 and 64 are invited for regular cervical screening under a

national Cervical Screening Programme. This is intended to detect abnormalities within the

cervix that could, if untreated, develop into cancer. National policy is that women are offered

screening every three or five years depending on their age.

Coverage is defined as the percentage of women in a population eligible for screening at a

given point in time who were screened adequately within a specified period. As the

frequency with which women are invited for screening is dependent on age, coverage is

calculated differently for different age groups, as follows:

Women aged 25 to 49 Coverage is calculated as the number of women in this age

group who have had an adequate screening test within the last 3.5 years as a

percentage of the eligible population aged 25 to 49.

Women aged 50 to 64 Coverage is calculated as the number of women in this age

group who have had an adequate screening test within the last 5 years as a percentage

of the eligible population aged 50-64.

Women aged 25 to 64 (the complete target age group) Coverage is calculated as the

number of women in this age group who have had an adequate screening test within

the last 5 years as a percentage of the eligible population aged 25 to 64.

Main Findings At 31st March 2010, the percentage of eligible women (aged 25 to 64) who were recorded as

screened at least once in the previous 5 years (coverage) was 78.9%. This is the same as

last year.

For those aged 25 to 49 (who are invited every 3 years), coverage at 31st March 2010

increased to 74.0% compared with 72.5% last year. Among women in the older age range,

50 to 64 years (who are invited every 5 years), coverage fell slightly to 78.9% from 80.0%

the previous year.

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Coverage of the target age group (25-64) varied between Strategic Health Authorities, with 6

achieving 80% or more and 4 achieving below 80%. The highest reported coverage was in

the East Midlands at 82.1%, the lowest was London at 73.9%. Coverage was 80% or higher

in 63 of the 152 Primary Care Organisations (PCOs).

The number of women aged 25 to 64 invited for screening increased by 48,734 in 2009-10,

taking the total number of invitations for this age group to just under 4.1 million.

• A total of 3.3 million women aged 25-49 were invited for screening in 2009-10, a fall of

123,641 from 2008-09 when 3.4 million were invited.

• A total of 0.8 million women aged 50-64 were invited for screening in 2009-10, an

increase of 172,375 from 2008-09 when 0.6 million were invited.

Although the number of women invited for screening in 2009-10 increased over the previous

year, the number of women tested fell. Just under 3.3 million women in the Cervical

Screening Programme target age range (25-64 years) were tested in the year. This

compares with 3.6 million in 2008-09 and 3.2 million in 2007-8.

• A total of 2.6 million women aged 25-49 were tested in 2009-10, a fall of 354,181 from

2008-09 when 3.0 million were tested.

• All of the five year age bands, within the 25-49 age group, showed a fall in the

numbers of women tested. This was also the case amongst women aged 25-29, as

the numbers tested fell by 22,967 to 565,990 in 2009-10 even though the number of

women aged 25-29 invited for screening continued to rise in 2009-10 by 48,869 to a

total of 806,609.

• A total of 0.7 million women aged 50-64 were tested in 2009-10, an increase of

18,975 from 2008-09.

In 2009-10, 44.6% of test results were sent by PCOs to women within 2 weeks of the sample

being taken. This is a substantial increase on 2008-09 when 21.4% were sent within 2

weeks. Note that the fact that a test result was sent by a PCO within 2 weeks does not

necessarily mean that it was received by the women within 2 weeks. The cumulative total for

those sent within 4 weeks was 71.8% in 2009-10, compared with 65.5% in 2008-09.


Just under 3.7 million samples were examined by pathology laboratories in 2009-10. This

compares with just under 4.0 million samples in 2008-09. Of the 3.7 million samples

examined in 2009-10, 3.4 million (92.9%) were submitted by GPs and NHS community

clinics.

Prior to the introduction of the new Liquid Based Cytology (LBC) technology, rates of

inadequate samples submitted by GP and NHS Community Clinics for women aged 25-64

were between 9% and 10% each year and these women had to be tested again. As LBC

has been rolled out across the country this rate has fallen significantly and in 2008-09 was at

a record low of 2.5%. In 2009-10 the rate of inadequate samples for women aged 25-64 was

2.8% (93,071 samples).

The percentage of laboratory tests authorised within 2 weeks of receipt at the laboratory

increased in 2009-10 to 60.5% from 54.0% in 2008-09. A further 19.0% were authorised

within 4 weeks.


Introduction 1.1 Background

1.1.1 Women between the ages of 25 and 64 are invited for regular cervical screening

under a national Cervical Screening Programme. This is intended to detect abnormalities

within the cervix that could, if untreated, develop into cancer. National policy is that women

are offered screening every three or five years depending on their age. Women aged 25-49

are invited every 3 years, whereas those aged 50-64 are invited every 5 years. Prior to

2003, women were eligible for routine screening from age 20. In this bulletin, the current

target group of 25-64 years has been used to report statistics wherever possible.

The cervical screening process falls into three main phases:

Call and recall programme

1.1.2 Most women invited by the screening programme have their initial screening test at

either their GP practice or a NHS Community Clinic. The standard age ranges and

frequency of screening are detailed above. Women aged 65 or over whose last three

consecutive tests were reported as negative are removed from the call/recall programme.

1.1.3 It is possible for women outside the age range to be invited for screening should a

need be identified. Women over 65 who have not undergone a previous test or who require

ongoing surveillance continue to be included in the programme.

Cervical Cytology

1.1.4 Samples from the testing process are passed to pathology labs for screening by a

cytologist. The results of the test are returned to PCTs, the GP, and the sample taker (if not

the GP). By the end of 2010, all women should receive the results of their cervical

screening test within 14 days of it being taken.

1.1.5 Most women receive a normal result and are recalled for another routine test in three

or five years dependent on their age. Where the pathology laboratory identifies cell

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changes that require further investigation, women receive an abnormal test result.

Following an abnormal test result, some women will be referred for colposcopy. However,

not all abnormal changes require immediate treatment and some women may instead be

recalled for a repeat test in 6 or 12 months time.

1.1.6 In a small proportion of cases the pathology laboratory is unable to assess the cells to

give a result and the test is considered inadequate. In such cases women are asked to

return for a repeat test.

Colposcopy

1.1.7 Women referred for colposcopy attend a colposcopy clinic where a colposcope (a

lighted, low-powered microscope) is used to examine the cervix and to determine

appropriate treatment. A biopsy may be taken from the cervix for diagnosis and/or the

cervix may be treated. Alternatively, women may be asked to have a repeat test.

1.2 Data Sources

1.2.1 Information on the NHS Cervical Screening Programme has been collected since

1988-89 on the following returns:

• KC53 – information from the call and recall system, collected from all 152 Primary Care

Organisations.

• KC61 – information on screening samples examined by pathology laboratories, collected

from 113 laboratories carrying out cervical cytology.

• KC65 – information on referrals to colposcopy, subsequent treatment and outcome,

collected from 220 clinics/trusts providing colposcopy services. In some instances, smaller

clinics have included their data in the main hospital return. The KC65 return was first

collected in 2000-01.

1.2.2 The data from each of these returns is collected at the end of each financial year in

aggregate form.

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1.3 Quality Statement

1.3.1 Accuracy

These are established collections based on 100 per cent data, i.e. not a sample.

The NHS Cervical Screening Programme includes Regional Quality Assurance (QA)

Centres which are responsible for quality assuring the KC61 and KC65 returns. Data

collections are quality assured at the time of collection by the Regional QA Centres and

aggregated data is provided to the NHS Information Centre (NHS IC) in a defined format.

Further validation and quality assurance checks are carried out at the NHS IC as part of the

publication process.

The KC53 data comes to the NHS IC from PCTs via the Connecting for Health (CfH)

“Exeter” system (NHAIS).

Regional QA Managers are asked to verify the tables produced for publication by the NHS

IC from all returns (KC53, KC61 and KC65) as part of the validation process.

1.3.2 Relevance The Department of Health (DH) use the statistics to inform policy and to monitor the quality

and safety of screening services through regional quality assurance teams. The statistics

used in the report are also used by DH to respond to and support answers to Parliamentary

Questions.

The NHS Cervical Screening Programme use the bulletin as a reference document to

monitor the quality and effectiveness of the NHS Cervical Screening Programme and

progress against their key targets for screening the eligible population in England.

The statistics are used at both Trust and Strategic Health Authority (SHA) level to monitor

local performance against targets.

Indicators from the publication are included in the Compendium of Clinical and Health

Indicators which is widely used within the NHS as well as outside it.


Statistics from the publication are supplied to the Care Quality Commission which publishes

them as benchmarking data.

The NHS IC receives ad hoc requests for information from health professionals, medical

researchers and academic units around the UK and internationally.

All information is accessible for general public use for any particular purpose.

1.3.3 Comparability and Coherence Screening policy changed in 2003. Prior to this, women aged 20-64 were screened at least

every five years. From 2004 women did not receive their first invitation until they were 25.

Prior to 2004, national policy was to invite women for screening at intervals of not more

than 5 years and therefore there was some variation in local practice. This also changed in

2004 so that women aged 25-49 were invited for screening every 3 years whereas those

aged 50-64 were invited every 5 years.

The above changes in policy need to be borne in mind when considering trend data. The

NHS IC maintains awareness of changes that may impact on the data through regular

meetings and communication with the NHS Cervical Screening Programme and the

Department of Health.

1.3.4 Timeliness and Punctuality The cervical screening data are made available as soon as possible after they have been

compiled and validated (October each year).

1.3.5 Accessibility Most data fields are published in the Data Tables as part of the main report which is

available on the NHS IC cervical screening web pages.

http://www.ic.nhs.uk/statistics-and-data-collections/screening/cervical-screening

http://www.ic.nhs.uk/statistics-and-data-collections/screening/cervical-screening


The tables and graphs are also available as Excel files which again are accessible through

the web pages. Further analysis may be available on request, subject to resource limits and

compliance with disclosure control requirements.

1.3.6 Performance cost and respondent burden The publication uses administrative sources already collected by the NHS Cervical

Screening Programme as part of the routine evaluation of screening units, pathology

laboratories and colposcopy clinics. The KC53 data is downloaded from the Exeter system

(NHAIS) which has no additional burden on the NHS. The KC61 and KC65 returns are

completed by Regional Quality Assurance co-ordinators.

1.3.7 Confidentiality, Transparency and Security The standard NHS IC security and confidentiality policies have been applied in the

production of these statistics. The data is received in aggregate form. An annual risk

assessment is undertaken prior to publication which addresses any potential issues around

disclosure.

The number of non diagnostic biopsies in Table 26b has been suppressed at clinic level due

to the small numbers involved and potential disclosure issues. Regional totals are still

available. The total percentage of non diagnostic biopsies showing CIN or worse has also

been rounded up to the nearest 2.5% to avoid risk of disclosure.

1.3.8 Data Revisions Subsequent to publishing 2008-09 data on 22 October 2009, the London regional Cervical

Screening Quality Assurance team identified an error within the colposcopy data for 5

London organisations. The error was as a result of an IT issue which has since been

resolved (the data was revised on 7 December 2009). There has been a small impact on

England level data (increasing figures by approximately 0.7 per cent for referrals) and an

increase of 3.6 per cent for London referrals. All relevant tables and text have been revised.

Comparisons made in the 2009-10 report with previous data make use of the revised

figures and therefore may not match exactly the data published in 2008-09.


A systematic error was identified in the calculation of repeat inadequate samples quoted in

paragraph 2.3.1 of the 2008-09 report. This error was also found in previous reports dating

back to 2006-07 and has resulted in a slightly inflated percentage being published (ranging

from 0.2% to 1.7%). The error occurred due to the calculation of a percentage using the

wrong denominator. The text in the 2008-09 report states, “For women tested again due to

an earlier inadequate test, 10.1% resulted in a repeated inadequate result…”.The

percentage quoted should have been calculated using the total number of women recalled

due to a previous inadequate test as the denominator. Instead, the denominator used was

the total number of inadequate tests. The error has been rectified in this publication and

where year on year comparison occurs, historic data has been amended. This error was

not replicated in any of the Data Tables published in 2008-09 or in previous years.

1.4 Report Structure

1.4.1 Statistics from the cervical screening programme are presented in the Analysis and

Commentary section of this report in three sub-sections as follows:

• Call and Recall Programme

• Cervical Cytology

• Colposcopy

1.4.2 More detailed tables are presented in the Data Tables section.

1.4.3 In presenting laboratory statistics in the Cervical Cytology section, data about

samples from GP and NHS Community Clinics have been used in most tables in

preference to data about samples from all sources, so as to reflect more closely the results

from screening programme tests.

1.4.4 Some of the terms used in this report are quite technical and so a Glossary is

included as an aid to understanding.

1.4.5 A section on Definitions is also included.


1.5 User Feedback

1.5.1 The NHS Information Centre welcomes feedback on all publications. If you wish to comment on this report a feedback form is available on the NHS IC website at: www.ic.nhs.uk/pubs/cervscreen0910


Analysis and Commentary

Call and Recall Programme 2.1 Coverage

2.1.1 Coverage is defined as the percentage of women in a population eligible for

screening at a given point in time who were screened adequately within a specified period.

As the frequency with which women are invited for screening is dependent on age,

coverage is calculated differently for different age groups, as follows:

Women aged 25 to 49

Coverage is calculated as the number of women in this age group who have had an

adequate screening test within the last 3.5 years as a percentage of the eligible

population aged 25 to 49.

Women aged 50 to 64


adequate screening test within the last 5 years as a percentage of the eligible

population aged 50-64.

Women aged 25 to 64 (the complete target age group)


adequate screening test within the last 5 years as a percentage of the eligible

population aged 25 to 64.

The eligible population is the resident population excluding those women whose recall to

screening has been ceased for clinical reasons (most commonly due to hysterectomy).


2.1.2 At 31st March 2010, the percentage of eligible women (aged 25 to 64) who were

recorded as screened at least once in the previous 5 years (coverage) was 78.9%. This is

the same as last year (see Table A).

Table A: Cervical Screening: Coverage by Age Group, 2008-09, 2009-10

Coverage

Year

25-49 years (less than 3.5 years since last adequate test) (%)

50-64 years (less than 5 years since last adequate test) (%)

25-64 years (less than 5 years since last adequate test) (%)

2008-09 72.5 80.0 78.9

2009-10 74.0 78.9 78.9

Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section.

Figure 1 shows coverage of the target age group since 2010.

Figure 1: Cervical screening: Coverage of the target age group (25-64), England at 31 March, 2000 to 2010

65

70

75

80

85

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

2006 data as at 10th August 2006

© Data prior to 2005, re-used w ith the permission of the Department of Health

% coverage (less than 5 years since last adequate test)

Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section

2.1.3 Although overall coverage of women aged 25-64 has not changed since last year,

there have been changes in coverage in the different age groups. For those aged 25 to 49

(who are invited every 3 years) coverage at 31st March 2010 increased to 74.0% compared

with 72.5% last year. Among women in the older age range, 50 to 64 years (who are invited


every 5 years) coverage fell slightly to 78.9% from 80.0% the previous year (see Table A).

Figure 2 shows a detailed breakdown of the change in coverage since last year by age

group.

Figure 2: Cervical screening: Coverage by age, England, 2008-09 and 2009-10

61.5%

71.1%75.3% 77.2% 77.8%

82.5%80.1%

77.2%

62.8%

72.8%76.9% 78.7% 79.1%

82.6%78.3%

75.1%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64Age

Cov

erag

e

2008-09

2009-10

25-49 (coverage <3.5 yrs since last test) 50-64 (coverage <5 yrs since last test)


2.1.4 Coverage of the target age group (25-64) varied between Strategic Health Authorities,

with 6 achieving 80% or more and 4 achieving below 80% (see Table B). The highest

reported coverage was in the East Midlands at 82.1%, the lowest was London at 73.9%.

Table B: Coverage for 25-64 age group by SHA

Coverage (Less than 5 years since last adequate test) (%)

SHA

2008-09 2009-10

England 78.9 78.9 North East 80.5 80.1

North West 78.5 78.4

Yorkshire & the Humber 80.2 80.2

East Midlands 82.4 82.1

West Midlands 78.7 78.5

East of England 80.2 80.6

London 73.8 73.9

South East Coast 80.8 80.2

South Central 79.3 79.5

South West 80.9 80.9



2.1.5 Coverage was 80% or higher in 63 of the 152 Primary Care Organisations (PCOs) -

see Figures 3 and 3a. Figure 3 - Cervical screening: coverage of the target age group (25-64) by Primary Care Organisation, England 31 March 2010

5

22

62 62

10

25

50

75

65 70 75 80 85

Coverage (% of eligible population less than 5 years since last test)

65 70 75 80 85 90

Number of PCOs


Figure 3a - Cervical screening: coverage of the target age group (25-64) by Primary Care Organisation, England 31 March 2010



2.1.6 Where coverage is calculated to include those with recall ceased for clinical reasons,

73.4% of women in the 25-64 age group were recorded as being tested within 5 years of

their last adequate test on 31st March 2010. A further 7.0% were tested within 10 years of

their last test. 8.5% had been called but had never attended for screening (see Table C)

Table C: Test status of women aged 25-64 at 31 March 2009 thousands

Women who have been tested

(time since last test) Women called but

not tested

Number of women resident (000s)

Number of

women ceased

for clinical

reasons less than 1.5 years

1.5 to 3 years

3 to 3.5 years

3.5 to 5 years

5 to 10 years

10 to 15

years

15 years

and over

no adequate

sample never

attended

no cytology

record

14,599.4 1,018.9 4,852.6 3,838.5 722.4 1,298.2 1,017.5 338.4 230.3 27.4 1,237.0 18.2

(%) 7.0 33.2 26.3 4.9 8.9 7.0 2.3 1.6 0.2 8.5 0.1

Source: KC53, The NHS Information Centre. See also Tables 2 and 3 in Data Tables section.

NB: The sum of components may not equal totals due to rounding.

2.2 Invitations for screening

2.2.1 The number of women aged 25 to 64 invited for screening increased by 48,734 in

2009-10, taking the total number of invitations for this age group to just under 4.1 million.

2.2.2 Analysis of women invited by age group over the last 5 years shows some variation –

see Table D and Figure 4. Whilst women invited for screening in the 50-64 age group (who

are invited every 5 years), fell substantially between 2005-6 and 2008-9, this trend was

reversed in 2009-10. A total of 0.8 million women aged 50-64 were invited for screening in

2009-10, an increase of 172,375 from 2008-09 when 0.6 million were invited. In contrast to

this, the number of women invited for screening in the 25-49 age group (invited every 3

years), increased between 2005-6 and 2008-9 and then fell in 2009-10. A total of 3.3 million

women aged 25-49 were invited for screening in 2009-10, a fall of 123,641 from 2008-09

when 3.4 million were invited. Table D also shows that the numbers of women aged 24 and

under invited to screening fell considerably over the 5 year period.

2.2.3 In 2003 screening policy changed so that women aged 25-49 were invited for

screening every 3 years whereas those aged 50-64 were invited every 5 years. Prior to

2004, women were screened from age 20 and at intervals of not more than 5 years which led


to some variation in local practice. This change in policy may partly explain some of the

trends in women invited for screening apparent in Table D and Figure 4.

Table D: Number of women invited for screening by year and age group from 2005-06 to 2009-10

2005-06 2006-07 2007-08 2008-09 2009-10Under 20 1,678 1,033 715 617 631

20-24 288,613 228,464 116,105 57,490 54,34525-29 659,216 693,448 739,982 757,760 806,60930-34 636,939 606,956 642,226 648,856 630,02035-39 643,636 628,554 700,644 686,813 631,02840-44 594,729 591,196 696,853 682,413 622,02045-49 479,040 484,767 596,624 600,915 563,439

25-49 3,013,560 3,004,921 3,376,329 3,376,757 3,253,11650-54 386,246 380,122 409,116 382,686 345,92455-59 374,831 337,906 222,787 144,092 244,99360-64 282,698 284,406 169,737 117,117 225,353

50-64 1,043,775 1,002,434 801,640 643,895 816,27065-69 71,612 63,550 33,543 31,350 48,57970-74 17,943 15,092 6,340 7,963 11,459

75 and over 10,280 8,417 3,048 4,059 4,987

Total (all) 4,447,461 4,323,911 4,337,720 4,122,131 4,189,387Total (25-64) 4,057,335 4,007,355 4,177,969 4,020,652 4,069,386


Figure 4: Number of women invited for screening by age group and year, 2005-06 to 2009-10

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

4,000,000

4,500,000

2005-06 2006-07 2007-08 2008-09 2009-10

Year

Num

ber 25-49

50-6425-64



2.2.4 Table E shows that although most invitations to women aged 25 to 64 were routine

recalls, 15.8% were early recalls for surveillance and 4.3% were early recalls following an

abnormality (i.e. persistent findings of borderline changes or mild dyskaryosis).

Table E: Number of women (aged 25-64) invited in the year by type of invitation

Repeat in less than 3 years for reasons of

Year Total Call Routine

Recall Surveillance Abnormality Inadequate

Sample

2008-09 4,020,652 14.0% 64.0% 15.3% 4.0% 2.7%

2009-10 4,069,386 16.2% 61.1% 15.8% 4.3% 2.5%


2.2.5 Although the number of women invited for screening in 2009-10 increased over the

previous year, the number of women tested fell. Just under 3.3 million women in the

Cervical Screening Programme target age range (25-64 years) were tested in the year (see

Table F). This compares with 3.6 million in 2008-09 and 3.2 million in 2007-8.

2.2.6 Analysis of the numbers of women tested by age group over the last 5 years shows

some variation – see Table F and Figure 5. The number of women tested in the 50-64 age

group fell from 2005-06 to 2008-9, but increased in 2009-10. A total of 0.7 million women

aged 50-64 were tested in 2009-10, an increase of 18,975 from 2008-09. Within the 25-49

age group, the number of women tested increased considerably in 2008-09. Although the

numbers of women aged 25-49 tested fell again in 2009-10, they were are still above 2007-8

levels. A total of 2.6 million women aged 25-49 were tested in 2009-10, a fall of 354,181 from

2008-09 when 3.0 million were tested.

2.2.7 All of the five year age bands, within the 25-49 age group, showed a fall in the numbers

of women tested. This was also the case amongst women aged 25-29, as the numbers

tested fell by 22,967 to 565,990 in 2009-10 even though the number of women aged 25-29

invited for screening continued to rise in 2009-10 by 48,869 to a total of 806,609 (see Table

D).


2.2.8 Table F also shows that the number of women tested in the 24 and under and 70 and

over age groups also fell substantially over the 5 year period.

2.2.9 The change in policy detailed in paragraph 2.2.3 above may partly explain some of the

trends in women tested over time that are apparent in Table F and Figure 5. The increase in

the number of women tested in 2008-09 might be partly explained by the well publicised

battle against cervical cancer of a high profile media personality. +

Table F: Number of women tested by year and age group from 2005-06 to 2009-10


2005-06 2006-07 2007-08 2008-09 2009-10

Under 20 5,009 3,508 2,840 3,595 2,87420-24 186,567 138,935 96,926 76,661 55,06825-29 456,846 454,349 472,712 588,957 565,99030-34 504,801 461,154 461,219 562,404 508,75735-39 549,179 511,226 527,867 622,815 526,41540-44 528,389 497,917 539,477 632,643 525,84845-49 430,049 414,496 469,231 550,703 476,331

25-49 2,469,264 2,339,142 2,470,506 2,957,522 2,603,341

50-54 337,743 318,443 336,905 364,016 308,26955-59 321,071 283,898 223,852 157,573 185,67660-64 230,386 229,157 191,976 128,262 174,881

50-64 889,200 831,498 752,733 649,851 668,826

65-69 53,131 47,696 42,788 32,262 36,40670-74 7,753 7,216 6,457 5,727 5,61375 and over 3,188 2,851 2,576 2,434 2,118

Total 3,614,112 3,370,846 3,374,826 3,728,052 3,374,246

25-64 3,358,464 3,170,640 3,223,239 3,607,373 3,272,167


Figure 5: Number of women tested by year and age group , 2005-06 to 2009-10

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

4,000,000

2005-06 2006-07 2007-08 2008-09 2009-10

Year

Num

ber 25-49

50-6425-64

Source: KC53, The NHS Information Centre. See also Table 5 in Data Tables section. 2.2.10 Of those aged 25-64 tested in the year, 2.6 million were tested following an invitation

within the screening programme – see Table G. Over 0.6 million women (19.7%) had

screening tests not prompted by the programme, i.e. tests initiated by the sample taker or

opportunistically by the woman, without her necessarily having been invited.1 In particular,

some women are routinely recalled by their GPs, possibly earlier than at the “locally”

agreed standard interval. Because women recorded as having a test not prompted by the

programme may nevertheless have been invited through such a GP programme, it is not

possible to calculate the percentage uptake of invitations from the call/recall database.

Table G: Number of women (25-64 years) tested in the year by type of invitation Invited Outside Programme Total

Number Number % Number %

2007-08 3,223,239 2,592,213 80.4 631,026 19.6

2008-09 3,607,373 2,870,904 79.6 736,469 20.4

2009-10 3,272,167 2,626,796 80.3 645,371 19.7


1 Opportunistic tests will most commonly be taken from women who are overdue for screening.


2.3 Test results

2.3.1 Some women have more than one test during the year for clinical reasons and the 3.4

million women of all ages tested in 2009-10 generated over 3.6 million tests (see Table H).

2.3.2 Of the 3.6 million tests, 2.9% did not have a result, as the sample was “inadequate”

i.e. it did not contain material suitable for analysis (see paragraphs 3.1.2-3.1.5 below for

more information on inadequate samples).

Table H: Test result, 2009-10

Result of Test Number of Tests

Percentage (%)

Inadequate 105,258 2.9

Adequate 3,504,686 97.1

Total 3,609,944 100.0

Source: KC53 , The NHS Information Centre. See also Table 7 in Data Tables section.

2.3.3 For women tested again due to an earlier inadequate test, 11.4 % of tests resulted in

a repeated inadequate result, an increase on 2008-09 (9.9%) - see Table I. These repeated

inadequate samples accounted for 11.0% (11,547 out of 105,258) of all inadequate results

in the year2.

Table I: Result of test where a repeat invitation was sent in less than 3 years due to a previous inadequate sample, 2008-9, 2009-10 2008-09 2009-10

Result of Test Number of tests

Percentage (%)

Number of tests

Percentage (%)

Inadequate 10,499 9.9 11,547 11.4

Adequate 95,862 90.1 89,492 88.6

Total 106,361 100.0 101,039 100.0

Source: KC53 , The NHS Information Centre. See also Table 7 in Data Tables section.

2.3.4 Of the 3.2 million women aged 25-64 who had an adequate result in 2009-10, 92.8%

were negative and 7.2% had a result categorised as abnormal (from borderline changes

2 A systematic error has been identified with the reporting of these figures which has existed since 2006/7. See Data Quality statement para 1.3.8 for more information.


through to severe dyskaryosis and potential cancer3). Table J shows the breakdown of the

results of adequate tests for the last 2 years.

Table J: Results of adequate tests for women aged 25-64

Result* 2008/09 2009/10

Negative 93.1 92.8

Borderline dyskaryosis 3.6 3.7

Mild dyskaryosis 2.0 2.1

Moderate dyskaryosis 0.6 0.6

Severe dyskaryosis 0.7 0.7

Severe/?invasive carcinoma 0.0 0.0

?Glandular neoplasia 0.1 0.1

Total 100.0 100.0

Source: KC53, The NHS Information Centre. See also Table 8 in Data Tables section * Most severe result in year

2.3.5 Within the target age range the percentage of results which are severe dyskaryosis or

worse shows a distinct pattern by age, being highest at 1.63% for women aged 25-29,

falling to 0.24% for women aged 60-64 (see Figure 6).

Figure 6* - Cervical screening: women with test result severe dyskaryosis or worse as a percentage of all women with adequate test results, by age, England 2009-10

1.63

1.12

0.75

0.49

0.320.27 0.29

0.24

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64

Percentage

Age * This chart is shown to 2 decimal places due to the very small percentages involved. Note that the percentages in Figure 6 are aggregates of 3 test result groups (severe dyskaryosis, severe/?invasive carcinoma and ?glandular neoplasia). The aggregated figures shown in Figure 6 may not equal the sum of the individual components shown in Table 8 due to rounding. Source: KC53, The NHS Information Centre. See also Table 8 in Data Tables section.

3 Potential cancer includes severe dyskaryosis/?invasive carcinoma and ?glandular neoplasia.


2.3.6 At PCO level, in 104 of the 152 PCOs the proportion of women presenting with an

abnormal result was between 4% and 8%. In 39 PCOs the proportion was between 8% and

10%; and in 9 PCOs the proportion was above 10% (the maximum was 12.8%) – see

Figure 7.

Figure 7** - Cervical screening: Percentage of tests for women aged 25-64, with an abnormal result by Primary Care Organisation, England 2009-10

7

24

32

41

25

14

4 3 20

5

10

15

20

25

30

35

40

45

0 1 2 3 4 5 6 7 8 9 10 11 12 13

Number of PCOs

Percentage of abnormal samples

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14


** Due to rounding, the figures represented in the above bar chart may not match exactly those derived from aggregating the relevant columns from Table 12 in the Data Tables section.

2.4 Time from screening to availability of result

2.4.1 Information about the time from the taking of a sample to the availability of the test

result is currently available only where the result letter is produced by the Primary Care

Organisation. This occurred in 96.9% of cases overall in 2009-10. The ‘time from screening

to availability of result’ is measured as the number of days from the sample being taken to

the result being sent by the PCO to the woman4 (not to the woman receiving the result).

2.4.2 In 2009-10, 44.6% of test results were sent by PCOs to women within 2 weeks of the

sample being taken. This is a substantial increase on 2008-09 when 21.4% were sent within

2 weeks. Note that the fact that a test result was sent by a PCO within 2 weeks does not

necessarily mean that it was received by the women within 2 weeks. The cumulative total for

those sent within 4 weeks was 71.8% in 2009-10, compared with 65.5% in 2008-09. Table K

below shows the time from screening to availability of test result. 4 This is based on letters being printed on the recorded date and NHS Cervical Screening Programme policy being that letters should be despatched on the same date.


Table K: Time from screening to availability of result

2008-2009 2009-2010

Total number with letter sent by PCO 3,784,790 3,504,088

Up to 2 weeks (%) 21.4 44.6

> 2 weeks and up to 4 weeks (%) 44.1 27.1





> 12 weeks (%) 0.4 0.6

Letter not sent by PCO 187,344 109,686


2.4.3 The increase in the proportion of tests results sent within 2 weeks might be partly

explained by the requirement, outlined in the Cancer Reform Strategy5, that women should

receive their cervical screening tests result within 2 weeks. Achieving a 14-day turnaround

time for the results of cervical screening is a Vital Sign in the NHS Operating Framework6 –

to be achieved by the end of 2010.

Figure 8: Cervical Screening: Proportion of results available within 4 weeks by Strategic Health Authority, 2009-10

44.6 48.5

33.4

64.1

50.3

31.7

47.2 48.5

31.136.7

55.3

27.127.3

31.5

26.8

24.6

20.5

23.3 23.8

37.635.3

25.6

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

England North East NorthWest

Yorkshire& the

Humber

EastMidlands

WestMidlands

East ofEngland

London South EastCoast

SouthCentral

SouthWest

%

>2 to 4 weeks

Up to 2 weeks

71.8 72.068.7

72.370.5

52.3

75.0

90.9

64.9

75.880.9

NB: The sum of components may not equal totals due to rounding. Source: KC53, The NHS Information Centre. See also Table 9 in Data Tables section.

5 Cancer Reform Strategy, 2007, Department of Health 6 The Operating Framework for 2010/11 for the NHS in England, 2009, Department of Health


2.4.4 Regionally, the 2 week availability of results ranged from 64.1% (Yorkshire &

Humber) to 31.1% (South East Coast). The cumulative total for results being sent by PCOs

to women within 4 weeks ranged from 90.9% (Yorkshire & Humber) to 52.3% (West

Midlands) - see Figure 8.

2.5 Recall status

2.5.1 Normal recall status, indicated by action code A (routine recall), is normally used only

where the test result is negative, however HPV sentinel sites7 (introduced in 2007-08) show

a small numbers of tests with normal recall status within the borderline changes and mild

dyskaryosis categories (1.6% and 0.5% respectively). In 2009-10, 84.6% of women who

had nothing other than a negative test result in the year had a normal recall status. Of the

remaining women with negative results,14.5% had a repeat recall status due to previous

history; and 0.9% had a suspend recall status as they were currently under hospital care

(see table L). Table L: Recall status by most severe screening result Recall status

Normal (%)

Repeat (%)

Suspend (%)

Inadequate - 96.8 3.2

Negative 84.6 14.5 0.9

Borderline dyskaryosis 1.6 74.2 24.2

Mild dyskaryosis 0.5 29.0 70.5

Moderate dyskaryosis - - 100.0

Severe dyskaryosis - - 100.0

Severe/?invasive dyskaryosis - - 100.0

?Glandular neoplasia - - 100.0


7 Several areas have been operating an HPV triage programme, whereby women whose test shows mild dyskaryosis or a borderline test result are initially tested for the presence of HPV. This can speed up referral to colposcopy where required and avoid referral where HPV is not found. If this test is negative, the women are returned to the screening programme for routine recall. Further information is available from: http://cancerscreening.org.uk/cervical/hpv-sentinel-sites.html.

http://cancerscreening.org.uk/cervical/hpv-sentinel-sites.html


2.5.2 Repeat recall status, action code R, requires a further test earlier than routine recall,

typically within 6 months of the previous test. This may be used where a test result is

negative, inadequate, borderline or mild dyskaryosis. In 2009-10, 29.0% of women whose

most severe test result in the year was mild dyskaryosis had a repeat recall status (see

table L); the corresponding proportion for borderline was 74.2%, and for inadequate 96.8%.

The remaining majority of women in these three groups had a suspend recall status.

2.5.3 Suspend recall status, action code S, is an indication that recall has been suspended

due to referral. This should be the only allowable status following a test result of moderate

dyskaryosis or worse. In 2009-10, all women whose most severe test result in the year was

moderate dyskaryosis or worse had a suspend recall status; no women were recorded with

repeat recall status (see Table L).


Cervical Cytology

3.1 Samples examined

3.1.1 Just under 3.7 million samples were examined by pathology laboratories in 2009-10.

This compares with just under 4.0 million samples in 2008-09. Of the 3.7 million samples

examined in 2009-10, 3.4 million (92.9%) were submitted by GPs and NHS community

clinics – almost all these would have been samples taken as part of the screening

programme. A further 0.2 million (5.9%) of the samples were from NHS hospitals - most of

these were likely to have been samples taken following the discovery of symptoms or

cytological abnormality (see Table M).

Table M: Number of samples examined by pathology laboratories by source of sample

Total GP NHSCC GUM NHS Hospital Private Other

2008-09 3,972,998 3,587,897 133,812 20,527 208,453 11,155 11,154

2009-10 3,676,196 3,294,448 120,977 19,816 218,290 10,690 11,975


3.1.2 The use of Liquid Based Cytology (LBC), which is a way of preparing cervical

samples for examination in the laboratory, began in April 2001 with three pilot laboratories.

In October 2003 the National Institute for Clinical Excellence recommended its use

nationally. It was expected that the use of LBC would substantially reduce the proportion of

inadequate samples, and figures for recent years confirm this. During 2004-05, a number

of laboratories began the conversion to LBC and by the end of 2008-09 all laboratories had

converted.

3.1.3 Prior to the introduction of the new Liquid Based Cytology (LBC) technology, rates of

inadequate samples submitted by GP and NHS Community Clinics for women aged 25-64

were between 9% and 10% each year and these women had to be tested again. As LBC

has been rolled out across the country this rate has fallen significantly and in 2008-09 was

at a record low of 2.5%. In 2009-10 the rate of inadequate samples for women aged 25-64

was 2.8% (93,071 samples) – see Table N. Figure 9 shows the trend in the proportion of

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inadequate samples from GP and NHS Community Clinics since 2000 for women of all

ages.

Table N: Number of GP and NHS Community Clinic samples examined by pathology laboratories, number and proportion inadequate by year for women aged 25-64

Year No of samples examined

No of inadequate samples

Percentage inadequate samples

1999-2000 - - 9.8

2000-01 - - 9.7

2001-02 - - 9.2

2002-03 - - 9.4

2003-04 - - 9.3

2004-05 3,347,878 299,652 9.2

2005-06 3,418,327 247,013 7.4

2006-07 3,187,577 149,064 4.7

2007-08 3,213,972 94,188 2.9

2008-09 3,584,346 90,401 2.5

2009-10 3,289,856 93,071 2.8


NB: Prior to 2004-05 women aged 20-24 were included in the screening programme, therefore only rates of inadequate samples are quoted for comparison.

Figure 9 - Cervical cytology: Percentages of samples from GP & NHS Community Clinics found to be inadequate, from women of all ages, England 2000 to 2010

0

2

4

6

8

10

12

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

© Data prior to 2005, re-used with the permission to the Department of Health

Percentage



3.1.4 Analysis by age group has shown that the proportion of samples found inadequate

was lower for women in the younger age bands, below 55 years (see Table O).

