Cervical Screening Programme England 2010-11 1
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, Screening and Immunisations team Responsible Statistician: Clare McConnell, Section Head Version: 1.1 Date of Publication: 24 th November 2011 2
Contents Contents 3 Executive Summary 4 Introduction 6 1.1 Background 6 1.2 Quality Statement 8 1.3 Report Structure 13 1.4 Experimental Statistics 14 1.5 Changes to the Report 15 1.6 User Feedback 15 Analysis and Commentary 16 Call and Recall Programme 16 Cervical Cytology 34 Colposcopy 43 Data Tables 52 Appendices 98 Appendix A - Definitions 98 Appendix B - Glossary 101 Appendix C Feedback from Users 103 Appendix D Data Validation and Data Quality 104 Appendix E - Related Publications and Useful Web Links 107 3
Executive Summary Cervical Screening Programme, England 2010-11 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. This report presents information about the NHS Cervical Screening Programme in England in 2010-11 and includes data about the call and re-call system, screening samples examined by pathology laboratories, and referrals to colposcopy clinics. The statistics in this report are used to inform policy and to monitor the quality, effectiveness and safety of screening services. The statistics are based on information that is routinely collected by the NHS Cancer Screening Programmes for the operation of the screening programme including quality assurance and performance management purposes. They are presented by Primary Care Organisation (PCO), Strategic Health Authority (SHA), pathology laboratory and colposcopy clinic. The current target age group for the Cervical Screening Programme of 25-64 years is used to report statistics. Main Findings At 31 st March 2011, the percentage of eligible women (aged 25 to 64) who were recorded as screened at least once in the previous 5 years (coverage) was 78.6%. This compares to 78.9% in 2010 and to 79.5% five years ago (in 2006). Time from screening to receipt of results is measured using an expected delivery date. In 2010-11, 78.9% of test results were reported to have an expected delivery date of within 2 weeks of the sample being taken (i.e. women would be expected to receive the results of their tests within 2 weeks). 4
In previous years time from screening to availability of result, which is measured as the number of days from the sample being taken to the result being sent by the PCO, has been reported. The percentage of test results available within 2 weeks has increased each year since 2007-08 when it first became possible to monitor 2 week availability. In 2009-10, 44.6% of test results were available within 2 weeks. In 2010-11, this figure was considerably higher at 82.8%. Just under 3.7 million samples were examined by pathology laboratories in 2010-11; similar to the numbers examined in 2009-10. Of the 3.7 million samples examined in 2010-11, 3.4 million (93.2%) were submitted by GPs and NHS community clinics. The percentage of laboratory tests authorised (i.e. test results confirmed) within 2 weeks of receipt at the laboratory increased in 2010-11 to 92.9% from 60.5% in 2009-10. A further 6.1% were authorised within 4 weeks. In 2010-11, 27.9% of women referred to colposcopy were offered an appointment within 2 weeks. This percentage rose to 65.5% for those offered an appointment within 4 weeks of referral. 5
Introduction This report presents information about the NHS Cervical Screening Programme in England in 2010-11 and includes data about the call and re-call system, screening samples examined by pathology labs and referrals to colposcopy clinics. The publication includes analysis and commentary along with a series of detailed tables and a Glossary to aid understanding of the technical terms used. The report focuses on England but also includes regional comparisons and coverage statistics from other UK countries. The statistics in this report are used to inform policy and to monitor the quality, effectiveness and safety of screening services. This publication has been in existence for a number of years and publications are available dating back to 1995. The report was originally published by the Department of Health Statistics Division. Responsibility for the publications transferred from DH to the NHS Information Centre when it was formed in 2005. 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. The cervical screening process falls into three main phases: 6
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 laboratories for screening by a cytologist. The results of the test are returned to PCTs, the GP, and the sample taker (if not the GP). The Cancer Reform Strategy, states that women should receive their cervical screening tests result within 2 weeks and this commitment was highlighted in the 2010-11 NHS Operating Framework which stated that the target should be achieved for all women by the end of 2010 1. 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 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. 1 Cancer Reform Strategy, 2007, Department of Health - http://www.dh.gov.uk/en/publicationsandstatistics/publications/publicationspolicyandguidance/dh_081006 7
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 Quality Statement This Quality Statement presents information to aid interpretation of the data. A fuller Quality Statement is available on the publication webpage which can be accessed via the following link: www.ic.nhs.uk/pubs/cervscreen1011 Data Sources 1.2.1 The statistics are based on information that is routinely collected by the NHS Cancer Screening Programmes for the operation of the screening programme including quality assurance and performance management purposes. They are presented by Primary Care Organisation, Strategic Health Authority, pathology laboratory and colposcopy clinic. The information is collected on the following three returns: KC53 information from the call and recall system, collected on all 151 Primary Care Organisations. KC61 information on screening samples examined by pathology laboratories, collected from 109 laboratories carrying out cervical cytology. KC65 information on referrals to colposcopy, subsequent treatment and outcome, collected from 217 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. 8
In addition to the above returns, data on time from screening to receipt of results is obtained from monthly reports produced by the open Exeter system 2. The NHS Data Model and Dictionary Service contains more information on the above returns including guidance on content, completion and definitions. Links to the returns are given below: KC53 http://www.datadictionary.nhs.uk/data_dictionary/messages/central_return_for ms/community/kc53/kc53_fr.asp?shownav=1 KC61 http://www.datadictionary.nhs.uk/data_dictionary/messages/central_return_forms/comm unity/kc61/kc61_fr.asp?shownav=1 KC65 http://www.datadictionary.nhs.uk/data_dictionary/messages/central_return_forms/comm unity/kc65/kc65_fr.asp?shownav=1 Further information on the underlying sources of information can be found in the NHS ICs List of Administrative Sources, available through the following link: http://www.ic.nhs.uk/statistics-and-data-collections/publications-calendar/administrativesources/list-of-administrative-sources The data from each of the three returns is collected at the end of each financial year in aggregate form. The NHS Cervical Screening Programme includes regional Quality Assurance (QA) Reference Centres (QARCs) which are responsible for quality assuring the screening programme including KC53, KC61 and KC65 returns. Data are quality assured by the QARCs on an annual basis. Aggregated data is provided to the NHS Information Centre 2 Connecting for Health (CfH) Exeter system (NHAIS), Cancer Screening Statistics VSA15 Report. 9
(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. 1.2.2 Accuracy and Reliability These are established collections based on 100 per cent data, i.e. not a sample. Submissions have been made for all PCOs and by all pathology laboratories and colposcopy clinics. Appendix D contains further information on data validation and data quality. Data quality issues were identified in relation to figures submitted by a 8 laboratories carrying out cervical cytology and a 10 of clinics/trusts providing colposcopy services. Details of the data quality issues identified are reported in Appendix D. 1.2.3 Timeliness and Punctuality The cervical screening data are made available as soon as possible after they have been compiled and validated (usually October each year). A copy of last year s report can be found at: http://www.ic.nhs.uk/statistics-and-data-collections/screening/cervical-screening/cervicalscreening-programme-england-2009-10 1.2.4 Accessibility and Clarity Most data fields are published in the Data Tables as part of this 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 The tables and graphs are also available as Excel files and tables are available as CSV 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. 10
1.2.5 Coherence and Comparability Changes in Screening Policy 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. Time series The main tables in the publication contain time series which enable examination of trends over a period of years. Throughout the report statistics are compared with the previous year. Comparisons with other countries This report includes coverage comparisons with other UK countries which can be found in section 2.1.7 1.2.6 Confidentiality, Transparency and Security The standard NHS security and confidentiality policies have been applied in the production of these statistics. An annual risk assessment is undertaken prior to publication which addresses any potential issues around disclosure. The following disclosure controls have been applied to this publication: 11
In Table 26b the actual number of biopsies by organisation has been suppressed, leaving totals by region available. The percentage showing CIN (cervical intra-epithelial neoplasia) or worse has been banded to 2.5% increments. 1.2.7 Data Revisions Subsequent to publishing the Cervical Screening Programme, England, 2009-10 report on 21 st October 2010, a number of changes were identified as being needed affecting Tables 1, 18, 18a, 19, 20, 21, 24, 25, 26a and 26b in the Data Tables and Tale O in the PDF report. These errors were mainly due to incorrect data submissions. There was a small impact on England level data in Tables 18 and 18a. The impact on England level data for all other tables affected was very limited. All relevant excel tables were reissued on 22 nd November 2011 except Table 1, which was footnoted. Please note that figures were not revised in the full PDF report. The re-issued excel tables and an Errata Note detailing the revisions can be found on the publication webpage: http://www.ic.nhs.uk/statistics-and-data-collections/screening/cervicalscreening/cervicalscreening-programme-england-2009-10 Where this report uses 2009-10 statistics, they are the correct, revised statistics. Where data is re-submitted post publication in the future, the NHS IC will assess whether the resubmitted data has a significant impact on England level data. Where this is the case, the affected excel tables will be re-issued. Where the impact to England level data is not significant, footnotes will be made to the affected tables. 12
1.3 Report Structure 1.3.1 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 1.3.2 More detailed tables are presented in the Data Tables section. 1.3.3 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. 1.3.4 Due to the technical nature of some of the terms used in this report a Glossary is included as an aid to understanding see Appendix B. 1.3.5 Appendix A contains Definitions which users may find useful when reading this report. A definition of coverage is included in this appendix. 13
1.4 Experimental Statistics 1.4.1 Time from screening to receipt of result In previous years, this publication has reported the time from screening to availability of result which is measured as the number of days from the sample being taken to the result being sent by the PCO to the woman (not to the woman receiving the result). This year, time from screening to receipt of result, as measured by expected delivery date, is reported as these data are considered to be of more interest to users of the statistics. They are published as experimental statistics as they are undergoing evaluation. A key part of the Experimental Statistics label is user engagement in the evaluation of those statistics. The NHS IC invites readers to comment on this publication, which will help inform the next report. Comments may be sent to: enquiries@ic.nhs.uk As in previous years, Table 9 and 9a in the Data Tables section of this publication present figures at both regional and local level for time from screening to availability of result. In addition, Tables 9b and 9c present figures at both regional and local level for time from screening to receipt of result as measured by expected delivery date. The NHS IC does not intend to publish statistics on time from screening to availability of results in future publications. Users of the publication who have any concerns about this change should contact the NHS IC: Tel: 0845 300 6016 enquiries@ic.nhs.uk 14
1.5 Changes to the Report 1.5.1 UK Coverage statistics Coverage in other UK countries is included in this year s report to enable comparison (see section 2.1.7). However, it should be noted that cervical screening programmes in other counties vary in terms of the age groups covered by the screening programmes, the frequency of screening and in how coverage is calculated. In comparing coverage in England to other counties, these differences (which are detailed in the text) should be considered. 1.6 User Feedback 1.6.1 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/pubscervscreen1011 Feedback received from users via the publication webpage is summarised in Appendix C along with any action that has been taken as a result of this feedback. 15
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 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. 16