Table O: GP and NHS Community Clinic samples examined by pathology laboratories, proportion inadequate by age of women

Age % Inadequate Age % Inadequate

Under 20 2.9 50-54 2.9

20-24 2.7 55-59 4.2

25-29 2.4 60-64 4.2

30-34 2.7 65-69 4.3

35-39 2.8 70-74 3.8

40-44 2.7 75 and over 6.9

45-49 2.7

All ages 2.8 25-64 2.8


3.1.5 At laboratory level, there was variation in the proportion of samples judged to be

inadequate. In 2009-10, all laboratories had inadequate results of less than 7%, with only 7

laboratories with inadequate rates of over 5% - see Figure 10

Figure 10 - Cervical cytology: Percentage of samples from GP & NHS Community Clinics found to be inadequate, for women aged 25-64, by laboratory, England 2009-10

9

32

27

2018

4 3

0

5

10

15

20

25

30

35

% inadequate

Number of laboratories

1 2 3 4 5 6 7

Source: KC61, The NHS Information Centre. See also Tables 19 in Data Tables section.


3.2 Results

3.2.1 The percentage of adequate GP and NHS Community Clinic samples tested in 2009-

10 for women aged 25-64, which were reported as being negative was 93.2%. Borderline

changes were found in 3.8% of adequate tests, mild dyskaryosis in 1.9%, moderate

dyskaryosis in 0.5% and severe dyskaryosis in 0.6%; suspected invasive carcinoma or

glandular neoplasia were found in less than 0.1% of samples (see Table P).

Table P: GP and NHS Community Clinic adequate samples (women aged 25-64) examined by pathology laboratory by result, 2009-10

Test Result Number Percentage

Negative 2,980,758 93.2

Borderline changes 120,707 3.8

Mild dyskaryosis 59,366 1.9

Moderate dyskaryosis 15,499 0.5

Severe dyskaryosis 18,546 0.6

?Invasive dyskaryosis 643 0.0

?Glandular neoplasia 1,266 0.0

Total Adequate 3,196,785 100.0


3.2.2 Analysis of test results by age group showed that, up to the age of 64, the older the

women the higher the proportion of tests found to be negative (see Table 15 in Data

Tables). The proportion of tests showing suspected invasive carcinoma or glandular

neoplasia was also higher in the older age groups. Borderline changes, mild dyskaryosis

and moderate dyskaryosis occurred more frequently in samples from younger women; the

proportion of tests showing severe dyskaryosis was highest in samples from women aged

20-34.

3.2.3 At laboratory level there was variation in the percentage distribution of results, in

particular in the proportion reported as borderline or mild.

3.2.4 The distribution of the individual laboratory results is used for quality assurance

purposes, as set out in sections 8.2 – 8.4 of the second edition of Achievable standards,


benchmarks for reporting and criteria for evaluating cervical cytopathology, NHSCSP

publication No 1, May 2000.

3.2.5 Achievable standards for laboratory reporting are set from the 10th and 90th

percentiles of the distributions of 3 key indicators. The ranges for 2008-09 and 2009-10 are

set out in Table Q which report on women aged 25-64 tested in GP or NHS Community

Clinics and include results from all laboratories.

Table Q: Achievable Standards for Laboratory Reporting

Indicator 10th – 90th percentile range*

2008-09 2009-10

Mild/Borderline as % of adequate samples 4.0% - 7.5% 3.9% - 7.4%

Moderate or worse as % of adequate samples 0.8% - 1.5% 0.8% - 1.5%

PPV for CIN2 or worse 75.3% - 88.6% 74.2% - 90.3%

Number of laboratories whose results were used 119 113

* based on results for women aged 25-64 tested in GP & NHS Community Clinics


3.2.6 The percentage of laboratory tests authorised within 2 weeks of receipt at the

laboratory increased in 2009-10 to 60.5% from 54.0% in 2008-09 – see Table R. A further

19.0% were authorised within 4 weeks. Whilst only 3.7% of tests were authorised more

than 8 weeks after receipt, this is an increase on 2008-9 when the equivalent proportion

was 1.6%. At a laboratory level there was wide variation within these timeframes.

Table R: Samples examined by pathology laboratories - Time from receipt of sample to authorisation of report by laboratory

<2 weeks

%

3-4 weeks

%

5-6 weeks

%

7-8 weeks

%

9-10 weeks

%

>10 weeks

%

2008/09 54.0 29.5 10.6 4.3 1.4 0.2

2009/10 60.5 19.0 11.5 5.2 2.9 0.8



3.3 Outcome of gynaecological referrals 3.3.1 Information about outcomes of gynaecological referrals following tests registered

during April – June 2009 was provided by all laboratories with sizeable numbers of

screening programme tests.

Table S: Outcome of referrals for samples registered at the laboratory between April and June 2009

Outcome

Women referred after persistent non-negative

samples

%

Women referred after single occurrence of potentially significant abnormality

%

Cervical Cancer 0.1 2.7

CIN3 & Adenocarcinoma in Situ 7.2 57.4

CIN2 10.2 22.7

CIN1 25.6 8.4

Non Cervical Cancer 0.1 0.3

HPV Only 12.2 2.2

No CIN/No HPV 11.8 3.4

Seen in Colposcopy – result n/k 0.5 0.4

Inadequate Biopsy 1.7 0.6 Other

Colposcopy – No Abnormality Detected

30.4 1.9

Source: KC61, The NHS Information Centre. See also Table 18a in Data Tables section.


3.3.2 Figure 11 shows the outcomes for women referred following persistent non-negative

tests where the referral outcome was known. 0.1% were found to have cervical cancers

and 7.2% showed cervical intra-epithelial neoplasia (CIN) 38 or adenocarcinoma in situ.

The first column of figures in Table S gives a full breakdown of the outcomes of these

referrals (including the large ‘Other’ category in Figure 11) and shows that in 30.4% of

referrals no abnormality was detected at colposcopy.

8 See Definitions section for further information about cervical intra-epithelial neoplasia (CIN)


Figure 11 - Outcome of referral, following persistent non-negative test result, England April 2009 - June 2009

Cervical Cancer, 0.1

CIN3 or Adenocarcinoma in

situ, 7.2

CIN2, 10.2

CIN1, 25.6

Non Cervical Cancer, 0.1

Other, 56.8



3.3.3 For referrals with known outcomes following a single occurrence of a potentially

significant abnormality, 2.7% were found to be cervical cancers, and 57.4% showed CIN 3

or adenocarcinoma in situ – see Figure 12. The second column of figures in Table S gives

a full breakdown of the outcomes of these referrals.

Figure 12 - Outcome of referral, following single occurrence of potentially significant abnormality, England April 2009 - June 2009

CIN3 or Adenocarcinoma in situ, 57.4

CIN2, 22.7

CIN1, 8.4

Other, 8.5

Non Cervical Cancer, 0.3

Cervical Cancer, 2.7


3.3.4 A positive predictive value (PPV) was calculated for each laboratory. The PPV

calculation for cervical screening is outlined in the Definitions section. Reported PPVs for

laboratories ranged from 65% to 96% with the majority lying between 75% and 95% (see

Figure 13). The achievable standard for 2010-11 which is based on the PPV distribution for

2009-10 is shown in Table Q above.


Figure 13 - Positive Predictive Value9, England April 2009 - June 2009

47

15

40

28

18

10

5

10

15

20

25

30

35

40

55 60 65 70 75 80 85 90 95

Number of Laboratories

Positive Predictive Value (%)55 60 65 70 75 80 85 90 95 100


3.3.5 Retrospective information regarding referrals from an earlier complete year was

collected again in 2009-10, relating to referrals in the 12 month period April 2008 to March

2009. The results from the whole year (2008-09) were similar to the first quarter of 2009-10.

9 See definition 5.4


Colposcopy10

4.1 Referrals for colposcopy

4.1.1 Details of the first referrals of each quarter to each clinic were recorded. In 2009-10,

155,414 referrals to colposcopy were reported, an increase of 15.4% from 2008-09

(134,698 referrals). Of these, 78.6% were reported as being triggered by a screening test

and 17.5% were clinically indicated. Of women referred to colposcopy after a screening

test, 48.8% followed findings of borderline changes or mild dyskaryosis; 12.3% of referrals

followed findings of moderate dyskaryosis and 15.8% followed findings of severe

dyskaryosis or worse (see Table T).

Table T: Women referred to colposcopy: referral indication of first offered appointment 2008/09 2009/10

Total number of referrals 134,698 155,414

% % Screening sample – Total* 79.7 78.6

Inadequate 1.6 1.6

Borderline changes 17.8 17.9

Mild dyskaryosis 31.4 31.0

Moderate dyskaryosis 12.6 12.3

Severe dyskaryosis 14.9 14.6

Severe / ?invasive carcinoma** 0.4 0.4

?Glandular neoplasia** 0.9 0.8

Clinical indication – urgent 4.1 4.2

Clinical indication - non urgent 12.7 13.3

Other 3.6 3.9

Total 100 100


* Sum of inadequate, borderline changes, mild dyskaryosis, moderate dyskaryosis, severe dyskaryosis, severe/?invasive carcinoma, ?glandular neoplasia ** ?invasive carcinoma means ‘suspected invasive carcinoma’, ?glandular neoplasia means ‘suspected glandular neoplasia’ NB: The sum of components may not equal totals due to rounding.

10 Figures for London and England for 2008-09 were revised in December 2009 following changes to reported figures from 5 London organisations. As a result, figures quoted in the text of this report for 2008-09 may not match exactly those from the original version of the 2008-09 Bulletin.

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4.1.2 Clinics were asked to supply data on the time between the date on the woman’s

referral letter and her first offered out-patient appointment, regardless of whether she

attended the appointment or not. Where direct referral systems are in operation, the referral

date has been taken to be the date the test was reported. In 2009-10, 22.5% of women

were offered an appointment within 2 weeks. This percentage rose to 58.5% for those

offered an appointment within 4 weeks of referral and to 94.6% for those offered an

appointment within 8 weeks. The time from referral to the first offered appointment was

over 12 weeks for 1.0% of women referred. This could be where patients had requested a

delayed appointment for personal reasons or where treatment for another condition had to

be completed before colposcopy could take place (see Table U)

Table U: Women referred to colposcopy: time from referral to first offered appointment by indication, 2008-09, 2009-10

Waiting Time 2008-09 2009-10 % %

All referrals

less than or equal to 2 weeks 22.7 22.5




Moderate or severe dyskaryosis


Severe / ?invasive carcinoma


?Glandular neoplasia



4.1.3 Women with more serious test results were offered appointments earlier - see Figure

14 and Table U.


Figure 14 - Women referred to colposcopy: time from referral to first offered appointment by indication, 2009-10

0%

20%

40%

60%

80%

100%

All Referrals Inadequate Borderline /Mild

Dyskaryosis

Moderate /Severe

Dyskaryosis

Severe /?Invasive /Glandularneoplasia

ClinicalIndication

Other

Referral result

Percentage

Over 12 w eeks

>8 to 12 w eeks

>4 to 8 w eeks

>2 to 4 w eeks

<=2 w eeks


4.1.4 There was some variation between regions in the proportions of all women offered an

appointment within 8 weeks. Percentages ranged from 83.0% in South Central to 99.2% in

the North East. For those with moderate or severe dyskaryosis the percentage offered an

appointment within 4 weeks ranged from 64.2% in South Central to 96.3% in the North East

– see Table V.

Table V: Women referred to colposcopy: time from referral to first offered appointment by indication and SHA

Referral Indication Waiting Time En

glan

d

Nor

th E

ast

Nor

th W

est

Yor

kshi

re &

the

Hum

ber

Eas

t Mid

land

s

Wes

t Mid

land

s

Eas

t of E

ngla

nd

Lond

on

Sou

th E

ast C

oast

Sout

h C

entra

l

Sou

th W

est

All referrals (%)

Less than or equal to 2 weeks 22.5 23.9 27.1 22.4 32.0 22.2 25.1 20.1 17.2 10.8 23.3




Moderate or Severe Dyskaryosis (%) Less than or equal to 4 weeks 87.5 96.3 88.1 91.2 91.6 95.9 92.7 88.3 84.2 64.2 81.3

Severe / ?Invasive Carcinoma (%)


?Glandular Neoplasia (%) Less than or equal to 2 weeks 83.1 97.6 78.7 87.8 71.2 91.9 93.0 85.6 66.9 76.0 85.8



4.2 Appointments for colposcopy

4.2.1 During 2009-10 a total of 453,947 appointments were reported at colposcopy clinics,

an increase of 11.8% from 2008-09 (405,925 appointments). Of these, 41.9% were new

appointments (i.e. all appointments offered for a first visit), 7.9% were for return for

treatment and 50.2% were follow-up appointments (see Table W).

Table W: Appointments for colposcopy: Appointment type

Appointment Type 2008-09 2009-10 Number % Number %

New appointments 166,592 41.0 190,227 41.9

Return for treatment 31,917 7.9 35,711 7.9

Follow Up 207,416 51.1 228,009 50.2

Total 405,925 100.0 453,947 100.0


4.2.2 Table X shows that although 72.9% of all appointments were attended, 2.6% were

cancelled by the patient on the day and in the case of 10.5% of appointments, the patient

did not attend and gave no advance warning. 3.7% of total appointments were cancelled by

the clinic.

Table X: Appointments for colposcopy: Attendance status and appointment type

Attendance Status

New appointments

%

Return for treatment

%

Follow Up

%

Total Appointments

%

Attended 77.6 83.5 67.4 72.9

Cancelled by patient - in advance 10.4 8.0 10.3 10.2

Cancelled by patient - on the day 2.2 1.8 3.1 2.6

Cancelled by clinic 1.9 2.2 5.4 3.7

Did not attend - no advance warning 7.9 4.4 13.7 10.5

Did not attend - arrived late 0.0 0.0 0.0 0.0

Did not attend - left without being seen 0.0 0.1 0.0 0.0

Total 100.0 100.0 100.0 100.0

Total number of appointments 190,227 35,711 228,009 453,947



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4.2.3 The lowest attendance was seen in follow up appointments, where only 67.4% were

attended; in 13.7% of follow up appointments the patient failed to attend with no advance

notice.

4.3 First Attendances at colposcopy

4.3.1 Clinics are required to supply details of all treatment and procedures undertaken at

first attendance at the colposcopy clinic. The data collected relate only to procedures

undertaken the first time a woman attends. In the case of deferred treatment the woman

will be recorded as having no treatment at her first attendance.

4.3.2 In 2009-10, 147,929 first attendances at colposcopy were reported, an increase of

13.6% from 2008-09 (130,254 attendances) – see Table Y. Most will relate to a referral in

that year, although some women attending may have been referred in a previous year and

some of the women referred in this year will attend in the next.

Table Y: Women referred to colposcopy: First attendances

2008-09 2009-10

Number of First Attendances 130,254 147,929 Source: KC65, The NHS Information Centre. See also Table 23 in Data Tables section.

4.3.3 Table Z shows that, overall, 63.5% women attending had some treatment or

procedure at first attendance. For those attending with high-grade abnormalities, the

proportion was 84.7%.

4.3.4 The most common treatment or procedure at first attendance was diagnostic biopsy.

This was carried out at 45.5% of all first attendances. The use of this procedure was more

common amongst those attending with low-grade abnormalities (57.9%) with only 3.9%

undergoing excision. Conversely, for those attending with high-grade abnormalities the

most common treatment at first attendance was excision (47.4%) and 36.8% had a

diagnostic biopsy (see Table Z).

wayne.su

Highlight

wayne.su

Underline


Table Z: Women referred to colposcopy: First attendance by type of procedure and result of referral

Referral Indication

Treatment

All referrals

%

Inadequate

%

Low grade

%

High grade

%

Clinical indication (urgent)

%

Clinical indication

(non-urgent)

%

No procedure 36.5 73.9 37.5 15.3 56.3 59.2

Procedure used 63.5 26.1 62.5 84.7 43.7 40.8

Diagnostic biopsy 45.5 23.5 57.9 36.8 33.8 30.3

Excision 16.1 0.9 3.9 47.4 3.6 3.3

Ablation without biopsy 0.7 0.5 0.1 0.1 2.0 3.4

Ablation with biopsy 0.2 0.2 0.2 0.1 0.2 0.6

Other 1.0 1.1 0.4 0.4 4.0 3.1



4.3.5 Treatment patterns vary considerably at local and regional level. The percentage of

all women receiving some treatment or procedure at first attendance ranged from 48.9% in

the West Midlands to 79.6% in the North East. Similar patterns are reported in the use of

treatment for those attending with both high and low grade abnormalities (see Table 23

under Data Tables).

4.3.6 The use of diagnostic biopsy for those attending with a high-grade abnormality

ranged from 19.5% in the South Central region to 71.0% in London. For a low-grade

abnormality the equivalent range was 33.2% in the West Midlands to 80.6% in the North

East.

4.3.7 The use of excision at first attendance was more common for those attending with a

high-grade abnormality. It ranged from 11.6% in London to 65.1% in the East of England

(see Table 23 under Data Tables).

4.3.8 It is likely that the majority of those women presenting with high-grade abnormalities

and reported as having either no treatment or a diagnostic biopsy went on to receive

therapeutic treatment at a subsequent attendance.


4.4 Biopsies

4.4.1 For each biopsy taken, the time elapsing before the woman is informed in writing of

her result is recorded. The interval measured is the time between the date on which the

biopsy was taken and the date on the letter that is sent to the patient informing her of her

result. In order to allow time for follow up of results, the data relates only to those biopsies

taken in the first month of each quarter. The data include all biopsies taken, not just those

taken from women on first attendance. It is possible that more than one biopsy may be

taken from the same woman.

Figure 15: Biopsies taken at colposcopy: time from biopsy until patient informed of result (4 month sample) - 2009-10

30.5

45.0

20.1

2.4 2.0

0.0

20.0

40.0

60.0

<=2wks >2 - 4 wks >4 - 8 wks >8 - 12 wks >12 wks

Percentage


4.4.2 In 2009-10, 47,599 biopsies were reported by clinics in the four sample months (see

Figure 15). These represent approximately one third of the total annual workload. The

woman was informed of her result within 2 weeks in 30.5% of all cases, and in a further

45.0% of cases, women were informed within 4 weeks. In 2.0% of cases, women had not

been informed of their results within 12 weeks. This latter figure includes cases where the

result had yet to be reported to the clinic. Variations in working practices may account for

this delay: for example, where a cytology test has been taken at the same time as a biopsy,

the clinic may not report the biopsy result until the cytology result is also known.


4.4.3 Clinics are asked to supply data on the histological result for each biopsy taken. Of all

biopsies reported, 63.0% were diagnostic, 36.0% were excision and the remaining 1.0%

were other non-diagnostic biopsies. These are similar proportions to last year (see Table

AA). Table AA: Biopsies by type Diagnostic Excision Other Non Diagnostic

Year Number % of Total Number

% of Total Number

% of Total

Total (100%)

2008-09 28,809 63.4 16,124 35.5 533 1.2 45,466

2009-10 29,961 63.0 17,094 36.0 479 1.0 47,534*

* NB: This figure differs from the number of biopsies (47,599) reported in paragraph 4.4.2. This is primarily due to software problems experienced in the East of England region. The size of the difference is not large enough to affect the figures in Table AA by more than 0.1%. Source: KC65, The NHS Information Centre.

4.4.4 Of all non-diagnostic biopsies (i.e. excision biopsies and other non-diagnostic

biopsies) taken in 2009-10, where the result was known, 87.6% showed evidence of

cervical intra-epithelial neoplasia (CIN) or worse11. This is an increase on last year, when

the equivalent proportion was 86.6% - see Table AB). The proportions at SHA level are

shown in Table 25 in the Data Tables section. Table AB: Non-diagnostic biopsies taken at colposcopy: by outcome (4 month sample) Outcome 2008/09 2009/10

Number of biopsies reported 16,657 17,573

Biopsies with unknown result 229 162

Biopsies with known result (= 100%) 16,428 17,411

% %

Cancer 1.5 1.5

Adenocarcinoma in situ 2.3 2.0

CIN 3 45.3 46.6

CIN 2 23.8 24.2

CIN 1 13.7 13.3

HPV / Cervicitis only 4.9 4.9

No CIN / No HPV 8.3 6.1

Inadequate / unsatisfactory biopsy 0.3 0.3

Total showing CIN or worse 86.5 87.6


11 This covers CIN1, CIN2, CIN3, adenocarcinoma in situ and cancer


4.5 Clinic data

4.5.1 Colposcopy data for individual clinics is shown in Tables 26a and 26b of the Data

Tables section. These may be used to identify different treatment patterns across the

country and show wide variation between clinics. Some of this variation may arise from the

fact that many clinics deal with only a small number of cases and this should be borne in

mind when interpreting the clinic level results.


Data Tables INDEX TO TABLES

Table number Description

1 Statistics on cervical cancer and the NHS Cervical Screening Programme, 2000 to

2010 2 NHS Cervical Screening Programme: test status of women and coverage by age,

31st March 2010 3 NHS Cervical Screening Programme: test status of women by age (numbers), 31st

March 2010

3a NHS Cervical Screening Programme: test status of women by age, 31st March 2010

4 NHS Cervical Screening Programme: number of women invited in the year by type

of invitation and age, 2009-10 5 NHS Cervical Screening Programme: number of women tested in the year by type of

invitation and age, 2009-10 6 NHS Cervical Screening Programme: number of women aged 25-64 tested in the

year by type of invitation and result, 2009-10 7 NHS Cervical Screening Programme: number and percentage of tests in the year by

type of invitation and result, 2009-10 8 NHS Cervical Screening Programme: results of adequate tests by age, 2009-10

9 NHS Cervical Screening Programme: Time from screening to availability of result by

Strategic Health Authority, 2009-10

9a NHS Cervical Screening Programme: Time from screening to availability of result by Primary Care Organisation, 2009-10

10 NHS Cervical Screening Programme: Recall status by most severe screening result

and Strategic Health Authority, 2009-10

11 NHS Cervical Screening Programme: Summary of Strategic Health Authority data for women aged 25-64, 2009-10

12 NHS Cervical Screening Programme: Target Age Group (25-64), results of tests by

Primary Care Organisation, 2009-10

13 NHS Cervical Screening Programme: Coverage by age band and Primary Care Organisation, 2008-09 to 2009-10


14 Samples examined by pathology laboratories, by source of sample and result of test,

2009-10

15 GP & NHS Community Clinic samples examined by pathology laboratories, by result and age of women, 2009-10

16 Samples examined by pathology laboratories: Time from receipt of sample to

authorisation of report by Strategic Health Authority, 2009-10

16a Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by laboratory, 2009-10

17 Samples examined by pathology laboratories, by source of sample, result of test and


18 Outcome of referrals for samples registered at the laboratory between April 2008 - March 2009, by Strategic Health Authority

18a Outcome of referrals for samples registered at the laboratory between April - June

2009, by Strategic Health Authority

19 GP and NHS Community Clinic samples from women aged 25-64 examined by pathology laboratories, by laboratory and result, 2009-10

20 Women referred to colposcopy: referral indication of first offered appointment, by


21 Women referred to colposcopy: time from referral to first offered appointment, by referral indication and Strategic Health Authority, 2009-10

22 Appointments for colposcopy: attendance status and appointment type, by Strategic

Health Authority, 2009-10

23 Women referred to colposcopy: first attendance by result of referral, type of procedure and Strategic Health Authority, 2009-10

24 Biopsies taken at colposcopy: time from biopsy until patient informed of result, by

Strategic Health Authority (4 month sample), 2009-10

25 Non diagnostic biopsies taken at colposcopy: by type, outcome and Strategic Health Authority (4 month sample) 2009-10

26a Summary statistics by colposcopy clinic, England 2009-10

26b Summary statistics by colposcopy clinic, England 2009-10

Table 1: Statistics on cervical cancer and the NHS Cervical Screening Programme, 2001 to 2010

England

units 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Cervical Screening Programme data

Coverage-less than 5 years (1)

Women aged 25-64 % 81.3 81.6 81.2 80.6 80.3 79.5 79.2 78.6 78.9 78.9Under 20 % 1.0 0.7 0.5 0.4 0.2 0.1 0.1 0.1 0.1 0.120-24 % 54.1 53.0 52.0 50.5 44.6 30.4 24.0 15.1 9.1 6.225-29 % 75.5 75.0 74.0 72.8 71.6 69.4 68.2 66.2 66.4 66.030-34 % 81.5 81.7 81.0 80.0 79.2 78.0 77.5 76.8 77.8 78.635-39 % 83.7 84.1 83.7 82.9 82.4 81.8 81.4 81.0 81.8 82.340-44 % 84.0 84.3 84.0 83.6 83.4 83.0 82.8 82.5 83.2 83.845-49 % 84.1 83.9 83.8 83.3 83.3 83.1 83.1 83.0 83.6 84.050-64 % .. 81.0 81.0 80.8 81.0 80.7 80.5 80.3 80.0 78.950-54 % 83.4 83.3 83.2 82.9 82.9 82.5 82.3 82.2 82.5 82.655-59 % 80.9 81.4 81.4 81.2 81.3 81.1 80.8 80.5 80.1 78.360-64 % 76.1 77.0 77.3 77.5 78.0 77.9 78.0 77.8 77.2 75.165-69 % 51.1 51.5 51.5 51.5 51.2 50.1 50.4 51.4 52.5 49.670-74 % 12.6 11.5 10.5 9.6 9.3 8.5 8.1 7.7 7.2 6.975 and over % 1.7 1.5 1.4 1.3 1.2 1.0 0.9 0.9 0.8 0.7

Coverage-less than 3 or 3.5 years (2)

Women aged 25-64 % 66.1 71.2 70.8 70.3 69.7 69.8 69.4 69.0 69.3 69.3Under 20 % 0.9 0.7 0.5 0.4 0.2 0.1 0.1 0.1 0.1 0.120-24 % 47.2 48.8 48.4 47.2 41.0 26.9 20.6 12.3 7.7 5.725-49 % .. 71.7 71.2 70.6 69.6 69.6 69.2 69.3 72.5 74.025-29 % 62.3 65.8 65.0 64.1 62.5 60.8 59.8 58.6 61.5 62.830-34 % 67.1 71.8 71.0 70.2 68.9 68.5 68.1 68.0 71.1 72.835-39 % 68.7 74.1 73.5 72.9 71.9 72.2 72.0 72.2 75.3 76.940-44 % 67.7 73.5 73.2 72.9 72.3 73.1 73.0 73.7 77.2 78.745-49 % 67.7 73.1 72.8 72.6 72.3 73.4 73.3 74.3 77.8 79.150-54 % 66.8 72.4 72.1 71.8 71.6 72.1 71.7 72.0 73.2 74.255-59 % 65.0 70.6 70.5 70.3 70.4 70.5 69.9 67.4 56.9 50.860-64 % 60.3 66.1 66.2 66.3 66.9 67.4 67.0 64.5 53.5 47.265-69 % 27.2 33.1 33.0 32.6 31.5 31.6 31.7 31.9 28.5 24.370-74 % 5.0 5.7 5.5 5.3 4.8 4.4 4.2 3.9 3.6 3.275 and over % 0.8 0.9 0.8 0.7 0.7 0.6 0.5 0.5 0.4 0.4

* National policy for the screening programme is that eligible women aged 25-49 are to be screened every 3 years (from 2002 3.5 years) and women aged 50-64 are to be screened every 5 years

Invitations and outcomes (3)

Women invited (20-64) millions 3.97 4.28 4.25 4.33 4.63 4.35 4.24 4.29 4.08 4.12Women invited (25-64) millions .. .. .. .. 4.15 4.06 4.01 4.18 4.02 4.07

Women screened (20-64) millions 3.52 3.77 3.60 3.53 3.56 3.55 3.31 3.32 3.68 3.33Women screened (25-64) millions .. .. .. .. 3.28 3.36 3.17 3.22 3.61 3.27

Women with low-grade abnormalities (20-64) millions 0.21 0.23 0.21 0.20 0.19 0.19 0.18 0.19 0.21 0.20% 6.4 6.2 6.2 6.0 5.6 5.5 5.6 5.7 5.8 6.0

Women with low-grade abnormalities (25-64) millions .. .. .. .. 0.16 0.16 0.16 0.17 0.20 0.19% .. .. .. .. 4.9 5.0 5.2 5.4 5.6 5.7

Women with high-grade abnormalities (20-64) millions 0.05 0.05 0.05 0.05 0.05 0.04 0.04 0.04 0.05 0.05% 1.5 1.5 1.5 1.4 1.3 1.3 1.3 1.3 1.4 1.4

Women with high-grade abnormalities (25-64) millions .. .. .. .. 0.04 0.04 0.04 0.04 0.05 0.04% .. .. .. .. 1.2 1.2 1.2 1.2 1.3 1.3

Pathology Laboratory data (4)

Samples examined (All ages) millions 3.72 4.01 3.82 3.71 3.74 3.70 3.40 3.38 3.72 3.41Samples found inadequate (All ages) % 9.7 9.2 9.4 9.3 9.2 7.4 4.7 2.9 2.5 2.8

Samples examined (20-64) millions 3.59 3.89 3.72 3.63 3.68 3.65 3.36 3.34 3.69 3.38Samples found inadequate (20-64) % 9.7 9.2 9.4 9.3 9.2 7.4 4.7 2.9 2.5 2.8

Samples examined (25-64) millions .. .. .. .. 3.35 3.42 3.19 3.21 3.58 3.29Samples found inadequate (25-64) % .. .. .. .. 9.0 7.2 4.7 2.9 2.5 2.8

Cervical Cancer registration data (5)

Registrations in women aged 25-64 1,750 1,668 1,669 1,655 1,673 1,745 .. .. .. ..Registrations in women of all ages 2,479 2,344 2,361 2,245 2,253 2,321 .. .. .. ..

Registrations per 100,000 popn (25-64) rate 13.1 12.4 12.4 12.1 12.4 12.8 .. .. .. ..Registrations per 100,000 popn (all ages) rate 8.8 8.2 8.2 7.9 8 9.0 .. .. .. ..

Cervical Cancer mortality data (6)

Deaths (25-64) 473 434 404 423 386 388 413 380 .. ..Deaths (all ages) 952 929 888 895 841 769 756 759 .. ..

Deaths per 100,000 popn (25-64) rate 3.2 2.9 2.7 2.9 2.8 2.8 3.0 2.7 .. ..Deaths per 100,000 popn (all ages) rate 3.0 2.8 2.7 2.7 2.5 2.3 2.3 2.3 .. ..

(1) Source: Form KC53; data are as at 31 March (except 2006 - 10th August) and are of women less than 5 years since last test with an adequate result(Data prior to 2002 were based on last test with a result, not last adequate test, and have been adjusted to allow for this)

(2) Source: Form KC53; data are as at 31 March (except 2006 - 10th August) and are of women less than 3 years (from 2002 3.5 years) since last test with an adequate resultData prior to 2002 were based on last test with a result, not last adequate test

(3) Source: Form KC53; data are for 12 months ending 31 March;percentage with abnormalities is based on women with a test result, excluding those whose samples were inadequate

Low-grade abnormalities: Borderline dyskaryosis, Mild dyskaryosisHigh-grade abnormalities: Moderate dyskaryosis, Severe dyskaryosis, Severe dyskaryosis/Invasive carcinoma, Glandular neoplasia

(4) Source: Form KC61 Part B; data are for 12 months ending 31 March and relate to samples from GP and NHS Community Clinics only

(5) Source: National Cancer Intelligence Centre, ONS; data are for year commencing 1 January

(6) Figures for mortality are taken from the ONS Death Registration figuresRegistration and death rates are Directly Age Standardised Rates using the European Standard Population (DAS(E))

© Data prior to 2005, re-used with the permission of the Department of Health.Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

Ages to be screened within 5 years *

Ages to be screened within 3 or 3.5 years *

51

Call and Recall Programme KC53

Table 2: NHS Cervical Screening Programme: test status of women and coverage by age, 31 March 2010

England Percentages & Thousands

Number of Coverage (1) Number of Coverage (1)

women less than (less than 3.5 women less than (less than 5 Number of Number of 3.5 years years since than 5 years years since

women for clinical for age for other eligible since last last adequate since last last adequateAge at 31 March 2010 resident reasons reasons reasons women adequate test test)(%) adequate test test)(%)

All age groups 27,538.8 1,804.2 2,702.3 1,042.9 25,734.6 9,795.0 38.1 11,385.0 44.2

25-64 14,599.4 1,018.9 360.7 184.0 13,580.5 9,413.5 69.3 10,711.7 78.9

25-49(2) 9,754.5 212.6 - 49.8 9,541.9 7,058.3 74.0 7,524.8 78.950-64(2) 4,844.9 806.3 360.7 134.2 4,038.6 2,355.2 58.3 3,186.9 78.9

Under 20 6,261.0 0.0 - - 6,261.0 4.3 0.1 4.3 0.120-24 1,878.3 0.1 - 0.1 1,878.2 106.9 5.7 116.6 6.225-29 1,977.0 0.9 - 5.1 1,976.1 1,241.9 62.8 1,305.0 66.030-34 1,848.4 3.8 - 8.0 1,844.6 1,342.6 72.8 1,450.2 78.635-39 1,926.4 17.8 - 9.7 1,908.6 1,466.9 76.9 1,571.7 82.340-44 2,032.6 59.7 - 12.2 1,972.9 1,552.5 78.7 1,652.8 83.845-49 1,970.0 130.4 - 14.8 1,839.6 1,454.2 79.1 1,545.0 84.050-54 1,694.7 198.2 - 16.1 1,496.5 1,110.5 74.2 1,236.7 82.655-59 1,535.3 257.7 - 19.4 1,277.7 648.6 50.8 1,001.0 78.360-64 1,614.8 350.4 360.7 98.7 1,264.4 596.2 47.2 949.2 75.165-69 1,261.7 299.2 618.9 173.6 962.5 233.9 24.3 477.3 49.670-74 1,090.7 231.8 574.1 215.7 858.9 27.5 3.2 59.1 6.975-79 923.5 158.3 521.0 201.0 765.2 6.2 0.8 11.4 1.580 and over 1,524.2 96.0 627.5 268.5 1,428.3 2.6 0.2 4.6 0.3

Notes:(1) The denominator used in calculating the percentage is the resident population less those women with recall ceased for clinical reasons(2) National policy for the screening programme is that eligible women aged 25-49 are to be screened every 3 years and women aged 50-64 are to be screened every 5 years

Source: KC53 Parts A2 and A3Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

Number of women with recall ceased

52


Table 3: NHS Cervical Screening Programme: test status of eligible women (1) by age, 31 March 2010

England Thousands

1.5 years 3 years 3.5 years 5 years 10 years noAge at less than & up to & up to & up to & up to & up to 15 years adequate never no cytology

31 March 2010 1.5 years 3 years 3.5 years 5 years 10 years 15 years and over sample attended record

All ages groups 4,997.1 3,995.0 802.9 1,590.0 1,814.6 1,095.4 1,146.6 37.7 1,999.3 8,256.0

25-64 4,852.6 3,838.5 722.4 1,298.2 1,017.5 338.4 230.3 27.4 1,237.0 18.2

Under 20 3.6 0.6 0.0 0.0 0.0 0.0 - 0.1 0.1 6,256.520-24 74.9 26.3 5.8 9.7 4.6 0.0 0.0 1.5 356.5 1,399.025-29 790.4 393.7 57.8 63.1 82.8 3.2 0.0 8.7 566.4 10.030-34 756.5 503.4 82.7 107.6 125.5 27.6 2.2 6.4 228.8 3.835-39 798.0 582.6 86.3 104.8 139.9 48.1 16.6 3.9 126.8 1.740-44 807.8 657.1 87.7 100.3 142.6 57.4 32.0 2.5 84.7 0.945-49 730.6 642.9 80.7 90.8 130.4 55.7 41.1 1.8 65.0 0.650-54 490.5 529.0 91.0 126.3 114.3 46.8 42.4 1.4 54.5 0.555-59 250.2 278.8 119.5 352.4 135.4 45.7 43.5 1.2 50.6 0.360-64 228.6 251.0 116.6 353.0 146.7 54.0 52.6 1.4 60.3 0.365-69 54.7 113.2 66.0 243.5 312.4 55.6 52.0 1.2 55.2 8.870-74 8.2 12.5 6.9 31.6 394.8 243.1 74.5 1.3 65.5 20.675-79 2.1 2.8 1.3 5.2 66.0 353.9 215.6 1.7 88.1 28.480 and over 0.9 1.2 0.5 1.9 19.2 104.3 574.3 4.5 196.8 524.6

Notes:(1) Excludes women with recall ceased for clinical reasons

Source: KC53 Part A3Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

Table 3a: NHS Cervical Screening Programme: test status of women by age, 31 March 2010

England Percentages & Thousands

less than 5 years orNumber of Ceased 5 years since more since no Women with

Age at women for clinical adequate adequate adequate never no cytology31 March 2010 resident reasons test test sample attended record

(thousands)

All age groups 27,538.8 6.6 41.3 14.7 0.1 7.3 30.0

25-64 14,599.4 7.0 73.4 10.9 0.2 8.5 0.1

Under 20 6,261.0 0.0 0.1 0.0 0.0 0.0 99.920-24 1,878.3 0.0 6.2 0.2 0.1 19.0 74.525-29 1,977.0 0.0 66.0 4.4 0.4 28.6 0.530-34 1,848.4 0.2 78.5 8.4 0.3 12.4 0.235-39 1,926.4 0.9 81.6 10.6 0.2 6.6 0.140-44 2,032.6 2.9 81.3 11.4 0.1 4.2 0.045-49 1,970.0 6.6 78.4 11.5 0.1 3.3 0.050-54 1,694.7 11.7 73.0 12.0 0.1 3.2 0.055-59 1,535.3 16.8 65.2 14.6 0.1 3.3 0.060-64 1,614.8 21.7 58.8 15.7 0.1 3.7 0.065-69 1,261.7 23.7 37.8 33.3 0.1 4.4 0.770-74 1,090.7 21.3 5.4 65.3 0.1 6.0 1.975-79 923.5 17.1 1.2 68.8 0.2 9.5 3.180 and over 1,524.2 6.3 0.3 45.8 0.3 12.9 34.4

Source: KC53 Parts A2 and A3

Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

but not testedWomen called

test result recorded but not tested

Number of women - Time since last adequate test

Women with at least one adequate Women called

53


Table 4: NHS Cervical Screening Programme: number of women invited in the yearby type of invitation and age, 2009-10

England Number

Type of Invitation

Age at Routine Inadequate 31 March 2010 Total Call Recall Surveillance Abnormality Sample

All Age Groups 4,189,387 699,808 2,532,408 661,984 186,964 108,223

25-64 4,069,386 660,425 2,487,613 642,756 175,984 102,608

Under 20 631 38 7 108 395 8320-24 54,345 33,569 2,870 7,440 8,604 1,86225-29 806,609 404,304 239,159 99,264 49,474 14,40830-34 630,020 104,650 338,832 132,420 37,230 16,88835-39 631,028 56,168 400,792 127,862 28,935 17,27140-44 622,020 33,764 440,128 108,002 23,876 16,25045-49 563,439 23,159 428,612 79,298 18,331 14,03950-54 345,924 15,491 260,287 49,332 10,670 10,14455-59 244,993 13,618 192,150 27,699 4,455 7,07160-64 225,353 9,271 187,653 18,879 3,013 6,53765-69 48,579 3,441 32,865 8,198 1,315 2,76070-74 11,459 1,365 6,515 2,518 418 64375 and over 4,987 970 2,538 964 248 267

Source: KC53 Part BCopyright © 2010, The Health and Social Care Information Centre. All rights reserved

Table 5: NHS Cervical Screening Programme: number of women tested in the year by type of invitation and age, 2009-10

England Number

Type of Invitation

Age at Routine Inadequate While Recall While Recall Outside 31 March 2010 Total Call Recall Surveillance Abnormality Sample Suspended Ceased Programme

All Age Groups 3,374,246 207,542 1,720,109 458,101 80,367 49,228 141,958 25,433 691,508

25-64 3,272,167 205,643 1,702,153 447,075 76,597 47,809 135,647 11,872 645,371

Under 20 2,874 4 2 44 117 14 108 - 2,58520-24 55,068 1,722 1,046 4,163 3,118 632 4,297 2 40,08825-29 565,990 148,272 155,707 66,912 20,289 7,626 36,406 326 130,45230-34 508,757 27,315 225,688 90,980 15,271 8,609 30,188 535 110,17135-39 526,415 13,358 278,574 89,347 12,622 8,488 22,949 446 100,63140-44 525,848 6,898 312,980 76,557 11,195 7,766 17,929 446 92,07745-49 476,331 4,275 309,534 57,223 9,116 6,580 12,951 409 76,24350-54 308,269 2,805 196,992 34,963 5,241 4,381 8,194 363 55,33055-59 185,676 1,648 106,867 18,816 1,771 2,469 4,099 344 49,66260-64 174,881 1,072 115,811 12,277 1,092 1,890 2,931 9,003 30,80565-69 36,406 154 15,721 5,077 405 642 1,342 10,108 2,95770-74 5,613 14 1,026 1,379 93 103 378 2,322 29875 and over 2,118 5 161 363 37 28 186 1,129 209

Source: KC53 Part C1Copyright © 2010, The Health and Social Care Information Centre. All rights reserved



54


Table 6: NHS Cervical Screening Programme: number of women aged 25-64 tested in the year by type of invitation and result, 2009-10

England Number

Type of Invitation

Routine Inadequate While Recall While Recall OutsideResult of test Total Call Recall Surveillance Abnormality Sample Suspended Ceased Programme

25-64 3,272,167 205,643 1,702,153 447,071 76,597 47,809 135,647 11,872 645,375

Inadequate 89,808 5,137 44,610 9,274 1,337 4,736 3,079 524 21,111Negative 2,957,922 178,611 1,589,374 406,956 49,521 40,400 98,726 11,003 583,331Borderline changes 121,476 10,105 40,318 19,531 13,600 1,512 14,652 176 21,582Mild Dyskaryosis 63,672 6,467 15,745 7,829 8,803 641 13,199 94 10,894Moderate Dyskaryosis 16,822 2,115 4,705 1,729 1,803 202 3,049 14 3,205Severe Dyskaryosis 20,195 2,998 6,613 1,596 1,435 276 2,707 31 4,539?Invasive Carcinoma 777 112 174 31 46 20 105 7 282?Glandular Neoplasia 1,495 98 614 125 52 22 130 23 431


Table 7: NHS Cervical Screening Programme: number and percentage of tests in the year by type of invitation and result, 2009-10

England Percentages & Numbers

Type of Invitation

Routine Inadequate While Recall While Recall OutsideResult of test Total Call Recall Surveillance Abnormality Sample Suspended Ceased Programme

Numbers

Total 3,609,944 207,619 1,720,825 511,938 132,180 101,039 195,679 25,742 714,922

Inadequate 105,258 5,185 45,309 10,716 2,332 11,547 4,519 1,199 24,451Negative 3,215,943 180,268 1,606,894 463,836 83,495 84,608 134,364 23,795 638,683Borderline changes 153,471 10,237 40,581 23,826 24,824 2,923 23,683 400 26,997Mild Dyskaryosis 86,436 6,541 15,850 9,540 16,098 1,184 22,369 140 14,714Moderate Dyskaryosis 21,839 2,135 4,734 2,013 3,094 338 5,441 22 4,062Severe Dyskaryosis 24,186 3,040 6,656 1,824 2,201 382 4,800 59 5,224?Invasive Carcinoma 929 114 177 35 56 25 181 26 315?Glandular Neoplasia 1,882 99 624 148 80 32 322 101 476

Percentage of tests by result

Total 100.0 5.8 47.7 14.2 3.7 2.8 5.4 0.7 19.8

Inadequate 100.0 4.9 43.0 10.2 2.2 11.0 4.3 1.1 23.2Negative 100.0 5.6 50.0 14.4 2.6 2.6 4.2 0.7 19.9Borderline changes 100.0 6.7 26.4 15.5 16.2 1.9 15.4 0.3 17.6Mild Dyskaryosis 100.0 7.6 18.3 11.0 18.6 1.4 25.9 0.2 17.0Moderate Dyskaryosis 100.0 9.8 21.7 9.2 14.2 1.5 24.9 0.1 18.6Severe Dyskaryosis 100.0 12.6 27.5 7.5 9.1 1.6 19.8 0.2 21.6?Invasive Carcinoma 100.0 12.3 19.1 3.8 6.0 2.7 19.5 2.8 33.9?Glandular Neoplasia 100.0 5.3 33.2 7.9 4.3 1.7 17.1 5.4 25.3

Percentage of tests by invitation

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Inadequate 2.9 2.5 2.6 2.1 1.8 11.4 2.3 4.7 3.4Negative 89.1 86.8 93.4 90.6 63.2 83.7 68.7 92.4 89.3Borderline changes 4.3 4.9 2.4 4.7 18.8 2.9 12.1 1.6 3.8Mild Dyskaryosis 2.4 3.2 0.9 1.9 12.2 1.2 11.4 0.5 2.1Moderate Dyskaryosis 0.6 1.0 0.3 0.4 2.3 0.3 2.8 0.1 0.6Severe Dyskaryosis 0.7 1.5 0.4 0.4 1.7 0.4 2.5 0.2 0.7?Invasive Carcinoma 0.0 0.1 0.0 0.0 0.0 0.0 0.1 0.1 0.0?Glandular Neoplasia 0.1 0.0 0.0 0.0 0.1 0.0 0.2 0.4 0.1




55


Table 8: NHS Cervical Screening Programme: results of adequate tests by age, 2009-10


Result (2)

Severe Borderline Mild Moderate Severe / ?Invasive ?Glandular

Age at 31 March 2010 Total (1) Negative Changes Dyskaryosis Dyskaryosis Dyskaryosis Carcinoma Neoplasia

Numbers

All age groups 3,336,505 3,088,163 127,367 74,757 20,395 23,136 899 1,788

25-64 3,232,979 2,999,417 120,738 69,225 19,072 22,052 834 1,641

Under 20 2,906 2,172 346 298 56 34 - -20-24 57,359 45,521 5,128 4,612 1,142 917 14 2525-29 559,624 484,857 33,143 24,693 7,796 8,678 172 28530-34 502,655 457,023 21,598 14,195 4,214 5,198 165 26235-39 520,205 484,801 18,658 10,061 2,760 3,524 137 26440-44 519,975 489,632 17,753 8,135 1,919 2,193 118 22545-49 471,199 447,390 14,953 6,089 1,239 1,251 84 19350-54 304,936 291,572 8,499 3,400 629 640 58 13855-59 182,554 176,607 3,587 1,531 301 342 49 13760-64 171,831 167,535 2,547 1,121 214 226 51 13765-69 35,763 34,188 861 465 85 86 25 5370-74 5,483 5,075 196 116 26 25 8 3775 and over 2,015 1,790 98 41 14 22 18 32

Percentages

All age groups 100.0 92.6 3.8 2.2 0.6 0.7 0.0 0.1

25-64 100.0 92.8 3.7 2.1 0.6 0.7 0.0 0.1

Under 20 100.0 74.7 11.9 10.3 1.9 1.2 - -20-24 100.0 79.4 8.9 8.0 2.0 1.6 0.0 0.025-29 100.0 86.6 5.9 4.4 1.4 1.6 0.0 0.130-34 100.0 90.9 4.3 2.8 0.8 1.0 0.0 0.135-39 100.0 93.2 3.6 1.9 0.5 0.7 0.0 0.140-44 100.0 94.2 3.4 1.6 0.4 0.4 0.0 0.045-49 100.0 94.9 3.2 1.3 0.3 0.3 0.0 0.050-54 100.0 95.6 2.8 1.1 0.2 0.2 0.0 0.055-59 100.0 96.7 2.0 0.8 0.2 0.2 0.0 0.160-64 100.0 97.5 1.5 0.7 0.1 0.1 0.0 0.165-69 100.0 95.6 2.4 1.3 0.2 0.2 0.1 0.170-74 100.0 92.6 3.6 2.1 0.5 0.5 0.1 0.775 and over 100.0 88.8 4.9 2.0 0.7 1.1 0.9 1.6

(1) Excluding women all of whose tests during the year were classified as 'inadequate'(2) Most severe result in the year

Source: KC53 Part DCopyright © 2010, The Health and Social Care Information Centre. All rights reserved

Table 9: NHS Cervical Screening Programme: Time from screening to availability of result by Strategic Health Authority, 2009-10

Percentages & Numbers

England North North Yorkshire East West East of London South South SouthEast West & Humber Midlands Midlands England East Coast Central West

Up to 2 weeks 44.6 48.5 33.4 64.1 50.3 31.7 47.2 48.5 31.1 36.7 55.3

>2 weeks up to 4 weeks 27.1 27.3 31.5 26.8 24.6 20.5 23.3 23.8 37.6 35.3 25.6

>4 weeks up to 6 weeks 14.1 17.8 12.6 8.4 10.0 20.6 11.4 12.3 23.8 16.7 12.2

>6 weeks up to 8 weeks 7.3 5.3 11.5 0.4 5.8 12.7 9.3 7.4 5.5 6.6 4.6

>8 weeks up to 10 weeks 4.7 0.8 7.4 0.1 7.7 8.9 4.5 6.3 1.6 2.5 2.1

>10 weeks up to 12 weeks 1.6 0.2 2.5 0.0 1.4 4.5 2.7 1.4 0.2 1.8 0.1

Over 12 weeks 0.6 0.1 1.2 0.1 0.1 1.0 1.6 0.4 0.1 0.4 0.1

Total with letter sent byPrimary Care 3,504,088 167,769 475,500 338,783 280,420 350,066 369,186 641,373 297,672 251,641 331,678Organisation = 100%(number)

Letter not sent by 109,686 1,759 6,146 6,610 4,652 6,588 19,637 26,231 8,659 21,704 7,700Primary Care Organisation(number)

Source: KC53 Part ECopyright © 2010, The Health and Social Care Information Centre. All rights reserved

56

Call and Recall Programme KC53Table 9a: NHS Cervical Screening Programme: Time from screening to availability of result by Primary Care Oganisation, 2009-10


Total with letter sent by Up to 2 weeks >2 weeks >4 weeks >6 weeks >8 weeks >10 weeks over 12 weeks Letter not sent byPrimary Care up to 4 weeks up to 6 weeks up to 8 weeks up to 10 weeks up to 12 weeks Primary Care

Organisation = 100% (%) Organisation(number) (number)

England 3,504,088 44.6 27.1 14.1 7.3 4.7 1.6 0.6 109,686

North East SHA 167,769 48.5 27.3 17.8 5.3 0.8 0.2 0.1 1,759

5ND County Durham PCT 32,274 20.0 48.0 26.0 5.7 0.1 0.0 0.1 3495J9 Darlington PCT 6,538 15.5 47.6 30.4 6.3 0.0 0.0 0.1 635KF Gateshead PCT 13,747 65.1 13.8 17.2 3.7 0.1 0.1 0.0 1885D9 Hartlepool PCT 5,386 59.1 40.1 0.6 0.1 0.1 0.1 0.0 475KM Middlesbrough PCT 8,204 64.1 19.5 15.5 0.8 0.0 0.0 0.0 685D7 Newcastle PCT 17,142 51.1 17.7 17.6 10.8 2.2 0.5 0.1 2615D8 North Tyneside PCT 14,633 47.3 21.1 17.6 11.1 2.3 0.5 0.1 145TAC Northumberland Care Trust 20,529 45.0 22.9 19.2 9.6 2.6 0.5 0.2 2485QR Redcar & Cleveland PCT 7,716 63.4 21.2 14.6 0.7 0.0 0.0 0.1 445KG South Tyneside PCT 9,644 61.4 18.4 15.3 4.7 0.1 0.0 0.1 605E1 Stockton-on-Tees Teaching PCT 11,659 61.8 37.0 0.8 0.1 0.1 0.0 0.2 1205KL Sunderland Teaching PCT 20,297 66.7 14.9 17.7 0.7 0.1 0.0 0.1 166

North West SHA 475,500 33.4 31.5 12.6 11.5 7.4 2.5 1.2 6,146

5HG Ashton, Leigh & Wigan PCT 21,321 41.6 15.0 9.1 13.1 17.9 2.7 0.6 2275CC Blackburn with Darwen PCT 9,593 20.0 36.9 22.5 20.4 0.2 0.0 0.1 605HP Blackpool PCT 9,099 60.4 36.3 2.8 0.2 0.1 0.0 0.1 785HQ Bolton PCT 19,149 40.4 12.5 8.5 16.6 8.7 12.9 0.3 1915JX Bury PCT 13,630 67.8 26.6 3.7 0.7 0.8 0.3 0.1 2255NP Central & Eastern Cheshire PCT 31,581 20.8 26.6 13.7 25.9 11.8 0.5 0.7 4685NG Central Lancashire PCT 30,100 60.3 18.2 8.5 8.6 4.1 0.3 0.1 2435NE Cumbria PCT 33,134 24.4 43.7 19.7 2.7 1.6 1.5 6.4 3115NH East Lancashire PCT 24,606 23.6 34.7 24.5 16.9 0.2 0.1 0.1 1835NM Halton & St Helens PCT 21,703 19.7 50.2 14.7 7.6 6.3 0.9 0.6 1785NQ Heywood, Middleton & Rochdale PCT 15,305 68.6 27.0 2.9 0.4 0.6 0.3 0.1 1665J4 Knowsley PCT 10,260 20.4 51.9 12.6 7.8 3.0 3.3 1.0 985NL Liverpool PCT 28,771 9.5 42.1 13.7 12.9 11.3 8.2 2.2 4195NT Manchester PCT 32,816 45.1 14.3 8.7 11.6 17.2 2.6 0.5 8585NF North Lancashire PCT 20,211 51.0 31.3 4.2 2.5 1.4 1.6 7.9 1705J5 Oldham PCT 15,490 65.9 23.1 3.4 2.4 4.1 1.1 0.1 1335F5 Salford PCT 15,198 43.5 13.9 9.0 12.1 18.2 2.9 0.4 3725NJ Sefton PCT 16,959 5.7 29.9 29.0 21.7 10.5 2.9 0.2 2055F7 Stockport PCT 20,683 13.0 27.0 14.8 38.8 5.1 0.7 0.6 3265LH Tameside & Glossop PCT 16,677 8.1 48.2 13.3 8.2 10.7 11.4 0.3 1565NR Trafford PCT 15,556 43.5 14.7 8.5 11.7 17.9 3.4 0.4 4005J2 Warrington PCT 15,070 4.7 50.2 14.8 17.3 12.5 0.2 0.3 1875NN Western Cheshire PCT 16,923 45.2 38.6 13.7 1.5 0.6 0.1 0.2 2725NK Wirral PCT 21,665 23.8 58.0 16.1 1.7 0.2 0.1 0.1 220

Yorkshire & the Humber SHA 338,783 64.1 26.8 8.4 0.4 0.1 0.0 0.1 6,610

5JE Barnsley PCT 18,616 73.5 21.7 3.8 0.7 0.2 0.0 0.1 2205NY Bradford & Airedale Teaching PCT 32,142 63.1 29.8 6.6 0.3 0.1 0.0 0.0 3865J6 Calderdale PCT 14,472 67.3 32.4 0.2 0.1 0.0 0.0 0.0 1995N5 Doncaster PCT 19,106 60.9 34.3 4.4 0.3 0.1 0.0 0.0 1975NW East Riding of Yorkshire PCT 19,257 70.6 16.7 11.5 0.6 0.2 0.1 0.4 1945NX Hull Teaching PCT 18,399 76.4 16.7 6.6 0.1 0.0 0.0 0.1 835N2 Kirklees PCT 27,761 67.8 30.7 1.4 0.1 0.0 0.0 0.0 3575N1 Leeds PCT 52,736 65.2 28.6 5.6 0.4 0.1 0.0 0.1 1,309TAN North East Lincolnshire PCT 10,072 58.3 14.6 23.9 2.7 0.3 0.0 0.2 2375EF North Lincolnshire PCT 10,220 57.8 14.5 24.6 2.7 0.2 0.0 0.2 3435NV North Yorkshire & York PCT 45,185 55.7 27.4 16.4 0.2 0.1 0.0 0.2 1,9385H8 Rotherham PCT 16,723 38.1 30.9 29.7 1.1 0.1 0.0 0.0 1915N4 Sheffield PCT 30,121 69.0 29.8 1.0 0.1 0.0 0.0 0.1 6215N3 Wakefield District PCT 23,973 70.8 26.9 2.1 0.1 0.0 0.0 0.0 335

East Midlands SHA 280,420 50.3 24.6 10.0 5.8 7.7 1.4 0.1 4,652

5ET Bassetlaw PCT 6,803 46.8 42.8 9.8 0.4 0.0 0.0 0.1 1195N7 Derby City PCT 17,699 42.3 41.7 14.5 1.1 0.1 0.1 0.1 1625N6 Derbyshire County PCT 42,967 49.0 36.7 8.6 4.2 0.8 0.5 0.1 5295PC Leicester City PCT 20,680 41.3 5.9 7.6 15.7 28.1 1.3 0.1 2155PA Leicestershire County & Rutland PCT 42,928 38.3 8.2 8.2 15.5 28.5 1.2 0.1 7505N9 Lincolnshire PCT 44,319 60.5 16.5 20.5 1.8 0.5 0.1 0.1 1,3995PD Northamptonshire PCT 43,028 78.5 15.8 5.5 0.1 0.1 0.0 0.0 7365EM Nottingham City PCT 19,494 21.8 45.4 10.4 7.8 7.2 6.9 0.4 2595N8 Nottinghamshire County PCT 42,502 46.2 35.9 5.9 4.4 3.9 3.6 0.2 483

West Midlands SHA 350,066 31.7 20.5 20.6 12.7 8.9 4.5 1.0 6,588

5PG Birmingham East & North PCT 25,097 3.6 3.0 25.5 21.9 21.3 18.4 6.3 8015MD Coventry Teaching PCT 20,621 8.6 20.0 27.5 19.3 20.6 3.6 0.4 2625PE Dudley PCT 18,471 15.1 23.0 39.1 21.6 0.9 0.2 0.1 4965MX Heart of Birmingham Teaching PCT 17,341 35.4 24.3 19.7 7.6 5.7 6.5 0.9 3145CN Herefordshire PCT 10,782 91.6 7.7 0.3 0.2 0.1 0.0 0.0 1495PH North Staffordshire PCT 13,354 49.0 16.5 7.7 9.6 14.5 2.4 0.3 1005PF Sandwell PCT 20,038 37.0 29.1 26.9 6.3 0.5 0.1 0.1 3485M2 Shropshire County PCT 18,167 7.8 18.8 40.6 30.4 2.2 0.2 0.1 206TAM Solihull Care Trust 13,588 1.7 2.0 26.0 21.0 24.4 17.8 7.2 7145M1 South Birmingham PCT 24,844 34.3 20.2 8.8 8.6 10.6 16.6 0.8 4615PK South Staffordshire PCT 37,589 39.0 44.1 12.6 3.0 0.7 0.3 0.2 6235PJ Stoke-on-Trent PCT 17,626 49.1 14.8 7.9 10.0 15.3 2.4 0.4 1375MK Telford & Wrekin PCT 10,833 12.2 20.1 40.2 26.0 1.3 0.1 0.1 905M3 Walsall Teaching PCT 16,263 35.2 38.3 22.2 2.1 1.2 0.7 0.4 2635PM Warwickshire PCT 36,273 5.4 19.5 27.4 18.6 23.4 4.8 0.8 7895MV Wolverhampton City PCT 15,547 86.7 12.2 0.5 0.2 0.2 0.1 0.2 1785PL Worcestershire PCT 33,632 58.5 13.0 16.9 11.0 0.3 0.1 0.1 657

East of England SHA 369,186 47.2 23.3 11.4 9.3 4.5 2.7 1.6 19,637

5P2 Bedfordshire PCT 25,166 31.3 31.4 19.6 10.1 6.2 1.1 0.2 2,7495PP Cambridgeshire PCT 40,715 88.1 11.5 0.1 0.1 0.0 0.0 0.1 9505P3 East & North Hertfordshire PCT 35,176 45.3 20.0 17.2 14.6 1.8 0.4 0.6 2,4685PR Great Yarmouth & Waveney Teaching PCT 12,938 74.2 16.3 9.3 0.1 0.0 0.0 0.1 167

57

Call and Recall Programme KC53Table 9a: NHS Cervical Screening Programme: Time from screening to availability of result by Primary Care Oganisation, 2009-10


Total with letter sent by Up to 2 weeks >2 weeks >4 weeks >6 weeks >8 weeks >10 weeks over 12 weeks Letter not sent byPrimary Care up to 4 weeks up to 6 weeks up to 8 weeks up to 10 weeks up to 12 weeks Primary Care

Organisation = 100% (%) Organisation(number) (number)

England 3,504,088 44.6 27.1 14.1 7.3 4.7 1.6 0.6 109,686

5GC Luton Teaching PCT 11,581 0.9 40.4 19.9 9.5 23.1 5.4 0.8 1,1765PX Mid Essex PCT 25,002 35.6 26.5 15.8 15.5 3.5 1.7 1.3 1,1515PQ Norfolk PCT 43,729 76.6 17.6 5.5 0.2 0.0 0.0 0.0 1,0905PW North East Essex PCT 20,408 26.4 13.8 17.5 11.8 11.3 11.3 7.9 8595PN Peterborough PCT 11,711 93.9 5.9 0.0 0.0 0.0 0.0 0.1 1715P1 South East Essex PCT 19,740 29.3 20.9 6.9 6.1 14.1 20.4 2.2 1,7275PY South West Essex PCT 26,518 26.1 31.8 8.4 8.4 9.8 4.7 10.9 1,2115PT Suffolk PCT 42,292 51.6 22.3 11.3 12.8 1.3 0.5 0.1 6155PV West Essex PCT 18,037 32.3 31.5 19.1 13.5 2.1 0.9 0.6 1,3175P4 West Hertfordshire PCT 36,173 15.4 39.1 16.0 21.8 6.4 1.0 0.4 3,986

London SHA 641,373 48.5 23.8 12.3 7.4 6.3 1.4 0.4 26,231

5C2 Barking & Dagenham PCT 12,465 19.7 24.0 11.9 11.7 24.2 8.0 0.5 2405A9 Barnet PCT 26,823 25.8 23.7 15.5 17.6 15.8 1.2 0.5 735TAK Bexley Care Trust 16,839 65.3 30.6 3.4 0.5 0.1 0.0 0.0 3125K5 Brent Teaching PCT 22,649 83.5 11.4 2.2 2.0 0.5 0.1 0.3 6015A7 Bromley PCT 25,524 54.7 23.0 6.4 4.0 9.4 2.4 0.1 8265K7 Camden PCT 18,280 33.2 42.6 14.3 7.7 1.1 0.3 0.6 1,4615C3 City & Hackney Teaching PCT 21,246 73.3 22.2 1.9 0.8 0.5 0.4 0.9 5015K9 Croydon PCT 25,690 48.3 27.7 11.8 10.8 1.1 0.2 0.1 8085HX Ealing PCT 25,970 67.3 21.7 6.5 3.6 0.5 0.1 0.3 1,5165C1 Enfield PCT 22,986 22.4 17.1 23.7 17.3 18.0 1.2 0.3 5005A8 Greenwich Teaching PCT 19,786 38.1 30.8 28.8 1.7 0.2 0.1 0.3 5605H1 Hammersmith & Fulham PCT 15,855 63.1 13.4 11.3 9.8 1.6 0.3 0.5 1,6375C9 Haringey Teaching PCT 22,908 7.1 24.3 37.3 17.3 12.2 1.3 0.5 7625K6 Harrow PCT 13,851 91.1 7.4 0.8 0.3 0.1 0.1 0.1 3105A4 Havering PCT 16,175 20.5 22.3 11.5 11.3 26.6 7.4 0.4 5215AT Hillingdon PCT 16,634 88.9 9.8 0.6 0.3 0.1 0.0 0.3 4595HY Hounslow PCT 19,040 59.5 14.6 15.3 9.0 1.2 0.2 0.2 1,1195K8 Islington PCT 18,571 15.2 37.0 30.9 11.1 4.6 0.7 0.5 1,3945LA Kensington & Chelsea PCT 13,659 66.1 12.9 9.0 9.2 2.0 0.5 0.3 1,2095A5 Kingston PCT 12,701 72.6 23.9 2.9 0.2 0.3 0.0 0.1 6175LD Lambeth PCT 32,520 39.1 33.2 10.1 9.6 6.0 1.5 0.5 1,3585LF Lewisham PCT 25,764 52.7 15.8 29.0 1.8 0.4 0.1 0.2 6555C5 Newham PCT 21,873 76.5 20.7 1.0 0.6 0.4 0.3 0.5 2635NA Redbridge PCT 17,878 17.9 22.6 13.4 12.6 24.0 8.8 0.8 5575M6 Richmond & Twickenham PCT 14,327 71.6 22.1 3.6 1.9 0.4 0.2 0.3 9045LE Southwark PCT 26,929 41.7 28.0 10.1 9.9 7.9 1.9 0.4 7605M7 Sutton & Merton PCT 27,119 26.7 20.4 11.9 8.3 26.6 5.8 0.2 1,0305C4 Tower Hamlets PCT 18,181 76.4 20.2 0.8 0.7 0.4 0.4 1.0 4685NC Waltham Forest PCT 19,190 26.4 37.5 11.3 22.9 1.3 0.3 0.4 3965LG Wandsworth PCT 32,462 42.0 37.9 17.5 1.3 0.7 0.2 0.3 2,1565LC Westminster PCT 17,478 63.7 17.3 8.0 8.7 1.7 0.3 0.3 1,596

South East Coast SHA 297,672 31.1 37.6 23.8 5.5 1.6 0.2 0.1 8,659

5LQ Brighton & Hove City PCT 20,279 48.5 42.8 8.0 0.2 0.2 0.2 0.2 5785P7 East Sussex Downs & Weald PCT 21,972 13.1 70.8 12.0 3.9 0.1 0.1 0.1 4345QA Eastern & Coastal Kent PCT 49,386 41.6 19.7 31.2 6.7 0.6 0.1 0.1 8275P8 Hastings & Rother PCT 11,050 6.8 89.6 3.2 0.2 0.1 0.0 0.1 1755L3 Medway PCT 18,327 4.1 8.1 41.9 41.2 3.9 0.6 0.2 3855P5 Surrey PCT 76,790 49.5 30.7 11.9 2.4 4.7 0.6 0.2 3,4205P9 West Kent PCT 49,339 12.5 45.6 39.3 2.3 0.2 0.1 0.0 1,3785P6 West Sussex PCT 50,529 27.0 40.5 28.9 3.2 0.2 0.1 0.1 1,462

South Central SHA 251,641 36.7 35.3 16.7 6.6 2.5 1.8 0.4 21,704

5QG Berkshire East PCT 26,158 7.3 32.3 19.1 8.8 16.2 14.4 1.9 9715QF Berkshire West PCT 32,452 11.2 46.7 32.5 8.7 0.6 0.1 0.2 9945QD Buckinghamshire PCT 28,969 40.3 41.1 13.3 2.1 1.4 1.6 0.3 4,0465QC Hampshire PCT 74,318 36.2 40.5 13.8 7.9 1.3 0.2 0.2 9,2945QT Isle of Wight PCT 8,124 30.6 20.2 23.1 22.9 2.2 0.4 0.5 4685CQ Milton Keynes PCT 15,594 45.6 35.7 17.5 0.9 0.2 0.1 0.0 2,0845QE Oxfordshire PCT 40,513 58.1 28.1 12.0 1.2 0.3 0.1 0.3 8405FE Portsmouth City Teaching PCT 11,222 30.9 19.6 23.9 22.6 2.4 0.3 0.3 9105L1 Southampton City PCT 14,291 80.9 18.0 0.8 0.1 0.0 0.0 0.1 2,097

South West SHA 331,678 55.3 25.6 12.2 4.6 2.1 0.1 0.1 7,700

5FL Bath & North East Somerset PCT 10,559 70.5 23.4 2.2 1.8 1.9 0.1 0.0 3165QN Bournemouth & Poole PCT 23,474 42.4 44.9 12.3 0.2 0.0 0.0 0.1 4595QJ Bristol PCT 26,610 27.2 39.3 9.6 11.6 11.9 0.3 0.1 6915QP Cornwall & Isles Of Scilly PCT 34,563 40.1 18.1 29.3 12.1 0.3 0.0 0.1 5875QQ Devon PCT 46,501 92.1 6.7 0.9 0.2 0.1 0.1 0.1 7735QM Dorset PCT 23,757 53.5 28.7 16.6 0.6 0.3 0.2 0.2 5725QH Gloucestershire PCT 39,227 57.9 12.9 17.9 10.6 0.5 0.1 0.1 6875M8 North Somerset PCT 11,759 25.8 41.6 9.8 10.5 11.6 0.3 0.4 3205F1 Plymouth Teaching PCT 17,491 56.1 38.7 5.0 0.1 0.0 0.0 0.1 2365QL Somerset PCT 31,294 70.6 12.8 16.0 0.3 0.1 0.0 0.1 1,4735A3 South Gloucestershire PCT 15,255 29.2 37.2 9.9 12.2 11.0 0.3 0.1 3125K3 Swindon PCT 13,984 25.9 55.3 18.2 0.4 0.1 0.0 0.1 246TAL Torbay Care Trust 9,380 94.1 5.7 0.1 0.0 0.1 0.0 0.1 1165QK Wiltshire PCT 27,824 53.4 37.7 8.2 0.5 0.1 0.0 0.1 912

Source: KC53 Part ECopyright © 2010, The Health and Social Care Information Centre. All rights reserved

58


Table 10: NHS Cervical Screening Programme: Recall status by most severe screening result and Strategic Health Authority, 2009-10


Result of Test Recall Status England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

Inadequate Total Tests (=100%) 88,562 2,196 12,242 4,143 5,306 8,656 8,786 20,882 7,380 5,741 13,230(cat.1)

Suspend 3.2 1.4 6.0 8.8 1.5 3.4 2.2 3.2 1.8 2.7 1.4Repeat 96.8 98.6 94.0 91.2 98.5 96.6 97.8 96.8 98.2 97.3 98.6

Negative Total Tests (=100%) 2,928,721 138,865 387,666 296,903 241,300 290,490 313,543 513,331 247,384 225,815 273,424(cat.2)

Normal 84.6 80.2 82.4 86.6 84.8 84.3 85.2 85.8 86.1 85.1 83.3Suspend 0.9 0.0 2.8 1.1 0.7 0.3 0.3 1.3 0.5 0.2 0.1Repeat 14.5 19.8 14.9 12.3 14.5 15.4 14.5 13.0 13.4 14.7 16.6

Borderline Total Tests (=100%) 120,738 8,841 15,247 10,842 9,059 12,771 13,006 22,050 10,049 8,246 10,627changes(cat.8) Normal 1.6 - 7.6 1.2 - - 1.6 1.0 - - 2.6

Suspend 24.2 28.2 36.0 24.7 16.2 19.0 18.4 26.4 23.6 20.1 22.3Repeat 74.2 71.8 56.3 74.1 83.8 81.0 79.9 72.7 76.4 79.9 75.1

Mild Total Tests (=100%) 69,225 3,336 9,860 3,828 4,238 6,851 7,563 18,100 5,071 5,141 5,237Dyskaryosis(cat.3) Normal 0.5 - 2.4 0.2 - - 0.4 0.4 - - 0.5

Suspend 70.5 63.1 82.5 73.7 86.1 73.1 52.3 67.5 72.1 54.4 85.8Repeat 29.0 36.9 15.2 26.1 13.9 26.9 47.3 32.1 27.9 45.6 13.8

Moderate Total Tests (=100%) 19,072 993 2,638 1,566 1,189 1,750 2,074 3,603 1,682 1,602 1,975Dyskaryosis(cat.7) Suspend 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Repeat - - - - - - - - - - -

Severe Total Tests (=100%) 22,052 1,286 3,233 2,363 1,723 2,452 2,472 2,936 1,906 1,886 1,795Dyskaryosis(cat.4) Suspend 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Repeat - - - - - - - - - - -

Severe/? invasive Total Tests (=100%) 834 90 134 80 61 92 78 128 46 56 69Carcinoma(cat.5) Suspend 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Repeat - - - - - - - - - - -

?Glandular Total Tests (=100%) 1,641 103 303 176 149 136 151 233 120 120 150Neoplasia(cat.6) Suspend 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Repeat - - - - - - - - - - -

Source : KC53 Part FCopyright © 2010, The Health and Social Care Information Centre. All rights reserved

59

Call and Recall Programme KC53Table 11: NHS Cervical Screening Programme: Summary of Strategic Health Authority data for women aged 25-64, 2009-10

Percentages & Thousands

England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

Test status and coverage of target age group (25-64) (000s)

Number of women 14,599.4 704.2 1,925.2 1,409.1 1,202.1 1,486.8 1,582.7 2,520.4 1,203.6 1,147.0 1,418.3resident

Number of women with 1,018.9 54.6 148.8 109.5 101.4 103.0 123.4 83.2 93.6 81.4 119.8recall ceased for clinical reasons

Number of women with 360.7 16.5 45.7 38.3 31.4 35.7 47.8 40.1 32.5 28.2 44.6recall ceased for age reasons

Number of women with 184.0 9.8 20.8 14.0 13.3 17.6 23.7 34.3 21.0 11.1 18.4recall ceased for other reasons

Number of eligible women 13,580.5 649.5 1,776.4 1,299.6 1,100.7 1,383.8 1,459.3 2,437.2 1,110.0 1,065.5 1,298.5

Number of women less than 10,711.7 520.4 1,392.9 1,042.8 903.8 1,086.1 1,176.2 1,801.7 890.1 847.4 1,050.45 years since last adequate test

Coverage (1) (less than 5 years 78.9 80.1 78.4 80.2 82.1 78.5 80.6 73.9 80.2 79.5 80.9since last adequate test )(%)

Number of women less than 9,413.5 451.0 1,210.7 920.5 791.3 941.8 1,047.4 1,596.5 777.6 752.5 924.33.5 years since last adequate test

Coverage (1) (less than 3.5 years 69.3 69.4 68.2 70.8 71.9 68.1 71.8 65.5 70.0 70.6 71.2since last adequate test )(%)

Number of women invited in the year by type of invitation (000s)

Total 4,069.4 203.8 537.6 387.4 321.5 415.6 416.6 759.6 341.9 308.0 377.2Type of Invitation

Call 660.4 23.5 74.0 54.1 40.5 62.9 62.1 191.7 48.8 49.2 53.5

Routine Recall 2,487.6 125.8 323.2 257.4 214.0 256.3 255.8 407.0 224.7 187.0 236.4

Repeat in less than 3 years for reasons of:Surveillance 642.8 39.3 101.7 55.1 48.4 66.2 68.9 102.8 48.2 49.9 62.1