The eligible population is the PCT s responsible population 3 excluding those women whose recall to screening has been ceased for clinical reasons (most commonly due to hysterectomy). 2.1.2 At 31 st March 2011, the percentage of eligible women (aged 25 to 64) who were recorded as screened at least once in the previous 5 years (coverage) was 78.6%. This compares to 78.9% in 2010 (see Table A) and to 79.5% five years ago (in 2006).. Table A: Cervical Screening: Coverage by Age Group, at 31 st March 2010 and 2011 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) (%) 2010 74.0 78.9 78.9 2011 73.7 78.0 78.6 Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section. Figure 1 shows coverage of the target age group since 2002. 3 The Primary Care Trust's responsible population comprises: - all persons registered with a GP whose practice forms part of the PCT, regardless of where the person is resident, plus - any persons not registered with a GP who are resident within the PCTs statutory geographical boundary. Note that persons resident within the PCTs geographic area, but registered with a GP belonging to another PCT, are the responsibility of that other Primary Care Trust. 17
Figure 1: Cervical screening: Coverage of the target age group (25-64), England at 31 st March, 2002 to 2011 % coverage (less than 5 years since last adequate test) 85 80 75 70 65 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2006 data as at 10th August 2006 Data prior to 2005, re-used w ith the permission of the Department of Health Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section. 2.1.3 The fall in coverage in 2010-11 is also apparent in the different age groups. For those aged 25 to 49 (who are invited every 3 years), coverage at 31st March 2011 was 73.7% compared with 74.0% in 2010. Among women in the older age range, 50 to 64 years (who are invited every 5 years), coverage on 31 st March 2011 also fell to 78.0% from 78.9% the previous year (see Table A). Figure 2 shows a detailed breakdown of the change in coverage from 2010 by age group. Figure 2: Cervical screening: Coverage by age, England, at 31 st March, 2010 and 2011 90.0% 80.0% 72.8% 72.8% 76.9% 76.5% 78.7% 78.4% 79.1% 78.7% 82.6% 82.6% 78.3% 76.9% 75.1% 73.4% 2010 2011 70.0% 62.8% 62.5% 60.0% Coverage 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 Age 25-49 (coverage <3.5 yrs since last test) 50-64 (coverage <5 yrs since last test) Source: KC53, The NHS Information Centre. See also Table 1 in Data Tables section. 18
2.1.4 Coverage of the target age group (25-64) varied between Strategic Health Authorities, with 4 achieving 80% or more and 6 achieving below 80% (see Table B). The highest reported coverage was in the East Midlands at 81.4%, the lowest was London at 74.0%. Table B: Coverage for 25-64 age group by SHA, 31 st March 2010 and 2011 Coverage (Less than 5 years SHA since last adequate test) (%) 2010 2011 England 78.9 78.6 North East 80.1 79.5 North West 78.4 78.0 Yorkshire & the Humber 80.2 79.9 East Midlands 82.1 81.4 West Midlands 78.5 78.0 East of England 80.6 80.3 London 73.9 74.0 South East Coast 80.2 80.1 South Central 79.5 79.7 South West 80.9 80.5 Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section. 2.1.5 Coverage was 80% or higher in 57 of the 151 PCOs - see Figures 3 and 3a. Figure 3 - Cervical screening: coverage of the target age group (25-64) by Primary Care Organisation, England, 31 st March 2011 Number of PCOs 75 66 57 50 25 26 2 0 0 65 65 70 70 75 75 80 80 85 85 90 Coverage (% of eligible population less than 5 years since last test) NB: Due to rounding, the figures presented in the above bar chart may not exactly match those derived from aggregating the relevant columns from Table 13 in the Data Tables section. Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section. 19
Figure 3a - Cervical screening: coverage of the target age group (25-64) by Primary Care Organisation, England, 31 st March 2011 NB: Due to rounding, the figures presented in the above bar chart may not exactly match those derived from aggregating the relevant columns from Table 13 in the Data Tables section. Source: KC53, The NHS Information Centre. See also Table 13 in Data Tables section. 2.1.6 Where coverage is calculated to include those with recall ceased for clinical reasons 4, 73.3% of women in the 25-64 age group were recorded as being tested within 5 years of their last adequate test on 31 st March 2011. A further 6.8% were tested within 10 years of their last test. 8.8% had been called but had never attended for screening (see Table C) 4 Ceased for clinical reasons usually indicates the women has no cervix. 20
Table C: Test status of women aged 25-64 at 31 st March 2011 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 14681.1 991.3 4616.6 4146.6 682.3 1314.3 1005.5 337.5 252.3 26.3 1287.1 21.4 (%) 6.8 31.4 28.2 4.6 9.0 6.8 2.3 1.7 0.2 8.8 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. 2.1.7 Table D shows coverage in other UK countries. It should be noted that cervical screening programmes in other counties vary in terms of the age groups covered by the screening programmes, the frequency of screening and in how coverage is calculated. In comparing coverage in England to other counties, these differences (detailed in the footnotes) should be borne in mind. Coverage in Table D below is calculated for women aged 25 to 64 years for all countries with the exception of Scotland where it is calculated for women aged 20-60 years. Table D: Coverage by Country at 31 st March 2011 Country Number of eligible women (thousands) Number of women less than 5 years since last adequate test (thousands) Coverage (Less than 5 years since last adequate test) (%) England 5 13,689.8 10,759.7 78.6 Northern Ireland 6 472.0 365.0 77.3 Scotland 7 1,455.1 1,150.5 79.1 8 Wales 9 744.1 592.4 79.6 Source for England figure: KC53, The NHS Information Centre. See also Table 2 in Data Tables section. 5 In England women between the ages of 25-64 years are invited for screening. Women aged 25-49 are invited every 3 years and those aged 50-64 are invited every 5 years. 6 The Northern Ireland screening programme targets women aged 20-64 but reports on those aged 25-64. Prior to January 2011, women in Northern Ireland were invited for screening every 5 years. However, since January 2011 women aged 25-49 have been invited every 3 years. 7 The Scottish screening programme targets women aged 20-60, who are invited for screening every 3 years. 8 Scotland coverage figure is for within 5.5 years since last adequate test. For further information on Scottish data, please contact: nss.isdcancerstats@nhs.net 9 The Welsh screening programme targets women aged 20-64, who are invited for screening at least every 3 years. However, the coverage published above is reported for the age range 25-64 years 21
With the exception of Scotland, coverage is calculated as the percentage of women in a population eligible for screening at a given point in time who were screened adequately within the past 5 years. The Scottish programme calculates coverage within the past 5.5 years. 2.2 Invitations for screening 2.2.1 The number of women aged 25 to 64 invited for screening increased by 259,085 (6.4%) in 2010-11, taking the total number of invitations for this age group to 4.3 million (see Table E). In 2009-10, 4.1 million women in this age group were invited for screening. Within the 25-49 years age group, 3.4 million women were invited for screening in 2010-11 an increase of 120,024 (3.7%) from 2009-10. A total of 955,331 women aged 50-64 were invited for screening in 2010-11, an increase of 139,061 (17.0%) from the previous year. 2.2.2 Examination of women invited by age group over the last 5 years shows some variation see Table E and Figure 4. 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 E and Figure 4. 22
Table E: Number of women invited for screening by year and age group from 2006-07 to 2010-11 %change from 2009-10 to 2006-07 2007-08 2008-09 2009-10 2010-11 2010-11 Under 20 1,033 715 617 631 481 20-24 228,464 116,105 57,490 54,345 52,315 25-29 693,448 739,982 757,760 806,609 790,300 30-34 606,956 642,226 648,856 630,020 650,246 35-39 628,554 700,644 686,813 631,028 632,789 40-44 591,196 696,853 682,413 622,020 667,406 45-49 484,767 596,624 600,915 563,439 632,399 25-49 3,004,921 3,376,329 3,376,757 3,253,116 3,373,140 3.7% 50-54 380,122 409,116 382,686 345,924 390,952 55-59 337,906 222,787 144,092 244,993 293,530 60-64 284,406 169,737 117,117 225,353 270,849 50-64 1,002,434 801,640 643,895 816,270 955,331 17.0% 65-69 63,550 33,543 31,350 48,579 51,911 70-74 15,092 6,340 7,963 11,459 10,548 75 and over 8,417 3,048 4,059 4,987 4,120 Total (all) 4,323,911 4,337,720 4,122,131 4,189,387 4,447,846 6.2% Total (25-64) 4,007,355 4,177,969 4,020,652 4,069,386 4,328,471 6.4% Source: KC53, The NHS Information Centre. See also Table 4 in Data Tables section. Figure 4: Number of women invited for screening by age group and year, 2006-07 to 2010-11 4,500,000 4,000,000 3,500,000 Number 3,000,000 2,500,000 2,000,000 1,500,000 25-49 50-64 25-64 1,000,000 500,000 0 2006-07 2007-08 2008-09 2009-10 2010-11 Year Source: KC53, The NHS Information Centre. See also Table 4 in Data Tables section. 23
2.2.3 Table F shows that although most invitations to women aged 25 to 64 were calls 10 or routine recalls, 14.5% were early recalls for surveillance and 3.6% were early recalls following an abnormality (i.e. persistent findings of borderline changes or mild dyskaryosis). Table F: Number of women (aged 25-64) invited in the year by type of invitation, 2009-10, 2010-11 Year Total Call Routine Repeat in less than 3 years for reasons of Recall Surveillance Abnormality Inadequate Sample 2009-10 4,069,386 16.2% 61.1% 15.8% 4.3% 2.5% 2010-11 4,328,471 16.5% 63.3% 14.5% 3.6% 2.1% Source: KC53, The NHS Information Centre. See also Table 4 in Data Tables section. 2.2.4 As the number of women invited for screening increased over the previous year, the number of women tested has also increased. In 2010-11, 3.4 million women in the Cervical Screening Programme target age range (25-64 years) were tested (see Table G). This compares with 3.3 million in 2009-10 and 3.6 million in 2008-09. Although the number of women aged 25-49 years invited for screening increased in 2010-11 (see paragraph 2.2.1), the number of women tested fell. A total of 2.6 million women aged 25-49 were tested in 2010-11, a fall of 51,681 (2.0%) from 2009-10. A total of 0.8 million women aged 50-64 were tested in 2010-11, an increase of 130,641 (19.5%) from 2009-10. 2.2.5 Analysis of the numbers of women tested by age group over the last 5 years shows some variation see Table G and Figure 5. The change in policy detailed in paragraph 2.2.2 above may partly explain some of the trends in women tested over time that are apparent in Table G 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. 10 Where the invitation type is call, this indicates that the invitation is a first call for screening. Women receiving this invitation type will not have been screened before. 24
Table G: Number of women tested by year and age group from 2006-07 to 2010-11 2006-07 2007-08 2008-09 2009-10 2010-11 % change from 2009-10 to 2010-11 Under 20 3,508 2,840 3,595 2,874 1,885 20-24 138,935 96,926 76,661 55,068 38,040 25-29 454,349 472,712 588,957 565,990 549,768 30-34 461,154 461,219 562,404 508,757 494,047 35-39 511,226 527,867 622,815 526,415 488,798 40-44 497,917 539,477 632,643 525,848 523,001 45-49 414,496 469,231 550,703 476,331 496,046 25-49 2,339,142 2,470,506 2,957,522 2,603,341 2,551,660-2.0% 50-54 318,443 336,905 364,016 308,269 323,305 55-59 283,898 223,852 157,573 185,676 235,426 60-64 229,157 191,976 128,262 174,881 240,736 50-64 831,498 752,733 649,851 668,826 799,467 19.5% 65-69 47,696 42,788 32,262 36,406 44,359 70-74 7,216 6,457 5,727 5,613 5,485 75 and over 2,851 2,576 2,434 2,118 1,912 Total 3,370,846 3,374,826 3,728,052 3,374,246 3,442,808 2.0% 25-64 3,170,640 3,223,239 3,607,373 3,272,167 3,351,127 2.4% Source: KC53, The NHS Information Centre. See also Table 5 in Data Tables section. Figure 5: Number of women tested by year and age group, 2006-07 to 2010-11 4,000,000 3,500,000 3,000,000 Number 2,500,000 2,000,000 1,500,000 25-49 50-64 25-64 1,000,000 500,000 0 2006-07 2007-08 2008-09 2009-10 2010-11 Year Source: KC53, The NHS Information Centre. See also Table 5 in Data Tables section. 25
2.2.6 Of those aged 25-64 tested in the year, just under 2.8 million (83.4%) were tested following an invitation within the screening programme see Table H. The remaining 555,996 women (16.6%) 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. 11 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 H: Number of women (25-64 years) tested in the year by type of invitation, 2007-08 to 2010-11 Total Invited Outside Programme 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 2010-11 3,351,127 2,795,131 83.4 555,996 16.6 Source: KC53, The NHS Information Centre. See also Table 5 in Data Tables section. 2.3 Test results 2.3.1 Some women have more than one test during the year for clinical reasons 12 and the 3.4 million women of all ages tested in 2010-11 generated 3.7 million tests (see Table I). 2.3.2 Of the 3.7 million tests, 2.8% 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). 11 Opportunistic tests will most commonly be taken from women who are overdue for screening. 12 This can be if the sample is inadequate or if the results show borderline changes for which the woman is screened again after 6 months. 26
Table I: Number of tests and result, 2010-11 Result of Test Number of Tests Percentage (%) Inadequate 102,779 2.8 Adequate 3,559,557 97.2 Total 3,662,336 100.0 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, 11.1% of tests resulted in a repeated inadequate result, a decrease on 2009-10 (11.4%) - see Table J. These repeated inadequate samples accounted for 9.6% (9,818 out of 102,779) of all inadequate results in the year. Table J: Result of test where a repeat invitation was sent in less than 3 years due to a previous inadequate sample, 2009-10, 2010-11 Result of Test Number of tests 2009-10 2010-11 Percentage (%) Number of tests Percentage (%) Inadequate 11,547 11.4 9,818 11.1 Adequate 89,492 88.6 78,299 88.9 Total 101,039 100.0 88,117 100.0 Source: KC53, The NHS Information Centre. See also Table 7 in Data Tables section. 2.3.4 Of the 3.3 million women aged 25-64 who had an adequate result in 2010-11, 93.4% were negative and 6.6% had a result categorised as abnormal (from borderline changes through to severe dyskaryosis and potential cancer 13 ). Table K shows the breakdown of the results of adequate tests for the last 2 years. 13 Potential cancer includes severe dyskaryosis/?invasive carcinoma and?glandular neoplasia. 27