Abnormality 176.0 11.5 22.8 14.8 12.0 19.6 19.6 34.1 13.0 14.3 14.3

Inadequate Sample 102.6 3.7 15.9 5.9 6.5 10.7 10.3 24.0 7.3 7.5 10.9

Number of women tested in the year by type of invitation (000s)

Total (2) 3,272.2 156.0 432.7 321.0 263.9 324.5 350.9 587.8 277.0 250.5 307.9Type of Invitation

Call 205.6 7.4 24.4 18.8 12.4 18.6 20.7 51.4 16.1 15.8 20.1

Routine Recall 1,702.2 84.3 214.5 190.1 156.2 171.2 181.5 247.8 158.5 129.2 168.8

Repeat in less than 3 years for reasons of:Surveillance 447.1 27.9 59.8 37.8 36.6 47.0 52.4 66.0 35.4 37.5 46.9

Abnormality 76.6 5.1 7.3 6.2 5.9 9.0 10.1 14.4 6.3 6.0 6.2

Inadequate Sample 47.8 1.5 7.3 2.6 2.9 5.1 4.8 10.6 3.3 3.6 6.1

While Recall Suspended 135.6 6.0 29.9 13.1 9.1 12.8 10.4 26.8 9.4 8.0 10.3

While Recall Ceased 11.9 0.4 1.6 0.9 0.9 1.0 1.3 2.8 1.0 1.1 0.9

Outside programme 645.4 23.4 87.9 51.5 39.8 59.9 69.7 168.1 47.0 49.5 48.6

Test result of women

Numbers (000s)Total 3,233.0 154.9 427.2 319.3 261.7 320.4 347.8 577.7 273.7 248.1 302.1Result (3)

Negative 2,999.4 140.3 395.8 300.5 245.3 296.4 322.4 530.7 254.8 231.0 282.2

Borderline Dyskaryosis 120.7 8.8 15.2 10.8 9.1 12.8 13.0 22.1 10.0 8.2 10.6

Mild Dyskaryosis 69.2 3.3 9.9 3.8 4.2 6.9 7.6 18.1 5.1 5.1 5.2

Moderate Dyskaryosis 19.1 1.0 2.6 1.6 1.2 1.8 2.1 3.6 1.7 1.6 2.0

Severe Dyskaryosis 22.1 1.3 3.2 2.4 1.7 2.5 2.5 2.9 1.9 1.9 1.8

Severe / ?Invasive Carcinoma 0.8 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.0 0.1 0.1

?Glandular Neoplasia 1.6 0.1 0.3 0.2 0.1 0.1 0.2 0.2 0.1 0.1 0.2

PercentagesTotal 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Result (3)

Negative 92.8 90.5 92.6 94.1 93.7 92.5 92.7 91.9 93.1 93.1 93.4

Borderline Dyskaryosis 3.7 5.7 3.6 3.4 3.5 4.0 3.7 3.8 3.7 3.3 3.5

Mild Dyskaryosis 2.1 2.2 2.3 1.2 1.6 2.1 2.2 3.1 1.9 2.1 1.7

Moderate Dyskaryosis 0.6 0.6 0.6 0.5 0.5 0.5 0.6 0.6 0.6 0.6 0.7

Severe Dyskaryosis 0.7 0.8 0.8 0.7 0.7 0.8 0.7 0.5 0.7 0.8 0.6

Severe / ?Invasive Carcinoma 0.0 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0


(1) The denominator used in calculating the percentage is the resident population less those women with recall ceased for clinical reasons(2) The first result in the year(3) Excluding those women all of whose tests during the year were classified as 'inadequate'

Source: KC53 Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

60

Call and Recall Programme KC53Table 12: NHS Cervical Screening Programme: Target Age Group (25-64), results of tests by Primary Care Organisation, 2009-10


Number of SevereEligible (1) women (2) Borderline Mild Moderate DyskaryosisPopulation Screened Negative Dyskaryosis Dyskaryosis Dyskaryosis or worse

(000's) (000's) (%) (%) (%) (%) (%)

England 13,580.5 3,233.0 92.8 3.7 2.1 0.6 0.8

North East SHA 649.5 154.9 90.5 5.7 2.2 0.6 1.0

5ND County Durham PCT 129.6 29.9 90.5 6.3 1.7 0.6 1.05J9 Darlington PCT 25.8 6.0 90.6 6.5 1.3 0.4 1.15KF Gateshead PCT 51.0 12.3 88.0 8.3 2.0 0.7 1.15D9 Hartlepool PCT 22.3 5.0 91.4 5.1 1.9 0.6 1.15KM Middlesbrough PCT 35.7 7.7 91.4 4.5 2.4 0.7 1.05D7 Newcastle PCT 65.7 16.0 90.5 4.8 3.1 0.6 1.05D8 North Tyneside PCT 54.6 13.4 90.3 4.8 2.9 0.7 1.3TAC Northumberland Care Trust 78.6 18.9 91.7 4.4 2.5 0.6 0.95QR Redcar & Cleveland PCT 32.3 7.2 91.4 5.1 2.3 0.4 0.85KG South Tyneside PCT 37.0 8.7 88.9 7.5 1.5 0.9 1.25E1 Stockton-on-Tees Teaching PCT 46.9 11.0 91.7 5.3 1.7 0.6 0.75KL Sunderland Teaching PCT 69.9 18.7 90.5 6.0 2.1 0.7 0.7

North West SHA 1,776.4 427.2 92.6 3.6 2.3 0.6 0.9

5HG Ashton, Leigh & Wigan PCT 75.3 19.2 92.7 3.3 2.6 0.5 0.95CC Blackburn with Darwen PCT 38.9 8.8 93.0 3.7 2.1 0.8 0.55HP Blackpool PCT 35.7 8.2 92.2 3.1 2.4 1.1 1.25HQ Bolton PCT 70.9 16.9 93.6 3.6 1.5 0.5 0.95JX Bury PCT 47.8 12.0 93.8 3.1 1.9 0.5 0.65NP Central & Eastern Cheshire PCT 115.5 28.8 94.4 3.1 1.3 0.3 0.95NG Central Lancashire PCT 112.5 26.8 92.2 3.5 2.8 0.6 0.95NE Cumbria PCT 125.9 30.4 94.0 3.0 1.6 0.5 0.85NH East Lancashire PCT 92.8 22.3 93.2 3.5 2.2 0.7 0.55NM Halton & St Helens PCT 78.6 19.2 92.4 4.0 2.0 0.6 1.05NQ Heywood, Middleton & Rochdale PCT 53.3 13.3 93.6 3.2 1.8 0.5 0.95J4 Knowsley PCT 38.6 9.4 91.6 4.1 2.5 0.7 1.15NL Liverpool PCT 119.2 26.5 91.5 3.0 3.2 1.1 1.25NT Manchester PCT 129.3 29.6 91.1 4.1 3.2 0.7 0.95NF North Lancashire PCT 76.8 18.2 92.8 3.3 2.0 0.9 0.95J5 Oldham PCT 56.5 13.5 93.8 3.3 1.8 0.4 0.75F5 Salford PCT 57.6 13.6 91.7 3.8 2.8 0.6 1.15NJ Sefton PCT 67.6 15.5 92.0 3.7 2.9 0.6 0.95F7 Stockport PCT 74.3 18.8 93.5 2.5 2.7 0.6 0.85LH Tameside & Glossop PCT 58.6 14.9 90.8 6.3 1.8 0.5 0.65NR Trafford PCT 57.3 13.8 92.7 3.7 2.3 0.4 0.85J2 Warrington PCT 51.5 13.3 93.4 3.4 1.6 0.6 1.05NN Western Cheshire PCT 61.7 15.3 92.8 2.6 3.3 0.6 0.65NK Wirral PCT 80.1 19.1 90.5 5.5 2.5 0.6 0.8

Yorkshire & the Humber SHA 1,299.6 319.3 94.1 3.4 1.2 0.5 0.8

5JE Barnsley PCT 60.3 17.2 93.2 3.4 1.7 0.8 0.95NY Bradford & Airedale Teaching PCT 126.0 30.4 95.5 2.8 0.5 0.3 0.85J6 Calderdale PCT 51.9 13.4 94.9 2.6 1.1 0.5 0.95N5 Doncaster PCT 73.2 17.3 91.4 4.2 2.9 0.7 0.85NW East Riding of Yorkshire PCT 76.1 18.1 93.8 4.3 0.7 0.5 0.85NX Hull Teaching PCT 68.7 16.9 91.8 5.5 0.8 0.6 1.35N2 Kirklees PCT 100.9 25.7 94.1 3.4 1.3 0.5 0.85N1 Leeds PCT 194.4 50.0 94.9 3.2 0.6 0.3 0.9TAN North East Lincolnshire PCT 39.1 9.5 93.0 3.8 1.8 0.6 0.85EF North Lincolnshire PCT 40.0 9.7 93.8 3.5 1.4 0.5 0.75NV North Yorkshire & York PCT 193.3 44.2 94.2 2.9 1.7 0.6 0.65H8 Rotherham PCT 60.9 15.6 94.4 2.7 1.3 0.6 0.95N4 Sheffield PCT 129.0 29.3 95.2 3.0 0.8 0.3 0.75N3 Wakefield District PCT 85.8 22.1 93.3 3.8 1.6 0.5 0.8

East Midlands SHA 1,100.7 261.7 93.7 3.5 1.6 0.5 0.7

5ET Bassetlaw PCT 26.5 6.3 92.2 3.7 2.5 0.8 0.85N7 Derby City PCT 71.9 16.5 93.4 4.5 1.2 0.3 0.65N6 Derbyshire County PCT 171.5 40.0 93.5 3.8 1.5 0.3 0.95PC Leicester City PCT 83.5 19.3 94.9 2.4 1.5 0.6 0.75PA Leicestershire County & Rutland PCT 163.1 40.1 95.3 2.3 1.4 0.5 0.65N9 Lincolnshire PCT 174.0 42.2 94.4 3.3 1.1 0.4 0.85PD Northamptonshire PCT 172.3 40.1 92.1 3.5 2.9 0.8 0.85EM Nottingham City PCT 74.7 17.8 92.1 5.1 1.7 0.4 0.75N8 Nottinghamshire County PCT 163.1 39.3 93.8 3.8 1.4 0.3 0.7

West Midlands SHA 1,383.8 320.4 92.5 4.0 2.1 0.5 0.8

5PG Birmingham East & North PCT 105.3 23.7 92.4 3.6 2.8 0.5 0.85MD Coventry Teaching PCT 82.1 18.5 92.6 3.9 1.9 0.2 1.25PE Dudley PCT 75.7 17.0 93.5 3.7 1.3 0.7 0.95MX Heart of Birmingham Teaching PCT 70.7 16.0 93.7 3.6 1.9 0.4 0.45CN Herefordshire PCT 42.3 10.0 91.1 4.3 3.2 0.5 0.95PH North Staffordshire PCT 50.2 12.1 90.3 5.5 2.5 0.7 1.05PF Sandwell PCT 81.6 18.3 92.7 4.1 1.8 0.5 0.85M2 Shropshire County PCT 69.3 16.7 92.1 3.9 2.9 0.4 0.8TAM Solihull Care Trust 54.8 13.1 92.1 3.9 2.8 0.5 0.75M1 South Birmingham PCT 94.5 22.8 91.4 3.8 2.9 0.9 1.05PK South Staffordshire PCT 151.8 34.7 94.5 3.2 1.1 0.4 0.85PJ Stoke-on-Trent PCT 65.4 16.0 88.8 5.9 3.2 0.9 1.25MK Telford & Wrekin PCT 40.8 9.8 91.9 4.2 2.7 0.5 0.75M3 Walsall Teaching PCT 62.9 14.6 93.2 3.9 1.8 0.5 0.65PM Warwickshire PCT 137.0 32.9 94.1 3.4 1.4 0.3 0.95MV Wolverhampton City PCT 61.2 14.1 92.4 4.8 1.3 0.5 1.05PL Worcestershire PCT 138.3 30.1 91.6 4.3 2.5 0.9 0.7

East of England SHA 1,459.3 347.8 92.7 3.7 2.2 0.6 0.8

5P2 Bedfordshire PCT 108.1 25.5 93.0 2.4 3.0 0.6 1.05PP Cambridgeshire PCT 153.2 37.5 92.8 3.3 2.2 0.7 0.95P3 East & North Hertfordshire PCT 146.4 34.1 94.5 2.8 1.6 0.5 0.65PR Great Yarmouth & Waveney Teaching PCT 52.0 11.9 95.1 2.5 1.1 0.4 0.85GC Luton Teaching PCT 50.0 11.5 93.6 2.9 2.4 0.7 0.55PX Mid Essex PCT 91.9 22.5 89.3 5.9 3.4 0.7 0.65PQ Norfolk PCT 177.0 40.4 94.9 2.5 1.2 0.5 0.8

Result of test

61

Call and Recall Programme KC53Table 12: NHS Cervical Screening Programme: Target Age Group (25-64), results of tests by Primary Care Organisation, 2009-10


Number of SevereEligible (1) women (2) Borderline Mild Moderate DyskaryosisPopulation Screened Negative Dyskaryosis Dyskaryosis Dyskaryosis or worse

(000's) (000's) (%) (%) (%) (%) (%)

England 13,580.5 3,233.0 92.8 3.7 2.1 0.6 0.8

Result of test

5PW North East Essex PCT 75.2 18.7 90.4 5.4 2.9 0.5 0.75PN Peterborough PCT 43.2 10.5 92.4 4.5 1.7 0.6 0.85P1 South East Essex PCT 85.3 19.0 91.4 4.8 2.2 0.6 1.15PY South West Essex PCT 104.5 24.2 91.5 3.9 2.8 0.9 0.85PT Suffolk PCT 149.6 38.5 92.9 4.1 1.5 0.6 0.95PV West Essex PCT 72.0 17.2 92.1 3.7 2.8 0.5 0.85P4 West Hertfordshire PCT 150.8 36.4 92.1 4.5 2.4 0.4 0.5

London SHA 2,437.2 577.7 91.9 3.8 3.1 0.6 0.6

5C2 Barking & Dagenham PCT 46.7 11.3 94.8 2.4 1.4 0.6 0.85A9 Barnet PCT 103.5 23.8 92.3 3.8 2.7 0.6 0.6TAK Bexley Care Trust 57.4 14.8 92.8 2.9 3.1 0.6 0.75K5 Brent Teaching PCT 97.1 21.1 94.1 2.7 2.5 0.4 0.35A7 Bromley PCT 84.5 22.3 91.2 3.7 4.0 0.6 0.45K7 Camden PCT 74.7 17.1 87.2 4.1 6.9 0.9 0.85C3 City & Hackney Teaching PCT 80.2 18.4 91.9 4.4 2.4 0.5 0.85K9 Croydon PCT 100.1 22.8 90.6 3.7 3.9 1.2 0.75HX Ealing PCT 106.3 23.6 92.3 3.9 2.7 0.5 0.65C1 Enfield PCT 75.1 19.7 91.1 4.9 2.7 0.7 0.65A8 Greenwich Teaching PCT 72.2 17.4 92.1 4.6 2.1 0.6 0.65H1 Hammersmith & Fulham PCT 65.6 14.9 89.6 5.9 3.3 0.7 0.55C9 Haringey Teaching PCT 84.3 20.3 89.0 5.5 3.9 0.9 0.75K6 Harrow PCT 62.4 13.0 95.0 2.2 2.3 0.2 0.35A4 Havering PCT 63.0 14.9 95.2 2.2 1.5 0.4 0.75AT Hillingdon PCT 69.6 15.3 93.8 2.5 2.6 0.5 0.75HY Hounslow PCT 72.8 17.7 92.5 4.2 2.3 0.6 0.45K8 Islington PCT 68.9 17.8 88.3 5.6 4.5 1.0 0.75LA Kensington & Chelsea PCT 58.9 12.7 90.7 5.3 3.0 0.6 0.45A5 Kingston PCT 50.5 11.6 92.2 4.0 2.7 0.7 0.45LD Lambeth PCT 115.0 28.5 90.9 3.6 4.2 0.9 0.45LF Lewisham PCT 86.9 21.8 92.0 3.9 3.3 0.4 0.35C5 Newham PCT 85.6 19.2 94.3 3.4 1.5 0.4 0.55NA Redbridge PCT 70.5 16.6 95.4 2.3 1.4 0.5 0.35M6 Richmond & Twickenham PCT 56.6 13.4 92.8 3.8 2.4 0.5 0.55LE Southwark PCT 93.3 23.1 91.5 3.5 3.6 0.8 0.55M7 Sutton & Merton PCT 106.7 25.0 93.3 3.2 2.2 0.4 0.85C4 Tower Hamlets PCT 68.9 15.6 92.4 4.1 2.3 0.6 0.65NC Waltham Forest PCT 74.4 17.8 92.5 3.8 2.4 0.5 0.85LG Wandsworth PCT 115.7 29.7 89.4 3.3 6.1 0.6 0.75LC Westminster PCT 69.7 16.4 90.8 4.9 3.2 0.6 0.4

South East Coast SHA 1,110.0 273.7 93.1 3.7 1.9 0.6 0.8

5LQ Brighton & Hove City PCT 78.3 19.1 92.8 2.7 2.3 0.9 1.35P7 East Sussex Downs & Weald PCT 81.6 20.2 94.0 2.8 1.9 0.5 0.85QA Eastern & Coastal Kent PCT 174.2 44.1 91.5 5.5 1.8 0.6 0.65P8 Hastings & Rother PCT 42.2 10.0 94.1 2.4 2.0 0.7 0.85L3 Medway PCT 69.8 16.7 94.7 2.2 2.0 0.5 0.65P5 Surrey PCT 291.5 71.9 93.7 3.2 1.8 0.7 0.75P9 West Kent PCT 174.1 45.5 92.8 4.2 1.8 0.6 0.65P6 West Sussex PCT 198.3 46.1 92.9 3.8 1.7 0.5 1.0

South Central SHA 1,065.5 248.1 93.1 3.3 2.1 0.6 0.8

5QG Berkshire East PCT 107.4 24.7 93.9 2.6 2.3 0.4 0.85QF Berkshire West PCT 125.5 30.2 94.7 2.5 1.5 0.5 0.85QD Buckinghamshire PCT 133.6 30.3 93.5 2.8 2.3 0.6 0.95QC Hampshire PCT 321.7 75.7 92.8 3.7 2.0 0.7 0.75QT Isle of Wight PCT 32.7 7.8 92.9 2.9 2.7 0.8 0.75CQ Milton Keynes PCT 67.0 16.1 91.6 4.3 2.1 0.9 1.05QE Oxfordshire PCT 167.5 37.6 93.8 3.2 1.7 0.5 0.85FE Portsmouth City Teaching PCT 50.8 11.0 90.6 4.0 3.2 1.1 1.15L1 Southampton City PCT 59.3 14.7 91.5 4.7 2.2 0.7 0.9

South West SHA 1,298.5 302.1 93.4 3.5 1.7 0.7 0.7

5FL Bath & North East Somerset PCT 44.7 9.8 93.7 3.4 1.6 0.6 0.85QN Bournemouth & Poole PCT 85.2 21.1 94.3 3.1 1.8 0.5 0.35QJ Bristol PCT 114.5 25.3 93.8 3.3 1.4 0.7 0.85QP Cornwall & Isles Of Scilly PCT 131.0 30.6 92.6 4.0 2.0 0.8 0.65QQ Devon PCT 178.2 41.7 92.3 3.5 2.7 0.8 0.75QM Dorset PCT 90.6 21.6 95.1 2.9 1.1 0.4 0.55QH Gloucestershire PCT 147.0 35.2 92.7 4.2 1.8 0.6 0.75M8 North Somerset PCT 51.3 11.2 94.8 2.8 1.1 0.6 0.75F1 Plymouth Teaching PCT 64.0 15.4 92.1 4.5 1.5 0.9 1.05QL Somerset PCT 125.8 29.2 93.8 3.6 1.3 0.5 0.75A3 South Gloucestershire PCT 63.3 14.4 94.6 2.9 1.0 0.7 0.85K3 Swindon PCT 54.5 12.7 93.0 4.1 1.8 0.6 0.5TAL Torbay Care Trust 33.3 8.2 93.1 3.0 2.5 0.8 0.55QK Wiltshire PCT 115.2 25.7 94.0 3.1 1.5 0.6 0.7

(1) This excludes women in the resident population whose recall was ceased for clinical reasons(2) Excluding those women all of whose tests during the year were classified as 'inadequate'

Source: KC53 Parts A2 and DCopyright © 2010, The Health and Social Care Information Centre. All rights reserved

62

Call and Recall Programme KC53Table 13: NHS Cervical Screening Programme: Coverage by ageband and Primary Care Organisation, 2008-09 to 2009-2010


2008-09 2009-10Eligible Population Coverage Eligible Population Coverage

25-49 50-64 25-64 25-49 50-64 25-64 25-49 50-64 25-64 25-49 50-64 25-64(000's) (000's) (000's) (000's) (000's) (000's)

(%) (%) (%) (%) (%) (%)

England 9,468.0 3,973.2 13,441.2 72.5 80.0 78.9 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9

North East 436.1 211.5 647.6 74.9 79.8 80.5 434.9 214.6 649.5 76.4 78.3 80.1

5ND County Durham PCT 85.3 44.2 129.5 77.5 80.6 81.9 85.1 44.5 129.6 78.1 79.1 81.45J9 Darlington PCT 17.6 8.2 25.7 76.7 80.3 81.3 17.5 8.3 25.8 78.2 79.1 81.45KF Gateshead PCT 34.9 16.2 51.0 74.7 79.2 80.2 34.7 16.3 51.0 76.0 77.2 79.65D9 Hartlepool PCT 15.4 6.9 22.3 71.3 74.3 76.8 15.3 7.0 22.3 72.4 73.6 76.65KM Middlesbrough PCT 24.5 10.9 35.3 68.2 75.3 75.0 24.6 11.1 35.7 69.2 73.4 74.15D7 Newcastle PCT 47.0 18.1 65.1 71.2 80.0 77.8 47.2 18.5 65.7 72.2 78.6 77.45D8 North Tyneside PCT 36.9 17.4 54.3 77.2 80.3 81.8 36.9 17.7 54.6 78.4 78.7 81.5TAC Northumberland Care Trust 49.8 28.8 78.6 79.8 83.5 84.4 49.5 29.1 78.6 80.5 81.5 83.65QR Redcar & Cleveland PCT 21.3 11.1 32.5 74.7 78.7 80.1 21.1 11.2 32.3 75.8 77.0 79.65KG South Tyneside PCT 24.8 12.1 36.9 73.4 78.0 79.1 24.6 12.4 37.0 74.7 76.1 78.75E1 Stockton-on-Tees Teaching PCT 32.0 14.5 46.5 74.0 77.8 79.5 32.0 14.9 46.9 75.5 76.1 79.15KL Sunderland Teaching PCT 46.7 23.2 69.9 72.6 79.9 80.7 46.5 23.5 69.9 77.8 79.5 80.9

North West 1,221.8 541.9 1,763.8 72.4 78.4 78.5 1,226.1 550.2 1,776.4 73.7 77.1 78.4

5HG Ashton, Leigh & Wigan PCT 52.4 22.6 75.0 75.1 78.3 80.3 52.7 22.6 75.3 76.3 77.4 80.55CC Blackburn with Darwen PCT 27.7 10.9 38.6 67.6 77.0 75.3 27.8 11.1 38.9 68.8 74.8 74.85HP Blackpool PCT 24.1 11.6 35.6 69.2 74.3 75.2 24.1 11.6 35.7 71.2 73.5 75.55HQ Bolton PCT 48.7 21.6 70.3 72.6 81.0 79.6 49.0 21.8 70.9 73.5 79.6 79.25JX Bury PCT 33.3 14.3 47.6 75.8 80.3 81.0 33.4 14.5 47.8 76.4 79.3 80.85NP Central & Eastern Cheshire PCT 77.6 37.6 115.2 77.3 81.2 82.2 77.4 38.1 115.5 77.7 79.5 81.65NG Central Lancashire PCT 77.4 34.8 112.2 73.1 78.3 78.8 77.3 35.2 112.5 74.1 77.2 78.75NE Cumbria PCT 80.9 45.3 126.2 76.5 81.5 81.9 80.3 45.6 125.9 78.1 80.2 81.85NH East Lancashire PCT 62.9 30.0 92.9 72.6 79.0 78.8 62.6 30.2 92.8 73.6 77.6 78.75NM Halton & St Helens PCT 53.0 25.2 78.2 73.0 77.9 78.9 53.0 25.6 78.6 73.5 76.0 78.55NQ Heywood, Middleton & Rochdale PCT 36.9 16.0 52.9 70.9 78.6 77.8 37.0 16.3 53.3 72.3 77.5 77.75J4 Knowsley PCT 26.9 11.5 38.4 70.1 74.4 75.7 26.7 11.9 38.6 72.6 74.1 76.85NL Liverpool PCT 83.1 34.3 117.4 64.9 72.9 71.9 83.9 35.3 119.2 67.6 72.6 72.85NT Manchester PCT 98.5 27.0 125.5 67.2 74.8 73.5 101.3 28.0 129.3 67.9 73.7 73.35NF North Lancashire PCT 49.9 26.6 76.5 73.2 79.4 79.1 49.9 26.9 76.8 75.2 78.7 79.45J5 Oldham PCT 39.5 16.6 56.0 72.6 78.5 79.0 39.7 16.8 56.5 73.1 76.7 78.75F5 Salford PCT 41.2 15.4 56.6 70.3 77.7 77.2 41.9 15.7 57.6 72.4 76.8 77.45NJ Sefton PCT 44.4 22.8 67.2 68.8 73.9 74.6 44.5 23.2 67.6 70.3 72.1 74.65F7 Stockport PCT 51.0 22.8 73.8 76.6 80.9 81.8 51.1 23.1 74.3 77.5 79.7 81.65LH Tameside & Glossop PCT 40.8 17.6 58.4 73.2 78.7 79.6 40.9 17.8 58.6 74.6 77.1 79.25NR Trafford PCT 41.1 15.8 56.9 75.0 79.8 80.7 41.2 16.1 57.3 76.5 78.8 80.85J2 Warrington PCT 35.7 15.2 50.9 76.6 81.2 82.2 36.1 15.5 51.5 76.8 78.4 81.35NN Western Cheshire PCT 41.3 20.1 61.4 76.1 81.3 81.4 41.4 20.3 61.7 77.2 79.2 81.15NK Wirral PCT 53.6 26.4 79.9 71.8 77.1 77.8 53.1 27.0 80.1 73.6 75.2 77.9

Yorkshire & the Humber 895.6 397.4 1,293.0 72.7 80.7 80.2 897.1 402.5 1,299.6 76.0 79.9 80.2

5JE Barnsley PCT 40.7 19.4 60.2 70.4 80.8 81.5 40.8 19.5 60.3 78.8 80.7 82.15NY Bradford & Airedale Teaching PCT 90.5 33.7 124.3 66.8 79.2 76.6 91.4 34.6 126.0 71.6 79.2 77.15J6 Calderdale PCT 35.5 16.0 51.5 75.0 80.3 81.8 35.7 16.2 51.9 79.3 80.4 82.15N5 Doncaster PCT 49.9 22.9 72.8 75.6 81.9 81.6 49.7 23.4 73.2 76.5 81.1 81.65NW East Riding of Yorkshire PCT 48.0 28.2 76.2 78.6 82.0 83.3 47.7 28.4 76.1 79.6 80.1 82.65NX Hull Teaching PCT 47.5 20.6 68.1 73.5 79.2 79.3 47.7 21.0 68.7 75.0 77.9 79.25N2 Kirklees PCT 70.4 30.0 100.4 72.5 81.6 80.9 70.5 30.5 100.9 77.0 81.5 81.15N1 Leeds PCT 141.7 50.9 192.6 68.3 78.8 77.2 142.8 51.6 194.4 74.0 79.1 78.2TAN North East Lincolnshire PCT 26.7 12.5 39.2 74.0 80.5 80.9 26.5 12.6 39.1 78.2 80.0 81.65EF North Lincolnshire PCT 26.5 13.6 40.1 73.7 80.6 81.1 26.3 13.6 40.0 77.9 79.8 81.25NV North Yorkshire & York PCT 126.2 66.4 192.6 77.4 82.5 82.7 125.9 67.4 193.3 78.0 80.5 81.85H8 Rotherham PCT 41.7 19.5 61.2 69.4 80.5 79.8 41.5 19.4 60.9 75.9 80.3 80.35N4 Sheffield PCT 91.5 36.7 128.3 73.8 80.7 79.8 91.8 37.2 129.0 74.6 79.7 79.65N3 Wakefield District PCT 58.6 27.0 85.6 74.6 79.5 80.2 58.7 27.1 85.8 76.2 78.5 80.0

East Midlands 752.0 339.4 1,091.4 76.7 82.7 82.4 755.5 345.2 1,100.7 77.6 81.9 82.1

5ET Bassetlaw PCT 17.6 8.8 26.4 79.0 83.8 84.5 17.6 8.9 26.5 79.7 82.6 83.95N7 Derby City PCT 51.2 19.9 71.2 75.9 82.1 81.0 51.7 20.2 71.9 76.1 81.9 81.05N6 Derbyshire County PCT 113.6 57.4 171.1 80.8 83.4 84.9 113.3 58.3 171.5 81.5 83.0 84.95PC Leicester City PCT 60.8 20.9 81.6 69.7 80.1 76.9 61.9 21.6 83.5 70.0 78.9 76.35PA Leicestershire County & Rutland PCT 109.3 53.3 162.6 78.9 83.2 83.9 109.2 53.9 163.1 79.9 82.2 83.65N9 Lincolnshire PCT 113.6 59.5 173.1 74.0 82.1 81.6 113.9 60.1 174.0 77.2 81.0 81.25PD Northamptonshire PCT 120.5 49.9 170.4 74.3 81.1 80.4 121.3 51.0 172.3 75.2 80.1 80.25EM Nottingham City PCT 54.4 17.1 71.6 73.8 81.7 79.6 56.7 18.0 74.7 73.1 81.2 78.95N8 Nottinghamshire County PCT 111.0 52.5 163.5 81.2 85.2 85.8 110.0 53.1 163.1 81.6 84.4 85.4

(less than 3.5 yrs

since last adequate

test)

(less than 5 yrs since

last adequate

test)


last adequate

test)

(less than 3.5 yrs

since last adequate

test)


last adequate

test)


last adequate

test)

63




25-49 50-64 25-64 25-49 50-64 25-64 25-49 50-64 25-64 25-49 50-64 25-64(000's) (000's) (000's) (000's) (000's) (000's)

(%) (%) (%) (%) (%) (%)

England 9,468.0 3,973.2 13,441.2 72.5 80.0 78.9 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9

(less than 3.5 yrs

since last adequate

test)


last adequate

test)


last adequate

test)

(less than 3.5 yrs

since last adequate

test)


last adequate

test)


last adequate

test)

West Midlands 949.8 428.5 1,378.4 73.0 78.1 78.7 954.5 429.3 1,383.8 73.9 77.3 78.5

5PG Birmingham East & North PCT 74.9 31.2 106.1 69.0 70.6 74.4 75.5 29.7 105.3 70.0 73.2 75.35MD Coventry Teaching PCT 58.5 22.3 80.8 70.3 79.0 77.1 59.6 22.5 82.1 71.3 77.5 76.65PE Dudley PCT 51.0 24.5 75.4 74.7 78.8 79.8 50.9 24.8 75.7 75.3 77.5 79.25MX Heart of Birmingham Teaching PCT 54.3 15.2 69.4 67.3 78.5 76.3 55.5 15.2 70.7 67.0 79.3 75.75CN Herefordshire PCT 26.9 15.4 42.3 75.7 80.3 80.7 26.8 15.5 42.3 76.6 78.3 80.25PH North Staffordshire PCT 32.6 17.7 50.3 77.5 81.3 82.3 32.4 17.8 50.2 78.5 79.8 81.95PF Sandwell PCT 57.8 22.4 80.3 71.9 77.8 77.5 58.9 22.7 81.6 72.8 77.0 77.55M2 Shropshire County PCT 44.4 24.7 69.2 77.6 81.6 82.4 44.2 25.1 69.3 77.9 79.5 81.8TAM Solihull Care Trust 36.7 19.4 56.1 74.8 71.6 77.7 36.6 18.3 54.8 75.9 75.3 79.35M1 South Birmingham PCT 68.5 27.6 96.0 67.2 69.7 72.9 68.7 25.8 94.5 69.5 73.6 74.75PK South Staffordshire PCT 100.0 49.5 149.5 78.0 81.8 82.5 100.1 51.7 151.8 78.7 77.6 81.15PJ Stoke-on-Trent PCT 45.1 19.9 65.0 74.1 80.0 79.9 45.4 19.9 65.4 74.8 78.1 79.15MK Telford & Wrekin PCT 28.5 12.0 40.5 72.7 80.1 79.6 28.5 12.3 40.8 73.3 77.6 78.65M3 Walsall Teaching PCT 43.4 19.0 62.4 71.7 78.5 77.8 43.7 19.2 62.9 72.5 77.1 77.55PM Warwickshire PCT 92.2 43.7 135.9 75.4 80.1 80.4 93.0 44.0 137.0 75.8 78.1 79.85MV Wolverhampton City PCT 43.4 17.5 60.8 70.8 78.7 77.5 43.5 17.7 61.2 72.0 76.9 76.95PL Worcestershire PCT 91.5 46.7 138.2 73.6 79.1 79.1 91.2 47.1 138.3 75.5 78.0 79.2

East of England 1,000.4 446.1 1,446.5 74.9 81.1 80.2 1,006.0 453.4 1,459.3 76.4 80.3 80.6

5P2 Bedfordshire PCT 74.8 32.7 107.5 77.2 82.6 82.0 74.8 33.3 108.1 78.3 82.6 82.55PP Cambridgeshire PCT 105.9 45.2 151.0 75.3 83.5 81.1 107.2 46.0 153.2 76.1 81.9 80.75P3 East & North Hertfordshire PCT 103.0 41.9 144.9 77.0 81.8 81.4 103.5 43.0 146.4 79.0 82.2 82.65PR Great Yarmouth & Waveney Teaching PCT 33.5 18.6 52.1 75.6 80.1 80.5 33.4 18.6 52.0 76.7 78.8 80.35GC Luton Teaching PCT 37.0 12.0 48.9 70.3 81.8 77.0 37.7 12.3 50.0 70.5 82.1 77.15PX Mid Essex PCT 63.2 28.2 91.5 74.2 80.7 79.8 63.4 28.6 91.9 75.7 79.4 80.05PQ Norfolk PCT 114.8 61.2 176.0 76.4 80.9 80.8 115.1 61.8 177.0 77.4 79.6 80.95PW North East Essex PCT 50.0 24.8 74.8 75.6 82.4 81.4 50.1 25.2 75.2 76.6 81.0 81.15PN Peterborough PCT 31.2 10.7 41.9 71.5 79.8 77.1 32.1 11.1 43.2 72.3 78.2 77.05P1 South East Essex PCT 58.4 26.4 84.8 72.9 78.9 78.4 58.5 26.8 85.3 74.8 78.0 79.05PY South West Essex PCT 74.2 30.1 104.3 71.6 79.1 77.7 74.1 30.4 104.5 74.4 78.8 79.15PT Suffolk PCT 98.2 50.5 148.8 75.9 81.1 80.9 98.5 51.1 149.6 77.3 79.5 80.85PV West Essex PCT 49.8 21.5 71.3 74.6 81.1 80.4 50.1 21.9 72.0 77.0 80.0 81.05P4 West Hertfordshire PCT 106.5 42.2 148.6 74.5 79.8 79.8 107.7 43.1 150.8 76.6 80.1 80.7