Table K: Results of adequate tests for women aged 25-64, 2009-10, 2010-11 Result* 2009-10 % 2010-11 % Negative 92.8 93.4 Borderline changes 3.7 3.5 Mild dyskaryosis 2.1 1.9 Moderate dyskaryosis 0.6 0.5 Severe dyskaryosis 0.7 0.6 Severe dyskaryosis/?invasive carcinoma 0.0 0.0?Glandular neoplasia 0.1 0.0 Total 100.0 100.0 Source: KC53, The NHS Information Centre. See also Table 8 in Data Tables section. NB: The sum of components may not equal totals due to rounding. *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 1.70% for women aged 25-29, falling to 0.21% 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 2010-11 Percentage 1.8 1.70 1.6 1.4 1.2 1.0 0.97 0.8 0.64 0.6 0.45 0.4 0.2 0.30 0.25 0.26 0.21 0.0 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 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 dyskaryosis/?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 in the Data Tables due to rounding. Source: KC53, The NHS Information Centre. See also Table 8 in Data Tables section. 28
2.3.6 At PCO level, in 118 of the 151 PCOs the proportion of women presenting with an abnormal result was between 4% and 8%. In 30 PCOs the proportion was between 8% and 10%; and in 3 PCOs the proportion was above 10% (the maximum was 10.6%) see Figure 7. Figure 7 - Cervical screening: Percentage of tests for women aged 25-64, with an abnormal result by Primary Care Organisation, England 2010-11 Number of PCOs 45 40 35 30 39 35 30 25 20 15 14 17 13 10 5 3 0 0 0 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 1011 1112 1213 1314 Percentage of abnormal samples Source: KC53, The NHS Information Centre. See also Table 12 in Data Tables section. 2.4 Time from screening to receipt of results 14 2.4.1 The Cancer Reform Strategy 15, states that women should receive their cervical screening test result within 2 weeks and this commitment was highlighted in the 2010-11 NHS Operating Framework which stated that all women should receive the results of their cervical screening tests within 2 weeks by 2010 16. National policy is that all result letters should be produced by the Primary Care Organisation. Time from screening to receipt of results is measured using an expected delivery date based on the date of letter printing and the postage class used by the Primary Care Organisation. 14 In previous years, this publication has reported the time from screening to availability of result which is measured as the number of days from the sample being taken to the result being sent by the PCO to the woman (not to the woman receiving the result). This year information on time from screening to receipt of result is available and so has been reported as this measurement is considered to be of more interest to users of these statistics. As in previous years, Table 9 and 9a of this publication present figures at both regional and local level for time from screening to availability of result. Tables 9b and 9c present figures at regional and local level for time from screening to receipt of results, as measured by expected delivery date 15 Cancer Reform Strategy, 2007, Department of Health 16 The Operating Framework for 2010-11 for the NHS in England, 2009, Department of Health http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/@ps/@sta/@perf/documents/digitalasset/dh_ 110159.pdf 29
2.4.2 In 2010-11, 78.9% of test results were reported to have an expected delivery date of within 2 weeks of the sample being taken (i.e. women would be expected to receive the results of their test within 2 weeks) 17. Table L below shows the time from screening to receipt of test result. Note that as PCOs had until the end of 2010 to meet the two week requirement on time from screening to receipt of results, not all letters would be expected to have an expected delivery of within 2 weeks for the 2010-11 reporting period. Table L: Time from screening to receipt of results, as measured by expected delivery date of result letter (eligible women aged 25 64 years), 2010-11 2010-2011 Total number of letters to women tested sent by the PCO 3,406,604 Expected Delivery Date Within 14 days (%) 78.9 More than 2 weeks and up to 3 weeks (%) 13.3 More than 3 weeks (%) 7.9 Source: National Cancer Screening Statistics VSA15 Report, Connecting for Health (CfH) Exeter system (NHAIS). See also Tables 9b and 9c in Data Tables section. NB: The sum of components may not equal totals due to rounding. In previous years time from screening to availability of result, which is measured as the number of days from the sample being taken to the result being sent by the PCO, has been reported 18. The percentage of test results available within 2 weeks has increased each year since 2007-8 when it first became possible to monitor 2 week availability 19. In 2007-08, 11.1% of test results were available within 2 weeks of screening. By 2009-10, 44.6% of test results were available within 2 weeks and in 2010-11 this figure was considerably higher again at 82.8% (see Table 9 in Data Tables). The percentage of results available within 2 weeks in 2010-11 is likely to have been impacted by the 2 week requirement on time from screening to receipt of results. 17 Time from screening to receipt of test results as measured by expected date of delivery is calculated from summing monthly data for primary care organisations. 18 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. NB: The NHS IC does not intend to publish statistics on time from screening to availability of results in future publications (for further information see section on Changes to the Report). 19 Prior to 2007-8, the lowest timescale available was the percentage of tests results available within 4 weeks. 30
2.4.3 Figure 8 shows the percentage of result letters with an expected delivery date of within 2 weeks of testing by Strategic Health Authority. Again, as regions had until the end of 2010 to meet the two week requirement on time from screening to receipt of result, some variation between SHAs is expected. Figure 8: Cervical Screening: Time from screening to receipt of results as measured by expected date of delivery of result letter by Strategic Health Authority (eligible women aged 25 64 years), 2010-11 Up to 2 weeks 100.0 90.0 80.0 70.0 60.0 % 50.0 40.0 30.0 78.9 90.1 68.7 89.5 80.3 70.6 87.8 81.8 71.0 63.9 88.4 20.0 10.0 0.0 England North East North West Yorkshire & the Humber East Midlands West Midlands East of England London South East Coast South Central South West Source: National Cancer Screening Statistics VSA15 Report, Connecting for Health (CfH) Exeter system (NHAIS). See also Tables 9b and 9c in Data Tables section. Table 9b in the Data Tables section presents SHA figures on time from screening to receipt of results. Table 9c in the Data Tables section presents the same figures at PCO level. 31
2.5 Recall status 2.5.1 Normal recall status, indicated by action code A (routine recall) is usually used only where the test result is negative. However, HPV sentinel sites 20 (introduced in 2007-08) show a small number of tests with normal recall status within the borderline changes and mild dyskaryosis categories (2.7% and 0.8% respectively) in accordance with the HPV triage protocol. In 2010-11, 85.3% 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,13.9% had a repeat recall status as they were under surveillance or follow-up and 0.9% had a suspend recall status as they were under hospital care 21 (see table M). Table M: Recall status by most severe screening result, 2010-11 Recall status Normal (%) Repeat (%) Suspend (%) Inadequate 0 97.1 2.9 Negative 85.3 13.9 0.9 Borderline changes 2.7 70.5 26.8 Mild dyskaryosis 0.8 26.7 72.5 Moderate dyskaryosis 0 0 100 Severe dyskaryosis 0 0 100 Severe dyskaryosis/?invasive carcinoma 0 0 100?Glandular neoplasia 0 0 100 Source: KC53, The NHS Information Centre. See also Table 10 in Data Tables section. NB: The sum of components may not equal totals due to rounding. 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. 22 This may be used where a test result is negative, inadequate, borderline changes or mild dyskaryosis. In 2010-11, 20 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: www.cancerscreening.nhs.uk/cervical/hpv-triage-testof-cure.html. 21 Those with a negative test result and suspend recall status could include some who were referred to colposcopy due to symptoms noted at the time of testing. 22 NB: Where the test result is negative with a repeat recall status, a further test is usually required within 12 months of the previous test. 32
26.7% of women whose most severe test result in the year was mild dyskaryosis had a repeat recall status (see table M); the corresponding proportion for borderline was 70.5%, and for inadequate 97.1%. 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 is the only allowable status following a test result of moderate dyskaryosis or worse. It is also used for women who are referred after repeated low-grade abnormalities and for women who are to remain under hospital care regardless of their test result. In 2010-11, 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 M). 33
Cervical Cytology 3.1 Samples examined 3.1.1 Just under 3.7 million samples were examined by pathology laboratories in 2010-11; similar to the numbers examined in 2009-10. Of the 3.7 million samples examined in 2010-11, 3.4 million (93.2%) 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 (5.7%) 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 N). Table N: Number of samples examined by pathology laboratories by source of sample, 2009-10, 2010-11 NHS Total GP NHSCC GUM Hospital Private Other 2009-10 3,676,196 3,294,448 120,977 19,816 218,290 10,690 11,975 2010-11 3,689,091 3,330,871 108,734 18,173 209,922 9,540 11,851 Source: KC61, The NHS Information Centre. See also Table 14 in Data Tables section. 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 Before the introduction of 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 2010-11 the rate of inadequate samples for women aged 25-64 was 2.7% (91,304 samples) - see Table O. Figure 9 shows the trend in the 34
proportion of inadequate samples from GP and NHS Community Clinics since 2001-2 for women of all ages. Table O: Number of GP and NHS Community Clinic samples examined by pathology laboratories, number and proportion inadequate by year for women aged 25-64, 2001-02 to 2010-11 Year No of samples examined No of inadequate samples Percentage inadequate samples 2001-02 - - 9.2 2002-03 - - 9.4 2003-04 - - 9.3 2004-05 3,347,878 299,652 9.0 2005-06 3,418,327 247,013 7.2 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 2010-11 3,337,248 91,304 2.7 Source: KC61, The NHS Information Centre. See also Table 15 in Data Tables section. NB: Before 2004-05 women aged 20-24 were included in the screening programme, therefore only the percentage 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 2002 to 2011 Percentage 10 9 8 7 6 5 4 3 2 1 0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Data prior to 2005, re-used with the permission to the Department of Health Source: KC61, The NHS Information Centre. See also Table 15 in Data Tables section. 35
3.1.4 Analysis by age group has shown that the proportion of samples found inadequate was generally lower for women in the younger age bands, below 55 years (see Table P). Table P: GP and NHS Community Clinic samples examined by pathology laboratories, proportion inadequate by age of women, 2010-11 Age % Inadequate Age % Inadequate Under 20 3.5 50-54 2.8 20-24 2.5 55-59 3.6 25-29 2.4 60-64 3.5 30-34 2.6 65-69 3.8 35-39 2.7 70-74 4.3 40-44 2.6 75 and over 8.6 45-49 2.5 All ages 2.7 25-64 2.7 Source: KC61, The NHS Information Centre. See also Table 15 in Data Tables section. 3.1.5 At laboratory level, there was variation in the proportion of samples judged to be inadequate. In 2010-11, all laboratories had inadequate results of less than 8%, with only 8 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 2010-11 Number of laboratories 35 30 28 33 25 20 21 15 10 5 9 10 5 3 0 1 2 3 4 5 6 7 8 % inadequate NB: Due to rounding, the figures presented in the above bar chart may not exactly match those derived from aggregating the relevant columns from Table 19 in the Data Tables section. Source: KC61, The NHS Information Centre. See also Tables 19 in Data Tables section. 36
3.2 Results 3.2.1 The percentage of adequate GP and NHS Community Clinic samples tested in 2010-11 for women aged 25-64, which were reported as being negative was 93.9%. Borderline changes were found in 3.5% of adequate tests, mild dyskaryosis in 1.6%, moderate dyskaryosis in 0.4% and severe dyskaryosis in 0.5%; suspected invasive carcinoma or glandular neoplasia were found in less than 0.1% of samples (see Table Q). Table Q: GP and NHS Community Clinic adequate samples (women aged 25-64) examined by pathology laboratory by result, 2010-11 Test Result Number Percentage Negative 3,046,658 93.9 Borderline changes 114,009 3.5 Mild dyskaryosis 52,306 1.6 Moderate dyskaryosis 14,102 0.4 Severe dyskaryosis 16,954 0.5?Invasive carcinoma 619 0.0?Glandular neoplasia 1,296 0.0 Total Adequate 3,245,944 100.0 Source: KC61, The NHS Information Centre. See also Table 15 in Data Tables section, which includes figures for inadequates. NB: The sum of components may not equal totals due to rounding. 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 20-29. 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 (see Table 19 in Data Tables). 37
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 23. This document sets achievable targets and standards for laboratories engaged in cervical screening. 3.2.5 Achievable standards for laboratory reporting are set from the 10th and 90th percentiles 24 of the distributions of three key indicators. The ranges for 2009-10 and 2010-11 are set out in Table R which report on women aged 25-64 tested in GP or NHS Community Clinics. Table R: Achievable Standards for Laboratory Reporting, 2009-10, 2010-11 Indicator 10th 90 th percentile range* 2009-10 2010-11 Mild/Borderline as % of adequate samples 3.9% - 7.4% 3.6% 7.4% Moderate or worse as % of adequate samples 0.8% - 1.5% 0.7% - 1.3% PPV for CIN2 or worse 74.2% - 90.3% 77.0 90.0% Number of laboratories whose results were used 113 109** *Based on results for women aged 25-64 tested in GP & NHS Community Clinics ** The percentile range for PPV for CIN2 or worse is based on 104 laboratories as 5 were unable to provide data. Source: KC61, The NHS Information Centre. See also Table 19 in Data Tables section. 3.2.6 The percentage of laboratory tests authorised (i.e. test results confirmed) within 2 weeks of receipt at the laboratory increased in 2010-11 to 92.9% from 60.5% in 2009-10 see Table S. A further 6.1% were authorised within 4 weeks. At a laboratory level there was wide variation within these timeframes (see Table 16a in the Data Tables). The percentage of tests authorised within 2 weeks in 2010-11 is likely to have been impacted by the requirement for all women to receive the results of their tests within 2 weeks by 2010 (see sections 2.4.1-2.4.2) 23 http://www.cancerscreening.nhs.uk/cervical/publications/cc-02.html 24 A percentile is the value of a variable below which a certain percent of observations fall. For example, the 10th percentile is the value (or score) below which 10 percent of the observations may be found. 38
Table S: Samples examined by pathology laboratories - Time from receipt of sample to authorisation of report by laboratory, 2009-10, 2010-11 <2 weeks 3-4 weeks 5-6 weeks 7-8 weeks 9-10 weeks >10 weeks % % % % % % 2009-10 60.5 19.0 11.5 5.2 2.9 0.8 2010-11 92.9 6.1 0.8 0.2 0.0 0.0 Source: KC61, The NHS Information Centre. See also Table 16 in Data Tables section. NB: The sum of components may not equal totals due to rounding. 3.3 Outcome of gynaecological referrals 3.3.1 Information about outcomes of gynaecological referrals following tests registered during April June 2010 was provided by all laboratories with sizeable numbers of screening programme tests (see Table T). Table T: Outcome of referrals for samples registered at the laboratory between April and June 2010 Outcome Women referred after persistent nonnegative samples % Women referred after single occurrence of potentially significant abnormality % Cervical Cancer 0.1 2.7 CIN3 & Adenocarcinoma in Situ 6.1 55.8 CIN2 9.7 23.5 CIN1 25.4 8.8 Non Cervical Cancer 0.0 0.4 Other HPV Only 13.7 2.3 No CIN/No HPV 11.2 3.3 Seen in Colposcopy result n/k 0.5 0.3 Inadequate Biopsy 1.9 0.5 Colposcopy No Abnormality 31.3 2.3 Detected Source: KC61, The NHS Information Centre. See also Table 18a in Data Tables section. NB: The sum of components may not equal totals due to rounding. 39
3.3.2 Figure 11 shows the outcomes for women referred following persistent nonnegative tests where the referral outcome was known. 0.1% were found to have cervical cancers and 6.1% showed cervical intra-epithelial neoplasia (CIN) 3 25 or adenocarcinoma in situ. The first column of figures in Table T gives a full breakdown of the outcomes of these referrals (including the large Other category in Figure 11) and shows that in 31.3% of referrals no abnormality was detected at colposcopy. Figure 11 - Outcome of referral, following persistent non-negative test result, England, April 2010 - June 2010 Cervical Cancer, 0.1 CIN3 or Adenocarcinoma in situ, 6.1 CIN2, 9.7 CIN1, 25.4 Other, 58.6 Non Cervical Cancer, 0.0 Source: KC61, The NHS Information Centre. See also Table 18a in Data Tables section. 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 55.8% showed CIN 3 or adenocarcinoma in situ see Figure 12. The second column of figures in Table T gives a full breakdown of the outcomes of these referrals. 25 See Definitions section for further information about cervical intra-epithelial neoplasia (CIN) 40
Figure 12 - Outcome of referral, following single occurrence of potentially significant abnormality, England, April 2010 - June 2010 Cervical Cancer, 2.7 Non Cervical Cancer, 0.4 Other, 8.8 CIN1, 8.8 CIN3 or Adenocarcinoma in situ, 55.8 CIN2, 23.5 NB: The sum of components may not equal totals due to rounding. Source: KC61, The NHS Information Centre. See also Table 18a in Data Tables section. 3.3.4 A positive predictive value (PPV) was calculated for each laboratory. Positive Predictive Value is a measure of the laboratory s ability to predict CIN2 or worse from tests with result moderate dyskaryosis or worse. The PPV calculation for cervical screening is outlined in Appendix A on Definitions. Reported PPVs for laboratories ranged from 63% to 97% with the majority lying between 75% and 95% (see Figure 13). The achievable standard for 2011-12 which is based on the PPV distribution for 2010-11 is shown in Table R above. 41
Figure 13 - Positive Predictive Value 26, England, April 2010 - June 2010 Number of Laboratories 40 35 30 25 20 20 22 26 18 15 10 5 0 10 5 2 2 55 55 60 60 65 65 70 70 75 75 80 80 85 85 90 90 95 95 100 Positive Predictive Value (%) NB: 3 laboratories did not provide this information and so are excluded from Figure 13. Source: KC61, The NHS Information Centre. See also Table 19 in Data Tables section. 3.3.5 Retrospective information regarding referrals from an earlier complete year was collected again in 2010-11, relating to referrals in the 12 month period April 2009 to March 2009-10. The results from the whole year (2009-10) were similar to the first quarter of 2010-11. 26 See Appendix A: Definition, para 5.4 42
Colposcopy 4.1 Referrals for colposcopy 4.1.1 Details of the first referrals of each quarter to each clinic were recorded. In 2010-11, 142,984 referrals to colposcopy were reported, a decrease of 7.9% from 2009-10 (155,265 referrals). Of these, 75.1% were reported as being triggered by a screening test and 20.0% were clinically indicated. Of women referred to colposcopy, 48.2% followed findings of borderline changes or mild dyskaryosis; 11.0% of referrals followed findings of moderate dyskaryosis and 14.4% followed findings of severe dyskaryosis or worse (see Table U). Table U: Women referred to colposcopy: referral indication of first offered appointment, 2009-10, 2010-11 2009-10 2010-11 Total number of referrals 155,265 142,984 % % Screening sample Total* 78.6 75.1 Inadequate 1.6 1.5 Borderline changes 17.9 19.2 Mild dyskaryosis 31.0 29.0 Moderate dyskaryosis 12.3 11.0 Severe dyskaryosis 14.6 13.2 Severe dyskaryosis/?invasive carcinoma** 0.4 0.4?Glandular neoplasia** 0.8 0.8 Clinical indication urgent 4.2 4.5 Clinical indication - non urgent 13.3 15.4 Other 3.9 5.0 Total 100 100 Source: KC65, The NHS Information Centre. See also Table 20 in Data Tables section. * Sum of inadequate, borderline changes, mild dyskaryosis, moderate dyskaryosis, severe dyskaryosis, severe dyskaryosis/?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. Where categories are aggregated in the text (e.g. percentage of first referrals that are clinically indicated) they are calculated from the raw data and therefore may not match the summed categories in the table. 43
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 2010-11, 27.9% of women referred to colposcopy were offered an appointment within 2 weeks. This percentage rose to 65.5% for those offered an appointment within 4 weeks of referral and to 96.4% for those offered an appointment within 8 weeks. The time from referral to the first offered appointment was over 12 weeks for 0.8% 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 V). Table V: Women referred to colposcopy: time from referral to first offered appointment by indication, 2009-10, 2010-11 All referrals Waiting Time 2009-10 2010-11 % % less than or equal to 2 weeks 22.5 27.9 less than or equal to 4 weeks 58.5 65.5 less than or equal to 8 weeks 94.6 96.4 less than or equal to 12 weeks 99.0 99.2 Moderate or severe dyskaryosis less than or equal to 4 weeks 87.5 94.6 Severe dyskaryosis/?invasive carcinoma less than or equal to 2 weeks 89.8 93.0?Glandular neoplasia less than or equal to 2 weeks 83.1 88.5 Source: KC65, The NHS Information Centre. See also Table 21 in Data Tables section. 44
4.1.3 Women with more serious test results were offered appointments earlier - see Figure 14 and Table V. Figure 14 - Women referred to colposcopy: time from referral to first offered appointment by indication, 2010-11 Percentage 100% 90% 80% 70% 60% Over 12 w eeks >8 to 12 w eeks >4 to 8 w eeks >2 to 4 w eeks <=2 w eeks 50% 40% 30% 20% 10% 0% All Referrals Inadequate Borderline / Mild Dyskaryosis Moderate / Severe Dyskaryosis Severe /?Invasive / Glandular neoplasia Clinical Indication Other Referral result Source: KC65, The NHS Information Centre. See also Table 21 in Data Tables section. 4.1.4 There was some variation between regions in the proportions of all women offered an appointment within 8 weeks. Percentages ranged from 91.3% in South Central to 99.2% in the West Midlands and East of England. For those with moderate or severe dyskaryosis the percentage offered an appointment within 4 weeks ranged from 82.1% in South Central to 99.1% in the North East see Table W. 45
Table W: Women referred to colposcopy: time from referral to first offered appointment by indication and SHA, 2010-11 Referral Indication All referrals (%) Waiting Time England North East North West Less than or equal to 2 weeks 27.9 28.4 32.6 25.3 39.3 32.9 30.5 22.6 22.0 17.0 30.1 Less than or equal to 4 weeks 65.5 66.6 69.9 64.4 73.9 79.2 70.5 57.0 57.4 55.0 66.2 Less than or equal to 8 weeks 96.4 99.0 96.9 97.6 98.1 99.2 99.2 92.2 96.0 91.3 98.9 Less than or equal to 12 weeks 99.2 99.9 98.8 99.5 99.8 99.8 99.8 99.3 98.8 96.8 99. 7 Moderate or Severe Dyskaryosis (%) Less than or equal to 4 weeks 94.6 99.1 92.8 94.6 94.6 98.6 95.9 96.7 94.1 82.1 96.9 Severe dyskaryosis/?invasive Carcinoma (%) Less than or equal to 2 weeks 93.0 97.6 91.9 89.7 89.5 94.4 100 94.4 97.3 91.2 79.4?Glandular Neoplasia (%) Less than or equal to 2 weeks 88.5 93.3 87.7 91.3 74.0 98.1 97.1 89.9 72.5 85.7 96.3 Source: KC65, The NHS Information Centre. See also Table 21 in Data Tables section. Yorkshire & the Humber East Midlands West Midlands East of England London South East Coast South Central South West 4.2 Appointments for colposcopy 4.2.1 During 2010-11 a total of 443,737 appointments were reported at colposcopy clinics, a decrease of 2.2% from 2009-10 (453,947 appointments). Of these, 39.9% were new appointments (i.e. all appointments offered for a first visit), 7.2% were for return for treatment and 52.9% were follow-up appointments (see Table X). Table X: Appointments for colposcopy: Appointment type, 2009-10, 2010-11 Appointment Type 2009-10 2010-11 Number % Number % New appointments 190,227 41.9 177,128 39.9 Return for treatment 35,711 7.9 31,957 7.2 Follow Up 228,009 50.2 234,652 52.9 Total 453,947 100.0 443,737 100.0 Source: KC65, The NHS Information Centre. See also Table 22 in Data Tables section. 46
4.2.2 Table Y shows that although 72.5% of all appointments were attended, 2.6% were cancelled by the patient on the day and in the case of 10.8% of appointments, the patient did not attend and gave no advance warning. 3.5% of total appointments were cancelled by the clinic. Table Y: Appointments for colposcopy: Attendance status and appointment type, 2010-11 New appointments Return for treatment Follow Up Total Appointments Attendance Status % % % % Attended 77.7 84.1 67.0 72.5 Cancelled by patient - in advance 10.7 7.8 10.7 10.5 Cancelled by patient - on the day 2.2 1.8 3.0 2.6 Cancelled by clinic 1.6 2.1 5.2 3.5 Did not attend - no advance warning 7.7 4.1 14.0 10.8 Did not attend - arrived late 0.1 0.1 0.0 0.1 Did not attend - left without being seen 0.0 0.0 0.0 0.0 Total 100.0 100.0 100.0 100.0 Total number of appointments 177,128 31,957 234,652 443,737 Source: KC65, The NHS Information Centre. See also Table 22 in Data Tables section. NB: The sum of components may not equal totals due to rounding. 4.2.3 The lowest attendance was seen in follow up appointments, where only 67.0% were attended; in 14.0% 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 2010-11, 137,375 first attendances at colposcopy were reported, a decrease of 7.1% from 2009-10 (147,929 attendances) see Table Z. 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 2010-11 will attend in the next. 47
Table Z: Women referred to colposcopy: First attendances, 2009-10, 2010-11 2009-10 2010-11 Number of First Attendances 147,929 137,375 Source: KC65, The NHS Information Centre. See also Table 23 in Data Tables section. 4.3.3 Table AA shows that, overall, 60.8% 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 44.8% of all first attendances. The use of this procedure was more common amongst those attending with low-grade abnormalities (57.1%), with only 3.4% of those with low grade abnormalities 27 undergoing excision. Conversely, for those attending with high-grade abnormalities 28, the most common treatment at first attendance was excision (46.0%) and 38.2% had a diagnostic biopsy (see Table AA). Table AA: Women referred to colposcopy: First attendance by type of procedure and result of referral, 2010-11 Referral Indication Treatment All referrals % Inadequate % Low grade % High grade % Clinical indication (urgent) % Clinical indication (nonurgent) % No procedure 39.2 77.0 39.0 15.3 56.5 61.9 Procedure used 60.8 23.0 61.0 84.7 43.5 38.1 Diagnostic biopsy 44.8 20.6 57.1 38.2 35.0 29.0 Excision 14.2 0.7 3.4 46.0 3.3 2.7 Ablation without biopsy 0.6 0.5 0.1 0.1 1.4 2.5 Ablation with biopsy 0.1 0.1 0.1 0.1 0.4 0.4 Other 1.1 1.1 0.4 0.3 3.4 3.5 Source: KC65, The NHS Information Centre. See also Table 23 in Data Tables section. NB: The sum of components may not equal totals due to rounding. 27 Low grade abnormalities include borderline changes and mild dyskaryosis 28 High grade abnormalities include moderate dyskaryosis, severe dyskaryosis, severe dyskaryosis/?invasive carcinoma and?glandular neoplasia 48
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 48.6% in the West Midlands to 76.6% in the North East (see Table 23 under Data Tables). 4.3.6 The use of diagnostic biopsy for those attending with a high-grade abnormality ranged from 21.4% in the South Central region to 70.3% in London. For a low-grade abnormality the equivalent range was 34.3% in the West Midlands to 78.0% 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 9.9% in London to 63.7% in the North East (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. 49
Figure 15: Biopsies taken at colposcopy: time from biopsy until patient informed of result (4 month sample) - 2010-11 Percentage 60.0 40.0 37.9 42.8 20.0 16.2 0.0 1.7 1.4 <=2wks >2-4 wks >4-8 wks >8-12 wks >12 wks Weeks Source: KC65, The NHS Information Centre. See also Table 24 in Data Tables section. 4.4.2 In 2010-11, 43,875 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 37.9% of all cases, and in a further 42.8% of cases, women were informed within 4 weeks. In 1.4% 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. 4.4.3 Clinics are asked to supply data on the histological result for each biopsy taken. Of all biopsies reported, 64.8% were diagnostic, 34.3% were excision and the remaining 0.9% were other non-diagnostic biopsies. These are similar proportions to last year (see Table AB). Table AB: Biopsies by type, 2009-10, 2010-11 Diagnostic Excision Other Non Diagnostic Year Number % of Total Number % of Total Number % of Total Total (100%) 2009-10 29,819 63.0 17,039 36.0 479 1.0 47,337 2010-11 28,381 64.8 15,001 34.3 416 0.9 43,798* * NB: This figure differs from the number of biopsies (43,875) 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 AB by more than 0.2%. Source: KC65, The NHS Information Centre. 50