London 1,848.6 525.6 2,374.2 66.0 77.6 73.8 1,895.2 541.9 2,437.2 67.4 76.8 73.9

5C2 Barking & Dagenham PCT 34.5 9.5 44.0 67.2 76.4 75.7 36.7 10.0 46.7 69.8 75.9 75.65A9 Barnet PCT 74.8 26.0 100.8 63.8 77.1 72.3 76.7 26.8 103.5 65.2 75.8 72.1TAK Bexley Care Trust 40.1 16.6 56.7 76.7 81.1 82.1 40.5 16.9 57.4 77.8 79.4 81.95K5 Brent Teaching PCT 74.0 20.8 94.8 61.4 77.8 70.3 75.5 21.6 97.1 62.0 76.3 69.95A7 Bromley PCT 59.4 24.6 84.1 76.2 82.1 81.9 59.4 25.1 84.5 77.6 80.8 81.85K7 Camden PCT 57.8 13.3 71.1 60.8 74.7 69.3 61.1 13.5 74.7 60.8 73.4 68.15C3 City & Hackney Teaching PCT 62.1 14.0 76.2 65.6 74.1 72.7 65.5 14.7 80.2 66.0 73.5 72.45K9 Croydon PCT 73.6 25.4 99.0 68.5 78.4 75.9 73.9 26.2 100.1 70.5 78.0 76.35HX Ealing PCT 77.7 23.4 101.1 65.1 79.3 73.1 82.0 24.3 106.3 64.2 77.4 71.65C1 Enfield PCT 58.4 20.3 78.7 69.4 80.5 76.9 54.9 20.2 75.1 74.6 81.6 80.05A8 Greenwich Teaching PCT 55.6 15.3 71.0 67.7 75.3 74.4 56.3 15.8 72.2 69.5 74.4 74.95H1 Hammersmith & Fulham PCT 53.8 11.0 64.9 57.9 67.8 65.8 54.5 11.0 65.6 60.4 70.1 67.85C9 Haringey Teaching PCT 64.1 17.4 81.6 64.2 78.0 72.5 66.0 18.2 84.3 65.3 77.0 72.25K6 Harrow PCT 43.7 17.2 60.9 63.1 79.9 73.1 45.0 17.5 62.4 63.7 78.1 72.25A4 Havering PCT 42.8 19.2 62.0 72.7 81.3 81.1 43.3 19.7 63.0 76.0 80.8 81.05AT Hillingdon PCT 49.7 18.2 67.9 67.7 77.8 75.3 50.8 18.8 69.6 68.7 76.3 74.85HY Hounslow PCT 53.8 17.1 70.8 65.4 78.0 73.1 55.3 17.5 72.8 66.7 77.0 73.35K8 Islington PCT 55.5 11.8 67.2 65.6 75.0 72.7 56.9 12.0 68.9 67.6 74.5 73.35LA Kensington & Chelsea PCT 44.9 12.1 57.0 57.9 70.3 67.2 46.5 12.4 58.9 58.8 68.5 66.45A5 Kingston PCT 37.5 12.3 49.8 69.2 79.2 76.1 37.8 12.7 50.5 70.4 78.3 76.15LD Lambeth PCT 93.9 18.1 112.1 63.8 74.8 71.2 95.9 19.1 115.0 65.1 75.0 71.75LF Lewisham PCT 68.8 16.3 85.0 66.7 76.7 74.2 69.8 17.1 86.9 68.1 76.6 74.75C5 Newham PCT 65.1 15.7 80.7 67.3 79.2 74.8 69.1 16.5 85.6 66.0 77.9 73.35NA Redbridge PCT 50.2 17.2 67.4 67.8 83.1 77.6 52.7 17.8 70.5 70.1 82.6 77.35M6 Richmond & Twickenham PCT 41.7 14.8 56.5 71.5 79.1 77.6 41.6 15.1 56.6 73.4 78.4 78.35LE Southwark PCT 75.5 15.4 90.9 64.8 74.7 71.9 77.1 16.3 93.3 66.5 75.3 72.85M7 Sutton & Merton PCT 80.0 25.6 105.7 69.2 77.9 76.0 80.4 26.3 106.7 70.7 76.2 76.15C4 Tower Hamlets PCT 54.4 9.8 64.2 63.0 77.2 70.8 58.5 10.3 68.9 63.8 75.6 70.45NC Waltham Forest PCT 55.8 15.6 71.4 69.9 81.9 78.4 58.2 16.3 74.4 71.6 81.6 77.75LG Wandsworth PCT 95.1 18.0 113.1 64.9 73.8 71.5 97.3 18.5 115.7 68.1 74.6 73.55LC Westminster PCT 54.2 13.5 67.7 59.7 70.4 68.1 55.9 13.8 69.7 61.2 70.7 68.3

64




25-49 50-64 25-64 25-49 50-64 25-64 25-49 50-64 25-64 25-49 50-64 25-64(000's) (000's) (000's) (000's) (000's) (000's)

(%) (%) (%) (%) (%) (%)

England 9,468.0 3,973.2 13,441.2 72.5 80.0 78.9 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9

(less than 3.5 yrs

since last adequate

test)


last adequate

test)


last adequate

test)

(less than 3.5 yrs

since last adequate

test)


last adequate

test)


last adequate

test)

South East Coast 755.8 344.1 1,099.8 75.1 81.3 80.8 759.8 350.2 1,110.0 76.0 79.2 80.2

5LQ Brighton & Hove City PCT 59.4 17.9 77.4 69.5 76.7 75.4 59.9 18.4 78.3 71.9 74.6 75.95P7 East Sussex Downs & Weald PCT 52.1 29.1 81.2 74.4 79.9 79.9 52.1 29.5 81.6 76.0 77.8 79.55QA Eastern & Coastal Kent PCT 117.1 55.4 172.5 75.6 80.5 80.8 117.9 56.4 174.2 75.9 78.2 80.05P8 Hastings & Rother PCT 26.5 15.5 42.0 75.7 79.7 80.6 26.5 15.7 42.2 76.0 77.3 79.55L3 Medway PCT 48.6 20.8 69.4 76.0 82.7 82.0 48.6 21.2 69.8 75.9 80.3 81.05P5 Surrey PCT 201.5 87.3 288.8 74.6 81.6 80.6 202.5 89.0 291.5 75.7 79.9 80.35P9 West Kent PCT 119.3 53.2 172.5 77.7 83.8 83.2 120.0 54.1 174.1 78.6 81.4 82.55P6 West Sussex PCT 131.2 64.9 196.1 75.5 81.3 81.0 132.2 66.1 198.3 76.1 79.1 80.1

South Central 745.9 310.8 1,056.7 73.0 80.6 79.3 748.1 317.4 1,065.5 75.0 79.6 79.5

5QG Berkshire East PCT 78.0 27.4 105.4 69.6 79.7 77.6 79.1 28.4 107.4 72.6 79.4 78.25QF Berkshire West PCT 91.2 34.3 125.6 73.8 81.5 80.2 90.7 34.8 125.5 77.1 81.1 81.35QD Buckinghamshire PCT 91.5 41.5 132.9 75.3 82.5 81.5 91.3 42.3 133.6 76.4 80.9 81.25QC Hampshire PCT 217.7 102.3 319.9 76.1 81.2 81.2 217.5 104.2 321.7 78.0 80.5 81.65QT Isle of Wight PCT 20.3 12.4 32.7 74.5 79.0 80.2 20.2 12.5 32.7 76.0 76.1 79.05CQ Milton Keynes PCT 47.9 17.5 65.4 72.2 80.2 79.1 48.9 18.1 67.0 73.6 78.8 79.05QE Oxfordshire PCT 119.0 47.5 166.5 70.5 80.0 77.1 118.8 48.6 167.5 71.9 78.5 77.15FE Portsmouth City Teaching PCT 36.8 13.0 49.8 68.0 78.0 74.6 37.5 13.3 50.8 69.5 77.2 74.55L1 Southampton City PCT 43.6 14.9 58.5 68.7 77.6 74.8 44.1 15.2 59.3 71.3 77.0 75.6

South West 862.0 427.8 1,289.8 75.4 81.7 80.9 864.7 433.8 1,298.5 76.8 80.3 80.9

5FL Bath & North East Somerset PCT 30.2 14.5 44.6 73.8 81.6 79.5 30.1 14.6 44.7 75.6 80.7 80.05QN Bournemouth & Poole PCT 59.0 25.1 84.1 77.0 84.8 82.8 59.6 25.6 85.2 77.5 81.9 81.95QJ Bristol PCT 84.7 27.7 112.4 68.6 77.6 74.7 86.2 28.3 114.5 71.1 76.6 75.85QP Cornwall & Isles of Scilly PCT 81.9 48.8 130.7 75.1 79.6 80.5 81.9 49.1 131.0 76.2 78.6 80.35QQ Devon PCT 112.8 64.9 177.7 77.7 82.4 82.3 112.5 65.7 178.2 78.4 81.1 82.15QM Dorset PCT 55.7 34.9 90.6 78.6 84.5 84.1 55.4 35.3 90.6 79.9 82.2 83.45QH Gloucestershire PCT 98.9 47.4 146.4 77.3 81.8 82.1 98.6 48.4 147.0 78.9 81.1 82.25M8 North Somerset PCT 33.4 17.6 51.0 75.8 81.8 81.2 33.6 17.7 51.3 78.0 81.4 82.05F1 Plymouth Teaching PCT 44.8 19.0 63.7 73.6 80.7 79.8 44.8 19.2 64.0 74.7 80.1 79.95QL Somerset PCT 80.8 44.9 125.8 76.7 82.5 82.0 80.5 45.3 125.8 77.6 81.1 81.65A3 South Gloucestershire PCT 44.3 18.6 62.9 77.3 83.9 82.7 44.4 18.9 63.3 80.2 82.7 83.45K3 Swindon PCT 39.3 14.2 53.5 71.0 78.8 76.8 39.9 14.6 54.5 72.1 76.7 76.8TAL Torbay Care Trust 21.3 12.0 33.2 73.9 81.3 80.4 21.2 12.1 33.3 75.2 77.9 79.35QK Wiltshire PCT 74.9 38.3 113.2 75.5 81.5 80.7 76.1 39.1 115.2 77.2 79.9 80.9

(1) This is the number of women in the resident population less those with recall ceased for clinical reasons

Source: KC53 Parts A2 and A3Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

65

Cervical Cytology KC61

Table 14: Samples examined by pathology laboratories, by source of sample and result of test, 2009-10


Source

Total NHSall ages GP NHSCC GUM Hospital Private Other

Numbers

Total 3,676,196 3,294,448 120,977 19,816 218,290 10,690 11,975

Inadequate 107,908 92,516 4,488 800 9,267 431 406Negative 3,272,161 2,977,685 106,151 15,699 153,542 8,732 10,352Borderline changes 156,579 124,214 5,267 1,675 23,994 858 571Mild Dyskaryosis 88,997 62,580 3,347 1,144 21,079 487 360Moderate Dyskaryosis 22,714 16,372 786 242 5,144 87 83Severe Dyskaryosis 24,931 19,151 849 231 4,438 72 190?Invasive Carcinoma 975 641 36 16 264 10 8?Glandular Neoplasia 1,931 1,289 53 9 562 13 5

Percentages by result

Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Inadequate 2.9 2.8 3.7 4.0 4.2 4.0 3.4Negative 89.0 90.4 87.7 79.2 70.3 81.7 86.4Borderline changes 4.3 3.8 4.4 8.5 11.0 8.0 4.8Mild Dyskaryosis 2.4 1.9 2.8 5.8 9.7 4.6 3.0Moderate Dyskaryosis 0.6 0.5 0.6 1.2 2.4 0.8 0.7Severe Dyskaryosis 0.7 0.6 0.7 1.2 2.0 0.7 1.6?Invasive Carcinoma 0.0 0.0 0.0 0.1 0.1 0.1 0.1?Glandular Neoplasia 0.1 0.0 0.0 0.0 0.3 0.1 0.0

Percentages by source

Total 100.0 89.6 3.3 0.5 5.9 0.3 0.3

Inadequate 100.0 85.7 4.2 0.7 8.6 0.4 0.4Negative 100.0 91.0 3.2 0.5 4.7 0.3 0.3Borderline changes 100.0 79.3 3.4 1.1 15.3 0.5 0.4Mild Dyskaryosis 100.0 70.3 3.8 1.3 23.7 0.5 0.4Moderate Dyskaryosis 100.0 72.1 3.5 1.1 22.6 0.4 0.4Severe Dyskaryosis 100.0 76.8 3.4 0.9 17.8 0.3 0.8?Invasive Carcinoma 100.0 65.7 3.7 1.6 27.1 1.0 0.8?Glandular Neoplasia 100.0 66.8 2.7 0.5 29.1 0.7 0.3


66


Table 15: GP & NHS Community Clinic samples examined by pathology laboratories, by result and age of women, 2009-10


Result of Test

Borderline Mild Moderate Severe ?Invasive ?GlandularAge Groups Total Inadequate Negative changes Dyskaryosis Dyskaryosis Dyskaryosis Carcinoma Neoplasia

Numbers

All ages 3,415,423 96,958 3,083,878 129,482 65,928 17,157 20,000 678 1,342

25-64 3,289,856 93,071 2,980,758 120,707 59,366 15,499 18,546 643 1,266

Under 20 4,585 135 3,378 538 419 81 33 0 120-24 91,264 2,456 72,518 7,485 5,865 1,527 1,362 17 3425-29 596,040 14,365 508,889 35,149 22,860 6,710 7,682 149 23630-34 508,220 13,749 453,846 20,985 11,613 3,297 4,378 134 21835-39 538,281 14,942 490,583 18,854 8,484 2,184 2,898 121 21540-44 532,130 14,333 489,540 17,855 6,897 1,525 1,718 81 18145-49 472,063 12,518 437,851 14,544 5,017 961 974 63 13550-54 281,829 8,130 262,490 7,587 2,540 467 471 40 10455-59 189,841 7,894 176,811 3,401 1,152 203 264 26 9060-64 171,452 7,140 160,748 2,332 803 152 161 29 8765-69 24,549 1,061 22,560 589 215 40 44 14 2670-74 3,982 153 3,634 120 45 8 10 3 975 and over 1,187 82 1,030 43 18 2 5 1 6

Percentages

All ages 100.0 2.8 90.3 3.8 1.9 0.5 0.6 0.0 0.0

25-64 100.0 2.8 90.6 3.7 1.8 0.5 0.6 0.0 0.0

Under 20 100.0 2.9 73.7 11.7 9.1 1.8 0.7 0.0 0.020-24 100.0 2.7 79.5 8.2 6.4 1.7 1.5 0.0 0.025-29 100.0 2.4 85.4 5.9 3.8 1.1 1.3 0.0 0.030-34 100.0 2.7 89.3 4.1 2.3 0.6 0.9 0.0 0.035-39 100.0 2.8 91.1 3.5 1.6 0.4 0.5 0.0 0.040-44 100.0 2.7 92.0 3.4 1.3 0.3 0.3 0.0 0.045-49 100.0 2.7 92.8 3.1 1.1 0.2 0.2 0.0 0.050-54 100.0 2.9 93.1 2.7 0.9 0.2 0.2 0.0 0.055-59 100.0 4.2 93.1 1.8 0.6 0.1 0.1 0.0 0.060-64 100.0 4.2 93.8 1.4 0.5 0.1 0.1 0.0 0.165-69 100.0 4.3 91.9 2.4 0.9 0.2 0.2 0.1 0.170-74 100.0 3.8 91.3 3.0 1.1 0.2 0.3 0.1 0.275 and over 100.0 6.9 86.8 3.6 1.5 0.2 0.4 0.1 0.5

Source: KC61 Part BCopyright © 2010, The Health and Social Care Information Centre. All rights reserved

67


Table 16: Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by Strategic Health Authority, 2009-10

Percentages

England North North Yorkshire East West East of London South South SouthEast West & Humber Midlands Midlands England East Coast Central West

0-2 weeks (0-14 days) 60.5 74.1 49.8 80.5 63.7 41.1 59.6 64.6 48.3 55.3 68.6

3-4 weeks (15-28 days) 19.0 15.9 21.5 14.7 15.1 16.7 18.1 15.2 35.1 27.6 15.3

5-6 weeks (29-42 days) 11.5 9.4 12.6 4.6 6.4 19.9 11.4 11.4 14.1 11.0 12.7

7-8 weeks (43-56 days) 5.2 0.4 9.0 0.2 6.8 14.1 5.2 5.3 2.5 2.9 3.1

9-10 weeks (57-70 days) 2.9 0.1 5.2 0.0 7.8 5.1 3.8 3.4 0.1 2.5 0.2

Over 10 weeks (over 70 days) 0.8 0.0 1.9 0.0 0.2 3.2 2.0 0.1 0.0 0.7 0.0


68

Cervical Cytology KC61Table 16a: Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by laboratory, 2009-10


Total Samples = 0-2 weeks 3-4 weeks 5-6 weeks 7-8 weeks 9-10 weeks Over 10 weeks100% (0-14 days) (15-28 days) (29-42 days) (43-56 days) (57-70 days) (over 70 days)

England - 113 laboratories 3,674,567 60.5 19.0 11.5 5.2 2.9 0.8

North East 171,813 74.1 15.9 9.4 0.4 0.1 0.060090 James Cook University Hospital 16,962 74.8 13.4 11.7 0.1 0.0 0.060110 North Tees General Hospital 20,828 89.3 10.4 0.3 0.0 0.0 0.060080 Queen Elizabeth Hospital 23,636 72.1 13.5 14.4 0.0 0.0 0.060103 Royal Victoria Infirmary 54,125 86.4 5.6 6.4 1.3 0.2 0.160160 Sunderland Royal Hospital 20,645 79.9 19.6 0.5 0.0 0.0 0.060050 University Hospital of North Durham 35,617 44.2 35.6 20.1 0.0 0.0 0.0

North West 495,905 49.8 21.5 12.6 9.0 5.2 1.961850 Arrowe Park Hospital 22,946 78.5 18.7 2.5 0.2 0.1 0.161995 Chorley & District Hospital 24,288 90.3 9.7 0.0 0.0 0.0 0.061870 Countess of Chester Hospital 20,516 70.3 18.6 11.0 0.1 0.0 0.060030 Cumberland Infirmary (Carlisle) 22,471 39.3 50.5 9.6 0.5 0.1 0.061960 East Lancashire Hospital 35,276 34.6 30.3 34.5 0.4 0.0 0.062010 Manchester Cytology Centre 91,667 51.0 8.9 9.9 11.5 17.8 0.961890 Mid Cheshire Hospital Foundation Trust 32,490 40.0 9.6 19.3 29.5 1.6 0.061970 Royal Bolton Hospital 19,774 47.9 6.8 11.6 15.0 8.9 9.962030 Royal Lancaster Infirmary 19,182 54.6 9.4 3.1 5.6 4.4 22.961920 Royal Liverpool Hospital 25,574 22.3 36.6 9.2 9.5 19.2 3.262055 Royal Oldham Hospital 42,578 79.5 20.3 0.2 0.0 0.0 0.061935 Southport General Infirmary 14,591 9.4 31.5 33.3 25.6 0.1 0.162080 Stepping Hill Hospital (Stockport) 23,765 16.8 29.0 20.4 33.6 0.1 0.062100 Tameside General Hospital 15,584 31.2 30.7 10.6 9.8 9.5 8.361880 University Hospital Aintree 18,029 37.1 22.2 39.3 1.4 0.0 0.062120 Victoria Hospital (Blackpool) 21,794 80.9 19.0 0.1 0.0 0.0 0.061940 Warrington Hospital 27,238 21.3 44.2 19.9 14.6 0.0 0.061930 Whiston Hospital 18,142 65.0 30.1 4.2 0.7 0.0 0.0

Yorkshire & the Humber 396,947 80.5 14.7 4.6 0.2 0.0 0.060350 Barnsley District General Hospital 17,985 94.1 5.0 0.7 0.2 0.0 0.060290 Calderdale Royal 31,047 86.2 13.7 0.0 0.0 0.0 0.060220 Dewsbury District Hospital 37,114 84.1 15.1 0.6 0.0 0.1 0.060390 Doncaster Royal Infirmary 25,719 71.4 28.4 0.1 0.0 0.0 0.060200 Hull Royal Infirmary 31,666 82.2 17.2 0.6 0.0 0.0 0.060335 Leeds Teaching Hospitals 92,298 95.2 4.7 0.1 0.0 0.0 0.060240 Pathlinks(1) 64,254 63.0 17.8 18.3 0.9 0.0 0.060380 Rotherham District General Hospital 16,679 62.5 21.9 15.6 0.0 0.0 0.060470 Royal Hallamshire Hospital 33,110 87.6 12.1 0.2 0.0 0.0 0.060340 York District Hospital 47,075 69.1 24.2 6.7 0.0 0.0 0.0

East Midlands 248,043 63.7 15.1 6.4 6.8 7.8 0.260360 Chesterfield Royal Hospital NHS Foundation Trust 19,068 90.2 9.8 0.0 0.0 0.0 0.060370 Derby Hospitals NHS Foundation Trust (Derby City General Hospital) 55,507 60.5 28.3 11.0 0.1 0.1 0.061450 Kettering General Hospital NHS Trust 19,637 99.0 1.0 0.0 0.0 0.0 0.061470 Northampton General Hospital NHS Trust 23,747 73.1 24.3 2.6 0.0 0.0 0.060450 Nottingham University Hospitals NHS Trust (Nottingham City Hospital) 46,889 52.5 21.5 8.9 6.0 10.5 0.660410 Sherwood Forest Hospitals NHS Foundation Trust (Kings Mill Hospital) 20,251 99.9 0.1 0.0 0.0 0.0 0.060420 University Hospitals of Leicester NHS Trust (Leicester Royal Infirmary) 62,944 40.8 5.9 7.9 22.1 22.8 0.4

West Midlands 321,619 41.1 16.7 19.9 14.1 5.1 3.261730 Birmingham Women's Foundation Hospital 29,481 41.0 18.9 6.0 9.6 11.4 13.161760 Dudley Group of Hospitals NHS Foundation Trust 21,082 29.7 24.3 44.9 1.0 0.1 0.061790 Heart of England NHS Foundation Trust (Birmingham Heartlands Hospital) 43,175 2.9 10.6 18.2 31.0 22.9 14.361660 Hereford Hospitals 13,611 99.4 0.6 0.0 0.0 0.0 0.061800 Mid Staffordshire NHS Foundation Trust 17,748 82.6 17.2 0.2 0.0 0.0 0.061740 Royal Wolverhampton Hospitals 19,393 98.8 1.2 0.0 0.0 0.0 0.061670 Sandwell & West Birmingham Hospitals (City Hospital) 31,440 51.7 30.4 17.7 0.2 0.0 0.061755 Shrewsbury & Telford Hospitals 32,336 13.8 15.6 59.5 10.8 0.2 0.061720 University Hospital of North Staffordshire 31,283 57.9 9.0 7.6 21.4 3.8 0.261820 University Hospitals Coventry & Warwickshire (Walsgrave Hospital) 65,268 25.7 20.1 22.6 28.5 2.7 0.361710 Walsall Hospitals 16,802 56.5 26.2 17.2 0.1 0.0 0.0

East of England 376,461 59.6 18.1 11.4 5.2 3.8 2.060870 Basildon Hospital 22,605 50.5 15.4 5.9 8.3 3.5 16.460610 Bedford Hospital 18,482 46.1 34.3 10.7 8.9 0.0 0.060790 Broomfield Hospital 23,645 48.6 28.1 14.7 8.6 0.0 0.060850 Colchester Hospital (Severalls) 24,531 28.6 15.0 21.2 7.2 28.0 0.060680 Luton and Dunstable Hospital 19,083 17.0 41.7 8.7 18.9 13.6 0.260540 Norfolk & Norwich University Hospital 57,307 78.6 18.5 2.9 0.0 0.0 0.060560 Peterborough District Hospital 25,376 99.5 0.4 0.0 0.0 0.0 0.060890 Princess Alexandra Hospital 18,105 46.8 32.8 19.8 0.6 0.0 0.060720 Queen Elizabeth ll Hospital (Welwyn Garden City) 29,549 60.3 10.9 28.3 0.5 0.0 0.060860 Southend University Hospital 21,497 44.8 10.2 4.9 8.1 15.7 16.460580 The Ipswich Hospital 25,491 40.6 20.1 31.5 5.6 1.8 0.460750 Watford General Hospital 33,064 40.3 23.9 20.0 15.7 0.1 0.060500 West Anglia Pathology Services 57,726 91.5 8.5 0.0 0.0 0.0 0.0

69

Cervical Cytology KC61Table 16a: Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by laboratory, 2009-10


Total Samples = 0-2 weeks 3-4 weeks 5-6 weeks 7-8 weeks 9-10 weeks Over 10 weeks100% (0-14 days) (15-28 days) (29-42 days) (43-56 days) (57-70 days) (over 70 days)

London 711,952 64.6 15.2 11.4 5.3 3.4 0.160780 Chase Farm Hospital 49,069 40.9 13.3 43.6 2.0 0.2 0.061120 Kings College Hospital 30,845 52.5 9.1 17.3 13.2 7.8 0.161230 Kingston Hospital 35,618 82.1 17.9 0.0 0.0 0.0 0.061240 Mayday University Hospital 26,265 69.5 13.5 15.5 1.4 0.0 0.060820 North Middlesex University Hospital 23,074 10.4 41.0 25.4 21.2 1.8 0.160710 Northwick Park Hospital 56,230 98.8 1.0 0.1 0.0 0.0 0.061140 Princess Royal University Hospital (Orpington) 24,971 69.5 9.8 5.7 4.0 11.0 0.061070 Queen Elizabeth (Greenwich) 20,425 53.8 41.2 4.7 0.2 0.0 0.061170 Queen Mary's Hospital (Sidcup) 18,314 89.8 9.5 0.6 0.1 0.0 0.060800 Queens Hospital 52,088 31.8 17.0 8.4 17.7 24.4 0.761300 St George's Hospital 28,126 54.0 43.0 2.8 0.3 0.0 0.061280 St Helier Hospital 40,850 37.2 12.5 16.8 20.8 12.6 0.160740 St Mary's Hospital 75,843 77.9 6.7 13.5 1.8 0.1 0.061090 St Thomas's Hospital 37,334 76.7 15.8 7.2 0.3 0.0 0.061000 University College Hospital 33,429 74.1 11.6 13.5 0.6 0.1 0.160900 The Royal London Hospital 65,279 94.3 5.6 0.0 0.0 0.0 0.099999 The Doctors Laboratory 19,857 99.3 0.5 0.1 0.0 0.0 0.061130 University Hospital Lewisham 26,524 58.3 30.8 10.8 0.0 0.0 0.061010 Whipps Cross University Hospital 21,538 51.0 20.4 12.6 15.7 0.2 0.161020 Whittington Hospital 26,273 25.2 35.1 25.9 13.1 0.8 0.0

South East Coast 311,888 48.3 35.1 14.1 2.5 0.1 0.061290 Ashford & St Peter's Hospital 34,639 95.4 4.5 0.0 0.0 0.0 0.061080 Conquest Hospital 25,604 22.2 77.4 0.4 0.0 0.0 0.061100 Darent Valley Hospital 17,379 39.2 49.4 9.9 1.4 0.0 0.061200 East Surrey Hospital 29,425 26.4 56.5 17.0 0.1 0.0 0.061030 Medway Maritime 25,297 6.6 16.1 48.8 28.0 0.5 0.161270 Partnership Pathology Services-Guildford 38,178 64.0 31.9 4.0 0.1 0.0 0.061160 Preston Hall (Maidstone) 36,263 19.9 44.6 35.5 0.0 0.0 0.061040 Royal Sussex County Hospital (Brighton) 32,034 71.3 27.9 0.7 0.0 0.0 0.061325 Western Sussex 29,902 45.8 20.9 32.4 0.9 0.1 0.061190 William Harvey Hospital 43,167 63.6 35.3 1.0 0.0 0.0 0.0

South Central 262,613 55.3 27.6 11.0 2.9 2.5 0.761440 John Radcliffe Hospital 40,405 80.1 16.1 3.7 0.1 0.0 0.061350 Queen Alexandra Hospital 42,243 38.2 21.2 32.0 8.3 0.3 0.061490 Royal Berkshire Hospital 34,187 32.6 47.8 19.6 0.0 0.0 0.061370 Royal Hampshire County Hospital 33,524 46.2 46.0 6.7 1.0 0.1 0.061410 Southampton General Hospital 31,246 94.0 6.0 0.0 0.0 0.0 0.061500 Stoke Mandeville Hospital 35,576 72.2 26.8 0.9 0.0 0.0 0.061510 Wexham Park Hospital 27,728 5.6 38.2 13.9 13.3 22.5 6.561520 Wycombe General Hospital 17,704 76.2 19.1 4.7 0.0 0.0 0.0

South West 377,326 68.6 15.3 12.7 3.1 0.2 0.061560 Derriford Hospital 30,319 71.7 27.5 0.8 0.0 0.0 0.061580 Gloucestershire Royal Hospital 75,117 63.5 12.1 24.3 0.1 0.0 0.061340 Great Western Hospital (Swindon) 19,320 57.2 27.1 15.6 0.0 0.0 0.061600 Musgrove Park Hospital 42,917 74.5 15.2 10.3 0.0 0.0 0.061360 Poole Hospital 45,247 57.6 33.2 9.0 0.1 0.0 0.061555 Royal Cornwall Hospital (Treliske) 28,035 40.3 13.3 44.1 2.2 0.0 0.061565 Royal Devon & Exeter Hospital 32,014 100.0 0.0 0.0 0.0 0.0 0.061390 Royal United Hospital 29,149 94.0 5.9 0.0 0.0 0.0 0.061590 Southmead Hospital 56,022 54.3 14.3 10.2 19.4 1.6 0.261610 Torbay Hospital 19,186 99.5 0.5 0.0 0.0 0.0 0.0

(1) The Pathlinks network consists of Diana Princess of Wales Hospital, Scunthorpe General Hospital and Lincoln County Hospital

Source: KC61 Part A2


70


Table 17: Samples examined by pathology laboratories, by source of sample, result of test and Strategic Health Authority, 2009-10

Percentages & NumbersResult of test: Number Result of test Percentages

Total Borderline/ Moderate Severe or Borderline/ Moderate Severe orSamples Inadequate Negative Mild Dyskaryosis worse Inadequate Negative Mild Dyskaryosis worse

England 3,676,196 107,908 3,272,161 245,576 22,714 27,837 2.9 89.0 6.7 0.6 0.8

North East SHA

All Sources 171,813 2,606 151,546 14,983 1,089 1,589 1.5 88.2 8.7 0.6 0.9GP 154,389 2,245 137,971 12,020 867 1,286 1.5 89.4 7.8 0.6 0.8NHS Community Clinic 6,172 118 5,323 594 59 78 1.9 86.2 9.6 1.0 1.3GUM 323 8 243 62 3 7 2.5 75.2 19.2 0.9 2.2NHS Hospital 10,225 202 7,452 2,209 155 207 2.0 72.9 21.6 1.5 2.0Private 76 2 66 8 0 0 2.6 86.8 10.5 0.0 0.0Other 628 31 491 90 5 11 4.9 78.2 14.3 0.8 1.8

North West SHA

All Sources 495,890 15,001 439,919 33,428 3,270 4,272 3.0 88.7 6.7 0.7 0.9GP 423,328 12,385 383,072 22,774 2,112 2,985 2.9 90.5 5.4 0.5 0.7NHS Community Clinic 25,313 965 22,473 1,494 157 224 3.8 88.8 5.9 0.6 0.9GUM 3,594 114 2,848 518 47 67 3.2 79.2 14.4 1.3 1.9NHS Hospital 42,028 1,477 30,200 8,448 938 965 3.5 71.9 20.1 2.2 2.3Private 1,132 48 921 148 9 6 4.2 81.4 13.1 0.8 0.5Other 495 12 405 46 7 25 2.4 81.8 9.3 1.4 5.1

Yorkshire & the Humber SHA

All Sources 396,947 5,506 365,683 20,410 2,150 3,198 1.4 92.1 5.1 0.5 0.8GP 364,713 4,734 338,764 16,869 1,696 2,650 1.3 92.9 4.6 0.5 0.7NHS Community Clinic 10,882 154 9,974 564 86 104 1.4 91.7 5.2 0.8 1.0GUM 2,031 39 1,660 274 40 18 1.9 81.7 13.5 2.0 0.9NHS Hospital 17,906 555 13,995 2,635 320 401 3.1 78.2 14.7 1.8 2.2Private 572 13 518 32 1 8 2.3 90.6 5.6 0.2 1.4Other 843 11 772 36 7 17 1.3 91.6 4.3 0.8 2.0

East Midlands SHA

All Sources 248,043 5,628 225,496 14,070 1,094 1,755 2.3 90.9 5.7 0.4 0.7GP 228,077 5,009 209,733 11,101 833 1,401 2.2 92.0 4.9 0.4 0.6NHS Community Clinic 5,370 136 4,808 341 38 47 2.5 89.5 6.4 0.7 0.9GUM 660 27 521 99 3 10 4.1 78.9 15.0 0.5 1.5NHS Hospital 13,201 421 9,824 2,448 213 295 3.2 74.4 18.5 1.6 2.2Private 576 32 472 65 5 2 5.6 81.9 11.3 0.9 0.3Other 159 3 138 16 2 0 1.9 86.8 10.1 1.3 0.0

West Midlands SHA

All Sources 321,619 8,995 286,525 21,653 1,698 2,748 2.8 89.1 6.7 0.5 0.9GP 286,668 7,623 258,886 16,794 1,237 2,128 2.7 90.3 5.9 0.4 0.7NHS Community Clinic 7,954 288 7,036 515 47 68 3.6 88.5 6.5 0.6 0.9GUM 1,651 65 1,297 235 27 27 3.9 78.6 14.2 1.6 1.6NHS Hospital 17,092 746 12,141 3,468 342 395 4.4 71.0 20.3 2.0 2.3Private 641 28 462 125 12 14 4.4 72.1 19.5 1.9 2.2Other 7,613 245 6,703 516 33 116 3.2 88.0 6.8 0.4 1.5

East of England SHA

All Sources 378,105 10,629 337,019 25,318 2,278 2,861 2.8 89.1 6.7 0.6 0.8GP 351,329 9,480 316,752 20,936 1,807 2,354 2.7 90.2 6.0 0.5 0.7NHS Community Clinic 7,434 185 6,470 638 64 77 2.5 87.0 8.6 0.9 1.0GUM 2,619 77 2,035 430 36 41 2.9 77.7 16.4 1.4 1.6NHS Hospital 15,167 826 10,481 3,128 357 375 5.4 69.1 20.6 2.4 2.5Private 1,066 33 905 111 8 9 3.1 84.9 10.4 0.8 0.8Other 490 28 376 75 6 5 5.7 76.7 15.3 1.2 1.0

London SHA

All Sources 711,952 27,285 617,805 57,497 4,953 4,412 3.8 86.8 8.1 0.7 0.6GP 599,992 21,881 534,444 38,274 2,879 2,514 3.6 89.1 6.4 0.5 0.4NHS Community Clinic 41,762 1,982 36,151 3,252 203 174 4.7 86.6 7.8 0.5 0.4GUM 5,520 306 4,432 704 44 34 5.5 80.3 12.8 0.8 0.6NHS Hospital 60,438 2,942 39,384 14,690 1,790 1,632 4.9 65.2 24.3 3.0 2.7Private 3,810 163 3,040 533 32 42 4.3 79.8 14.0 0.8 1.1Other 422 11 354 44 5 8 2.6 83.9 10.4 1.2 1.9

South East Coast SHA

All Sources 311,888 8,729 278,629 20,119 1,992 2,419 2.8 89.3 6.5 0.6 0.8GP 285,995 7,654 259,135 15,800 1,510 1,896 2.7 90.6 5.5 0.5 0.7NHS Community Clinic 7,232 254 6,326 536 45 71 3.5 87.5 7.4 0.6 1.0GUM 1,078 61 815 168 15 19 5.7 75.6 15.6 1.4 1.8NHS Hospital 15,911 696 10,939 3,449 410 417 4.4 68.8 21.7 2.6 2.6Private 1,434 55 1,216 143 11 9 3.8 84.8 10.0 0.8 0.6Other 238 9 198 23 1 7 3.8 83.2 9.7 0.4 2.9

South Central SHA

All Sources 262,613 6,458 236,013 16,214 1,739 2,189 2.5 89.9 6.2 0.7 0.8GP 248,127 5,870 224,931 14,021 1,435 1,870 2.4 90.7 5.7 0.6 0.8NHS Community Clinic 2,768 87 2,356 251 37 37 3.1 85.1 9.1 1.3 1.3GUM 1,308 51 999 218 17 23 3.9 76.4 16.7 1.3 1.8NHS Hospital 9,409 421 6,922 1,571 243 252 4.5 73.6 16.7 2.6 2.7Private 869 26 697 137 5 4 3.0 80.2 15.8 0.6 0.5Other 132 3 108 16 2 3 2.3 81.8 12.1 1.5 2.3

South West SHA

All Sources 377,326 17,071 333,526 21,884 2,451 2,394 4.5 88.4 5.8 0.6 0.6GP 351,830 15,635 313,997 18,205 1,996 1,997 4.4 89.2 5.2 0.6 0.6NHS Community Clinic 6,082 319 5,234 429 50 50 5.2 86.1 7.1 0.8 0.8GUM 1,032 52 849 111 10 10 5.0 82.3 10.8 1.0 1.0NHS Hospital 16,913 981 12,204 3,027 376 325 5.8 72.2 17.9 2.2 1.9Private 514 31 435 43 4 1 6.0 84.6 8.4 0.8 0.2Other 955 53 807 69 15 11 5.5 84.5 7.2 1.6 1.2

Source: KC61 Part A1


71

Cervical Cytology KC61Table 18: Outcome of referrals for samples registered at the laboratory between April 2008 - March 2009, by Strategic Health Authority

Women referred after persistent non-negative sample (i.e. category 1/8/3 result) Percentages & Numbers

Total with Non- Seen inknown Cervical HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy

Total result Cancer CIN2 CIN1 only No HPV Cancer result n/k biopsy NAD

Numbers

England 71,309 66,746 106 5,000 7,143 17,171 8,627 8,080 45 281 1,259 19,034

North East 4,043 3,912 11 379 520 1,158 531 788 6 2 76 441North West 12,442 11,599 11 739 1,183 2,768 1,614 1,488 5 13 227 3,551Yorkshire & Humber 6,111 5,864 19 614 732 1,295 849 959 10 17 55 1,314East Midlands 4,812 4,453 9 414 628 1,045 503 313 2 8 44 1,487West Midlands 7,086 6,740 11 524 538 1,172 545 527 2 1 119 3,301East of England 6,269 5,988 16 510 650 1,842 928 850 2 22 147 1,021London 13,448 12,233 7 608 1,110 3,589 1,695 1,216 8 179 257 3,564South East Coast 5,628 5,314 8 375 500 1,312 699 744 3 20 115 1,538South Central 4,203 3,730 4 300 509 1,112 350 437 3 7 43 965South West 7,267 6,913 10 537 773 1,878 913 758 4 12 176 1,852