4.4.4 Of all non-diagnostic biopsies (i.e. excision biopsies and other non-diagnostic biopsies) taken in 2010-11, where the result was known, 86.9% showed evidence of cervical intra-epithelial neoplasia (CIN) or worse 29. This is a decrease on last year, when the equivalent proportion was 87.6% (see Table AC). The proportions at SHA level are shown in Table 25 in the Data Tables section. Table AC: Non-diagnostic biopsies taken at colposcopy: by outcome (4 month sample), 2009-10, 2010-11 Outcome 2009-10 2010-11 Number of biopsies reported 17,518 15,417 Biopsies with unknown result 162 146 Biopsies with known result (= 100%) 17,356 15,271 % % Cancer 1.5 1.4 Adenocarcinoma in situ 2.0 2.1 CIN 3 46.6 44.0 CIN 2 24.2 25.1 CIN 1 13.3 14.3 HPV / Cervicitis only 4.9 5.0 No CIN / No HPV 7.2 7.8 Inadequate / unsatisfactory biopsy 0.3 0.2 Total showing CIN or worse 87.6 86.9 Source: KC65, The NHS Information Centre. See also Table 25 in Data Tables section. NB: The sum of components may not equal totals due to rounding. 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. 29 This covers CIN1, CIN2, CIN3, adenocarcinoma in situ and cancer 51
Data Tables INDEX TO TABLES Table number Description 1 Statistics on cervical cancer and the NHS Cervical Screening Programme, 2002 to 2011 2 NHS Cervical Screening Programme: test status of women and coverage by age, 31st March 2011 3 NHS Cervical Screening Programme: test status of women by age (numbers), 31st March 2011 3a NHS Cervical Screening Programme: test status of eligible women by age, 31st March 2011 4 NHS Cervical Screening Programme: number of women invited in the year by type of invitation and age, 2010-11: all ages 5 NHS Cervical Screening Programme: number of women tested in the year by type of invitation and age, 2010-11: all ages 6 NHS Cervical Screening Programme: number of women aged 25-64 tested in the year by type of invitation and result, 2010-11 7 NHS Cervical Screening Programme: number and percentage of tests in the year by type of invitation and result, 2010-11: all ages 8 NHS Cervical Screening Programme: results of adequate tests by age, 2010-11: all ages 9 NHS Cervical Screening Programme: Time from screening to availability of result by Strategic Health Authority, 2010-11 9a 9b 9c NHS Cervical Screening Programme: Time from screening to availability of result by Primary Care Organisation, 2010-11 NHS Cervical Screening Programme: Time from screening to receipt of results by Strategic Health Authority, 2010-11 NHS Cervical Screening Programme: Time from screening to receipt of results by Primary Care Organisation, 2010-11 10 NHS Cervical Screening Programme: Recall status by most severe screening result and Strategic Health Authority, 2010-11 11 NHS Cervical Screening Programme: Summary of Strategic Health Authority data for women aged 25-64, 2010-11 52
12 NHS Cervical Screening Programme: Target Age Group (25-64), results of tests by Primary Care Organisation, 2010-11 13 NHS Cervical Screening Programme: Coverage by age band and Primary Care Organisation, 2009-10 to 2010-11 14 Samples examined by pathology laboratories, by source of sample and result of test, 2010-11 15 GP & NHS Community Clinic samples examined by pathology laboratories, by result of test and age of women, 2010-11 16 Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by Strategic Health Authority, 2010-11 16a Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by laboratory, 2010-11 17 Samples examined by pathology laboratories, by source of sample, result of test and Strategic Health Authority, 2010-11 18 Outcome of referrals for samples registered at the laboratory between April 2009 - March 2010, by Strategic Health Authority 18a Outcome of referrals for samples registered at the laboratory between April - June 2010, by Strategic Health Authority 19 GP and NHS Community Clinic samples from women aged 25-64 examined by pathology laboratories, by laboratory and result, 2010-11 20 Women referred to colposcopy: referral indication of first offered appointment, by Strategic Health Authority, 2010-11 21 Women referred to colposcopy: time from referral to first offered appointment, by referral indication and Strategic Health Authority, 2010-11 22 Appointments for colposcopy: attendance status and appointment type, by Strategic Health Authority, 2010-11 23 Women referred to colposcopy: first attendance by result of referral, type of procedure and Strategic Health Authority, 2010-11 24 Biopsies taken at colposcopy: time from biopsy until patient informed of result, by Strategic Health Authority (4 month sample), 2010-11 25 Non diagnostic biopsies taken at colposcopy: by type, outcome and Strategic Health Authority (4 month sample) 2010-11 26a Summary statistics by colposcopy clinic, England 2010-11: waiting times and attendances 26b Summary statistics by colposcopy clinic, England 2010-11: procedures and outcomes 53
Table 1: Statistics on cervical cancer and the NHS Cervical Screening Programme, 2002 to 2011 England units 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Cervical Screening Programme data Coverage-less than 5 years (1) Women aged 25-64 % 81.6 81.2 80.6 80.3 79.5 79.2 78.6 78.9 78.9 78.6 Under 20 % 0.7 0.5 0.4 0.2 0.1 0.1 0.1 0.1 0.1 0.1 20-24 % 53.0 52.0 50.5 44.6 30.4 24.0 15.1 9.1 6.2 5.0 25-29 % 75.0 74.0 72.8 71.6 69.4 68.2 66.2 66.4 66.0 65.4 30-34 % 81.7 81.0 80.0 79.2 78.0 77.5 76.8 77.8 78.6 79.0 35-39 % 84.1 83.7 82.9 82.4 81.8 81.4 81.0 81.8 82.3 82.4 40-44 % 84.3 84.0 83.6 83.4 83.0 82.8 82.5 83.2 83.8 83.9 45-49 % 83.9 83.8 83.3 83.3 83.1 83.1 83.0 83.6 84.0 84.0 50-64 % 81.0 81.0 80.8 81.0 80.7 80.5 80.3 80.0 78.9 78.0 Ages to be 50-54 % 83.3 83.2 82.9 82.9 82.5 82.3 82.2 82.5 82.6 82.6 screened 55-59 % 81.4 81.4 81.2 81.3 81.1 80.8 80.5 80.1 78.3 76.9 within 5 years * 60-64 % 77.0 77.3 77.5 78.0 77.9 78.0 77.8 77.2 75.1 73.4 65-69 % 51.5 51.5 51.5 51.2 50.1 50.4 51.4 52.5 49.6 43.4 70-74 % 11.5 10.5 9.6 9.3 8.5 8.1 7.7 7.2 6.9 6.1 75 and over % 1.5 1.4 1.3 1.2 1.0 0.9 0.9 0.8 0.7 0.7 Coverage-less than 3 or 3.5 years (2) Women aged 25-64 % 71.2 70.8 70.3 69.7 69.8 69.4 69.0 69.3 69.3 69.0 Under 20 % 0.7 0.5 0.4 0.2 0.1 0.1 0.1 0.1 0.1 0.0 20-24 % 48.8 48.4 47.2 41.0 26.9 20.6 12.3 7.7 5.7 4.6 25-49 % 71.7 71.2 70.6 69.6 69.6 69.2 69.3 72.5 74.0 73.7 25-29 % 65.8 65.0 64.1 62.5 60.8 59.8 58.6 61.5 62.8 62.5 Ages to be screened within 3 or 3.5 years * 30-34 % 71.8 71.0 70.2 68.9 68.5 68.1 68.0 71.1 72.8 72.8 35-39 % 74.1 73.5 72.9 71.9 72.2 72.0 72.2 75.3 76.9 76.5 40-44 % 73.5 73.2 72.9 72.3 73.1 73.0 73.7 77.2 78.7 78.4 45-49 % 73.1 72.8 72.6 72.3 73.4 73.3 74.3 77.8 79.1 78.7 50-54 % 72.4 72.1 71.8 71.6 72.1 71.7 72.0 73.2 74.2 73.7 55-59 % 70.6 70.5 70.3 70.4 70.5 69.9 67.4 56.9 50.8 50.0 60-64 % 66.1 66.2 66.3 66.9 67.4 67.0 64.5 53.5 47.2 47.2 65-69 % 33.1 33.0 32.6 31.5 31.6 31.7 31.9 28.5 24.3 20.2 70-74 % 5.7 5.5 5.3 4.8 4.4 4.2 3.9 3.6 3.2 2.8 75 and over % 0.9 0.8 0.7 0.7 0.6 0.5 0.5 0.4 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 4.28 4.25 4.33 4.63 4.35 4.24 4.29 4.08 4.12 4.38 Women invited (25-64)...... 4.15 4.06 4.01 4.18 4.02 4.07 4.33 Women screened (20-64) millions 3.77 3.60 3.53 3.56 3.55 3.31 3.32 3.68 3.33 3.39 Women screened (25-64)...... 3.28 3.36 3.17 3.22 3.61 3.27 3.35 Women with low-grade abnormalities (20-64) millions 0.23 0.21 0.20 0.19 0.19 0.18 0.19 0.21 0.20 0.19 % 6.2 6.2 6.0 5.6 5.5 5.6 5.7 5.8 6.1 5.6 Women with low-grade abnormalities (25-64) millions...... 0.16 0.16 0.16 0.17 0.20 0.19 0.18 %...... 4.9 5.0 5.2 5.4 5.6 5.9 5.4 Women with high-grade abnormalities (20-64) millions 0.05 0.05 0.05 0.05 0.04 0.04 0.04 0.05 0.05 0.04 % 1.5 1.5 1.4 1.3 1.3 1.3 1.3 1.4 1.4 1.3 Women with high-grade abnormalities (25-64) millions...... 0.04 0.04 0.04 0.04 0.05 0.04 0.04 %...... 1.2 1.2 1.2 1.2 1.3 1.3 1.2 Pathology Laboratory data (4) Samples examined (All ages) millions 4.01 3.82 3.71 3.74 3.70 3.40 3.38 3.72 3.42 3.44 Samples found inadequate (All ages) % 9.2 9.4 9.3 9.2 7.4 4.7 2.9 2.5 2.8 2.7 Samples examined (20-64) millions 3.89 3.72 3.63 3.68 3.65 3.36 3.34 3.69 3.38 3.41 Samples found inadequate (20-64) % 9.2 9.4 9.3 9.2 7.4 4.7 2.9 2.5 2.8 2.7 Samples examined (25-64) millions...... 3.35 3.42 3.19 3.21 3.58 3.29 3.34 Samples found inadequate (25-64) %...... 9.0 7.2 4.7 2.9 2.5 2.8 2.8 Cervical Cancer registration data (5)(7) Registrations in women aged 25-64 1,673 1,674 1,682 1,707 1,815 1,754 1,814 2,144.... Registrations in women of all ages 2,350 2,372 2,275 2,299 2,405 2,338 2,384 2,747.... Registrations per 100,000 popn (25-64) rate 12.4 12.4 12.4 12.6 13.3 12.9 13.3 15.8.... Registrations per 100,000 popn (all ages) rate 8.2 8.3 8.0 8.2 8.5 8.2 8.4 9.8.... Cervical Cancer mortality data (6)(7) Deaths (25-64) 433 405 423 387 388 412 380 374 384.. Deaths (all ages) 927 890 895 841 769 755 760 772 753.. Deaths per 100,000 popn (25-64) rate 3.3 3.0 3.2 2.9 2.8 3.0 2.7 2.7 2.7.. Deaths per 100,000 popn (all ages) rate 2.8 2.7 2.7 2.5 2.3 2.3 2.3 2.2 2.2.... = Not available - = Zero (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 result. Data 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 dyskaryosis High-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; Cancer incidence figures are based on newly diagnosed cases registered in each calendar year. (6) Figures for mortality are taken from the ONS Death Registration figures. Mortality figures are for deaths registered in each calendar year. Age-standardised incidence and mortality rates per 100,000 population, standardised to the European Standard Population. Age-standardised rates are used to allow comparison between populations which may contain different proportions of people of different ages. (7) Cervical cancer is coded as C53 in the International Classification of Diseases, Tenth Revision (ICD-10). The mortality data includes deaths where cervical cancer was the underlying cause of death. Data prior to 2005, re-used with the permission of the Department of Health. Copyright 2011, The Health and Social Care Information Centre. All rights reserved 54
Table 2: NHS Cervical Screening Programme: test status of women and coverage by age, 31 March 2011 England Percentages & Thousands Number of women with recall ceased 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 adequate Age at 31 March 2011 resident reasons reasons reasons women adequate test test)(%) adequate test test)(%) All age groups 27,711.2 1,819.4 2,893.7 1,139.7 25,891.9 9,768.0 37.7 11,355.5 43.9 25-64 14,681.1 991.3 442.0 218.8 13,689.8 9,445.4 69.0 10,759.7 78.6 25-49 (2) 9,761.3 202.7-47.6 9,558.6 7,047.7 73.7 7,538.9 78.9 50-64 (2) 4,919.8 788.6 442.0 171.2 4,131.2 2,397.7 58.0 3,220.8 78.0 Under 20 6,274.1 0.0 0.0 0.0 6,274.1 3.1 0.0 3.1 0.1 20-24 1,898.0 0.1-0.0 1,897.9 86.9 4.6 94.6 5.0 25-29 1,976.7 0.9-4.6 1,975.8 1,235.7 62.5 1,292.8 65.4 30-34 1,892.4 3.7-7.9 1,888.8 1,375.6 72.8 1,492.8 79.0 35-39 1,867.2 16.3-9.1 1,851.0 1,416.4 76.5 1,525.6 82.4 40-44 2,021.5 55.5-11.5 1,966.0 1,542.1 78.4 1,650.3 83.9 45-49 2,003.4 126.4-14.5 1,877.0 1,477.9 78.7 1,577.5 84.0 50-54 1,745.3 192.8-15.9 1,552.4 1,144.3 73.7 1,282.7 82.6 55-59 1,540.8 248.7-18.7 1,292.1 646.6 50.0 994.1 76.9 60-64 1,633.7 347.1 442.0 136.6 1,286.7 606.9 47.2 944.1 73.4 65-69 1,303.3 308.5 669.3 212.9 994.8 200.7 20.2 431.7 43.4 70-74 1,087.3 237.8 577.9 221.4 849.5 24.0 2.8 51.8 6.1 75-79 921.8 166.1 519.6 201.0 755.7 5.5 0.7 10.3 1.4 80 and over 1,545.7 115.6 684.8 285.6 1,430.0 2.4 0.2 4.2 0.3.. = Not available - = Zero (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 A3 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 55
Table 3: NHS Cervical Screening Programme: test status of eligible women (1) by age, 31 March 2011 England Thousands Number of women - Time since last adequate test Women called but not tested 1.5 years 3 years 3.5 years 5 years 10 years no Age at less than & up to & up to & up to & up to & up to 15 years adequate never no cytology 31 March 2011 1.5 years 3 years 3.5 years 5 years 10 years 15 years and over sample attended record All ages groups 4,750.6 4,278.5 738.9 1,587.5 1,866.3 1,077.7 1,278.8 35.9 2,040.9 8,236.8 25-64 4,616.6 4,146.6 682.3 1,314.3 1,005.5 337.5 252.3 26.3 1,287.1 21.4 Under 20 2.4 0.7 0.0 0.0 0.0 0.0 0.0 0.1 0.1 6,270.8 20-24 49.8 32.7 4.4 7.6 3.7 0.0 0.0 1.1 363.8 1,434.7 25-29 730.2 455.1 50.4 57.2 55.6 2.3 0.0 8.0 604.6 12.5 30-34 681.0 610.7 83.8 117.2 118.7 26.0 2.2 6.2 238.8 4.0 35-39 678.1 653.5 84.8 109.2 129.1 45.4 16.4 3.8 128.7 1.9 40-44 725.1 726.1 90.9 108.1 136.1 56.1 34.0 2.5 86.0 1.1 45-49 689.0 702.3 86.7 99.5 129.8 56.5 45.4 1.8 65.4 0.7 50-54 466.4 572.9 105.0 138.3 117.1 48.3 47.6 1.4 54.8 0.5 55-59 314.9 231.4 100.3 347.6 151.1 47.1 48.1 1.2 50.2 0.3 60-64 331.9 194.6 80.3 337.2 168.0 55.7 58.6 1.4 58.6 0.4 65-69 71.1 84.3 45.3 231.0 382.7 58.3 58.4 1.2 54.0 8.5 70-74 8.1 10.6 5.4 27.8 393.2 245.1 78.7 1.2 59.6 20.0 75-79 1.9 2.6 1.1 4.9 63.4 341.3 235.0 1.6 77.8 26.3 80 and over 0.8 1.1 0.5 1.8 17.8 95.4 654.4 4.5 198.6 455.1 (1) Excludes women with recall ceased for clinical reasons Source: KC53 Part A3 Copyright 2011, The Health and Social Care Information Centre. All rights reserved Table 3a: NHS Cervical Screening Programme: test status of eligible women by age, 31 March 2011 England Percentages & Thousands Women with at least one adequate test result recorded Women called but not tested less than 5 years or Number of Ceased 5 years since more since no Women with Age at women for clinical adequate adequate adequate never no cytology 31 March 2011 resident reasons test test sample attended record (Thousands) (%) (%) (%) (%) (%) (%) All age groups 27,711.2 6.6 41.0 15.2 0.1 7.4 29.7 25-64 14,681.1 6.8 73.3 10.9 0.2 8.8 0.1 Under 20 6,274.1 0.0 0.1 0.0 0.0 0.0 99.9 20-24 1,898.0 0.0 5.0 0.2 0.1 19.2 75.6 25-29 1,976.7 0.0 65.4 2.9 0.4 30.6 0.6 30-34 1,892.4 0.2 78.9 7.8 0.3 12.6 0.2 35-39 1,867.2 0.9 81.7 10.2 0.2 6.9 0.1 40-44 2,021.5 2.7 81.6 11.2 0.1 4.3 0.1 45-49 2,003.4 6.3 78.7 11.6 0.1 3.3 0.0 50-54 1,745.3 11.0 73.5 12.2 0.1 3.1 0.0 55-59 1,540.8 16.1 64.5 16.0 0.1 3.3 0.0 60-64 1,633.7 21.2 57.8 17.3 0.1 3.6 0.0 65-69 1,303.3 23.7 33.1 38.3 0.1 4.1 0.7 70-74 1,087.3 21.9 4.8 65.9 0.1 5.5 1.8 75-79 921.8 18.0 1.1 69.4 0.2 8.4 2.9 80 and over 1,545.7 7.5 0.3 49.7 0.3 12.8 29.4 Source: KC53 Parts A2 and A3 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 56
Table 4: NHS Cervical Screening Programme: number of women invited in the year by type of invitation and age, 2010-11: all ages England Numbers Type of Invitation Repeat in less than 3 years for reasons of Age at Routine Inadequate 31 March 2011 Total Call Recall Surveillance Abnormality Sample All Age Groups 4,447,846 753,353 2,787,105 645,880 166,054 95,454 25-64 4,328,471 713,998 2,739,000 627,453 157,615 90,405 Under 20 481 25 4 118 278 56 20-24 52,315 35,435 2,308 7,146 6,150 1,276 25-29 790,300 444,677 200,699 89,487 44,261 11,176 30-34 650,246 110,161 357,585 134,077 33,916 14,507 35-39 632,789 59,178 412,674 121,956 24,695 14,286 40-44 667,406 36,703 488,636 107,320 20,694 14,053 45-49 632,399 25,601 498,542 79,477 16,331 12,448 50-54 390,952 16,842 304,367 50,400 9,828 9,515 55-59 293,530 13,002 242,186 26,620 4,502 7,220 60-64 270,849 7,834 234,311 18,116 3,388 7,200 65-69 51,911 2,413 37,406 7,822 1,388 2,882 70-74 10,548 919 6,220 2,421 405 583 75 and over 4,120 563 2,167 920 218 252 Source: KC53 Part B Copyright 2011, 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, 2010-11: all ages England Numbers Type of Invitation Repeat in less than 3 years for reasons of Age at Routine Inadequate While Recall While Recall Outside 31 March 2011 Total Call Recall Surveillance Abnormality Sample Suspended Ceased Programme All Age Groups 3,442,808 247,731 1,874,024 459,776 69,542 39,000 141,488 26,765 584,482 25-64 3,351,127 245,740 1,846,606 449,105 66,464 37,704 135,245 14,267 555,996 Under 20 1,885 2-47 90 6 103-1,637 20-24 38,040 1,825 655 4,272 2,406 435 4,186-24,261 25-29 549,768 190,372 127,924 62,332 18,064 5,109 36,404 237 109,326 30-34 494,047 26,018 223,577 96,103 13,287 6,655 31,274 452 96,681 35-39 488,798 12,387 266,623 88,752 10,194 6,264 21,551 387 82,640 40-44 523,001 7,111 324,849 78,786 9,299 6,049 17,551 393 78,963 45-49 496,046 4,319 337,878 58,338 7,755 5,091 13,387 397 68,881 50-54 323,305 2,760 215,985 36,122 4,723 3,623 8,210 337 51,545 55-59 235,426 1,635 165,283 17,632 1,808 2,392 3,971 270 42,435 60-64 240,736 1,138 184,487 11,040 1,334 2,521 2,897 11,794 25,525 65-69 44,359 151 25,114 4,688 464 758 1,377 9,650 2,157 70-74 5,485 12 1,416 1,306 93 77 404 1,899 278 75 and over 1,912 1 233 358 25 20 173 949 153.. = Not available - = Zero Source: KC53 Part C1 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 57
Table 6: NHS Cervical Screening Programme: number of women aged 25-64 tested in the year by type of invitation and result, 2010-11 England Numbers Type of Invitation Repeat in less than 3 years for reasons of Routine Inadequate While Recall While Recall Outside Result of test Total Call Recall Surveillance Abnormality Sample Suspended Ceased Programme 25-64 3,351,127 245,740 1,846,606 449,105 66,464 37,704 135,245 14,267 555,996 Inadequate 89,159 6,004 47,147 9,713 1,252 3,725 3,001 501 17,816 Negative 3,051,550 212,938 1,735,768 410,512 43,391 32,071 99,227 13,380 504,263 Borderline changes 116,244 12,441 38,592 18,824 12,075 1,122 14,698 211 18,281 Mild Dyskaryosis 57,885 7,399 14,177 7,026 7,054 440 12,977 69 8,743 Moderate Dyskaryosis 15,390 2,664 4,131 1,560 1,519 125 2,809 17 2,565 Severe Dyskaryosis 18,644 4,059 5,909 1,324 1,103 175 2,329 42 3,703?Invasive Carcinoma 768 125 196 27 33 20 84 16 267?Glandular Neoplasia 1,487 110 686 119 37 26 120 31 358 Source: KC53 Part C2 Copyright 2011, The Health and Social Care Information Centre. All rights reserved Table 7: NHS Cervical Screening Programme: number and percentage of tests in the year by type of invitation and result, 2010-11: all ages England Percentages & Numbers Type of Invitation Repeat in less than 3 years for reasons of Routine Inadequate While Recall While Recall Outside Result of test Total Call Recall Surveillance Abnormality Sample Suspended Ceased Programme Numbers Total 3,662,336 247,789 1,874,574 511,351 114,729 88,117 193,692 27,083 605,001 Inadequate 102,779 6,048 48,029 11,075 2,130 9,818 4,274 1,098 20,307 Negative 3,294,851 214,650 1,762,457 465,038 73,717 74,482 135,527 25,231 543,749 Borderline changes 144,061 12,580 38,849 23,000 21,578 2,415 23,362 420 21,857 Mild Dyskaryosis 76,752 7,488 14,251 8,647 12,877 853 21,314 100 11,222 Moderate Dyskaryosis 19,493 2,692 4,155 1,863 2,586 234 4,863 28 3,072 Severe Dyskaryosis 21,665 4,093 5,934 1,565 1,740 249 3,923 51 4,110?Invasive Carcinoma 898 127 200 32 38 22 147 39 293?Glandular Neoplasia 1,837 111 699 131 63 44 282 116 391 Percentage of tests by result Total 100.0 6.8 51.2 14.0 3.1 2.4 5.3 0.7 16.5 Inadequate 100.0 5.9 46.7 10.8 2.1 9.6 4.2 1.1 19.8 Negative 100.0 6.5 53.5 14.1 2.2 2.3 4.1 0.8 16.5 Borderline changes 100.0 8.7 27.0 16.0 15.0 1.7 16.2 0.3 15.2 Mild Dyskaryosis 100.0 9.8 18.6 11.3 16.8 1.1 27.8 0.1 14.6 Moderate Dyskaryosis 100.0 13.8 21.3 9.6 13.3 1.2 24.9 0.1 15.8 Severe Dyskaryosis 100.0 18.9 27.4 7.2 8.0 1.1 18.1 0.2 19.0?Invasive Carcinoma 100.0 14.1 22.3 3.6 4.2 2.4 16.4 4.3 32.6?Glandular Neoplasia 100.0 6.0 38.1 7.1 3.4 2.4 15.4 6.3 21.3 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 2.8 2.4 2.6 2.2 1.9 11.1 2.2 4.1 3.4 Negative 90.0 86.6 94.0 90.9 64.3 84.5 70.0 93.2 89.9 Borderline changes 3.9 5.1 2.1 4.5 18.8 2.7 12.1 1.6 3.6 Mild Dyskaryosis 2.1 3.0 0.8 1.7 11.2 1.0 11.0 0.4 1.9 Moderate Dyskaryosis 0.5 1.1 0.2 0.4 2.3 0.3 2.5 0.1 0.5 Severe Dyskaryosis 0.6 1.7 0.3 0.3 1.5 0.3 2.0 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 0.1 0.4 0.1 Source: KC53 Part C3 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 58
Table 8: NHS Cervical Screening Programme: results of adequate tests by age, 2010-11: all ages England Percentages & Numbers Result (2) Severe Borderline Mild Moderate Severe /?Invasive?Glandular Age at 31 March 2011 Total (1) Negative Changes Dyskaryosis Dyskaryosis Dyskaryosis Carcinoma Neoplasia Numbers All age groups 3,403,981 3,173,779 121,153 66,973 18,437 21,002 880 1,757 25-64 3,310,695 3,091,428 116,074 63,015 17,466 20,272 813 1,627 Under 20 1,926 1,442 234 191 42 17 - - 20-24 40,457 32,133 3,688 3,215 797 594 14 16 25-29 543,316 472,294 32,175 22,223 7,399 8,784 168 273 30-34 487,955 446,346 20,442 12,756 3,680 4,335 122 274 35-39 482,735 451,814 16,892 8,572 2,371 2,731 125 230 40-44 517,067 489,126 16,477 7,483 1,680 1,991 114 196 45-49 490,507 467,358 14,654 5,891 1,134 1,198 88 184 50-54 319,727 306,506 8,524 3,307 604 557 65 164 55-59 232,071 225,498 3,991 1,590 380 397 62 153 60-64 237,317 232,486 2,919 1,193 218 279 69 153 65-69 43,716 42,224 838 413 93 72 28 48 70-74 5,362 4,942 215 104 28 24 15 34 75 and over 1,825 1,610 104 35 11 23 10 32 Percentages All age groups 100.0 93.2 3.6 2.0 0.5 0.6 0.0 0.1 25-64 100.0 93.4 3.5 1.9 0.5 0.6 0.0 0.0 Under 20 100.0 74.9 12.1 9.9 2.2 0.9 - - 20-24 100.0 79.4 9.1 7.9 2.0 1.5 0.0 0.0 25-29 100.0 86.9 5.9 4.1 1.4 1.6 0.0 0.1 30-34 100.0 91.5 4.2 2.6 0.8 0.9 0.0 0.1 35-39 100.0 93.6 3.5 1.8 0.5 0.6 0.0 0.0 40-44 100.0 94.6 3.2 1.4 0.3 0.4 0.0 0.0 45-49 100.0 95.3 3.0 1.2 0.2 0.2 0.0 0.0 50-54 100.0 95.9 2.7 1.0 0.2 0.2 0.0 0.1 55-59 100.0 97.2 1.7 0.7 0.2 0.2 0.0 0.1 60-64 100.0 98.0 1.2 0.5 0.1 0.1 0.0 0.1 65-69 100.0 96.6 1.9 0.9 0.2 0.2 0.1 0.1 70-74 100.0 92.2 4.0 1.9 0.5 0.4 0.3 0.6 75 and over 100.0 88.2 5.7 1.9 0.6 1.3 0.5 1.8.. = Not available - = Zero (1) Excluding women all of whose tests during the year were classified as 'inadequate'. (2) Most severe result in the year. Source: KC53 Part D Copyright 2011, 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, 2010-11 Percentages & Numbers England North North Yorkshire East West East of London South South South East West & Humber Midlands Midlands England East Coast Central West Up to 2 weeks 82.8 92.3 70.2 89.9 83.8 77.7 91.0 85.3 78.8 71.5 91.7 >2 weeks up to 4 weeks 14.6 7.5 24.6 8.1 15.5 15.6 7.9 12.6 19.5 24.3 8.0 >4 weeks up to 6 weeks 1.8 0.1 3.8 1.7 0.5 3.8 0.5 1.4 1.4 3.9 0.2 >6 weeks up to 8 weeks 0.5 0.0 1.1 0.2 0.1 2.2 0.3 0.2 0.1 0.2 0.0 >8 weeks up to 10 weeks 0.1 0.0 0.1 0.0 0.0 0.5 0.1 0.1 0.1 0.1 0.0 >10 weeks up to 12 weeks 0.1 0.0 0.0 0.0 0.0 0.1 0.1 0.1 0.0 0.0 0.0 Over 12 weeks 0.1 0.0 0.1 0.1 0.1 0.1 0.1 0.2 0.1 0.0 0.1 Total with letter sent by Primary Care 3,584,418 182,377 463,513 328,753 292,453 362,878 389,660 626,894 307,252 282,999 347,639 Organisation = 100% (number) Letter not sent by 81,838 1,857 10,745 4,973 4,580 4,939 10,378 23,479 8,056 7,114 5,717 Primary Care Organisation (number) Source: KC53 Part E Copyright 2011, The Health and Social Care Information Centre. All rights reserved 59
Table 9a: NHS Cervical Screening Programme: Time from screening to availability of result by Primary Care Organisation, 2010-11 Percentages & Numbers 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 by Primary 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 ONS Code (numbers) (number) England 3,584,418 82.8 14.6 1.8 0.5 0.1 0.1 0.1 81,838 North East SHA E18000001 182,377 92.3 7.5 0.1 0.0 0.0 0.0 0.0 1,857 5ND County Durham PCT E16000085 36,448 84.1 15.8 0.0 0.0 0.0 0.0 0.0 362 5J9 Darlington PCT E16000041 7,436 83.6 16.3 0.0 0.0-0.0 0.1 64 5KF Gateshead PCT E16000050 15,478 99.8 0.2 0.0 0.0 0.0-0.0 213 5D9 Hartlepool PCT E16000019 5,642 88.3 11.5 0.1-0.0-0.0 40 5KM Middlesbrough PCT E16000053 8,853 99.3 0.6 0.1 0.0 0.0-0.0 65 5D7 Newcastle PCT E16000017 18,302 93.9 6.0 0.1 0.0 0.0 0.0 0.0 276 5D8 North Tyneside PCT E16000018 16,238 92.9 7.0 0.1 0.0 0.0 0.0 0.0 182 TAC Northumberland Care Trust E17000001 23,299 90.0 9.5 0.2 0.1 0.1 0.0 0.1 281 5QR Redcar & Cleveland PCT E16000146 9,087 99.4 0.5 0.0 0.0 0.0-0.0 31 5KG South Tyneside PCT E16000051 10,693 99.8 0.1 - - 0.0 0.0 0.0 85 5E1 Stockton-on-Tees Teaching PCT E16000020 12,436 90.7 9.0 0.2 0.0 0.0 0.0 0.1 112 5KL Sunderland Teaching PCT E16000052 18,465 98.0 2.0 0.0-0.0 0.0 0.0 146 North West SHA E18000002 463,513 70.2 24.6 3.8 1.1 0.1 0.0 0.1 10,745 5HG Ashton, Leigh & Wigan PCT E16000032 19,829 66.4 32.6 0.8 0.1 0.0 0.0 0.1 1,321 TAP Blackburn with Darwen Teaching Care Trust Plus (1) E17000006 9,362 61.9 34.1 2.5 1.4 0.0 0.0-433 5HP Blackpool PCT E16000033 8,354 78.5 18.8 2.5 0.1 0.0 0.0 0.0 408 5HQ Bolton PCT E16000034 19,042 64.4 30.0 5.4 0.1 0.0 0.0 0.1 337 5JX Bury PCT E16000043 13,413 82.9 16.5 0.3 0.1 0.1 0.0 0.1 212 5NP Central & Eastern Cheshire PCT E16000095 32,183 91.4 8.2 0.2 0.1 0.1 0.0 0.1 819 5NG Central Lancashire PCT E16000088 28,377 90.4 9.4 0.2 0.0 0.0 0.0 0.0 1,204 5NE Cumbria PCT E16000086 33,235 59.5 23.8 9.8 5.9 0.9 0.1 0.1 688 5NH East Lancashire Teaching PCT E16000089 23,904 63.9 32.6 2.2 1.3 0.0 0.0 0.0 233 5NM Halton & St Helens PCT E16000093 22,053 80.4 18.7 0.9 0.0 0.0 0.0 0.0 258 5NQ Heywood, Middleton & Rochdale PCT E16000096 14,610 82.3 17.1 0.4 0.1 0.0 0.0 0.1 160 5J4 Knowsley PCT E16000038 9,665 81.1 18.2 0.6 0.0 0.0 0.0 0.0 108 5NL Liverpool PCT E16000092 27,482 65.7 32.8 1.2 0.1 0.1 0.0 0.1 393 5NT Manchester PCT E16000098 32,892 81.6 17.1 0.9 0.2 0.1 0.0 0.2 782 5NF North Lancashire Teaching PCT E16000087 18,618 71.7 16.6 9.3 1.6 0.7 0.0 0.1 998 5J5 Oldham PCT E16000039 15,538 81.7 17.5 0.5 0.1 0.1 0.1 0.1 140 5F5 Salford PCT E16000025 14,603 72.5 26.3 1.0 0.1 0.0 0.1 0.1 363 5NJ Sefton PCT E16000090 16,076 54.5 44.2 1.1 0.1 0.0 0.0 0.1 162 5F7 Stockport PCT E16000026 20,133 15.0 65.9 9.5 9.3 0.3 0.0 0.1 403 5LH Tameside & Glossop PCT E16000062 16,675 17.4 38.4 42.2 1.7 0.1 0.1 0.1 149 5NR Trafford PCT E16000097 14,191 68.0 30.7 0.9 0.2 0.1 0.1 0.1 397 5J2 Warrington PCT E16000037 14,627 68.0 31.3 0.5 0.1 0.0 0.0 0.0 241 5NN Western Cheshire PCT E16000094 17,075 97.0 2.8 0.1 0.1 0.0 0.0 0.0 305 5NK Wirral PCT E16000091 21,576 75.6 24.2 0.1 0.1 0.0 0.0 0.0 231 Yorkshire & the Humber SHA E18000003 328,753 89.9 8.1 1.7 0.2 0.0 0.0 0.1 4,973 5JE Barnsley PCT E16000042 14,936 69.9 20.1 9.0 0.9 0.0-0.0 258 5NY Bradford & Airedale Teaching PCT E16000102 28,823 98.4 1.4 0.2 0.0 0.0 0.0 0.0 341 5J6 Calderdale PCT E16000040 12,776 97.6 2.3 0.0 0.0 0.0-0.0 184 5N5 Doncaster PCT E16000078 19,611 70.6 18.8 9.5 1.0 0.1 0.0 0.0 217 5NW East Riding of Yorkshire PCT E16000100 21,150 94.1 5.4 0.2 0.1 0.1 0.0 0.1 223 5NX Hull Teaching PCT E16000101 19,006 97.8 1.9 0.2 0.0 0.0 0.0 0.0 85 5N2 Kirklees PCT E16000075 24,500 97.6 2.3 0.1 0.0 0.0 0.0 0.0 315 5N1 Leeds PCT E16000074 47,674 98.2 1.4 0.2 0.1 0.0 0.0 0.1 1,029 TAN North East Lincolnshire Care Trust Plus E17000005 9,722 99.3 0.3 0.1 0.0 0.0 0.0 0.1 161 5EF North Lincolnshire PCT E16000021 9,445 99.2 0.4 0.2 0.1 0.1 0.0 0.0 184 5NV North Yorkshire & York PCT E16000099 51,375 87.9 11.7 0.1 0.1 0.0 0.0 0.1 862 5H8 Rotherham PCT E16000031 13,901 65.3 23.1 9.9 1.1 0.2 0.1 0.2 214 5N4 Sheffield PCT E16000077 32,140 76.5 21.3 2.1 0.1 0.0 0.0 0.0 604 5N3 Wakefield District PCT E16000076 23,694 98.0 1.8 0.1 0.0 0.0 0.0 0.0 296 East Midlands SHA E18000004 292,453 83.8 15.5 0.5 0.1 0.0 0.0 0.1 4,580 5ET Bassetlaw PCT E16000023 7,110 66.3 27.7 5.5 0.3 0.1-0.1 149 5N7 Derby City PCT E16000080 19,261 95.9 3.9 0.1 0.0 0.0 0.0 0.1 223 5N6 Derbyshire County PCT E16000079 47,192 81.2 17.8 0.8 0.1 0.0 0.0 0.1 640 5PC Leicester City PCT E16000113 20,348 99.3 0.4 0.1 0.1 0.0 0.0 0.0 177 5PA Leicestershire County & Rutland PCT E16000112 42,692 98.4 1.2 0.1 0.1 0.1 0.0 0.0 616 5N9 Lincolnshire Teaching PCT E16000082 41,645 99.0 0.7 0.1 0.0 0.0 0.0 0.1 1,379 5PD Northamptonshire Teaching PCT E16000114 46,298 98.7 1.2 0.1 0.0 0.0 0.0 0.1 682 5EM Nottingham City PCT E16000022 20,726 36.7 62.1 1.1 0.1 0.0 0.0 0.0 232 5N8 Nottinghamshire County Teaching PCT E16000081 47,181 56.7 42.4 0.6 0.1 0.1 0.0 0.1 482 West Midlands SHA E18000005 362,878 77.7 15.6 3.8 2.2 0.5 0.1 0.1 4,939 5PG Birmingham East & North PCT E16000117 25,621 71.7 20.7 6.6 0.9 0.0 0.0 0.1 343 5MD Coventry Teaching PCT E16000070 21,714 71.1 18.8 9.1 0.4 0.2 0.4 0.1 242 5PE Dudley PCT E16000115 19,222 85.6 13.9 0.3 0.1 0.1 0.0 0.0 192 5MX Heart of Birmingham Teaching PCT E16000073 18,240 69.7 28.9 1.2 0.2 0.0 0.0 0.1 212 5CN Herefordshire PCT E16000015 11,724 97.8 1.9 0.1 0.0 0.0 0.0 0.1 171 5PH North Staffordshire PCT E16000118 14,188 92.5 6.9 0.4 0.1 0.0 0.0 0.1 105 5PF Sandwell PCT E16000116 20,389 78.3 21.3 0.2 0.1 0.0 0.0 0.1 310 5M2 Shropshire County PCT E16000065 18,685 43.2 9.6 16.9 24.3 5.7 0.3 0.0 181 TAM Solihull Care Trust E17000004 14,443 72.0 19.9 7.1 0.9 0.1 0.0 0.0 408 5M1 South Birmingham PCT E16000064 24,886 37.2 61.3 1.2 0.2 0.0 0.0 0.0 367 5PK South Staffordshire PCT E16000120 39,454 94.2 5.3 0.2 0.1 0.1 0.0 0.1 530 5PJ Stoke-on-Trent PCT E16000119 18,584 93.1 6.5 0.3 0.1 0.0 0.0 0.0 105 5MK Telford & Wrekin PCT E16000071 10,843 46.3 9.4 15.9 22.8 5.2 0.2 0.1 86 5M3 Walsall Teaching PCT E16000066 16,939 92.9 6.5 0.4 0.1 0.0 0.0 0.1 188 5PM Warwickshire PCT E16000122 35,154 66.7 22.7 9.7 0.4 0.1 0.4 0.0 698 5MV Wolverhampton City PCT E16000072 15,787 98.4 1.2 0.2 0.1 0.1 0.0 0.1 251 5PL Worcestershire PCT E16000121 37,005 98.8 0.9 0.1 0.0 0.0 0.0 0.0 550 East of England SHA E18000006 389,660 91.0 7.9 0.5 0.3 0.1 0.1 0.1 10,378 5P2 Bedfordshire PCT E16000104 29,554 87.2 11.3 1.1 0.1 0.1 0.1 0.1 682 5PP Cambridgeshire PCT E16000124 41,434 99.6 0.2 0.0 0.0 0.0 0.0 0.1 875 5PR Great Yarmouth & Waveney PCT E16000126 12,557 99.3 0.6 0.1 0.0 0.0 0.0 0.1 167 5QV Hertfordshire PCT (2) E16000150 79,454 73.9 24.3 0.9 0.4 0.2 0.1 0.1 3,772 5GC Luton PCT E16000029 12,632 91.5 7.4 0.8 0.1 0.0 0.1 0.0 170 5PX Mid Essex PCT E16000130 25,663 96.9 2.0 0.2 0.3 0.2 0.2 0.3 590 5PQ Norfolk PCT E16000125 44,067 99.3 0.5 0.1 0.0 0.0 0.0 0.1 741 5PW North East Essex PCT E16000129 21,187 98.7 0.6 0.2 0.2 0.1 0.1 0.2 507 5PN Peterborough PCT E16000123 12,142 99.6 0.2 0.0 0.0 - - 0.0 177 5P1 South East Essex PCT E16000103 21,948 95.8 2.2 0.6 0.7 0.4 0.2 0.2 791 5PY South West Essex PCT E16000131 28,130 80.4 17.4 0.5 0.6 0.4 0.3 0.3 634 60