Percentage of cases with known result

England 100.0 0.2 7.5 10.7 25.7 12.9 12.1 0.1 0.4 1.9 28.5

North East 100.0 0.3 9.7 13.3 29.6 13.6 20.1 0.2 0.1 1.9 11.3North West 100.0 0.1 6.4 10.2 23.9 13.9 12.8 0.0 0.1 2.0 30.6Yorkshire & Humber 100.0 0.3 10.5 12.5 22.1 14.5 16.4 0.2 0.3 0.9 22.4East Midlands 100.0 0.2 9.3 14.1 23.5 11.3 7.0 0.0 0.2 1.0 33.4West Midlands 100.0 0.2 7.8 8.0 17.4 8.1 7.8 0.0 0.0 1.8 49.0East of England 100.0 0.3 8.5 10.9 30.8 15.5 14.2 0.0 0.4 2.5 17.1London 100.0 0.1 5.0 9.1 29.3 13.9 9.9 0.1 1.5 2.1 29.1South East Coast 100.0 0.2 7.1 9.4 24.7 13.2 14.0 0.1 0.4 2.2 28.9South Central 100.0 0.1 8.0 13.6 29.8 9.4 11.7 0.1 0.2 1.2 25.9South West 100.0 0.1 7.8 11.2 27.2 13.2 11.0 0.1 0.2 2.5 26.8

Women referred after single occurrence of potentially significant abnormality (i.e. category 7/4/5/6 result) Percentages & Numbers

Total with Non- Seen inknown Cervical HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy


Numbers

England 43,121 41,859 1,063 24,207 9,268 3,563 947 1,473 177 121 217 823

North East 2,526 2,488 89 1,489 574 198 37 74 7 0 8 12North West 6,045 5,866 168 3,290 1,416 488 155 209 37 5 23 75Yorkshire & Humber 5,097 4,936 148 3,122 985 275 90 202 38 2 19 55East Midlands 2,943 2,846 98 1,782 565 190 53 64 11 1 11 71West Midlands 4,116 4,018 89 2,456 734 327 116 120 13 3 19 141East of England 4,906 4,805 111 2,858 942 431 132 212 17 21 33 48London 5,633 5,333 107 2,559 1,252 688 159 223 20 73 42 210South East Coast 3,777 3,705 65 2,115 910 301 65 137 10 8 31 63South Central 3,326 3,199 64 1,893 782 259 45 79 10 2 6 59South West 4,752 4,663 124 2,643 1,108 406 95 153 14 6 25 89


England 100.0 2.5 57.8 22.1 8.5 2.3 3.5 0.4 0.3 0.5 2.0


Source: KC61 Part C2


CIN3 & Adenocarcinoma in

situ

CIN3 & Adenocarcinoma in

situ

72

Cervical Cytology KC61Table 18a: Outcome of referrals for samples registered at the laboratory between April - June 2009, by Strategic Health Authority

Women referred after persistent non-negative sample (i.e. category 1/8/3 result) Percentages & Numbers

Total with Non- Seen in known Cervical HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy


Numbers

England 21,425 19,811 25 1,425 2,026 5,081 2,424 2,336 10 108 346 6,030

North East 1,037 1,005 2 89 119 331 141 184 0 1 13 125North West 3,201 2,923 2 170 285 692 335 342 1 7 37 1,052Yorkshire & Humber 1,643 1,541 4 152 210 303 219 251 2 9 17 374East Midlands 1,211 1,078 1 125 127 277 129 88 0 11 18 302West Midlands 2,115 1,968 2 113 118 303 136 133 1 5 28 1,129East of England 1,594 1,518 2 149 160 469 242 206 0 19 41 230London 4,303 3,809 4 196 341 1,183 513 375 2 41 69 1,085South East Coast 1,512 1,429 5 96 125 313 164 197 0 2 25 502South Central 2,120 1,958 2 143 217 551 186 256 3 4 31 565South West 2,689 2,582 1 192 324 659 359 304 1 9 67 666


England 100.0 0.1 7.2 10.2 25.6 12.2 11.8 0.1 0.5 1.7 30.4


Women referred after single occurrence of potentially significant abnormality (i.e. category 7/4/5/6 result) Percentages & Numbers

Total with Non- Seen in known Cervical HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy


Numbers

England 13,866 13,381 362 7,681 3,033 1,119 293 455 45 49 86 258

North East 745 727 42 444 143 60 14 13 2 0 2 7North West 1,864 1,792 45 1,009 458 139 33 75 1 2 5 25Yorkshire & Humber 1,505 1,462 51 900 307 83 25 53 9 5 9 20East Midlands 677 649 22 404 133 43 13 13 2 2 3 14West Midlands 1,221 1,170 33 728 198 89 24 32 6 0 9 51East of England 1,408 1,381 30 843 261 118 43 51 3 3 10 19London 2,021 1,932 34 949 496 239 53 58 7 32 20 44South East Coast 1,152 1,112 20 628 253 89 22 66 2 1 9 22South Central 1,606 1,537 33 872 386 130 26 38 8 3 10 31South West 1,667 1,619 52 904 398 129 40 56 5 1 9 25


England 100.0 2.7 57.4 22.7 8.4 2.2 3.4 0.3 0.4 0.6 1.9




CIN3 & Adenocarc

inoma in situ

CIN3 & Adenocarc

inoma in situ

73

Cervical Cytology KC61Table 19: GP and NHS Community Clinic samples from women aged 25-64 examined by pathology laboratories, by laboratory and result, 2009-10


Samples from GP and NHS Community Clinics - women aged 25 - 64

Total samples examined

GP & Inadequate Total Negative Borderline Mild Moderate Severe Apr-09 Apr-08All sources NHS CC % adequate % % % % % to to

all ages (25 - 64) (cat.1) samples (cat.2) (cat.8) (cat.3) (cat.7) (cat.4,5 & 6) Jun-09 Mar-09

England - 113 laboratories 3,676,196 3,289,856 2.8 3,196,785 93.2 3.8 1.9 0.5 0.6 .. ..

North East 171,813 156,300 1.5 154,000 90.8 5.9 1.9 0.6 0.8 .. ..

60090 James Cook University Hospital 16,962 15,860 0.8 15,734 91.3 5.2 2.2 0.5 0.7 85.7 93.060110 North Tees General Hospital 20,828 19,331 0.8 19,186 91.2 5.8 1.8 0.7 0.6 91.8 85.360080 Queen Elizabeth Hospital 23,636 21,546 4.9 20,499 87.9 8.7 1.7 0.7 1.0 95.9 88.260103 Royal Victoria Infirmary 54,125 48,379 1.1 47,870 91.6 4.4 2.5 0.6 0.9 81.6 83.860160 Sunderland Royal Hospital 20,645 19,144 1.0 18,949 90.6 6.2 2.1 0.6 0.6 84.6 87.960050 University Hospital of North Durham 35,617 32,040 0.9 31,762 91.1 6.4 1.2 0.4 0.9 87.4 87.4

North West 495,890 428,438 3.0 415,698 93.6 3.4 1.9 0.5 0.7 .. ..

61850 Arrowe Park Hospital 22,946 19,811 2.6 19,299 91.7 5.3 1.8 0.4 0.7 91.6 89.661995 Chorley & District Hospital 24,288 21,469 2.5 20,942 92.7 3.4 2.6 0.6 0.8 79.5 88.461870 Countess of Chester Hospital 20,516 17,651 3.5 17,035 93.6 2.3 3.1 0.6 0.5 92.1 87.160030 Cumberland Infirmary (Carlisle) 22,471 20,212 0.8 20,059 94.7 3.1 1.3 0.4 0.5 81.4 87.461960 East Lancashire Hospital 35,276 31,140 1.7 30,605 94.2 3.4 1.6 0.5 0.4 75.3 74.762010 Manchester Cytology Centre 91,667 80,308 4.4 76,763 93.7 3.2 2.0 0.4 0.7 83.5 78.961890 Mid Cheshire Hospital Foundation Trust 32,490 28,590 3.9 27,466 95.0 3.0 1.1 0.2 0.8 77.9 82.861970 Royal Bolton Hospital 19,774 16,875 4.1 16,183 93.9 3.7 1.2 0.4 0.8 80.6 80.662030 Royal Lancaster Infirmary 19,169 16,763 1.8 16,468 93.9 3.4 1.6 0.4 0.7 80.8 76.561920 Royal Liverpool Hospital 25,574 20,865 3.7 20,085 93.0 2.5 2.5 1.0 1.1 92.6 91.562055 Royal Oldham Hospital 42,578 35,961 4.1 34,477 94.2 3.3 1.6 0.4 0.6 88.5 88.061935 Southport General Infirmary 14,591 12,598 1.4 12,417 91.8 4.2 3.0 0.3 0.7 69.2 78.562080 Stepping Hill Hospital (Stockport) 23,765 21,002 2.8 20,417 94.5 2.2 2.3 0.4 0.6 88.0 77.962100 Tameside General Hospital 15,584 13,726 2.1 13,433 91.2 6.5 1.4 0.4 0.4 88.9 81.861880 University Hospital Aintree 18,027 15,469 1.8 15,196 93.3 3.2 2.1 0.6 0.9 85.0 87.462120 Victoria Hospital (Blackpool) 21,794 18,701 0.9 18,542 93.4 3.0 1.8 0.8 0.9 84.7 90.261940 Warrington Hospital 27,238 22,045 3.3 21,309 93.8 3.3 1.4 0.5 1.0 88.1 86.261930 Whiston Hospital 18,142 15,252 1.6 15,002 93.5 4.0 1.7 0.3 0.5 85.5 85.6

Yorkshire & the Humber 396,947 364,736 1.3 360,003 94.3 3.5 1.0 0.5 0.7 .. ..

60350 Barnsley District General Hospital 17,985 16,105 0.6 16,016 93.8 3.4 1.3 0.7 0.8 92.4 83.760290 Calderdale Royal 31,047 28,649 0.8 28,433 95.1 2.9 0.9 0.4 0.7 87.4 84.560220 Dewsbury District Hospital 37,114 34,338 1.0 33,986 93.7 4.0 1.3 0.5 0.6 81.7 82.860390 Doncaster Royal Infirmary 25,719 22,730 0.5 22,607 91.6 4.4 2.7 0.6 0.7 91.9 87.660200 Hull Royal Infirmary 31,666 29,408 0.6 29,224 92.5 5.4 0.6 0.4 1.0 87.6 83.160335 Leeds Teaching Hospitals 92,298 84,705 2.4 82,663 95.4 3.2 0.2 0.4 0.8 85.9 89.560240 Pathlinks (1) 64,254 59,695 1.1 59,029 94.0 3.7 1.2 0.4 0.7 89.8 89.060380 Rotherham District General Hospital 16,679 15,321 1.1 15,155 94.6 2.7 1.2 0.6 0.9 83.5 89.560470 Royal Hallamshire Hospital 33,110 30,282 1.5 29,841 95.5 2.9 0.6 0.3 0.7 80.2 88.260340 York District Hospital 47,075 43,503 1.0 43,049 94.3 3.0 1.6 0.6 0.5 90.9 91.0

East Midlands 248,043 228,341 2.2 223,300 94.1 3.6 1.3 0.4 0.6 .. ..

60360 Chesterfield Royal Hospital NHS Foundation Trust 19,068 17,588 1.1 17,395 93.5 3.9 1.4 0.2 1.0 75.8 78.960370 Derby Hospitals NHS Foundation Trust (Derby City General Hospital) 55,507 51,701 1.8 50,761 94.2 4.3 0.8 0.2 0.5 91.2 90.3

Result (as a percentage of total adequate) PPV %

74








61450 Kettering General Hospital NHS Trust 19,637 18,038 3.8 17,344 92.0 4.2 2.1 0.8 0.9 83.7 81.361470 Northampton General Hospital NHS Trust 23,747 21,424 1.1 21,192 93.0 2.9 3.0 0.6 0.5 78.7 79.860450 Nottingham University Hospitals NHS Trust (Nottingham City Hospital) 46,889 42,337 3.5 40,873 93.3 4.6 1.2 0.3 0.6 90.9 88.860410 Sherwood Forest Hospitals NHS Foundation Trust (Kings Mill Hospital) 20,251 18,513 1.7 18,195 94.7 3.1 1.1 0.3 0.7 92.1 94.160420 University Hospitals of Leicester NHS Trust (Leicester Royal Infirmary) 62,944 58,740 2.0 57,540 95.7 2.3 1.2 0.4 0.5 86.4 88.0

West Midlands 321,619 285,426 2.7 277,774 93.0 4.0 1.9 0.4 0.7 .. ..

61730 Birmingham Women's Foundation Hospital 29,481 25,854 2.6 25,174 93.0 3.5 2.2 0.6 0.7 79.2 78.461760 Dudley Group of Hospitals NHS Foundation Trust 21,082 19,000 3.5 18,344 93.9 3.8 1.1 0.5 0.8 88.9 91.661790 Heart of England NHS Foundation Trust (Birmingham Heartlands Hospital) 43,175 39,219 2.6 38,212 93.2 3.5 2.3 0.5 0.6 81.9 82.161660 Hereford Hospitals 13,611 12,384 1.1 12,253 91.9 4.2 2.8 0.4 0.7 73.2 83.661800 Mid Staffordshire NHS Foundation Trust 17,748 15,553 2.1 15,225 95.5 2.5 1.0 0.3 0.7 94.0 83.361740 Royal Wolverhampton Hospitals 19,393 17,840 1.9 17,501 92.8 4.8 1.1 0.5 0.8 86.1 86.361670 Sandwell & West Birmingham Hospitals (City Hospital) 31,440 28,656 2.5 27,931 93.7 4.0 1.4 0.3 0.6 90.1 87.961755 Shrewsbury & Telford Hospitals 32,336 28,843 1.8 28,331 92.7 4.1 2.3 0.3 0.6 77.4 82.961720 University Hospital of North Staffordshire 31,283 30,204 3.0 29,285 89.1 6.1 2.9 0.8 1.1 85.3 72.061820 University Hospitals Coventry & Warwickshire (Walsgrave Hospital) 65,268 53,019 3.2 51,318 93.8 3.6 1.5 0.2 0.9 82.5 86.961710 Walsall Hospitals 16,802 14,854 4.4 14,200 94.0 3.6 1.4 0.5 0.5 73.3 80.2

East of England 378,105 346,701 2.7 337,446 92.9 3.9 2.1 0.5 0.7 .. ..

60870 Basildon Hospital 22,604 20,052 3.8 19,293 91.8 4.1 2.7 0.7 0.7 86.8 86.360610 Bedford Hospital 20,395 19,147 2.0 18,763 92.6 2.3 3.5 0.5 1.1 72.3 70.460790 Broomfield Hospital 23,645 21,040 3.0 20,418 89.5 6.1 3.3 0.6 0.5 80.0 73.360850 Colchester Hospital (Severalls) 24,531 21,515 2.5 20,979 91.6 5.2 2.3 0.4 0.6 78.7 74.260680 Luton and Dunstable Hospital 19,083 17,231 2.3 16,839 94.2 2.8 2.0 0.5 0.4 82.9 81.960540 Norfolk & Norwich University Hospital 57,035 53,297 2.8 51,821 95.0 2.7 1.2 0.5 0.7 84.1 87.060560 Peterborough District Hospital 25,376 23,336 4.1 22,376 93.0 4.5 1.3 0.5 0.6 92.6 93.260890 Princess Alexandra Hospital 18,105 16,676 2.8 16,216 92.0 4.0 2.9 0.5 0.7 86.7 86.160720 Queen Elizabeth ll Hospital (Welwyn Garden City) 29,553 27,733 1.8 27,232 95.2 2.6 1.3 0.4 0.5 86.5 75.860860 Southend University Hospital 21,497 19,444 3.2 18,817 91.8 4.9 2.1 0.4 0.8 65.0 87.660580 The Ipswich Hospital 25,491 23,735 3.3 22,958 92.3 5.4 1.2 0.4 0.7 84.4 83.160750 Watford General Hospital 33,064 30,336 2.3 29,651 91.8 4.9 2.5 0.4 0.4 90.1 91.060500 West Anglia Pathology Services 57,726 53,159 2.0 52,083 92.9 3.3 2.2 0.7 0.9 84.5 83.4

London 711,952 610,075 3.7 587,413 92.8 3.7 2.6 0.5 0.4 .. ..

60780 Chase Farm Hospital 49,069 43,069 4.1 41,285 93.6 4.3 1.3 0.4 0.3 82.2 84.361120 Kings College Hospital 30,845 25,826 3.8 24,853 92.1 3.6 3.6 0.4 0.3 66.7 68.761230 Kingston Hospital 35,618 31,655 4.2 30,316 93.0 3.6 2.5 0.5 0.3 84.7 84.061240 Mayday University Hospital 26,265 23,432 3.6 22,592 91.2 3.8 3.7 1.0 0.4 74.2 69.060820 North Middlesex University Hospital 23,074 20,201 5.6 19,062 89.6 5.4 3.6 0.8 0.6 66.3 67.660710 Northwick Park Hospital 56,230 50,139 2.3 48,990 95.7 2.0 1.8 0.2 0.3 87.1 79.461140 Princess Royal University Hospital (Orpington) 24,971 21,793 3.6 21,011 92.1 3.5 3.5 0.5 0.4 78.8 75.361070 Queen Elizabeth (Greenwich) 20,425 18,189 5.7 17,154 92.5 4.7 1.8 0.5 0.5 82.1 74.561170 Queen Mary's Hospital (Sidcup) 18,314 15,172 1.3 14,977 93.8 2.7 2.4 0.5 0.6 77.1 78.360800 Queens Hospital 52,088 47,066 4.1 45,132 95.7 2.2 1.1 0.4 0.5 80.7 79.961300 St George's Hospital 28,126 23,528 1.8 23,115 89.3 3.0 6.7 0.3 0.7 88.7 79.461280 St Helier Hospital 40,850 36,638 2.4 35,770 94.6 3.2 1.5 0.3 0.5 89.0 69.4

75








60740 St Mary's Hospital 75,843 58,978 2.9 57,268 92.0 5.1 2.2 0.4 0.2 78.2 78.161090 St Thomas's Hospital 37,334 30,819 4.2 29,532 92.0 3.4 3.4 0.8 0.3 75.4 75.361000 University College Hospital 33,429 25,461 2.7 24,761 87.5 4.1 7.0 0.7 0.7 71.2 73.099999 The Doctors Laboratory 19,857 17,796 4.7 16,961 92.7 4.3 2.3 0.2 0.5 82.4 71.260900 The Royal London Hospital 65,279 55,413 6.6 51,777 93.9 3.9 1.4 0.3 0.4 81.5 76.561130 University Hospital Lewisham 26,524 22,685 6.1 21,310 92.3 4.0 3.0 0.4 0.3 80.4 72.161010 Whipps Cross University Hospital 21,538 19,451 1.9 19,077 93.5 3.7 1.7 0.4 0.7 80.3 75.561020 Whittington Hospital 26,273 22,764 1.3 22,470 89.8 5.8 3.2 0.7 0.5 73.9 78.0

South East Coast 311,888 283,208 2.7 275,588 93.3 3.8 1.7 0.5 0.7 .. ..

61290 Ashford & St Peter's Hospital 34,639 30,694 2.4 29,945 92.8 4.0 1.9 0.7 0.6 83.1 80.061080 Conquest Hospital 25,604 23,172 2.5 22,593 94.6 2.5 1.9 0.4 0.6 89.6 89.961100 Darent Valley Hospital 17,379 16,191 1.7 15,915 93.4 3.5 2.0 0.6 0.6 84.1 78.361200 East Surrey Hospital 29,425 27,383 1.9 26,853 93.7 3.4 1.7 0.5 0.7 84.7 91.361030 Medway Maritime 25,297 23,526 4.8 22,398 95.2 2.2 1.7 0.5 0.5 80.3 84.361270 Partnership Pathology Services-Guildford 38,178 34,080 1.6 33,545 94.3 3.1 1.3 0.6 0.7 77.4 79.861160 Preston Hall (Maidstone) 36,263 33,378 2.0 32,700 92.5 4.9 1.5 0.5 0.6 81.3 80.861040 Royal Sussex County Hospital (Brighton) 32,034 29,481 1.3 29,098 93.6 2.7 2.0 0.6 1.1 86.8 91.861190 William Harvey Hospital 43,167 38,668 4.6 36,884 92.1 5.9 1.3 0.4 0.4 82.0 85.361325 Western Sussex 29,902 26,635 3.7 25,657 92.3 4.7 1.6 0.4 1.0 73.3 81.3

South Central 262,613 241,450 2.4 235,721 93.2 3.5 2.0 0.6 0.7 .. ..

61440 John Radcliffe Hospital 40,405 37,083 4.3 35,483 93.8 3.3 1.6 0.5 0.7 82.1 84.161350 Queen Alexandra Hospital 42,243 38,186 1.8 37,480 91.7 3.8 2.9 0.8 0.8 82.5 79.861490 Royal Berkshire Hospital 34,187 32,289 3.2 31,255 94.7 2.5 1.5 0.5 0.8 92.6 86.461370 Royal Hampshire County Hospital 33,524 31,363 2.2 30,671 93.4 3.9 1.7 0.5 0.5 79.8 80.561410 Southampton General Hospital 31,246 28,559 2.2 27,940 91.7 4.9 2.1 0.6 0.7 92.2 91.361500 Stoke Mandeville Hospital 35,576 32,691 1.5 32,190 92.3 4.2 1.9 0.7 0.9 92.3 87.261510 Wexham Park Hospital 27,728 24,814 1.6 24,418 94.4 2.4 2.1 0.4 0.7 84.5 86.961520 Wycombe General Hospital 17,704 16,465 1.1 16,284 93.8 2.1 2.8 0.4 0.8 85.3 92.2

South West 377,326 345,181 4.4 329,842 93.6 3.7 1.6 0.6 0.6 .. ..

61560 Derriford Hospital 30,319 27,528 6.1 25,837 93.1 4.5 1.1 0.7 0.7 83.5 83.161580 Gloucestershire Royal Hospital 75,117 70,137 3.7 67,515 92.3 4.5 2.0 0.7 0.6 80.7 81.161340 Great Western Hospital (Swindon) 19,320 17,787 5.5 16,812 93.5 4.2 1.5 0.5 0.4 86.6 85.061600 Musgrove Park Hospital 42,917 38,743 3.9 37,236 94.6 3.6 0.9 0.4 0.5 87.3 87.961360 Poole Hospital 45,247 39,309 4.3 37,626 95.5 2.7 1.2 0.4 0.2 84.3 84.561555 Royal Cornwall Hospital (Treliske) 28,035 26,091 4.2 24,997 92.4 4.3 2.1 0.7 0.6 85.9 82.861565 Royal Devon & Exeter Hospital 32,014 28,033 4.0 26,901 92.6 3.4 2.6 0.7 0.7 77.6 84.361390 Royal United Hospital 29,149 27,513 3.9 26,427 93.5 3.6 1.5 0.6 0.8 92.1 85.661590 Southmead Hospital 56,022 52,728 4.8 50,209 94.7 3.0 1.1 0.6 0.7 83.9 86.761610 Torbay Hospital 19,186 17,312 5.9 16,282 94.1 3.0 1.9 0.6 0.5 84.0 83.3

(1) The Pathlinks network consists of Diana Princess of Wales Hospital, Scunthorpe General Hospital and Lincoln County Hospital Source: KC61Copyright © 2010, The Health and Social Care Information Centre. All rights reserved

76

Colposcopy KC65

Table 20: Women referred to colposcopy: referral indication of first offered appointment, by Strategic Health Authority, 2009-10

England (220 returns) Percentages & Numbers

Referral indication

Result of screening sample England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

Total number of referrals = 100% 155,414 8,760 23,739 14,347 10,139 15,031 14,909 31,377 11,737 10,821 14,554

Screening sample - Total (1) 78.6 82.5 72.0 73.5 71.9 83.4 80.7 79.5 83.1 82.7 81.5

Inadequate 1.6 0.5 1.7 1.9 1.3 1.7 1.3 2.1 0.9 0.9 2.7

Borderline changes 17.9 28.8 16.4 19.4 12.0 15.8 18.2 17.9 17.4 18.8 17.7

Mild dyskaryosis 31.0 22.7 28.6 21.4 30.8 34.6 29.0 38.6 31.5 29.0 32.2

Moderate dyskaryosis 12.3 12.5 10.4 11.8 10.3 12.3 14.0 11.3 14.9 14.7 13.9

Severe dyskaryosis 14.6 16.2 13.7 17.6 16.1 17.6 17.0 8.7 17.1 18.2 13.8

Severe / ?invasive carcinoma 0.4 0.9 0.3 0.4 0.3 0.6 0.5 0.3 0.3 0.2 0.3


Clinical indication - urgent 4.2 4.0 4.8 5.9 5.5 3.6 4.6 3.8 1.8 2.3 5.1

Clinical indication - non urgent 13.3 12.1 9.5 18.8 18.5 12.7 14.2 11.6 13.8 14.7 13.3

Other 3.9 1.3 13.7 1.8 4.1 0.3 0.6 5.2 1.3 0.3 0.2

(1) Sum of Inadequate, borderline changes, mild dyskaryosis, moderate dyskaryosis, severe dyskaryosis, severe / ?invasive carcinoma and ?glandular neoplasia

Source: KC65 Part ACopyright © 2010, The Health and Social Care Information Centre. All rights reserved

Table 21: Women referred to colposcopy: time from referral to first offered appointment, by referral indication and Strategic Health Authority, 2009-10

England (220 returns) Percentages

Referral indication

Waiting time England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

All referrals

less than or equal to 2 weeks 22.5 23.9 27.1 22.4 32.0 22.2 25.1 20.1 17.2 10.8 23.3




Moderate or severe dyskaryosis


Severe / ?invasive carcinoma


?Glandular neoplasia


Source: KC65 Part A


Strategic Health Authority


77

Colposcopy KC65

Table 22: Appointments for colposcopy: attendance status and appointment type, by Strategic Health Authority, 2009-10


Appointment type

Attendance status England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

Total Appointments 453,947 22,730 73,592 38,950 28,278 45,647 35,645 107,578 34,664 25,682 41,181

New Appointments

Total number = 100% 190,227 10,467 27,355 17,430 12,054 18,412 17,934 40,671 14,707 13,014 18,183

Attended 77.6 82.5 81.6 78.1 84.0 77.3 80.0 70.6 76.6 79.8 76.6Cancelled by patient - in advance 10.4 8.0 7.5 9.9 6.4 10.3 10.5 14.0 10.6 11.2 10.5Cancelled by patient - on the day 2.2 2.8 1.4 1.9 1.6 3.6 2.1 2.2 2.0 1.2 3.4Cancelled by clinic 1.9 0.5 2.2 2.4 0.9 0.6 0.9 2.7 2.6 1.0 2.5DNA - no advance warning 7.9 6.2 7.3 7.6 7.1 8.1 6.5 10.3 8.2 6.7 6.8DNA - arrived late 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.0DNA - left without being seen 0.0 0.0 0.0 0.1 0.0 0.0 0.0 0.1 0.0 0.0 0.0

Return for treatment

35,711 2,577 4,641 3,446 1,647 3,429 2,916 7,619 2,906 2,330 4,200


Follow up

Total number = 100% 228,009 9,686 41,596 18,074 14,577 23,806 14,795 59,288 17,051 10,338 18,798


Source: KC65 Part B



Total number = 100%

78

Colposcopy KC65

Table 23: Women referred to colposcopy: first attendance by result of referral, type of procedure and Strategic Health Authority, 2009-10


Referral indication Strategic Health Authority

Treatment England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

Total number of referrals = 100% (1) 147,929 8,633 22,887 13,627 10,143 14,232 14,134 28,693 11,260 10,385 13,935

All referrals (1)

No procedure 36.5 20.4 39.3 30.7 37.7 51.1 29.9 39.2 36.1 36.7 33.4Procedure used 63.5 79.6 60.7 69.3 62.3 48.9 70.1 60.8 63.9 63.3 66.6

Diagnostic biopsy 45.5 57.2 46.7 47.4 36.9 27.7 43.2 57.1 38.7 35.2 50.2Excision 16.1 21.2 12.3 19.8 21.8 18.9 24.6 2.9 21.2 26.9 15.2Ablation without biopsy 0.7 0.7 0.7 0.4 1.7 0.7 0.9 0.2 1.2 0.6 0.4Ablation with biopsy 0.2 0.0 0.3 0.1 0.2 0.2 0.1 0.0 1.1 0.3 0.1Other 1.0 0.6 0.8 1.5 1.7 1.3 1.3 0.5 1.7 0.3 0.7

Inadequate



Low Grade(2)



High Grade(3)



Clinical Indication - Urgent



Clinical Indication - Non urgent



(1) Includes "others" which cannot be broken down into a specific category(2) Low grade results include borderline changes and mild dyskaryosis(3) High grade results include moderate dyskaryosis, severe dyskaryosis, severe dyskaryosis/?invasive carcinoma and ?glandular neoplasia



79

Colposcopy KC65

Table 24: Biopsies taken at colposcopy: time from biopsy until patient informed of result, by Strategic Health Authority (4 month sample), 2009-10



Waiting time England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

All Referrals 47,599 3,794 7,837 4,462 3,109 3,906 5,052 10,408 3,036 1,108 4,887

All Referrals (as percentage = 100%)


more than 2 weeks up to 4 weeks 45.0 49.8 42.8 43.2 46.4 52.6 43.3 43.1 46.0 48.2 44.1



over 12 weeks 2.0 0.2 4.7 1.0 2.0 0.8 1.7 0.7 7.0 3.0 0.3

All informed within 8 weeks 95.6 98.6 91.8 96.6 96.5 97.5 97.1 95.1 90.7 95.8 99.1

Source: KC65 Part D


Table 25: Non diagnostic biopsies taken at colposcopy: by type, outcome and Strategic Health Authority (4 month sample) 2009-10



Outcome England North North Yorkshire East West East London South South SouthEast West & Humber Midlands Midlands of England East Coast Central West

Number of biopsies reported 17,573 1,443 2,596 1,761 1,446 2,113 2,250 2,536 979 480 1,969

Biopsies with unknown result 162 1 86 14 16 0 11 12 19 3 0

Biopsies with known result = 100% 17,411 1,442 2,510 1,747 1,430 2,113 2,239 2,524 960 477 1,969

Cancer 1.5 2.4 1.4 2.3 1.5 1.8 1.2 1.1 0.8 1.3 1.6

Adenocarcinoma in situ 2.0 2.1 1.8 2.2 4.1 2.7 1.0 1.3 2.1 2.5 1.5

CIN 3 46.6 47.5 43.4 51.7 45.5 53.2 51.7 39.6 43.0 49.5 43.5

CIN 2 24.2 28.4 26.7 23.5 21.5 16.2 22.1 26.7 28.0 27.5 25.8

CIN 1 13.3 11.1 14.9 8.5 13.7 10.1 12.3 19.5 14.6 13.0 12.6

HPV / Cervicitis only 4.9 3.1 7.7 3.7 4.5 7.3 3.2 4.5 5.8 2.1 4.0

No CIN / No HPV 6.1 5.3 4.0 7.6 8.8 0.0 8.4 7.0 5.3 0.0 10.7

Inadequate / unsatisfactory biopsy 0.3 0.1 0.2 0.6 0.3 0.4 0.1 0.4 0.3 0.0 0.3

Total showing CIN or worse 87.6 91.5 88.2 88.2 86.4 84.1 88.3 88.2 88.5 93.7 85.1

Source: KC65 Part E


80

Colposcopy KC65Table 26a: Summary statistics by colposcopy clinic, England 2009-10


Trust code and name Name of unitTotal

referrals

Clinical indication

(%)Number of

cases

Less than 4 weeks wait

(%)Number of

cases


(%)Number of

cases


(%)Attendance

(%) DNA (%)

Eng England 155414 17.5 41866 87.5 609 89.8 1263 83.1 72.9 10.6

Q30 North East 8760 16.2 2511 96.3 81 97.5 85 97.6 80.0 8.8

RLN City Hospitals Sunderland NHS Foundation Trust Sunderland Royal Hospital 1050 5.3 338 98.8 12 83.3 13 100.0 85.7 8.0RXP County Durham and Darlington NHS Foundation Trust Bishop Auckland General Hospital 396 7.8 146 98.6 16 100.0 2 100.0 73.9 8.3RXP Darlington Memorial Hospital 296 17.2 94 100.0 4 100.0 2 100.0 79.6 10.2RXP Shotley Bridge Community Hospital(1) 214 9.8 61 100.0 6 100.0 1 100.0 80.8 6.2RXP UH of North Durham 372 14.8 99 100.0 4 100.0 3 100.0 80.2 9.1RR7 Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital 1185 20.2 303 98.3 3 100.0 6 100.0 78.4 8.4RTD Newcastle Upon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary 1325 22.0 302 87.7 12 100.0 9 100.0 75.5 12.3RVW North Tees & Hartlepool NHS Foundation Trust UH of Hartlepool 651 28.0 163 93.9 0 0.0 11 100.0 87.8 3.6RVW UH of North Tees 507 26.2 130 87.7 0 0.0 5 100.0 81.0 6.5RTF Northumbria Healthcare NHS Foundation Trust Berwick Infirmary 31 3.2 7 100.0 0 0.0 0 0.0 76.1 6.0RTF Hexham General Hospital 177 13.0 46 100.0 1 100.0 2 100.0 85.1 5.6RTF North Tyneside General Hospital 702 15.1 205 99.5 11 100.0 7 100.0 78.2 9.6RTF Wansbeck General Hospital 653 11.3 183 100.0 10 100.0 6 100.0 84.0 9.6RTR South Tees Hospitals NHS Trust Friarage Hospital 218 8.3 91 92.3 1 100.0 5 80.0 71.6 7.2RTR James Cook UH 684 9.5 250 99.6 1 100.0 13 92.3 83.1 8.2RE9 South Tyneside NHS Foundation Trust South Tyneside District Hospital 299 23.7 93 90.3 0 0.0 0 0.0 75.7 9.4

Q31 North West 23739 14.3 5736 88.1 81 85.2 183 78.7 74.0 10.5

REM Aintree Hospitals NHS Trust University Hospital Aintree 1441 15.1 289 93.4 10 70.0 7 71.4 80.6 2.5RXL Blackpool, Fylde & Wyre Hospitals NHS Trust Blackpool Victoria Hospital 629 0.0 332 76.5 9 100.0 1 100.0 0.0 0.0RMC Bolton Hospitals NHS Trust Royal Bolton Hospital 712 4.6 228 63.2 4 100.0 7 85.7 86.3 5.95JX Bury PCT Monarch Medical Centre 0 0.0 0 0.0 0 0.0 0 0.0 0.0 0.05NP Central & Eastern Cheshire PCT Cumberland House 60 1.7 25 96.0 0 0.0 0 0.0 90.5 5.2RW3 Central Manchester & Manchester Children's University Hospitals NHS Trust St Mary's Hospital for Women & Children 1173 10.2 121 77.7 1 100.0 5 60.0 58.1 16.4RJR Countess of Chester Hospital NHS Foundation Trust Countess of Chester Hospital 761 8.1 219 97.7 4 100.0 13 92.3 45.9 9.6RXR East Lancashire Hospitals NHS Trust Burnley General Hospital 396 13.4 91 64.8 1 100.0 4 75.0 82.2 13.2RXR Queens Park Hospital, Blackburn 511 4.1 129 65.1 1 100.0 5 20.0 80.3 14.0RJN Eastern Cheshire Hospitals NHS Trust Macclesfield District General Hospital 334 19.5 66 83.3 3 33.3 2 100.0 43.6 4.35NQ Heywood, Middleton & Rochdale PCT Dawes Family Practice 191 4.7 80 100.0 0 0.0 0 0.0 65.8 13.0RXN Lancashire Teaching Hospitals NHS Foundation Trust Sharoe Green Hospital & Chorley 1035 20.5 341 97.9 2 100.0 13 92.3 63.6 11.5REP Liverpool Women's NHS Foundation Trust Liverpool Women's Hospital 2432 22.2 457 95.4 9 100.0 10 90.0 77.3 9.35NT Manchester PCT The Palatine Centre 129 0.8 22 100.0 0 0.0 0 0.0 75.6 7.4RBT Mid Cheshire Hospitals NHS Foundation Trust Leighton Hospital 541 7.4 209 75.6 1 100.0 7 85.7 76.3 10.0RWW North Cheshire Hospitals NHS Trust Warrington Hospital 1539 24.7 318 78.9 12 75.0 7 14.3 90.4 9.0RNL North Cumbria Acute Hospitals NHS Trust The Cumberland Infirmary 606 10.6 228 92.1 2 100.0 4 50.0 67.9 13.3RM3 Salford Royal NHS Foundation Trust Hope Hospital 646 9.1 165 97.6 0 0.0 6 100.0 86.6 12.9RVY Southport & Ormskirk Hospital NHS Trust Ormskirk & District General Hospital 409 30.1 78 92.3 2 50.0 6 66.7 75.5 9.3RVY Southport & Formby District General Hospital 331 20.5 68 97.1 1 100.0 3 66.7 84.6 2.7RBN St Helens & Knowsley NHS Trust Whiston Hospital 986 28.3 157 94.3 0 0.0 7 71.4 75.4 18.1RWJ Stockport NHS Foundation Trust Stepping Hill Hospital 770 3.6 273 93.0 0 0.0 4 75.0 85.8 13.7RMP Tameside & Glossop Acute Services NHS Trust Tameside General Hospital 732 0.1 166 98.8 3 100.0 10 100.0 86.0 4.2RW6 The Pennine Acute Hospitals NHS Trust Fairfield General Hospital 453 12.8 134 90.3 1 100.0 4 100.0 81.9 5.3RW6 North Manchester General Hospital 739 6.5 168 97.6 2 100.0 2 100.0 71.5 16.2RW6 Rochdale Infirmary 182 26.4 47 83.0 2 50.0 4 25.0 75.4 9.0RW6 The Royal Oldham Hospital 736 21.1 172 96.5 3 33.3 13 92.3 72.6 5.4RQ6 The Royal Liverpool & Broadgreen University Hospitals NHS Trust Royal Liverpool University Hospital 481 25.2 133 91.7 0 0.0 0 0.0 85.8 13.4RM4 Trafford Healthcare NHS Trust Trafford General Hospital 492 13.4 72 72.2 1 100.0 2 100.0 75.3 2.0RM2 University Hospital of South Manchester NHS Foundation Trust Withington Hospital 174 2.3 38 57.9 0 0.0 0 0.0 64.3 13.8RM2 Wythenshawe Hospital 647 7.4 162 92.0 1 100.0 2 100.0 76.4 12.1RTX University Hospitals of Morecambe Bay NHS Trust Furness General Hospital 250 8.0 86 93.0 2 100.0 2 100.0 83.4 9.7RTX Royal Lancaster Infirmary 274 12.8 81 86.4 0 0.0 2 0.0 80.3 15.4RTX Westmorland General Hospital 258 15.1 71 59.2 1 100.0 4 50.0 93.7 5.2RBL Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital 1238 24.4 276 96.7 1 100.0 21 85.7 66.7 12.1RRF Wrightington, Wigan & Leigh NHS Trust Leigh Infirmary 1451 5.1 234 88.5 2 100.0 6 100.0 75.0 6.9

severe dyskarosis ?Invasive carcinoma neoplasia colposcopy

KC65 Part B

All referrals Moderate or Severe dyskaryosis/ ? Glandular Appointments for

KC65 Part A: 1st appointment

81




referrals

Clinical indication

(%)Number of

cases


(%)Number of

cases


(%)Number of

cases


(%)Attendance

(%) DNA (%)