Table 9a: NHS Cervical Screening Programme: Time from screening to availability of result by Primary Care Organisation, 2010-11 Percentages & Numbers 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 by Primary 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 ONS Code (numbers) (number) England 3,584,418 82.8 14.6 1.8 0.5 0.1 0.1 0.1 81,838 5PT Suffolk PCT E16000127 41,394 99.7 0.1 0.0 0.0 0.0 0.0 0.0 568 5PV West Essex PCT E16000128 19,498 92.8 4.1 1.3 0.8 0.4 0.3 0.4 704 London SHA E18000007 626,894 85.3 12.6 1.4 0.2 0.1 0.1 0.2 23,479 5C2 Barking & Dagenham PCT E16000009 11,558 76.9 21.6 0.9 0.3 0.2 0.1 0.1 228 5A9 Barnet PCT E16000006 25,019 83.1 15.3 0.6 0.3 0.5 0.1 0.2 926 TAK Bexley Care Trust E17000002 16,411 50.1 46.7 2.1 0.5 0.2 0.3 0.1 320 5K5 Brent Teaching PCT E16000045 22,916 93.3 6.0 0.3 0.1 0.1 0.1 0.2 582 5A7 Bromley PCT E16000004 25,638 60.4 36.9 2.3 0.2 0.1 0.1 0.1 728 5K7 Camden PCT E16000047 17,373 93.0 5.8 0.4 0.2 0.1 0.1 0.4 917 5C3 City & Hackney Teaching PCT E16000010 22,286 96.3 1.6 0.5 0.2 0.3 0.2 0.9 380 5K9 Croydon PCT E16000049 25,788 95.7 3.7 0.3 0.1 0.0 0.0 0.1 821 5HX Ealing PCT E16000035 25,554 92.6 6.9 0.3 0.1 0.0 0.0 0.1 1,801 5C1 Enfield PCT E16000008 21,386 73.4 23.4 2.3 0.6 0.1 0.0 0.1 389 5A8 Greenwich Teaching PCT E16000005 19,361 23.0 63.6 12.4 0.8 0.1 0.1 0.1 506 5H1 Hammersmith & Fulham PCT E16000030 14,642 97.3 1.9 0.4 0.1 0.1 0.1 0.2 1,700 5C9 Haringey Teaching PCT E16000013 22,019 63.1 28.9 6.8 0.8 0.1 0.1 0.1 611 5K6 Harrow PCT E16000046 13,883 94.1 5.5 0.2 0.1 0.1 0.0 0.1 359 5A4 Havering PCT E16000002 14,530 77.6 21.0 0.6 0.2 0.3 0.2 0.1 387 5AT Hillingdon PCT E16000007 16,573 91.0 8.3 0.2 0.2 0.1 0.0 0.2 434 5HY Hounslow PCT E16000036 18,346 97.5 2.0 0.2 0.1 0.1 0.0 0.1 1,159 5K8 Islington PCT E16000048 18,214 86.2 5.1 7.4 0.5 0.2 0.2 0.4 784 5LA Kensington & Chelsea PCT E16000056 13,066 96.7 1.9 0.5 0.2 0.2 0.1 0.4 1,222 5A5 Kingston PCT E16000003 12,975 97.2 2.5 0.1 0.1 0.1 0.0 0.1 566 5LD Lambeth PCT E16000058 31,498 92.5 6.2 0.4 0.1 0.1 0.4 0.2 1,151 5LF Lewisham PCT E16000060 23,490 95.7 3.7 0.3 0.1 0.0 0.1 0.1 611 5C5 Newham PCT E16000012 22,739 98.2 0.5 0.3 0.2 0.1 0.1 0.6 178 5NA Redbridge PCT E16000083 16,930 75.9 22.4 0.9 0.3 0.2 0.2 0.1 514 5M6 Richmond & Twickenham PCT E16000067 14,752 95.7 3.5 0.3 0.1 0.1 0.1 0.2 871 5LE Southwark PCT E16000059 26,159 94.3 4.3 0.3 0.1 0.2 0.6 0.1 657 5M7 Sutton & Merton PCT E16000068 27,301 73.7 25.9 0.2 0.1 0.1 0.0 0.1 959 5C4 Tower Hamlets PCT E16000011 20,558 97.5 0.6 0.3 0.3 0.2 0.2 0.9 318 5NC Waltham Forest PCT E16000084 19,044 94.7 3.8 0.5 0.6 0.1 0.1 0.2 382 5LG Wandsworth PCT E16000061 30,904 92.3 6.6 0.6 0.1 0.1 0.1 0.2 1,628 5LC Westminster PCT E16000057 15,981 96.3 2.7 0.4 0.3 0.1 0.1 0.2 1,390 South East Coast SHA E18000008 307,252 78.8 19.5 1.4 0.1 0.1 0.0 0.1 8,056 5LQ Brighton & Hove City PCT E16000063 20,754 87.0 12.4 0.4 0.1 0.0-0.0 566 5P7 East Sussex Downs & Weald PCT E16000109 21,982 81.7 15.5 2.5 0.1 0.1 0.0 0.1 454 5QA Eastern & Coastal Kent PCT E16000132 52,003 89.1 10.5 0.3 0.1 0.0 0.0 0.1 720 5P8 Hastings & Rother PCT E16000110 11,697 92.3 7.5 0.1 0.0 0.0-0.1 170 5L3 Medway PCT E16000055 18,875 90.2 9.1 0.4 0.1 0.1 0.0 0.1 321 5P5 Surrey PCT E16000107 78,070 87.7 11.8 0.2 0.1 0.1 0.1 0.1 3,233 5P9 West Kent PCT E16000111 49,706 42.0 51.4 6.4 0.1 0.1 0.0 0.0 1,263 5P6 West Sussex PCT E16000108 54,165 78.9 20.8 0.2 0.0 0.0 0.0 0.1 1,329 South Central SHA E18000009 282,999 71.5 24.3 3.9 0.2 0.1 0.0 0.0 7,114 5QG Berkshire East PCT E16000137 26,868 78.2 21.3 0.3 0.1 0.0 0.0 0.0 818 5QF Berkshire West PCT E16000136 32,065 49.6 20.3 28.8 1.3 0.0 0.0 0.0 863 5QD Buckinghamshire PCT E16000134 35,248 60.5 38.4 0.8 0.1 0.1 0.1 0.0 1,032 5QC Hampshire PCT E16000133 87,640 72.2 27.1 0.5 0.1 0.0 0.0 0.0 2,524 5QT Isle of Wight NHS PCT E16000147 8,759 62.3 37.4 0.2 0.0 0.0 0.0 0.0 91 5CQ Milton Keynes PCT E16000016 18,541 51.6 47.8 0.4 0.1 0.0 0.0 0.0 423 5QE Oxfordshire PCT E16000135 44,291 92.5 5.5 1.8 0.1 0.0 0.0 0.0 930 5FE Portsmouth City Teaching PCT E16000027 13,347 66.4 33.4 0.1 0.0 0.0 0.0 0.0 166 5L1 Southampton City PCT E16000054 16,240 98.6 1.2 0.1 0.1 0.0 0.0 0.0 267 South West SHA E18000010 347,639 91.7 8.0 0.2 0.0 0.0 0.0 0.1 5,717 5FL Bath & North East Somerset PCT E16000028 11,444 95.1 4.8 0.1 0.0 0.0 0.0 0.0 249 5QN Bournemouth & Poole PCT E16000143 23,083 95.1 4.7 0.0 0.0 0.0 0.0 0.1 410 5QJ Bristol PCT E16000139 27,548 71.8 27.2 0.8 0.1 0.0 0.0 0.0 679 5QP Cornwall & Isles Of Scilly PCT E16000144 35,166 96.7 3.2 0.0 0.0 0.0 0.0 0.1 493 5QQ Devon PCT E16000145 49,372 98.2 1.6 0.0 0.0 0.0 0.0 0.1 676 5QM Dorset PCT E16000142 23,891 94.7 4.9 0.1 0.0 0.0 0.0 0.1 454 5QH Gloucestershire PCT E16000138 41,198 99.0 0.8 0.1 0.0 0.1 0.0 0.1 672 5M8 North Somerset PCT E16000069 12,720 71.4 27.6 0.8 0.1 0.0 0.0 0.1 229 5F1 Plymouth Teaching PCT E16000024 17,992 88.3 11.5 0.1 0.1 0.0 0.0 0.0 214 5QL Somerset PCT E16000141 34,283 98.7 1.1 0.1 0.0 0.0 0.0 0.1 521 5A3 South Gloucestershire PCT E16000001 16,533 72.9 26.6 0.4 0.0 0.0 0.0 0.0 236 5K3 Swindon PCT E16000044 14,852 81.8 18.1 0.1 0.0 0.0 0.0 0.0 223 TAL Torbay Care Trust E17000003 9,515 99.2 0.6 0.0 0.0 0.0 0.0 0.0 117 5QK Wiltshire PCT E16000140 30,042 92.3 7.2 0.3 0.0 0.0 0.0 0.0 544.. = Not available - = Zero (1) On 1st April 2010, 5CC - Blackburn with Darwen PCT became TAP - Blackburn with Darwen Teaching Care Trust Plus. (2) On 1st April 2010, 5P3 East & North Hertfordshire PCT and 5P4 West Hertfordshire PCT merged to create 5QV - Hertfordshire PCT. 61
Table 9b: NHS Cervical Screening Programme: Time from screening to receipt of result, as measured by expected delivery date, by Strategic Health Authority for eligible women aged 25-64, 2010-11 Experimental Statistics Percentages & Numbers England (1) North North Yorkshire East West East of London South South South East West & Humber Midlands Midlands England East Coast Central West Numbers Up to 2 weeks 2,686,870 153,486 294,083 281,927 223,650 243,901 334,585 462,583 213,241 176,190 302,341 > 2 weeks up to 3 weeks 452,048 13,465 82,037 19,409 37,171 50,707 33,411 69,364 59,255 56,539 28,965 Over 3 weeks 267,686 3,463 51,642 13,658 17,816 51,080 12,875 33,825 27,894 43,022 10,622 Percentages (%) Up to 2 weeks 78.9 90.1 68.7 89.5 80.3 70.6 87.8 81.8 71.0 63.9 88.4 > 2 weeks up to 3 weeks 13.3 7.9 19.2 6.2 13.3 14.7 8.8 12.3 19.7 20.5 8.5 Over 3 weeks 7.9 2.0 12.1 4.3 6.4 14.8 3.4 6.0 9.3 15.6 3.1 Total with letter sent by Primary Care 3,406,604 170,414 427,762 314,994 278,637 345,688 380,871 565,772 300,390 275,751 341,928 Organisation = 100% (number) (1) The England total includes letters where the PCT was unknown, hence the sum of the SHAs will not equal the England total. NB: Time from screening to receipt of test results as measured by expected date of delivery is calculated from summing monthly data for primary care organisations. Source: Open Exeter, National Cancer Screening Statistics, VSA15 report Copyright 2011, The Health and Social Care Information Centre. All rights reserved 62
Table 9c: NHS Cervical Screening Programme: Time from screening to receipt of result, as measured by expected delivery date, by Primary Care Organisation for eligible women aged 25-64, 2010-11 Experimental Statistics Percentages & Numbers ONS Code Total with letter sent by Up to 2 weeks >2 weeks Over 3 weeks Up to 2 weeks >2 weeks over 3 weeks Primary Care up to 3 weeks up to 3 weeks Organisation = 100% (number) (number) (number) (%) (%) (%) (number) England (1) 3,406,604 2,686,870 452,048 267,686 78.9 13.3 7.9 North East SHA E18000001 170,414 153,486 13,465 3,463 90.1 7.9 2.0 5ND County Durham PCT E16000085 35,187 27,675 5,326 2,186 78.7 15.1 6.2 5J9 Darlington PCT E16000041 7,165 5,531 1,070 564 77.2 14.9 7.9 5KF Gateshead PCT E16000050 14,421 14,401 12 8 99.9 0.1 0.1 5D9 Hartlepool PCT E16000019 5,300 4,582 682 36 86.5 12.9 0.7 5KM Middlesbrough PCT E16000053 8,433 8,378 36 19 99.3 0.4 0.2 5D7 Newcastle PCT E16000017 17,043 15,703 1,232 108 92.1 7.2 0.6 5D8 North Tyneside PCT (4) E16000018 14,672 13,348 1,196 128 91.0 8.2 0.9 TAC Northumberland Care Trust (4) E17000001 21,190 18,531 2,371 288 87.5 11.2 1.4 5QR Redcar & Cleveland PCT (4) E16000146 8,488 8,439 40 9 99.4 0.5 0.1 5KG South Tyneside PCT (4) E16000051 9,535 9,519 11 5 99.8 0.1 0.1 5E1 Stockton-on-Tees Teaching PCT (4) E16000020 11,715 10,502 1,136 77 89.6 9.7 0.7 5KL Sunderland Teaching PCT E16000052 17,265 16,877 353 35 97.8 2.0 0.2 North West SHA E18000002 427,762 294,083 82,037 51,642 68.7 19.2 12.1 5HG Ashton, Leigh & Wigan PCT E16000032 19,254 13,884 4,950 420 72.1 25.7 2.2 TAP Blackburn with Darwen Teaching Care Trust Plus (2) E17000006 9,653 5,476 2,923 1,254 56.7 30.3 13.0 5HP Blackpool PCT E16000033 8,521 6,528 1,341 652 76.6 15.7 7.7 5HQ Bolton PCT E16000034 18,577 13,085 4,154 1,338 70.4 22.4 7.2 5JX Bury PCT E16000043 11,998 10,192 1,693 113 84.9 14.1 0.9 5NP Central & Eastern Cheshire PCT (4) E16000095 29,750 26,556 2,955 239 89.3 9.9 0.8 5NG Central Lancashire PCT (4) E16000088 28,908 25,591 2,274 1,043 88.5 7.9 3.6 5NE Cumbria PCT E16000086 31,028 17,886 5,554 7,588 57.6 17.9 24.5 5NH East Lancashire Teaching PCT E16000089 24,045 14,202 7,262 2,581 59.1 30.2 10.7 5NM Halton & St Helens PCT E16000093 19,841 14,874 2,891 2,076 75.0 14.6 10.5 5NQ Heywood, Middleton & Rochdale PCT E16000096 12,962 10,927 1,914 121 84.3 14.8 0.9 5J4 Knowsley PCT E16000038 8,592 6,518 1,615 459 75.9 18.8 5.3 5NL Liverpool PCT E16000092 24,253 15,007 6,886 2,360 61.9 28.4 9.7 5NT Manchester PCT E16000098 28,187 23,911 3,728 548 84.8 13.2 1.9 5NF North Lancashire Teaching PCT E16000087 18,756 13,007 2,388 3,361 69.3 12.7 17.9 5J5 Oldham PCT E16000039 13,174 11,116 1,951 107 84.4 14.8 0.8 5F5 Salford PCT E16000025 12,495 9,509 2,706 280 76.1 21.7 2.2 5NJ Sefton PCT E16000090 14,267 7,000 4,983 2,284 49.1 34.9 16.0 5F7 Stockport PCT E16000026 18,178 1,730 6,936 9,512 9.5 38.2 52.3 5LH Tameside & Glossop PCT E16000062 15,223 2,338 2,208 10,677 15.4 14.5 70.1 5NR Trafford PCT E16000097 11,609 8,330 3,038 241 71.8 26.2 2.1 5J2 Warrington PCT E16000037 13,332 8,328 2,345 2,659 62.5 17.6 19.9 5NN Western Cheshire PCT E16000094 15,346 14,793 456 97 96.4 3.0 0.6 5NK Wirral PCT E16000091 19,813 13,295 4,886 1,632 67.1 24.7 8.2 Yorkshire & the Humber SHA E18000003 314,994 281,927 19,409 13,658 89.5 6.2 4.3 5JE Barnsley PCT E16000042 13,443 9,080 2,034 2,329 67.5 15.1 17.3 5NY Bradford & Airedale Teaching PCT E16000102 28,382 27,867 333 182 98.2 1.2 0.6 5J6 Calderdale PCT E16000040 12,884 12,495 337 52 97.0 2.6 0.4 5N5 Doncaster PCT E16000078 18,131 12,330 2,357 3,444 68.0 13.0 19.0 5NW East Riding of Yorkshire PCT E16000100 19,880 18,838 956 86 94.8 4.8 0.4 5NX Hull Teaching PCT E16000101 17,878 17,430 384 64 97.5 2.1 0.4 5N2 Kirklees PCT E16000075 24,364 23,643 629 92 97.0 2.6 0.4 5N1 Leeds PCT E16000074 47,749 46,968 507 274 98.4 1.1 0.6 TAN North East Lincolnshire Care Trust Plus E17000005 9,166 9,110 18 38 99.4 0.2 0.4 5EF North Lincolnshire PCT E16000021 8,880 8,834 28 18 99.5 0.3 0.2 5NV North Yorkshire & York PCT E16000099 47,778 42,613 4,964 201 89.2 10.4 0.4 5H8 Rotherham PCT E16000031 13,063 8,072 2,204 2,787 61.8 16.9 21.3 5N4 Sheffield PCT E16000077 31,089 22,814 4,263 4,012 73.4 13.7 12.9 5N3 Wakefield District PCT E16000076 22,307 21,833 395 79 97.9 1.8 0.4 East Midlands SHA E18000004 278,637 223,650 37,171 17,816 80.3 13.3 6.4 5ET Bassetlaw PCT E16000023 7,055 3,729 1,743 1,583 52.9 24.7 22.4 5N7 Derby City PCT E16000080 17,724 16,959 607 158 95.7 3.4 0.9 5N6 Derbyshire County PCT E16000079 43,715 34,897 6,510 2,308 79.8 14.9 5.3 5PC Leicester City PCT E16000113 19,075 18,969 74 32 99.4 0.4 0.2 5PA Leicestershire County & Rutland PCT E16000112 40,284 39,693 455 136 98.5 1.1 0.3 5N9 Lincolnshire Teaching PCT E16000082 40,459 39,967 354 138 98.8 0.9 0.3 5PD Northamptonshire Teaching PCT E16000114 43,041 42,162 623 256 98.0 1.4 0.6 5EM Nottingham City PCT E16000022 20,733 6,091 8,655 5,987 29.4 41.7 28.9 5N8 Nottinghamshire County Teaching PCT E16000081 46,551 21,183 18,150 7,218 45.5 39.0 15.5 West Midlands SHA E18000005 345,688 243,901 50,707 51,080 70.6 14.7 14.8 5PG Birmingham East & North PCT E16000117 25,830 16,400 2,669 6,761 63.5 10.3 26.2 5MD Coventry Teaching PCT E16000070 19,998 12,096 2,331 5,571 60.5 11.7 27.9 5PE Dudley PCT E16000115 17,968 10,892 6,249 827 60.6 34.8 4.6 5MX Heart of Birmingham Teaching PCT E16000073 17,582 11,391 4,689 1,502 64.8 26.7 8.5 5CN Herefordshire PCT E16000015 11,001 10,161 783 57 92.4 7.1 0.5 5PH North Staffordshire PCT E16000118 13,623 11,457 1,796 370 84.1 13.2 2.7 5PF Sandwell PCT E16000116 19,036 14,214 4,448 374 74.7 23.4 2.0 5M2 Shropshire County PCT E16000065 18,337 7,112 995 10,230 38.8 5.4 55.8 TAM Solihull Care Trust E17000004 14,548 9,224 1,327 3,997 63.4 9.1 27.5 5M1 South Birmingham PCT E16000064 22,234 6,781 10,967 4,486 30.5 49.3 20.2 5PK South Staffordshire PCT E16000120 37,065 31,363 5,314 388 84.6 14.3 1.0 5PJ Stoke-on-Trent PCT E16000119 17,795 14,964 2,334 497 84.1 13.1 2.8 5MK Telford & Wrekin PCT E16000071 10,510 4,386 634 5,490 41.7 6.0 52.2 5M3 Walsall Teaching PCT E16000066 15,864 13,823 1,680 361 87.1 10.6 2.3 5PM Warwickshire PCT E16000122 34,958 21,396 3,644 9,918 61.2 10.4 28.4 5MV Wolverhampton City PCT E16000072 14,821 14,444 267 110 97.5 1.8 0.7 5PL Worcestershire PCT E16000121 34,518 33,797 580 141 97.9 1.7 0.4 East of England SHA E18000006 380,871 334,585 33,411 12,875 87.8 8.8 3.4 5P2 Bedfordshire PCT E16000104 29,006 24,849 2,967 1,190 85.7 10.2 4.1 5PP Cambridgeshire PCT E16000124 42,319 42,156 121 42 99.6 0.3 0.1 5PR Great Yarmouth & Waveney PCT E16000126 11,796 11,714 61 21 99.3 0.5 0.2 5QV Hertfordshire PCT (3) E16000150 81,856 57,780 16,931 7,145 70.6 20.7 8.7 5GC Luton PCT E16000029 12,527 10,860 873 794 86.7 7.0 6.3 63