KC65 Part B



Q32 Yorkshire & Humber 14347 24.7 4223 91.2 63 95.2 123 87.8 72.5 10.8

RCF Airedale NHS Trust Airedale General Hospital 337 35.9 85 100.0 0 0.0 2 100.0 79.1 12.3RFF Barnsley Hospital NHS Foundation Trust Barnsley DGH 937 26.9 261 99.2 3 100.0 8 100.0 53.0 10.8RAE Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary 919 32.8 276 61.6 0 0.0 8 75.0 70.7 10.4RWY Calderdale & Huddersfield NHS Foundation Trust Calderdale Royal Hospital 352 1.4 146 86.3 0 0.0 7 100.0 94.0 3.9RWY Holme Valley Memorial Hospital 142 23.9 48 97.9 0 0.0 0 0.0 77.3 3.4RWY Huddersfield Royal Infirmary 368 14.7 137 92.0 1 100.0 5 100.0 80.2 10.25J6 Calderdale PCT Upper Valley Colposcopy Unit 57 19.3 21 95.2 0 0.0 0 0.0 95.0 2.9RP5 Doncaster & Bassetlaw Hospitals NHS Foundation Trust Bassetlaw DGH 161 13.7 57 91.2 0 0.0 1 100.0 75.2 13.2RP5 Doncaster GUM 63 28.6 6 83.3 0 0.0 0 0.0 61.1 23.7RP5 Doncaster Royal Infirmary 784 17.1 234 97.9 3 100.0 5 100.0 66.7 18.2RP5 Retford Hospital 149 10.7 54 92.6 0 0.0 0 0.0 66.0 19.45N5 Doncaster PCT Carcroft Health Centre 127 20.5 34 100.0 0 0.0 1 100.0 91.9 3.4RCD Harrogate District NHS Foundation Trust Harrogate District Hospital 541 53.8 99 98.0 1 100.0 4 75.0 76.4 11.7RWA Hull & East Yorkshire Hospitals NHS Trust Castle Hill Hospital 335 10.7 135 98.5 4 75.0 3 100.0 69.0 7.8RWA Hull Royal Infirmary 855 9.2 338 98.5 3 100.0 5 100.0 74.6 9.1RR8 Leeds Teaching Hospitals NHS Trust St James's University Hospital 2158 28.6 597 74.2 25 92.0 21 71.4 86.1 11.1RR8 Wharfedale General Hospital 39 53.8 8 62.5 0 0.0 0 0.0 97.1 2.9RXF Mid Yorkshire Hospitals NHS Trust Dewsbury & District Hospital 529 14.2 154 98.1 3 100.0 4 50.0 87.5 9.8RXF Pontefract General Infirmary 860 19.0 226 100.0 4 100.0 7 100.0 69.9 8.6TAN North East Lincolnshire Care Trust Littlefield Lane GP Surgery 58 20.7 21 100.0 0 0.0 0 0.0 76.4 4.1RJL Northern Lincolnshire & Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital 426 25.8 141 97.2 2 100.0 6 100.0 65.8 9.6RJL Goole & District Hospital 110 20.0 38 97.4 2 100.0 3 100.0 70.5 5.0RJL Scunthorpe General Hospital 448 28.8 133 99.2 1 100.0 12 100.0 66.9 10.6RCC Scarborough & North East Yorkshire Healthcare NHS Trust Bridlington & District Hospital 187 34.8 33 84.8 0 0.0 0 0.0 88.5 9.0RCC Scarborough Hospital 440 32.7 135 98.5 0 0.0 5 80.0 89.2 5.8RHQ Sheffield Teaching Hospitals NHS Foundation Trust Jessop Wing 1465 26.1 312 92.9 5 100.0 5 80.0 69.9 11.8RFR The Rotherham NHS Foundation Trust Rotherham DGH 737 34.9 258 99.6 4 100.0 8 75.0 75.6 9.75N3 Wakefield District PCT White Rose GP Surgery 30 0.0 6 66.7 1 100.0 0 0.0 100.0 0.0RCB York Hospitals NHS Foundation Trust York Hospital 733 20.3 230 97.0 1 100.0 3 100.0 67.2 8.9

Q33 East Midlands 10139 23.9 2681 91.6 33 84.8 111 71.2 77.0 11.0RFS Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal Hospital NHS Foundation Trust 745 20.3 219 98.2 3 100.0 6 100.0 78.8 10.9RTG Derby Hospitals NHS Foundation Trust Derby City General Hospital 1011 26.4 239 98.7 1 100.0 14 85.7 81.3 13.75N6 Derbyshire County PCT Buxton Medical Centre 56 8.9 18 94.4 0 0.0 0 0.0 90.3 9.75N6 Goyt Valley Medical Practice 51 0.0 21 100.0 0 0.0 1 0.0 85.7 6.15N6 Derbyshire County PCT (Derbyshire Community Health Services) Heanor Hospital 140 45.0 20 90.0 0 0.0 0 0.0 80.8 13.7RNQ Kettering General Hospital Kettering General Hospital 720 10.6 262 100.0 5 100.0 7 100.0 89.0 5.5RNS Northampton General Hospital Northampton General Hospital 1033 13.3 244 93.4 4 50.0 1 100.0 78.2 4.0RX1 Nottingham University Hospitals NHS Trust City Hospital 1023 40.2 198 97.0 0 0.0 23 78.3 74.6 16.8RX1 Queens Campus 1236 28.2 211 96.2 1 100.0 10 40.0 58.8 10.1RK5 Sherwood Forest Hospitals NHS Foundation Trust Kings Mill, Newark 772 15.9 230 85.2 3 66.7 6 66.7 81.6 7.1RWD United Lincolnshire Hospitals NHS Trust Grantham & District General Hospital 203 27.1 62 90.3 2 100.0 3 66.7 97.6 1.5RWD Lincoln County Hospital 689 35.0 214 77.6 9 88.9 17 76.5 87.2 7.9RWD Pilgrim Hospital Boston 399 13.3 161 91.3 3 66.7 9 77.8 82.0 13.2RWE University Hospitals of Leicester NHS Trust LRI and Leicester General Hospital 2061 24.1 582 85.7 2 100.0 14 35.7 81.3 15.3

82




referrals

Clinical indication

(%)Number of

cases


(%)Number of

cases


(%)Number of

cases


(%)Attendance

(%) DNA (%)


KC65 Part B



Q34 West Midlands 15031 16.3 4490 95.9 95 89.5 111 91.9 75.5 11.4RLU Birmingham Women's NHS Foundation Trust Birmingham Women's Hospital 2037 29.4 433 96.1 15 86.7 18 88.9 63.7 14.9RJF Burton Hospital NHS Trust Queens Hospital, Burton 236 9.7 70 80.0 4 100.0 2 100.0 77.6 9.6RNA Dudley Group of Hospitals NHS Foundation Trust Russells Hall Hospital, Dudley 897 17.2 279 98.9 2 100.0 7 85.7 85.3 9.8RLT George Eliot Hospital NHS Trust George Eliot Hospital 433 27.9 159 96.9 3 33.3 2 50.0 72.5 17.7RR1 Heart of England NHS Foundation Trust Heartlands Hospital 727 8.3 189 96.8 1 100.0 3 100.0 71.7 20.0RR1 Good Hope Hospital 777 27.8 166 100.0 0 0.0 1 100.0 77.8 14.3RR1 Solihull Hospital 611 8.5 153 96.1 1 100.0 3 66.7 76.1 16.8RLQ Hereford Hospitals NHS Trust Hereford Hospital 341 2.3 116 92.2 5 40.0 3 66.7 81.9 9.5RJD Mid Staffordshire Hospitals NHS Foundation Trust Staffordshire General Hospital (inc. GUM data) 511 1.6 190 93.7 10 100.0 5 100.0 77.4 10.8RL4 Royal Wolverhampton Hospitals NHS Trust New Cross Hospital 742 18.1 277 94.6 0 0.0 8 100.0 83.7 11.3RXK Sandwell and West Birmingham Hospitals NHS Trust City Hospital 543 16.4 115 100.0 5 100.0 4 100.0 67.8 12.8RXK Sandwell Hospital 769 17.0 185 96.8 3 66.7 5 100.0 71.3 13.6RXW Shrewsbury & Telford Hospitals NHS Trust Princess Royal Hospital 565 13.8 142 95.8 1 100.0 9 88.9 84.4 8.8RXW Royal Shrewsbury Hospital 669 15.2 156 89.1 3 100.0 5 80.0 76.8 8.35PK South Staffordshire PCT Samuel Johnson & Sir Robert Peel 263 9.5 76 96.1 0 0.0 3 100.0 78.1 13.9RJC South Warwickshire General Hospitals NHS Trust Warwick Hospital 454 17.2 165 97.6 1 100.0 1 100.0 82.1 5.9RJE University Hospital of North Staffordshire NHS Trust North Staffordshire Hospital 1662 2.8 642 95.3 28 96.4 14 100.0 77.0 8.0RKB University Hospitals Coventry & Warwickshire NHS Trust Hospital of St Cross, Rugby 130 18.5 48 100.0 1 0.0 0 0.0 74.4 9.2RKB Walsgrave Hospital 735 21.2 306 99.7 4 100.0 9 100.0 77.3 8.5RBK Walsall Hospitals NHS Trust Walsall Manor Hospital (inc. GUM data) 654 3.8 179 92.2 2 100.0 7 100.0 78.7 10.4RWP Worcestershire Acute Hospitals NHS Trust Alexandra Hospital 404 34.7 125 96.0 1 100.0 1 100.0 72.7 7.4RWP Kidderminster Hospital 268 22.0 104 96.2 0 0.0 0 0.0 72.9 7.3RWP Worcestershire Royal Hospital 483 20.1 184 97.8 5 100.0 1 0.0 85.8 3.75PL Worcestershire PCT (Worcestershire Community Health Services) Evesham Community Hospital 120 20.0 31 90.3 0 0.0 0 0.0 81.5 1.7

Q35 East of England 14909 18.7 4619 92.7 72 88.9 115 93.0 78.3 8.8

RDD Basildon & Thurrock University Hospitals NHS Foundation Trust Basildon 782 18.4 201 99.0 3 100.0 9 100.0 75.2 11.5RC1 Bedford Hospital NHS Trust Bedford 639 7.2 274 73.0 4 50.0 6 33.3 83.9 8.0RGT Cambridge University Hospitals NHS Foundation Trust Addenbrooke's 1270 29.4 388 72.2 6 83.3 1 100.0 76.9 7.9RDE Colchester Hospital University NHS Foundation Trust Colchester General 900 12.0 364 95.9 2 100.0 6 100.0 65.6 8.2RWH East & North Herts NHS Trust Lister 553 25.7 211 99.1 4 50.0 5 100.0 73.5 11.8RWH Queen Elizabeth II 229 18.3 78 100.0 4 75.0 6 83.3 63.7 14.5RQQ Hinchingbrooke Healthcare NHS Trust Hinchingbrooke 662 31.9 224 99.6 2 100.0 4 100.0 83.0 4.4RGQ Ipswich Hospital NHS Trust Ipswich 852 7.0 360 86.1 5 80.0 20 95.0 75.4 6.0RGP James Paget University Hospitals NHS Foundation Trust James Paget 535 5.8 163 79.8 1 100.0 6 100.0 86.4 9.6RQ8 Mid Essex Hospital Services NHS Trust St John's 1007 18.4 254 100.0 0 0.0 13 100.0 88.1 4.7RM1 Norfolk & Norwich University Hospital NHS Trust Norfolk & Norwich 1541 13.2 415 94.2 5 100.0 5 80.0 89.0 7.6RGN Peterborough & Stamford Hospitals NHS Foundation Trust Peterborough District 828 11.2 250 100.0 3 100.0 10 90.0 82.3 10.15P1 South East Essex PCT Queensway 47 0.0 8 87.5 0 0.0 0 0.0 90.4 2.4RAJ Southend University Hospital NHS Foundation Trust Southend 894 16.4 286 100.0 3 100.0 5 100.0 76.7 8.5RC9 The Luton & Dunstable Hospital NHS Foundation Trust Luton & Dunstable 504 10.7 199 99.0 1 100.0 3 100.0 83.0 10.8RQW The Princess Alexandra Hospital NHS Trust Princess Alexandra 1116 29.0 222 97.3 11 100.0 5 100.0 76.1 9.8RCX The Queen Elizabeth Hospital King's Lynn NHS Trust Queen Elizabeth 477 19.3 179 95.5 3 100.0 6 100.0 80.0 10.8RWG West Herts Hospitals NHS Trust St Albans 642 23.4 132 100.0 3 100.0 3 100.0 89.0 10.9RWG Watford 640 20.0 134 93.3 4 100.0 1 100.0 65.2 11.3RGR West Suffolk Hospitals NHS Trust West Suffolk 791 32.9 277 98.6 8 87.5 1 100.0 78.5 6.4

Q36 London 31377 15.3 6266 88.3 93 94.6 187 85.6 66.1 12.6

RF4 Barking, Havering & Redbridge Hospitals NHS Trust Queens Hospital 1483 15.8 432 98.6 12 83.3 12 66.7 84.7 9.1RVL Barnet & Chase Farm Hospitals NHS Trust Barnet Hospital 1145 15.2 206 99.5 2 100.0 5 100.0 60.5 14.0RVL Chase Farm Hospital 676 13.8 132 95.5 0 0.0 4 50.0 54.3 10.2RNJ Barts & The London NHS Trust St Bartholomew's Hospital 855 15.8 140 99.3 3 100.0 4 100.0 62.5 11.7RG3 Bromley Hospitals NHS Trust Princess Royal University Hospital 894 2.8 209 92.8 7 100.0 13 92.3 53.8 10.6RQM Chelsea and Westminster Healthcare NHS Trust Chelsea & Westminster Hospital 1674 17.1 241 93.8 0 0.0 7 85.7 63.8 13.8RC3 Ealing Hospital NHS Trust Ealing Hospital 689 7.1 117 100.0 0 0.0 6 100.0 94.7 4.3RVR Epsom & St Helier University Hospitals NHS Trust St Helier Hospital 688 11.3 228 72.8 1 100.0 5 100.0 71.5 12.4RJ1 Guy's & St Thomas' NHS Foundation Trust Guy's Hospital 2024 15.3 489 88.8 5 100.0 13 100.0 68.6 9.7

83




referrals

Clinical indication

(%)Number of

cases


(%)Number of

cases


(%)Number of

cases


(%)Attendance

(%) DNA (%)


KC65 Part B



RQX Homerton University Hospital NHS Foundation Trust Homerton Hospital 1100 23.5 185 96.8 1 100.0 9 66.7 70.5 15.7RYJ Imperial College Healthcare NHS Trust Hammersmith Hospital 842 10.7 144 95.1 0 0.0 3 66.7 59.2 15.6RYJ St Mary's Hospital 1332 26.6 167 99.4 2 100.0 11 100.0 60.3 16.0RJZ King's College Hospital NHS Trust King's College Hospital 1075 10.4 203 26.6 2 100.0 8 100.0 64.9 17.6RAX Kingston Hospital NHS Trust Kingston Hospital 1111 1.7 274 76.3 3 100.0 2 100.0 65.6 17.0RAX Queen Mary's, Roehampton 95 0.0 26 65.4 0 0.0 1 0.0 72.7 13.2RJ2 Lewisham Hospital NHS Trust University Hospital Lewisham 1323 19.1 210 96.2 5 100.0 3 100.0 71.5 10.1RJ6 Mayday Healthcare NHS Trust Mayday Hospital 1234 5.6 399 75.4 6 83.3 9 55.6 61.3 17.5RNH Newham University Hospital NHS Trust Newham Hospital 793 26.9 153 96.1 4 100.0 5 100.0 72.4 8.1RAP North Middlesex University NHS Trust North Middlesex Hospital 1285 5.9 330 98.5 1 100.0 4 25.0 62.0 15.6RG2 Queen Elizabeth Hospital NHS Trust Queen Elizabeth Hospital 743 6.3 152 61.8 5 80.0 3 33.3 60.1 14.8RGZ Queen Mary's Sidcup NHS Trust Queen Mary's Hospital, Sidcup 689 12.3 152 99.3 8 100.0 9 88.9 63.9 9.0RAL Royal Free Hampstead NHS Trust The Royal Free Hospital 1176 11.2 226 88.9 0 0.0 4 75.0 68.3 18.3RJ7 St George's Healthcare NHS Trust St George's Hospital 1654 28.3 264 93.9 10 90.0 10 80.0 88.0 9.1RAS The Hillingdon Hospital NHS Trust The Hillingdon Hospital 947 15.2 147 65.3 4 100.0 8 100.0 65.2 10.7RV8 The North West London Hospitals NHS Trust Central Middlesex Hospital 513 8.0 52 96.2 0 0.0 3 100.0 76.1 16.4RV8 Northwick Park Hospital 871 13.1 92 97.8 3 100.0 4 100.0 77.3 11.3RKE The Whittington Hospital NHS Trust The Whittington Hospital 1635 20.5 350 91.4 4 100.0 5 100.0 55.3 12.4RRV University College London NHS Foundation Trust University College Hospital 1211 30.1 217 94.5 0 0.0 6 100.0 67.9 9.2RFW West Middlesex University Hospital NHS Trust West Middlesex Hospital 560 14.8 105 81.9 0 0.0 2 50.0 61.7 3.7RGC Whipps Cross University Hospital NHS Trust Whipps Cross University Hospital 1060 15.8 224 100.0 5 100.0 9 100.0 67.8 13.0

Q37 South East Coast 11737 15.6 3759 84.2 31 80.6 118 66.9 75.0 9.6

RTK Ashford & St Peter's Hospitals NHS Trust Ashford & St Peters 1110 16.0 383 93.2 0 0.0 17 100.0 77.1 8.5RTK Blanche Heriot GUM 11 18.2 6 83.3 0 0.0 0 0.0 100.0 0.0RXH Brighton & Sussex University Hospitals NHS Trust Royal Sussex County(2) 1275 17.1 615 59.5 3 66.7 31 32.3 72.7 14.0RN7 Dartford & Gravesham NHS Trust Darent Valley 646 8.0 153 78.4 3 100.0 1 100.0 85.3 8.2RVV East Kent Hospitals NHS Trust Buckland 215 11.6 31 96.8 0 0.0 3 33.3 68.6 10.9RVV Kent & Canterbury(4) 316 3.5 43 81.4 0 0.0 1 100.0 73.8 11.3RVV QEQM 567 19.9 99 75.8 1 100.0 6 83.3 79.4 17.6RVV William Harvey 581 5.5 108 100.0 0 0.0 3 66.7 77.8 5.7RXC East Sussex Hospitals NHS Trust Conquest 360 12.2 125 100.0 0 0.0 0 0.0 67.6 12.5RXC Eastbourne 378 8.2 125 98.4 1 100.0 9 100.0 70.9 6.7RVR Epsom & St Helier University Hospitals NHS Trust Leatherhead 345 33.3 97 85.6 0 0.0 3 100.0 63.1 9.0RDU Frimley Park Hospital Foundation Trust Frimley Park 708 6.1 394 87.1 3 100.0 8 62.5 78.3 8.3RWF Maidstone & Tunbridge Wells NHS Trust Maidstone 520 5.4 166 94.6 2 50.0 5 40.0 84.1 5.7RWF Pembury 641 5.1 197 86.8 2 0.0 0 0.0 75.9 13.8RPA Medway NHS Trust Medway Maritime 909 12.1 248 78.2 0 0.0 9 55.6 89.0 9.5RA2 Royal Surrey County Hospital NHS Trust Royal Surrey 589 34.1 169 97.0 2 100.0 6 83.3 84.8 10.7RPR Royal West Sussex NHS Trust St Richards 608 23.4 162 94.4 1 100.0 3 66.7 79.4 5.0RTP Surrey & Sussex Healthcare NHS Trust Crawley 664 20.3 252 90.1 7 100.0 6 83.3 66.8 5.9RTP Dorking(3) 305 7.5 147 74.8 0 0.0 1 100.0 62.0 12.2RPL Worthing & Southlands Hospitals NHS Trust Worthing & Southlands 989 29.9 239 91.6 6 66.7 6 83.3 59.6 8.0

Q38 South Central 10821 17.0 3554 64.2 22 81.8 96 76.0 75.0 9.1

RXQ Buckinghamshire Hospitals NHS Trust Stoke Mandeville Hospital 485 5.6 243 95.5 5 60.0 11 72.7 87.3 5.6RXQ Wycombe 522 12.1 234 91.0 0 0.0 4 100.0 81.3 4.2RD7 Heatherwood & Wexham Park Hospitals Heatherwood 576 29.0 119 52.1 1 0.0 4 0.0 78.0 10.0RD7 Wexham Park 960 30.2 200 70.0 0 0.0 10 20.0 67.8 21.65QT Isle of Wight Healthcare PCT St Mary's Hospital 451 12.0 131 96.2 1 100.0 4 75.0 76.3 6.8RD8 Milton Keynes General Hospital NHS Trust Milton Keynes General Hospital NHS Trust 810 14.0 334 99.1 2 100.0 13 76.9 80.6 6.9RN5 North Hampshire Hospitals NHS Trust Basingstoke 637 24.8 160 84.4 2 100.0 3 100.0 74.9 5.2RTH Oxford Radcliffe Hospitals NHS Trust Oxford Radcliffe Hospitals NHS Trust 1283 10.0 522 46.2 7 85.7 5 100.0 88.4 5.1RHU Portsmouth Hospitals NHS Trust Portsmouth Hospitals NHS Trust 1854 3.7 588 42.0 1 100.0 14 92.9 64.4 12.3RHW Royal Berkshire & Battle Hospitals NHS Trust Royal Berks 1041 25.5 394 53.3 2 100.0 8 87.5 75.5 6.6RHM Southampton University Hospitals NHS Trust Southampton University Hospitals NHS Trust 1619 26.9 455 44.4 0 0.0 13 100.0 75.0 6.8RN1 Winchester & Eastleigh Healthcare NHS Trust Winchester & Eastleigh Healthcare NHS Trust 583 12.9 174 82.2 1 100.0 7 71.4 84.9 3.9

84




referrals

Clinical indication

(%)Number of

cases


(%)Number of

cases


(%)Number of

cases


(%)Attendance

(%) DNA (%)


KC65 Part B



Q39 South West 14554 18.3 4027 81.3 38 81.6 134 85.8 72.1 8.6

REF Bodmin Independent Treatment Centre Ramsay Health 113 0.9 24 100.0 0 0.0 0 0.0 89.7 2.5RA4 East Somerset NHS Trust Yeovil District Hospital 463 35.2 102 98.0 3 100.0 5 100.0 0.0 0.0RTE Gloucestershire Hospitals NHS Foundation Trust Royal Gloucestershire Hospital 1546 8.6 502 96.8 3 100.0 10 100.0 79.0 7.8RVJ North Bristol NHS Trust Southmead Hospital 1141 5.3 327 31.5 4 0.0 13 53.8 57.2 11.3RBZ Northern Devon Healthcare NHS Trust North Devon District Hospital 506 9.3 132 70.5 0 0.0 7 57.1 46.8 9.2RK9 Plymouth Hospitals NHS Trust Derriford Hospital 1128 14.1 405 73.8 7 85.7 12 91.7 83.7 7.5RD3 Poole Hospital NHS Trust St Mary's 407 2.2 128 100.0 0 0.0 1 100.0 69.8 7.2RDZ Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust The Royal Bournemouth Hospital 432 25.0 102 97.1 1 100.0 4 100.0 72.3 9.3REF Royal Cornwall Hospitals NHS Trust Royal Cornwall Hospital 1173 23.8 369 99.2 1 100.0 7 100.0 85.7 8.0RH8 Royal Devon & Exeter NHS Foundation Trust Royal Devon & Exeter Hospital 1404 22.7 293 97.6 6 83.3 16 100.0 65.5 10.8RD1 Royal United Hospital Bath NHS Trust Royal United Hospital Bath 973 15.7 380 64.2 0 0.0 14 57.1 82.4 8.2RNZ Salisbury Healthcare NHS Trust Salisbury Healthcare NHS Trust 464 20.7 142 97.2 0 0.0 0 0.0 63.5 7.3RA9 South Devon Healthcare NHS Trust Torbay Hospital 972 20.9 211 99.5 4 75.0 9 100.0 79.3 8.3RN3 Swindon & Marlborough NHS Trust Swindon & Marlborough NHS Trust 579 8.6 203 97.0 0 0.0 1 100.0 80.8 13.7RBA Taunton & Somerset NHS Trust Taunton & Somerset NHS Trust 999 42.2 204 99.0 7 100.0 12 100.0 72.0 5.5RA7 United Bristol Healthcare NHS Trust St Michaels Hospital 1816 19.0 393 50.1 0 0.0 22 86.4 72.5 7.7RBD West Dorset General Hospitals NHS Trust Dorset County Hospital 438 26.9 110 92.7 2 100.0 1 100.0 80.4 7.7

(1) Includes figures for HMP Low Newton(2) Includes figures for Princess Royal(3) Includes figures for HMP Downview(4) Subsequent to publication, SE Coast SHA advised that KC65 data for Kent and Canterbury cannot be confirmed as entirely accurate due to severe clerical staffing difficulties which affected data collection during 2009/10.

Source: KC65 Parts A and B


85

Colposcopy KC65Table 26b: Summary statistics by colposcopy clinic, England 2009-10


KC65 Part D

Biopsyoutcome

Trust code and name Name of unit

No procedure

(%)Procedure

used (%)Diagnostic biopsy(%)

Excision (%)

Ablation & no

biopsy (%)

Ablation with

biopsy (%) Other (%)

All informed within 8

weeks (%)Number of

cases(5)(6)

Total showing CIN or worse

(%)(1)

Eng England 36.5 63.5 45.5 16.1 0.7 0.2 1.0 95.6 17,411 87.6

Q30 North East 20.4 79.6 57.2 21.2 0.7 0.0 0.6 98.6 1,442 91.5

RLN City Hospitals Sunderland NHS Foundation Trust Sunderland Royal Hospital 11.1 88.9 67.8 20.8 0.0 0.0 0.3 100.0 .. 100.0RXP County Durham and Darlington NHS Foundation Trust Bishop Auckland General Hospital 19.0 81.0 61.7 17.8 1.5 0.0 0.0 100.0 .. 85.0RXP Darlington Memorial Hospital 22.9 77.1 67.0 9.7 0.3 0.0 0.0 100.0 .. 87.5RXP Shotley Bridge Community Hospital(2) 21.2 78.8 65.1 13.7 0.0 0.0 0.0 100.0 .. 97.5RXP UH of North Durham 22.1 77.9 71.4 6.5 0.0 0.0 0.0 98.3 .. 95.0RR7 Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital 26.5 73.5 47.8 24.7 0.0 0.0 1.0 99.7 .. 92.5RTD Newcastle Upon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary 25.9 74.1 55.0 16.5 0.0 0.0 2.6 97.0 .. 92.5RVW North Tees & Hartlepool NHS Foundation Trust UH of Hartlepool 16.4 83.6 51.2 26.2 6.2 0.0 0.0 100.0 .. 87.5RVW UH of North Tees 13.6 86.4 63.1 21.3 2.0 0.0 0.0 99.2 .. 95.0RTF Northumbria Healthcare NHS Foundation Trust Berwick Infirmary 12.9 87.1 64.5 22.6 0.0 0.0 0.0 100.0 .. 77.5RTF Hexham General Hospital 17.0 83.0 69.0 13.5 0.0 0.6 0.0 98.8 .. 97.5RTF North Tyneside General Hospital 22.6 77.4 63.1 14.3 0.0 0.0 0.0 96.2 .. 97.5RTF Wansbeck General Hospital 20.8 79.2 60.0 19.0 0.0 0.0 0.2 97.1 .. 92.5RTR South Tees Hospitals NHS Trust Friarage Hospital 13.7 86.3 49.1 37.3 0.0 0.0 0.0 100.0 .. 85.0RTR James Cook UH 15.8 84.2 51.0 33.2 0.0 0.0 0.0 98.9 .. 92.5RE9 South Tyneside NHS Foundation Trust South Tyneside District Hospital 32.6 67.4 25.6 41.8 0.0 0.0 0.0 96.7 .. 90.0

Q31 North West 39.3 60.7 46.7 12.3 0.7 0.3 0.8 91.8 2,510 88.2

REM Aintree Hospitals NHS Trust University Hospital Aintree 63.4 36.6 15.6 15.1 4.6 0.1 1.1 100.0 .. 85.0RXL Blackpool, Fylde & Wyre Hospitals NHS Trust (1) Blackpool Victoria Hospital 32.2 67.8 23.1 44.6 0.2 0.0 0.0 97.3 .. 100.0RMC Bolton Hospitals NHS Trust Royal Bolton Hospital 13.6 86.4 75.7 7.3 0.2 3.2 0.0 95.9 .. 92.55JX Bury PCT Monarch Medical Centre 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 .. -5NP Central & Eastern Cheshire PCT Cumberland House 13.6 86.4 64.4 22.0 0.0 0.0 0.0 100.0 .. 87.5RW3 Central Manchester & Manchester Children's University Hospitals NHS Trust St Mary's Hospital for Women & Children 50.3 49.7 46.9 2.4 0.4 0.0 0.0 88.0 .. 90.0RJR Countess of Chester Hospital NHS Foundation Trust Countess of Chester Hospital 42.1 57.9 37.6 20.3 0.0 0.0 0.0 100.0 .. 92.5RXR East Lancashire Hospitals NHS Trust Burnley General Hospital 49.9 50.1 40.1 4.4 3.4 1.7 0.5 88.7 .. 92.5RXR Queens Park Hospital, Blackburn 60.5 39.5 36.2 2.9 0.4 0.0 0.0 87.9 .. 100.0RJN Eastern Cheshire Hospitals NHS Trust Macclesfield District General Hospital 17.0 83.0 68.0 10.9 1.6 1.6 0.8 69.7 .. 82.55NQ Heywood, Middleton & Rochdale PCT Dawes Family Practice 34.1 65.9 42.7 20.5 2.7 0.0 0.0 98.3 .. 95.0RXN Lancashire Teaching Hospitals NHS Foundation Trust Sharoe Green Hospital & Chorley 26.4 73.6 51.3 22.0 0.1 0.0 0.2 99.8 .. 90.0REP Liverpool Women's NHS Foundation Trust Liverpool Women's Hospital 61.3 38.7 19.8 14.3 0.2 0.2 4.1 95.3 .. 87.55NT Manchester PCT The Palatine Centre 34.8 65.2 65.2 0.0 0.0 0.0 0.0 100.0 .. -RBT Mid Cheshire Hospitals NHS Foundation Trust Leighton Hospital 44.2 55.8 28.2 24.1 0.7 0.0 2.8 77.9 .. 95.0RWW North Cheshire Hospitals NHS Trust Warrington Hospital 55.0 45.0 36.2 8.2 0.6 0.0 0.1 94.5 .. 95.0RNL North Cumbria Acute Hospitals NHS Trust The Cumberland Infirmary 20.8 79.2 55.9 22.6 0.7 0.0 0.0 85.9 .. 85.0RM3 Salford Royal NHS Foundation Trust Hope Hospital 26.6 73.4 57.1 14.2 0.5 1.6 0.0 94.8 .. 95.0RVY Southport & Ormskirk Hospital NHS Trust Ormskirk & District General Hospital 30.7 69.3 66.3 1.4 1.2 0.5 0.0 100.0 .. 85.0RVY Southport & Formby District General Hospital 31.3 68.8 68.8 0.0 0.0 0.0 0.0 97.8 .. 82.5RBN St Helens & Knowsley NHS Trust Whiston Hospital 30.0 70.0 59.9 7.9 0.2 0.1 1.9 88.0 .. 82.5RWJ Stockport NHS Foundation Trust Stepping Hill Hospital 31.4 68.6 65.5 3.0 0.1 0.0 0.0 96.2 .. 92.5RMP Tameside & Glossop Acute Services NHS Trust Tameside General Hospital 34.8 65.2 61.3 3.9 0.0 0.0 0.0 88.3 .. 97.5RW6 The Pennine Acute Hospitals NHS Trust Fairfield General Hospital 18.9 81.1 80.4 0.7 0.0 0.0 0.0 95.6 .. 95.0RW6 North Manchester General Hospital 26.4 73.6 59.9 12.5 0.4 0.1 0.6 99.2 .. 90.0RW6 Rochdale Infirmary 29.3 70.7 60.0 9.3 0.0 0.7 0.7 100.0 .. 92.5RW6 The Royal Oldham Hospital 22.2 77.8 71.7 5.7 0.1 0.3 0.0 98.4 .. 80.0RQ6 The Royal Liverpool & Broadgreen University Hospitals NHS Trust Royal Liverpool University Hospital 44.2 55.8 50.0 4.7 0.8 0.0 0.3 97.1 .. 95.0RM4 Trafford Healthcare NHS Trust Trafford General Hospital 33.7 66.3 62.2 2.2 1.2 0.2 0.4 36.5 .. 85.0

biopsies

KC65 Part E

Non diagnostic

KC65 Part C1 : 1st appointment

Procedure type used (all referrals)

86



KC65 Part D

Biopsyoutcome


No procedure

(%)Procedure


Excision (%)

Ablation & no

biopsy (%)

Ablation with



weeks (%)Number of

cases(5)(6)


(%)(1)

biopsies

KC65 Part E

Non diagnostic



RM2 University Hospital of South Manchester NHS Foundation Trust Withington Hospital 34.1 65.9 55.7 10.2 0.0 0.0 0.0 70.4 .. 62.5RM2 Wythenshawe Hospital 47.2 52.8 38.1 13.3 0.7 0.5 0.2 99.0 .. 85.0RTX University Hospitals of Morecambe Bay NHS Trust Furness General Hospital 24.5 75.5 73.9 1.6 0.0 0.0 0.0 99.1 .. 87.5RTX Royal Lancaster Infirmary 30.9 69.1 64.5 4.6 0.0 0.0 0.0 73.9 .. 90.0RTX Westmorland General Hospital 32.5 67.5 62.0 2.7 0.8 0.4 1.6 67.1 .. 85.0RBL Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital 42.3 57.7 42.5 14.3 0.0 0.1 0.8 95.1 .. 90.0RRF Wrightington, Wigan & Leigh NHS Trust Leigh Infirmary 21.4 78.6 52.7 24.0 1.1 0.1 0.6 89.0 .. 77.5

Q32 Yorkshire & Humber 30.7 69.3 47.4 19.8 0.4 0.1 1.5 96.6 1,747 88.2

RCF Airedale NHS Trust Airedale General Hospital 61.8 38.2 23.1 14.7 0.0 0.0 0.3 90.9 .. 100.0RFF Barnsley Hospital NHS Foundation Trust Barnsley DGH 46.2 53.8 33.0 19.0 0.0 0.1 1.7 100.0 .. 82.5RAE Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary 29.7 70.3 48.0 22.2 0.0 0.0 0.1 94.5 .. 90.0RWY Calderdale & Huddersfield NHS Foundation Trust Calderdale Royal Hospital 20.5 79.5 34.6 44.9 0.0 0.0 0.0 98.8 .. 100.0RWY Holme Valley Memorial Hospital 23.9 76.1 47.1 28.3 0.0 0.0 0.7 100.0 .. 100.0RWY Huddersfield Royal Infirmary 33.9 66.1 26.8 38.5 0.5 0.0 0.3 95.6 .. 100.05J6 Calderdale PCT Upper Valley Colposcopy Unit 15.3 84.7 57.6 27.1 0.0 0.0 0.0 100.0 .. 100.0RP5 Doncaster & Bassetlaw Hospitals NHS Foundation Trust Bassetlaw DGH 30.8 69.2 60.3 7.7 0.0 0.0 1.3 100.0 .. 100.0RP5 Doncaster GUM 66.7 33.3 33.3 0.0 0.0 0.0 0.0 100.0 .. 52.5RP5 Doncaster Royal Infirmary 14.5 85.5 75.8 8.2 0.5 0.0 1.1 99.4 .. 80.0RP5 Retford Hospital 38.2 61.8 56.5 2.3 0.0 0.0 3.1 97.8 .. 65.05N5 Doncaster PCT Carcroft Health Centre 36.2 63.8 60.6 3.1 0.0 0.0 0.0 99.2 .. 92.5RCD Harrogate District NHS Foundation Trust Harrogate District Hospital 31.6 68.4 45.7 19.4 0.0 0.0 3.3 99.1 .. 90.0RWA Hull & East Yorkshire Hospitals NHS Trust Castle Hill Hospital 28.6 71.4 29.9 39.9 0.3 0.0 1.3 87.2 .. 90.0RWA Hull Royal Infirmary 34.0 66.0 32.0 33.4 0.1 0.1 0.5 79.8 .. 90.0RR8 Leeds Teaching Hospitals NHS Trust St James's University Hospital 22.6 77.4 54.2 17.8 0.0 0.0 5.4 96.6 .. 85.0RR8 Wharfedale General Hospital 47.6 52.4 40.5 2.4 0.0 2.4 7.1 100.0 .. 2.5RXF Mid Yorkshire Hospitals NHS Trust Dewsbury & District Hospital 30.4 69.6 59.4 10.1 0.0 0.0 0.0 93.0 .. 92.5RXF Pontefract General Infirmary 21.7 78.3 57.5 15.2 3.8 0.6 1.1 98.6 .. 87.5TAN North East Lincolnshire Care Trust Littlefield Lane GP Surgery 10.3 89.7 60.3 29.3 0.0 0.0 0.0 100.0 .. 100.0RJL Northern Lincolnshire & Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital 13.5 86.5 50.4 33.7 0.0 0.2 2.2 100.0 .. 85.0RJL Goole & District Hospital 18.4 81.6 31.6 49.0 0.0 0.0 1.0 100.0 .. 97.5RJL Scunthorpe General Hospital 24.1 75.9 29.5 37.2 4.9 1.4 2.8 100.0 .. 77.5RCC Scarborough & North East Yorkshire Healthcare NHS Trust Bridlington & District Hospital 37.0 63.0 60.9 2.2 0.0 0.0 0.0 89.5 .. 100.0RCC Scarborough Hospital 27.5 72.5 43.8 27.3 0.2 0.7 0.4 99.4 .. 97.5RHQ Sheffield Teaching Hospitals NHS Foundation Trust Jessop Wing 35.3 64.7 58.1 6.6 0.0 0.0 0.0 97.5 .. 95.0RFR The Rotherham NHS Foundation Trust Rotherham DGH 54.9 45.1 36.5 8.5 0.1 0.0 0.0 97.5 .. 90.05N3 Wakefield District PCT White Rose GP Surgery 0.0 100.0 100.0 0.0 0.0 0.0 0.0 96.6 .. -RCB York Hospitals NHS Foundation Trust York Hospital 28.8 71.2 48.2 22.3 0.0 0.0 0.7 99.5 .. 87.5

Q33 East Midlands 37.7 62.3 36.9 21.8 1.7 0.2 1.7 96.5 1,430 86.4

RFS Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal Hospital NHS Foundation Trust 36.0 64.0 34.3 29.8 0.0 0.0 0.0 99.0 .. 87.5RTG Derby Hospitals NHS Foundation Trust Derby City General Hospital 20.8 79.2 53.7 20.2 0.1 0.0 5.2 98.8 .. 87.55N6 Derbyshire County PCT Buxton Medical Centre 10.7 89.3 75.0 5.4 0.0 0.0 8.9 95.8 .. 82.55N6 Goyt Valley Medical Practice 26.5 73.5 73.5 0.0 0.0 0.0 0.0 100.0 .. 90.05N6 Derbyshire County PCT (Derbyshire Community Health Services) Heanor Hospital 36.1 63.9 63.1 0.0 0.0 0.0 0.8 100.0 .. 72.5RNQ Kettering General Hospital Kettering General Hospital 25.1 74.9 56.3 12.8 5.8 0.0 0.0 99.7 .. 90.0RNS Northampton General Hospital Northampton General Hospital 44.0 56.0 37.3 16.1 1.2 0.2 1.1 92.7 .. 90.0RX1 Nottingham University Hospitals NHS Trust City Hospital 27.8 72.2 65.1 6.5 0.5 0.2 0.0 99.8 .. 85.0RX1 Queens Campus 45.3 54.7 37.0 12.5 0.0 0.0 5.2 96.3 .. 75.0RK5 Sherwood Forest Hospitals NHS Foundation Trust Kings Mill, Newark 17.4 82.6 53.4 25.0 1.8 2.4 0.0 93.6 .. 95.0RWD United Lincolnshire Hospitals NHS Trust Grantham & District General Hospital 12.3 87.7 48.8 26.5 12.3 0.0 0.0 100.0 .. 87.5

87



KC65 Part D

Biopsyoutcome


No procedure

(%)Procedure


Excision (%)

Ablation & no

biopsy (%)

Ablation with



weeks (%)Number of

cases(5)(6)


(%)(1)

biopsies

KC65 Part E

Non diagnostic



RWD Lincoln County Hospital 34.1 65.9 22.0 35.9 7.3 0.0 0.7 100.0 .. 90.0RWD Pilgrim Hospital Boston 17.4 82.6 6.5 73.3 2.8 0.0 0.0 86.2 .. 82.5RWE University Hospitals of Leicester NHS Trust LRI and Leicester General Hospital 63.8 36.2 5.1 28.8 0.4 0.0 1.9 88.9 .. 90.0

Q34 West Midlands 51.1 48.9 27.7 18.9 0.7 0.2 1.3 97.5 2,113 84.1

RLU Birmingham Women's NHS Foundation Trust Birmingham Women's Hospital 68.6 31.4 18.9 10.4 0.6 0.1 1.4 98.9 .. 85.0RJF Burton Hospital NHS Trust Queens Hospital, Burton 44.8 55.2 29.0 24.0 1.8 0.0 0.5 89.5 .. 95.0RNA Dudley Group of Hospitals NHS Foundation Trust Russells Hall Hospital, Dudley 54.4 45.6 14.5 27.6 1.3 0.0 2.2 98.5 .. 85.0RLT George Eliot Hospital NHS Trust George Eliot Hospital 42.1 57.9 4.0 44.4 8.9 0.0 0.7 92.8 .. 72.5RR1 Heart of England NHS Foundation Trust Heartlands Hospital 44.8 55.2 40.5 13.2 0.3 0.6 0.6 96.2 .. 95.0RR1 Good Hope Hospital 39.7 60.3 46.6 10.3 0.0 1.5 1.9 99.5 .. 77.5RR1 Solihull Hospital 45.0 55.0 40.2 12.8 0.7 0.4 0.9 96.4 .. 85.0RLQ Hereford Hospitals NHS Trust Hereford Hospital 31.0 69.0 44.2 22.7 0.0 0.0 2.1 92.8 .. 85.0RJD Mid Staffordshire Hospitals NHS Foundation Trust Staffordshire General Hospital (inc. GUM data) 19.8 80.2 69.5 10.7 0.0 0.0 0.0 98.0 .. 92.5RL4 Royal Wolverhampton Hospitals NHS Trust New Cross Hospital 45.8 54.2 26.7 25.8 1.2 0.1 0.4 100.0 .. 92.5RXK Sandwell and West Birmingham Hospitals NHS Trust City Hospital 71.4 28.6 12.1 14.6 0.6 0.0 1.3 100.0 .. 82.5RXK Sandwell Hospital 67.3 32.7 9.1 23.0 0.3 0.0 0.3 100.0 .. 90.0RXW Shrewsbury & Telford Hospitals NHS Trust Princess Royal Hospital 41.7 58.3 45.8 8.8 0.0 0.4 3.4 98.2 .. 62.5RXW Royal Shrewsbury Hospital 30.3 69.7 58.8 7.3 0.0 0.3 3.2 99.1 .. 72.55PK South Staffordshire PCT Samuel Johnson & Sir Robert Peel 41.2 58.8 45.5 12.9 0.0 0.4 0.0 100.0 .. 90.0RJC South Warwickshire General Hospitals NHS Trust Warwick Hospital 32.8 67.2 41.0 22.6 2.0 0.0 1.6 97.6 .. 90.0RJE University Hospital of North Staffordshire NHS Trust North Staffordshire Hospital 64.5 35.5 0.1 33.8 0.1 0.0 1.6 94.7 .. 80.0RKB University Hospitals Coventry & Warwickshire NHS Trust Hospital of St Cross, Rugby 41.9 58.1 38.5 19.7 0.0 0.0 0.0 100.0 .. 100.0RKB Walsgrave Hospital 33.7 66.3 33.1 32.4 0.7 0.1 0.0 97.6 .. 92.5RBK Walsall Hospitals NHS Trust Walsall Manor Hospital (inc. GUM data) 80.6 19.4 3.1 15.6 0.3 0.0 0.5 100.0 .. 85.0RWP Worcestershire Acute Hospitals NHS Trust Alexandra Hospital 54.1 45.9 33.4 10.7 0.5 0.0 1.2 97.4 .. 75.0RWP Kidderminster Hospital 40.8 59.2 47.8 9.9 0.0 0.0 1.5 97.0 .. 87.5RWP Worcestershire Royal Hospital 45.1 54.9 42.4 9.7 0.6 0.0 2.1 95.9 .. 92.55PL Worcestershire PCT (Worcestershire Community Health Services) Evesham Community Hospital 40.3 59.7 44.5 9.2 0.0 0.8 5.0 100.0 .. 92.5

Q35 East of England 29.9 70.1 43.2 24.6 0.9 0.1 1.3 97.1 2,239 88.3

RDD Basildon & Thurrock University Hospitals NHS Foundation Trust Basildon 68.1 31.9 14.8 15.6 0.7 0.0 0.8 99.6 .. 92.5RC1 Bedford Hospital NHS Trust Bedford 28.6 71.4 38.3 31.6 0.9 0.2 0.3 94.7 .. 70.0RGT Cambridge University Hospitals NHS Foundation Trust Addenbrooke's 46.3 53.7 29.7 23.9 0.0 0.0 0.0 99.3 .. 90.0RDE Colchester Hospital University NHS Foundation Trust Colchester General 33.5 66.5 43.8 22.6 0.0 0.0 0.1 93.0 .. 92.5RWH East & North Herts NHS Trust Lister 28.8 71.3 28.8 35.2 6.3 0.2 0.8 96.7 .. 92.5RWH Queen Elizabeth II 28.1 71.9 41.6 28.1 0.6 0.0 1.7 98.8 .. 95.0RQQ Hinchingbrooke Healthcare NHS Trust Hinchingbrooke 50.4 49.6 17.6 28.6 1.5 1.5 0.5 100.0 .. 87.5RGQ Ipswich Hospital NHS Trust Ipswich 26.8 73.2 29.6 43.2 0.4 0.0 0.1 99.6 .. 92.5RGP James Paget University Hospitals NHS Foundation Trust James Paget 8.6 91.4 68.9 22.4 0.0 0.0 0.2 71.4 .. 90.0RQ8 Mid Essex Hospital Services NHS Trust St John's 45.8 54.2 46.7 7.5 0.0 0.0 0.1 100.0 .. 82.5RM1 Norfolk & Norwich University Hospital NHS Trust Norfolk & Norwich 14.5 85.5 59.1 26.2 0.0 0.0 0.2 99.3 .. 90.0RGN Peterborough & Stamford Hospitals NHS Foundation Trust Peterborough District 22.6 77.4 52.4 21.8 0.0 0.0 3.1 100.0 .. 90.05P1 South East Essex PCT Queensway 31.1 68.9 37.8 13.3 0.0 0.0 17.8 100.0 .. 87.5RAJ Southend University Hospital NHS Foundation Trust Southend 18.5 81.5 53.7 27.5 0.1 0.0 0.2 100.0 .. 95.0RC9 The Luton & Dunstable Hospital NHS Foundation Trust Luton & Dunstable 31.1 68.9 43.6 24.8 0.4 0.0 0.0 79.2 .. 90.0RQW The Princess Alexandra Hospital NHS Trust Princess Alexandra 38.9 61.1 32.1 19.6 1.3 0.0 8.2 99.7 .. 95.0RCX The Queen Elizabeth Hospital King's Lynn NHS Trust Queen Elizabeth 23.8 76.2 47.3 26.4 2.0 0.0 0.4 98.4 .. 85.0RWG West Herts Hospitals NHS Trust St Albans 13.4 86.6 66.1 18.7 1.6 0.1 0.1 100.0 .. 90.0RWG Watford 19.3 80.7 59.1 18.9 1.3 0.7 0.7 100.0 .. 87.5RGR West Suffolk Hospitals NHS Trust West Suffolk 17.4 82.6 39.5 36.6 3.4 0.0 3.2 99.6 .. 92.5

88



KC65 Part D

Biopsyoutcome


No procedure

(%)Procedure


Excision (%)

Ablation & no

biopsy (%)

Ablation with



weeks (%)Number of

cases(5)(6)


(%)(1)

biopsies

KC65 Part E

Non diagnostic



Q36 London 39.2 60.8 57.1 2.9 0.2 0.0 0.5 95.1 2,524 88.2

RF4 Barking, Havering & Redbridge Hospitals NHS Trust Queens Hospital 41.7 58.3 53.0 4.8 0.0 0.5 0.0 91.7 .. 87.5RVL Barnet & Chase Farm Hospitals NHS Trust Barnet Hospital 30.9 69.1 68.8 0.2 0.1 0.0 0.0 98.7 .. 97.5RVL Chase Farm Hospital 20.1 79.9 79.2 0.2 0.0 0.0 0.5 98.2 .. 92.5RNJ Barts & The London NHS Trust St Bartholomew's Hospital 52.7 47.3 40.3 3.6 0.4 0.1 2.9 98.0 .. 75.0RG3 Bromley Hospitals NHS Trust Princess Royal University Hospital 38.3 61.7 46.8 13.0 0.2 0.0 1.7 97.1 .. 87.5RQM Chelsea and Westminster Healthcare NHS Trust Chelsea & Westminster Hospital 45.4 54.6 53.8 0.5 0.3 0.0 0.0 98.9 .. 97.5RC3 Ealing Hospital NHS Trust Ealing Hospital 28.8 71.2 70.1 0.9 0.0 0.0 0.1 100.0 .. 77.5RVR Epsom & St Helier University Hospitals NHS Trust St Helier Hospital 15.3 84.7 83.8 0.9 0.0 0.0 0.0 96.8 .. 97.5RJ1 Guy's & St Thomas' NHS Foundation Trust Guy's Hospital 35.6 64.4 60.7 2.8 0.3 0.1 0.5 93.1 .. 82.5RQX Homerton University Hospital NHS Foundation Trust Homerton Hospital 35.6 64.4 60.0 3.2 0.0 0.0 1.2 100.0 .. 97.5RYJ Imperial College Healthcare NHS Trust Hammersmith Hospital 48.0 52.0 51.0 1.0 0.0 0.0 0.0 100.0 .. 97.5RYJ St Mary's Hospital 36.8 63.2 62.8 0.4 0.0 0.0 0.0 100.0 .. 90.0RJZ King's College Hospital NHS Trust King's College Hospital 56.7 43.3 38.8 3.2 0.0 0.0 1.4 98.1 .. 77.5RAX Kingston Hospital NHS Trust Kingston Hospital 47.0 53.0 52.0 0.8 0.2 0.0 0.0 91.8 .. 90.0RAX Queen Mary's, Roehampton 58.0 42.0 42.0 0.0 0.0 0.0 0.0 100.0 .. -RJ2 Lewisham Hospital NHS Trust University Hospital Lewisham 31.5 68.5 66.7 1.3 0.3 0.0 0.2 99.5 .. 90.0RJ6 Mayday Healthcare NHS Trust Mayday Hospital 30.2 69.8 66.6 3.0 0.2 0.0 0.0 91.4 .. 95.0RNH Newham University Hospital NHS Trust Newham Hospital 44.8 55.2 41.0 14.2 0.0 0.0 0.0 99.5 .. 90.0RAP North Middlesex University NHS Trust North Middlesex Hospital 34.0 66.0 63.7 1.7 0.6 0.0 0.0 95.6 .. 92.5RG2 Queen Elizabeth Hospital NHS Trust Queen Elizabeth Hospital 39.6 60.4 57.4 1.1 0.8 0.2 1.1 94.9 .. 87.5RGZ Queen Mary's Sidcup NHS Trust Queen Mary's Hospital, Sidcup 25.4 74.6 61.7 11.6 0.4 0.3 0.6 77.7 .. 92.5RAL Royal Free Hampstead NHS Trust The Royal Free Hospital 44.6 55.4 55.1 0.3 0.0 0.0 0.0 87.0 .. 92.5RJ7 St George's Healthcare NHS Trust St George's Hospital 44.9 55.1 42.7 11.2 0.0 0.1 1.1 74.3 .. 90.0RAS The Hillingdon Hospital NHS Trust The Hillingdon Hospital 28.5 71.5 68.7 0.8 1.7 0.0 0.2 96.6 .. 82.5RV8 The North West London Hospitals NHS Trust Central Middlesex Hospital 35.5 64.5 64.5 0.0 0.0 0.0 0.0 100.0 .. 85.0RV8 Northwick Park Hospital 22.6 77.4 77.2 0.3 0.0 0.0 0.0 99.7 .. 92.5RKE The Whittington Hospital NHS Trust The Whittington Hospital 60.5 39.5 36.4 0.8 0.2 0.0 2.0 93.7 .. 87.5RRV University College London NHS Foundation Trust University College Hospital 35.2 64.8 63.6 0.8 0.3 0.0 0.1 100.0 .. 100.0RFW West Middlesex University Hospital NHS Trust West Middlesex Hospital 21.5 78.5 77.3 1.0 0.0 0.0 0.2 100.0 .. 97.5RGC Whipps Cross University Hospital NHS Trust Whipps Cross University Hospital 55.7 44.3 42.9 0.8 0.3 0.1 0.1 99.5 .. 82.5

Q37 South East Coast 36.1 63.9 38.7 21.2 1.2 1.1 1.7 90.7 960 88.5

RTK Ashford & St Peter's Hospitals NHS Trust Ashford & St Peters 40.0 60.0 41.2 17.8 0.3 0.5 0.2 93.7 .. 97.5RTK Blanche Heriot GUM 18.2 81.8 72.7 9.1 0.0 0.0 0.0 100.0 .. 100.0RXH Brighton & Sussex University Hospitals NHS Trust Royal Sussex County(3) 14.4 85.6 32.9 45.7 4.6 2.3 0.1 96.8 .. 100.0RN7 Dartford & Gravesham NHS Trust Darent Valley 32.5 67.5 38.8 23.9 1.6 3.0 0.2 82.3 .. 85.0RVV East Kent Hospitals NHS Trust Buckland 58.7 41.3 33.2 7.2 1.0 0.0 0.0 100.0 .. 77.5RVV Kent & Canterbury(7) 52.8 47.2 38.6 8.6 0.0 0.0 0.0 80.0 .. 62.5RVV QEQM 60.1 39.9 23.1 16.2 0.0 0.6 0.0 71.8 .. 67.5RVV William Harvey 61.2 38.8 27.8 11.0 0.0 0.0 0.0 100.0 .. -RXC East Sussex Hospitals NHS Trust Conquest 15.2 84.8 68.1 16.7 0.0 0.0 0.0 91.4 .. 92.5RXC Eastbourne 29.5 70.5 58.4 11.8 0.0 0.0 0.3 91.3 .. 85.0RVR Epsom & St Helier University Hospitals NHS Trust Leatherhead 21.9 78.1 50.5 24.0 3.3 0.0 0.3 94.8 .. 2.5RDU Frimley Park Hospital Foundation Trust Frimley Park 25.9 74.1 17.9 30.9 0.4 0.3 24.6 87.7 .. 92.5RWF Maidstone & Tunbridge Wells NHS Trust Maidstone 32.4 67.6 48.1 18.9 0.0 0.6 0.0 87.9 .. 100.0RWF Pembury 25.3 74.7 67.1 7.0 0.5 0.0 0.2 87.1 .. -RPA Medway NHS Trust Medway Maritime 52.8 47.2 21.7 24.0 0.2 1.2 0.0 72.5 .. 42.5RA2 Royal Surrey County Hospital NHS Trust Royal Surrey 29.2 70.8 54.1 14.0 0.5 1.0 1.2 94.4 .. 85.0RPR Royal West Sussex NHS Trust St Richards 51.8 48.2 9.5 30.9 2.8 4.5 0.5 98.7 .. 82.5

89



KC65 Part D

Biopsyoutcome


No procedure

(%)Procedure


Excision (%)

Ablation & no

biopsy (%)

Ablation with



weeks (%)Number of

cases(5)(6)


(%)(1)

biopsies

KC65 Part E

Non diagnostic



RTP Surrey & Sussex Healthcare NHS Trust Crawley 18.4 81.6 66.3 13.0 1.6 0.6 0.0 93.3 .. -RTP Dorking(4) 16.6 83.4 65.0 17.7 0.4 0.4 0.0 94.3 .. 85.0RPL Worthing & Southlands Hospitals NHS Trust Worthing & Southlands 51.8 48.2 27.7 17.5 1.0 2.0 0.0 91.4 .. 82.5

Q38 South Central 36.7 63.3 35.2 26.9 0.6 0.3 0.3 95.8 477 93.7

RXQ Buckinghamshire Hospitals NHS Trust Stoke Mandeville Hospital 25.2 74.8 43.7 31.1 0.0 0.0 0.0 100.0 .. 92.5RXQ Wycombe 19.9 80.1 40.9 38.6 0.6 0.0 0.0 100.0 .. 100.0RD7 Heatherwood & Wexham Park Hospitals Heatherwood 55.9 44.1 27.1 14.8 2.3 0.0 0.0 100.0 .. 100.0RD7 Wexham Park 59.7 40.3 2.9 32.9 3.2 1.3 0.0 51.7 .. 92.55QT Isle of Wight Healthcare PCT St Mary's Hospital 22.1 77.9 45.5 29.4 0.5 2.5 0.0 100.0 .. 100.0RD8 Milton Keynes General Hospital NHS Trust Milton Keynes General Hospital NHS Trust 37.2 62.8 33.5 27.5 0.5 0.6 0.6 100.0 .. 95.0RN5 North Hampshire Hospitals NHS Trust Basingstoke 78.7 21.3 5.6 15.0 0.6 0.0 0.0 96.3 .. -RTH Oxford Radcliffe Hospitals NHS Trust Oxford Radcliffe Hospitals NHS Trust 25.5 74.5 48.7 23.8 0.3 0.0 1.7 92.7 .. 92.5RHU Portsmouth Hospitals NHS Trust Portsmouth Hospitals NHS Trust 35.3 64.7 29.9 34.4 0.1 0.1 0.2 94.9 .. 92.5RHW Royal Berkshire & Battle Hospitals NHS Trust Royal Berks 24.4 75.6 42.6 32.8 0.0 0.1 0.1 99.0 .. 100.0RHM Southampton University Hospitals NHS Trust Southampton University Hospitals NHS Trust 37.5 62.5 43.0 19.0 0.4 0.0 0.1 100.0 .. 95.0RN1 Winchester & Eastleigh Healthcare NHS Trust Winchester & Eastleigh Healthcare NHS Trust 34.6 65.4 47.1 18.1 0.0 0.2 0.0 98.6 .. 95.0

Q39 South West 33.4 66.6 50.2 15.2 0.4 0.1 0.7 99.1 1,969 85.1

REF Bodmin Independent Treatment Centre Ramsay Health 13.2 86.8 67.9 17.0 0.0 0.0 1.9 100.0 .. 90.0RA4 East Somerset NHS Trust Yeovil District Hospital 61.8 38.2 33.8 2.9 1.5 0.0 0.0 100.0 .. 85.0RTE Gloucestershire Hospitals NHS Foundation Trust Royal Gloucestershire Hospital 17.7 82.3 62.8 18.9 0.0 0.0 0.7 99.6 .. 90.0RVJ North Bristol NHS Trust Southmead Hospital 23.8 76.2 62.4 13.6 0.2 0.0 0.0 100.0 .. 95.0RBZ Northern Devon Healthcare NHS Trust North Devon District Hospital 60.9 39.1 24.1 14.8 0.2 0.0 0.0 100.0 .. 90.0RK9 Plymouth Hospitals NHS Trust Derriford Hospital 19.1 80.9 66.9 12.6 0.4 1.0 0.0 96.7 .. 85.0RD3 Poole Hospital NHS Trust St Mary's 16.2 83.8 81.5 1.8 0.0 0.0 0.5 98.2 .. 87.5RDZ Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust The Royal Bournemouth Hospital 27.3 72.7 69.4 1.0 1.3 0.0 1.0 100.0 .. 90.0REF Royal Cornwall Hospitals NHS Trust Royal Cornwall Hospital 26.4 73.6 46.3 25.7 0.6 0.0 1.0 99.5 .. 90.0RH8 Royal Devon & Exeter NHS Foundation Trust Royal Devon & Exeter Hospital 47.7 52.3 29.9 19.5 0.0 0.0 2.9 99.8 .. 70.0RD1 Royal United Hospital Bath NHS Trust Royal United Hospital Bath 30.5 69.5 41.7 26.6 1.2 0.0 0.0 97.7 .. 97.5RNZ Salisbury Healthcare NHS Trust Salisbury Healthcare NHS Trust 37.0 63.0 52.3 7.6 2.5 0.0 0.6 100.0 .. 87.5RA9 South Devon Healthcare NHS Trust Torbay Hospital 73.3 26.7 9.4 16.1 0.0 0.0 1.2 100.0 .. 92.5RN3 Swindon & Marlborough NHS Trust Swindon & Marlborough NHS Trust 12.7 87.3 76.5 10.5 0.3 0.0 0.0 99.4 .. 92.5RBA Taunton & Somerset NHS Trust Taunton & Somerset NHS Trust 44.9 55.1 42.8 10.6 0.0 0.0 1.7 98.3 .. 77.5RA7 United Bristol Healthcare NHS Trust St Michaels Hospital 25.3 74.7 57.5 16.8 0.2 0.0 0.2 99.5 .. 82.5RBD West Dorset General Hospitals NHS Trust Dorset County Hospital 39.9 60.1 59.1 0.2 0.7 0.0 0.0 98.2 .. 92.5

(1) Percentages have been rounded up to the next 2.5% band(2) Includes figures for HMP Low Newton(3) Includes figures for Princess Royal(4) Includes figures for HMP Downview(5) Number of cases excludes those non-diagnostic biopsies with an unknown result(6) Clinic level data has been suppressed due to potential disclosure issues associated with small numbers(7) Subsequent to publication, SE Coast SHA advised that KC65 data for Kent and Canterbury cannot be confirmed as entirely accurate due to severe clerical staffing difficulties which affected data collection during 2009/10.

Source: KC65 Parts C1, D and E


90


Appendices Appendix A - Definitions

5.1 Coverage is defined as the percentage of women in a population eligible for screening at

a given point in time who were screened adequately within a specified period. For the

complete target age group (25 to 64 years), coverage is calculated as the number of women

in this age group who have had an adequate screening test within the last 5 years as a

percentage of the eligible population aged 25-64. Women ineligible for screening, and thus

not included in the numerator or denominator of the coverage calculation, are those whose

recall has been ceased for clinical reasons (most commonly due to hysterectomy).

5.2 Local level coverage is calculated for Primary Care Organisations (i.e. Primary Care

Trusts or Care Trusts). Although PCOs do have a defined geographical boundary, the

populations used are not those of women resident within the PCO boundaries. Instead the

populations of women for whom each PCO is responsible are used. Responsible

populations include women on the list of GPs who comprise the PCO, regardless of which

geographical PCO they live in; where women on the call/recall register are not under the

care of a GP at the time coverage is calculated, they are allocated to a PCO on a

geographical basis.

5.3 Cytology tests result categories The terms “potential cancer”, “abnormal”, “negative” and “inadequate” used in the text to

describe the result of a cytology test are defined as follows in terms of the categories used

on the cytology report form HMR 101/5:

Abnormal: HMR 101/5 cat. 8 (borderline changes), cat. 3 (mild dyskaryosis), cat. 7

(moderate dyskaryosis), cat. 4 (severe dyskaryosis), cat. 5 & 6 (see Potential Cancer

below); Women who have an abnormal test categorised as result code 3 or 8 may be

recalled early for another test and referred if the abnormality persists. Women who have an

abnormal test categorised as result code 4, 5, 6 or 7 will be referred immediately for further

investigation, e.g. colposcopy.


Potential cancer: HMR 101/5 cat. 5 (severe dyskaryosis/?invasive carcinoma) or cat. 6

(?glandular neoplasia); women who have such test results should be referred urgently for

further investigation, e.g. biopsy.

Negative: HMR 101/5 cat. 2 (negative); women with a negative test result will be returned

to the screening programme to be called again usually at the normal interval (3 or 5 years).

Inadequate: HMR 101/5 cat. 1 (inadequate); An inadequate test result indicates that valid

test result could not be determined from the sample. Women with inadequate sample will

be recalled for a repeat test. Women with multiple consecutive inadequate results may be

referred for further investigation.

5.4 Positive Predictive Value (PPV): Positive Predictive Value is a measure of the

laboratory’s ability to predict CIN2 or worse from tests with result moderate dyskaryosis or

worse. PPV relating cytology with histology is calculated from outcomes of referral for tests

with result moderate dyskaryosis or worse as follows:

(Numerator / Denominator) x 100

Numerator:

Number of tests with outcome of referral; cancer, adenocarcinoma in situ, CIN3 or

CIN2.

Denominator:

Number of tests with outcome of referral known and not recorded as inadequate

biopsy.

5.5 CIN (cervical intra-epithelial neoplasia) CIN is not cancer but an indicator of the

depth of abnormal cells within the surface layer of the cervix, and is divided into 3 grades.

The higher the number/grade the more severe the condition:

• CIN 1 – one third of the thickness of the surface layer of the cervix is affected.

• CIN 2 – two thirds of the thickness of the surface layer of the cervix is affected.


• CIN 3 – full thickness of the surface layer of the cervix is affected (also known as

carcinoma in situ)

5.6 HPV Sentinel Site Several areas have been operating an HPV triage programme,

whereby women with a cytology result of mild dyskaryosis or borderline changes are

initially tested for the presence of HPV and only women who have high risk HPV infection

are referred for further investigation. This can speed up referral to colposcopy where

required and avoid referral where HPV is not found. If the HPV test is negative, women are

returned to the screening programme for routine recall. Further information is available

from: http://cancerscreening.org.uk/cervical/hpv-sentinel-sites.html

5.7 In the tables: .. = Not available - = Zero

5.8 For definitions of further medical terminology please visit the Cancer Screening

Programmes website at www.cancerscreening.nhs.uk

http://cancerscreening.org.uk/cervical/hpv-sentinel-sites.html

http://www.cancerscreening.nhs.uk/


Appendix B - Glossary Term Definition ?Glandular Neoplasia ?Glandular Neoplasia means ‘suspected glandular neoplasia’.

Samples are identified as ?glandular neoplasia if there are dyskaryotic cells with cytological features suggesting cervical glandular intraepithelial neoplasia (CGIN) or invasive endocervical adenocarcinoma, endometrial adenocarcinoma or extra-uterine adenocarcinoma12.

?Invasive Carcinoma ?Invasive Carcinoma means ‘suspected invasive carcinoma’. Invasive carcinoma is commonly called cancer.

Adenocarcinoma in situ A localized growth of abnormal glandular tissue that may become malignant13.

Biopsy A biopsy is a medical procedure that involves taking a small sample of tissue so that it can be examined under a microscope. The term ‘biopsy’ is often used to refer to the act of taking the sample and the tissue sample itself14.

Carcinoma in situ (CIS) This is an early form of carcinoma. There are cancerous cells in

the cervix but they have not started to grow beyond the small area where they started15. CIN 3 is sometimes called 'carcinoma in situ'.

CIN Cervical Intra-epithelial Neoplasia. See Definitions for more information

Colposcope A colposcope is a specially designed and lighted microscope. It allows a doctor or specialist nurse to look more closely at the cells that cover the delicate lining of the cervix.

Colposcopy A colposcopy is a detailed examination of the cervix (the neck of the womb).16

12 Source: Achievable standards, Benchmarks for reporting, and Criteria for evaluating cervical Cytopathology, NHSCSP Publication No 1, May 2000 13 http://medical-dictionary.thefreedictionary.com 14 NHS Choices: http://www.nhs.uk/conditions/biopsy/pages/introduction.aspx 15 NHS Choices: Cervical Cancer - Treatment - NHS Choices 16 NHS Choices: http://www.nhs.uk/conditions/colposcopy/Pages/Introduction.aspx

http://medical-dictionary.thefreedictionary.com/

http://www.nhs.uk/conditions/biopsy/pages/introduction.aspx

http://www.nhs.uk/conditions/colposcopy/Pages/Introduction.aspx


Cytology The medical and scientific study of cells. Cervical Cytology refers to a branch of pathology, the medical specialty that deals with making diagnoses of cervical dysplasia through the examination of cell samples.

Dyskaryosis Dyskaryosis is the nuclear change which is seen in cells derived

from lesions histologically described as CIN17.

Dysplasia Dysplasia is an abnormality of development. Cervical dysplasia refers to abnormal changes in cells from the surface of the cervix which, if left untreated, could lead to cervical cancer.

Excision Biopsy An excisional biopsy is where surgery is used to remove a larger area of tissue, such as a lump, for closer examination. Excision means ‘cutting out’, or ‘removal’18.

Histology The study of the form of structures seen under the microscope19.

HPV Human papilloma virus (HPV) is the name of a family of viruses

that affect the skin and the moist membranes that line the body, such as those in the cervix, anus, mouth and throat. Infection with some types of HPV can cause abnormal tissue growth and other changes to cells, which can lead to cervical cancer.

Liquid Based Cytology (LBC)

Liquid based cytology (LBC) is a way of preparing cervical samples for examination in the laboratory20.

Screened

A woman has been screened if she has had an adequate cervical screening test result. A woman who has had only an inadequate test has not been screened.

Tested A woman has been tested if she has had a cervical screening test, regardless of the result.

17 Source: Achievable standards, Benchmarks for reporting, and Criteria for evaluating cervical Cytopathology, NHSCSP Publication No 1, May 2000 18 NHS Choices: http://www.nhs.uk/conditions/biopsy/pages/introduction.aspx 19 MedicineNet.Com, http://www.medterms.com 20 http://www.cancerscreening.nhs.uk/cervical/lbc.html

http://www.nhs.uk/conditions/biopsy/pages/introduction.aspx

http://www.medterms.com/

http://www.cancerscreening.nhs.uk/cervical/lbc.html


Appendix C - Related Publications and Useful Web Links

This bulletin and copies of the Korner returns KC53, KC61 and KC65 can be found on the

NHS Information Centre website at: www.ic.nhs.uk/pubs/cervscreen0809

Since 2004/05 this bulletin has been published by the NHS Information Centre. Previous

editions published by the Department of Health, can be found at:

http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/StatisticalWorkAreas/Statistical

healthcare/DH_4086491

Further information about cervical screening is available from the NHS Cancer Screening

Programmes: http://www.cancerscreening.nhs.uk/

http://www.ic.nhs.uk/pubs/cervscreen0809

http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/StatisticalWorkAreas/Statisticalhealthcare/DH_4086491

http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/StatisticalWorkAreas/Statisticalhealthcare/DH_4086491

http://www.cancerscreening.nhs.uk/


Published by the NHS Information Centre for health and social care Part of the Government Statistical Service ISBN 978-1-84636-469-3 This publication may be requested in large print or other formats. Responsible Statistician Clare McConnell – Section Head For further information: www.ic.nhs.uk 0845 300 6016 [email protected] Copyright © 2010 The Health and Social Care Information Centre, Public Health Indicators

and Population Statistics team. All rights reserved.

This work remains the sole and exclusive property of the Health and Social Care

Information Centre and may only be reproduced where there is explicit reference to the

ownership of the Health and Social Care Information Centre.

This work may be re-used by NHS and government organisations without permission.

This work is subject to the Re-Use of Public Sector Information Regulations and permission

for commercial use must be obtained from the copyright holder.

2009 10 Cervical Bulletin Final Report AI v1F

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