Table 9c: NHS Cervical Screening Programme: Time from screening to receipt of result, as measured by expected delivery date, by Primary Care Organisation for eligible women aged 25-64, 2010-11 Experimental Statistics Percentages & Numbers ONS Code Total with letter sent by Up to 2 weeks >2 weeks Over 3 weeks Up to 2 weeks >2 weeks over 3 weeks Primary Care up to 3 weeks up to 3 weeks Organisation = 100% (number) (number) (number) (%) (%) (%) (number) England (1) 3,406,604 2,686,870 452,048 267,686 78.9 13.3 7.9 5PX Mid Essex PCT E16000130 23,918 21,562 2,173 183 90.1 9.1 0.8 5PQ Norfolk PCT E16000125 42,621 42,370 160 91 99.4 0.4 0.2 5PW North East Essex PCT E16000129 19,435 19,086 221 128 98.2 1.1 0.7 5PN Peterborough PCT E16000123 12,522 12,436 74 12 99.3 0.6 0.1 5P1 South East Essex PCT E16000103 20,603 17,984 2,265 354 87.3 11.0 1.7 5PY South West Essex PCT E16000131 26,010 17,567 6,451 1,992 67.5 24.8 7.7 5PT Suffolk PCT E16000127 39,892 39,789 55 48 99.7 0.1 0.1 5PV West Essex PCT E16000128 18,366 16,432 1,059 875 89.5 5.8 4.8 London SHA E18000007 565,772 462,583 69,364 33,825 81.8 12.3 6.0 5C2 Barking & Dagenham PCT E16000009 10,637 7,840 2,040 757 73.7 19.2 7.1 5A9 Barnet PCT E16000006 22,718 14,915 6,396 1,407 65.7 28.2 6.2 TAK Bexley Care Trust E17000002 14,738 6,100 6,866 1,772 41.4 46.6 12.0 5K5 Brent Teaching PCT E16000045 20,233 19,023 979 231 94.0 4.8 1.1 5A7 Bromley PCT E16000004 22,367 12,790 7,582 1,995 57.2 33.9 8.9 5K7 Camden PCT E16000047 15,550 14,294 1,000 256 91.9 6.4 1.6 5C3 City & Hackney Teaching PCT E16000010 20,307 19,454 245 608 95.8 1.2 3.0 5K9 Croydon PCT E16000049 23,443 22,548 705 190 96.2 3.0 0.8 5HX Ealing PCT E16000035 23,612 21,813 1,542 257 92.4 6.5 1.1 5C1 Enfield PCT E16000008 19,223 11,755 4,822 2,646 61.2 25.1 13.8 5A8 Greenwich Teaching PCT E16000005 18,154 3,629 5,928 8,597 20.0 32.7 47.4 5H1 Hammersmith & Fulham PCT E16000030 13,619 13,150 250 219 96.6 1.8 1.6 5C9 Haringey Teaching PCT E16000013 21,559 11,335 4,119 6,105 52.6 19.1 28.3 5K6 Harrow PCT E16000046 12,255 11,666 494 95 95.2 4.0 0.8 5A4 Havering PCT E16000002 13,041 9,719 2,577 745 74.5 19.8 5.7 5AT Hillingdon PCT E16000007 14,327 13,316 856 155 92.9 6.0 1.1 5HY Hounslow PCT E16000036 17,581 17,063 326 192 97.1 1.9 1.1 5K8 Islington PCT E16000048 17,292 13,454 440 3,398 77.8 2.5 19.7 5LA Kensington & Chelsea PCT E16000056 11,028 10,731 181 116 97.3 1.6 1.1 5A5 Kingston PCT E16000003 12,244 11,592 615 37 94.7 5.0 0.3 5LD Lambeth PCT E16000058 26,699 22,693 3,714 292 85.0 13.9 1.1 5LF Lewisham PCT E16000060 19,972 17,940 1,843 189 89.8 9.2 0.9 5C5 Newham PCT E16000012 21,375 20,999 70 306 98.2 0.3 1.4 5NA Redbridge PCT E16000083 16,103 11,524 3,217 1,362 71.6 20.0 8.5 5M6 Richmond & Twickenham PCT E16000067 13,876 13,072 690 114 94.2 5.0 0.8 5LE Southwark PCT E16000059 22,679 19,881 2,621 177 87.7 11.6 0.8 5M7 Sutton & Merton PCT E16000068 24,153 17,397 6,555 201 72.0 27.1 0.8 5C4 Tower Hamlets PCT E16000011 18,640 18,160 59 421 97.4 0.3 2.3 5NC Waltham Forest PCT E16000084 17,933 16,807 776 350 93.7 4.3 2.0 5LG Wandsworth PCT E16000061 26,726 24,749 1,495 482 92.6 5.6 1.8 5LC Westminster PCT E16000057 13,688 13,174 361 153 96.2 2.6 1.1 South East Coast SHA E18000008 300,390 213,241 59,255 27,894 71.0 19.7 9.3 5LQ Brighton & Hove City PCT E16000063 20,851 15,287 3,599 1,965 73.3 17.3 9.4 5P7 East Sussex Downs & Weald PCT E16000109 21,578 15,695 2,921 2,962 72.7 13.5 13.7 5QA Eastern & Coastal Kent PCT E16000132 48,494 40,179 6,873 1,442 82.9 14.2 3.0 5P8 Hastings & Rother PCT E16000110 11,388 9,516 1,048 824 83.6 9.2 7.2 5L3 Medway PCT E16000055 18,966 15,045 1,793 2,128 79.3 9.5 11.2 5P5 Surrey PCT E16000107 78,328 66,711 11,125 492 85.2 14.2 0.6 5P9 West Kent PCT E16000111 48,200 17,457 15,215 15,528 36.2 31.6 32.2 5P6 West Sussex PCT E16000108 52,585 33,351 16,681 2,553 63.4 31.7 4.9 South Central SHA E18000009 275,751 176,190 56,539 43,022 63.9 20.5 15.6 5QG Berkshire East PCT E16000137 25,378 17,673 5,630 2,075 69.6 22.2 8.2 5QF Berkshire West PCT E16000136 32,774 13,368 4,055 15,351 40.8 12.4 46.8 5QD Buckinghamshire PCT E16000134 33,974 17,248 12,090 4,636 50.8 35.6 13.6 5QC Hampshire PCT E16000133 85,024 54,700 17,485 12,839 64.3 20.6 15.1 5QT Isle of Wight NHS PCT E16000147 8,406 4,816 2,550 1,040 57.3 30.3 12.4 5CQ Milton Keynes PCT E16000016 18,178 7,740 6,413 4,025 42.6 35.3 22.1 5QE Oxfordshire PCT E16000135 44,164 38,084 4,316 1,764 86.2 9.8 4.0 5FE Portsmouth City Teaching PCT E16000027 12,550 7,704 3,608 1,238 61.4 28.7 9.9 5L1 Southampton City PCT E16000054 15,303 14,857 392 54 97.1 2.6 0.4 South West SHA E18000010 341,928 302,341 28,965 10,622 88.4 8.5 3.1 5FL Bath & North East Somerset PCT E16000028 11,372 10,648 469 255 93.6 4.1 2.2 5QN Bournemouth & Poole PCT E16000143 22,915 20,935 1,924 56 91.4 8.4 0.2 5QJ Bristol PCT E16000139 27,720 17,570 6,524 3,626 63.4 23.5 13.1 5QP Cornwall & Isles Of Scilly PCT E16000144 33,730 32,389 1,190 151 96.0 3.5 0.4 5QQ Devon PCT E16000145 47,639 46,294 1,124 221 97.2 2.4 0.5 5QM Dorset PCT E16000142 23,449 21,762 1,541 146 92.8 6.6 0.6 5QH Gloucestershire PCT E16000138 41,624 40,973 410 241 98.4 1.0 0.6 5M8 North Somerset PCT E16000069 12,774 7,960 2,803 2,011 62.3 21.9 15.7 5F1 Plymouth Teaching PCT E16000024 17,641 14,486 2,790 365 82.1 15.8 2.1 5QL Somerset PCT E16000141 32,241 31,754 362 125 98.5 1.1 0.4 5A3 South Gloucestershire PCT E16000001 16,579 10,738 4,012 1,829 64.8 24.2 11.0 5K3 Swindon PCT E16000044 14,800 11,367 2,754 679 76.8 18.6 4.6 TAL Torbay Care Trust E17000003 9,071 8,835 209 27 97.4 2.3 0.3 5QK Wiltshire PCT E16000140 30,373 26,630 2,853 890 87.7 9.4 2.9 (1) The England total includes letters where the PCT was unknown, hence the sum of the PCTs or SHAs will not equal the England total. (2) On 1st April 2010, 5CC - Blackburn with Darwen PCT became TAP - Blackburn with Darwen Teaching Care Trust Plus. (3) On 1st April 2010, 5P3 East & North Hertfordshire PCT and 5P4 West Hertfordshire PCT merged to create 5QV - Hertfordshire PCT. (4) Following publication on 24th November, the numbers published for 'Up to 2 weeks', '>2 weeks and up to 3 weeks' and 'Over 3 weeks' for these PCTs were subsequently found to require revision. These figures were revised on 12th December 2011. Please note that the percentages were not affected. NB: Time from screening to receipt of test results as measured by expected date of delivery is calculated from summing monthly data for primary care organisations. Source: Open Exeter, National Cancer Screening Statistics, VSA15 report Copyright 2011, The Health and Social Care Information Centre. All rights reserved 64
Table 10: NHS Cervical Screening Programme: Recall status by most severe screening result and Strategic Health Authority, 2010-11 England Percentages & Numbers Result of Test Recall Status England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West Inadequate Total Tests (=100%) 88,129 2,176 11,630 4,463 4,623 9,459 8,235 20,028 8,055 6,119 13,341 (cat.1) Suspend (%) 2.9 2.0 5.3 7.5 2.5 3.2 2.1 3.1 1.3 1.6 1.2 Repeat (%) 97.1 98.0 94.7 92.5 97.5 96.8 97.9 96.9 98.7 98.4 98.8 Negative Total Tests (=100%) 3,024,588 152,362 394,038 288,909 255,149 304,239 330,508 508,366 256,756 243,127 291,134 (cat.2) Normal (%) 85.3 81.0 83.8 86.1 85.6 85.4 86.0 85.7 86.7 85.8 84.6 Suspend (%) 0.9 0.0 2.5 1.6 0.9 0.1 0.3 1.4 0.5 0.2 0.1 Repeat (%) 13.9 19.0 13.7 12.3 13.6 14.5 13.6 13.0 12.8 13.9 15.2 Borderline Total Tests (=100%) 116,075 8,939 12,735 10,435 8,804 11,950 12,903 21,275 9,851 8,653 10,530 changes (cat.8) Normal (%) 2.7-13.9 3.6 0.5-2.6 1.1 - - 4.0 Suspend (%) 26.8 27.3 45.5 35.7 20.9 19.6 19.8 26.9 23.2 19.9 25.2 Repeat (%) 70.5 72.7 40.6 60.7 78.6 80.4 77.6 72.0 76.8 80.1 70.7 Mild Total Tests (=100%) 63,015 3,109 7,929 2,843 3,834 6,385 7,367 16,729 5,037 4,923 4,859 Dyskaryosis (cat.3) Normal (%) 0.8-4.1 0.4 0.1-0.4 0.6 - - 0.5 Suspend (%) 72.5 61.0 85.0 84.4 94.6 75.9 52.2 69.0 72.8 53.5 92.8 Repeat (%) 26.7 39.0 10.9 15.2 5.3 24.1 47.5 30.4 27.2 46.5 6.7 Moderate Total Tests (=100%) 17,466 1,004 2,068 1,346 1,111 1,584 2,055 3,173 1,595 1,547 1,983 Dyskaryosis (cat.7) Suspend (%) 100 100 100 100 100 100 100 100 100 100 100 Repeat (%) - - - - - - - - - - - Severe Total Tests (=100%) 20,272 1,449 2,864 2,117 1,804 2,192 2,319 2,480 1,759 1,732 1,556 Dyskaryosis (cat.4) Suspend (%) 100 100 100 100 100 100 100 100 100 100 100 Repeat (%) - - - - - - - - - - - Severe/? invasive Total Tests (=100%) 813 76 138 64 81 102 70 94 50 87 51 Carcinoma (cat.5) Suspend (%) 100 100 100 100 100 100 100 100 100 100 100 Repeat (%) - - - - - - - - - - -?Glandular Total Tests (=100%) 1,627 96 300 213 136 135 186 191 115 132 123 Neoplasia (cat.6) Suspend (%) 100 100 100 100 100 100 100 100 100 100 100 Repeat (%) - - - - - - - - - - -.. = Not available - = Zero Source : KC53 Part F Copyright 2011, The Health and Social Care Information Centre. All rights reserved 65
Table 11: NHS Cervical Screening Programme: Summary of Strategic Health Authority data for women aged 25-64, 2010-11 Percentages & Thousands England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West Test status and coverage of target age group (25-64) (000s) Number of women 14,681.1 706.6 1,933.0 1,414.6 1,206.6 1,490.4 1,592.0 2,554.8 1,208.5 1,152.5 1,421.9 resident Number of women with 991.3 52.6 146.9 105.4 99.3 101.3 119.8 78.9 91.7 78.7 116.6 recall ceased for clinical reasons Number of women with 442.0 21.9 59.3 45.7 38.1 45.6 54.4 47.9 42.2 34.2 52.7 recall ceased for age reasons Number of women with 218.8 12.5 25.5 18.1 15.8 22.5 27.1 38.4 22.9 15.4 20.6 recall ceased for other reasons Number of eligible women 13,689.8 653.9 1,786.1 1,309.2 1,107.4 1,389.1 1,472.2 2,475.9 1,116.8 1,073.8 1,305.3 Number of women less than 10,759.7 519.8 1,393.8 1,046.6 901.2 1,083.9 1,182.5 1,831.3 894.4 855.5 1,050.7 5 years since last adequate test Coverage (1) (less than 5 years 78.6 79.5 78.0 79.9 81.4 78.0 80.3 74.0 80.1 79.7 80.5 since last adequate test )(%) Number of women less than 9,445.4 448.1 1,216.0 923.2 784.5 939.7 1,046.5 1,619.5 787.9 756.4 923.6 3.5 years since last adequate test Coverage (1) (less than 3.5 years 69.0 68.5 68.1 70.5 70.8 67.7 71.1 65.4 70.6 70.4 70.8 since last adequate test )(%) Number of women invited in the year by type of invitation (000s) Total 4,328.5 215.8 556.1 396.0 341.8 451.8 466.1 777.7 360.5 338.8 423.8 Type of Invitation Call 714.0 26.1 79.1 62.0 48.6 68.9 65.2 205.1 49.6 53.2 56.1 Routine Recall 2,739.0 136.3 347.5 261.9 231.0 291.3 306.4 419.0 243.5 217.6 284.5 Repeat in less than 3 years for reasons of: Surveillance 627.5 38.9 96.1 54.0 46.9 65.0 68.0 101.4 48.4 47.7 61.1 Abnormality 157.6 11.2 20.2 13.0 9.9 16.7 18.4 31.2 11.8 13.5 11.9 Inadequate Smear 90.4 3.3 13.2 5.2 5.4 9.9 8.1 21.0 7.2 6.8 10.2 Number of women tested in the year by type of invitation (000s) Total (2) 3,351.1 169.4 433.0 311.2 276.3 337.0 366.6 578.5 286.4 268.0 324.7 Type of Invitation Call 245.7 11.4 28.9 23.7 18.8 23.5 23.4 55.9 18.8 19.3 22.0 Routine Recall 1,846.6 96.8 230.0 182.4 168.7 190.6 211.0 246.6 172.6 150.0 198.0 Repeat in less than 3 years for reasons of: Surveillance 449.1 29.2 58.1 38.5 36.5 47.2 52.4 66.1 36.4 36.9 47.9 Abnormality 66.5 4.7 6.4 5.5 5.0 7.6 8.3 12.4 5.5 5.7 5.3 Inadequate Smear 37.7 1.2 5.4 2.0 2.1 4.1 3.0 8.9 3.2 2.7 5.2 While Recall Suspended 135.2 6.2 29.1 12.6 9.1 11.5 10.9 28.1 9.8 8.0 9.8 While Recall Ceased 14.3 0.5 2.4 1.0 0.7 1.3 1.5 3.1 1.3 1.2 1.2 Outside programme 556.0 19.5 72.6 45.5 35.3 51.1 56.0 157.4 38.9 44.3 35.4 Results of adequate tests Numbers (000s) Total 3,310.7 168.5 427.4 309.4 274.3 332.5 362.6 568.9 283.2 265.1 318.9 Result (3) Negative 3,091.4 153.8 401.3 292.4 258.5 310.1 337.7 524.9 264.8 248.1 299.8 Borderline Dyskaryosis 116.1 8.9 12.7 10.4 8.8 12.0 12.9 21.3 9.9 8.7 10.5 Mild Dyskaryosis 63.0 3.1 7.9 2.8 3.8 6.4 7.4 16.7 5.0 4.9 4.9 Moderate Dyskaryosis 17.5 1.0 2.1 1.3 1.1 1.6 2.1 3.2 1.6 1.5 2.0 Severe Dyskaryosis 20.3 1.4 2.9 2.1 1.8 2.2 2.3 2.5 1.8 1.7 1.6 Severe /?Invasive Carcinoma 0.8 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 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 0.1 Percentages Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Result (3) Negative 93.4 91.3 93.9 94.5 94.3 93.3 93.1 92.3 93.5 93.6 94.0 Borderline Dyskaryosis 3.5 5.3 3.0 3.4 3.2 3.6 3.6 3.7 3.5 3.3 3.3 Mild Dyskaryosis 1.9 1.8 1.9 0.9 1.4 1.9 2.0 2.9 1.8 1.9 1.5 Moderate Dyskaryosis 0.5 0.6 0.5 0.4 0.4 0.5 0.6 0.6 0.6 0.6 0.6 Severe Dyskaryosis 0.6 0.9 0.7 0.7 0.7 0.7 0.6 0.4 0.6 0.7 0.5 Severe /?Invasive Carcinoma 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0?Glandular Neoplasia 0.0 0.1 0.1 0.1 0.0 0.0 0.1 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 Parts A2, A3, B, C1 and D Copyright 2011, The Health and Social Care Information Centre. All rights reserved 66
Table 12: NHS Cervical Screening Programme: Target Age Group (25-64), results of tests by Primary Care Organisation, 2010-11 Percentages & Thousands Result of test Number of Severe Eligible (1) women (2) Borderline Mild Moderate Dyskaryosis Population Screened Negative Dyskaryosis Dyskaryosis Dyskaryosis or worse ONS Code (000's) (000's) (%) (%) (%) (%) (%) England 13,689.8 3,310.7 93.4 3.5 1.9 0.5 0.7 North East SHA E18000001 653.9 168.5 91.3 5.3 1.8 0.6 1.0 5ND County Durham PCT E16000085 130.5 33.9 91.7 5.6 1.4 0.5 0.9 5J9 Darlington PCT E16000041 25.8 6.9 91.7 5.7 1.2 0.5 1.0 5KF Gateshead PCT E16000050 51.6 14.0 90.4 6.6 1.4 0.6 1.0 5D9 Hartlepool PCT E16000019 22.5 5.3 90.9 6.0 1.6 0.7 0.8 5KM Middlesbrough PCT E16000053 36.1 8.3 90.7 5.6 1.9 0.8 1.0 5D7 Newcastle PCT E16000017 66.4 17.1 91.4 4.2 2.5 0.6 1.3 5D8 North Tyneside PCT E16000018 54.8 15.0 91.7 4.0 2.4 0.6 1.3 TAC Northumberland Care Trust E17000001 78.8 21.4 92.7 3.6 2.1 0.5 1.1 5QR Redcar & Cleveland PCT E16000146 32.6 8.4 91.0 5.7 1.8 0.7 0.8 5KG South Tyneside PCT E16000051 37.3 9.6 90.6 6.3 1.4 0.6 1.1 5E1 Stockton-on-Tees Teaching PCT E16000020 47.4 11.7 91.5 5.5 1.6 0.7 0.7 5KL Sunderland Teaching PCT E16000052 70.1 16.9 89.5 6.9 2.4 0.7 0.6 North West SHA E18000002 1,786.1 427.4 93.9 3.0 1.9 0.5 0.8 5HG Ashton, Leigh & Wigan PCT E16000032 75.5 19.2 93.9 3.0 1.7 0.5 0.9 TAP Blackburn with Darwen Teaching Care Trust Plus E17000006 39.2 8.9 94.5 2.6 1.6 0.5 0.8 5HP Blackpool PCT E16000033 35.8 7.9 93.6 3.0 1.9 0.6 1.0 5HQ Bolton PCT E16000034 71.4 17.1 94.7 2.8 1.4 0.5 0.7 5JX Bury PCT E16000043 48.2 12.1 94.3 2.4 1.9 0.6 0.8 5NP Central & Eastern Cheshire PCT E16000095 115.5 29.7 95.1 2.8 1.2 0.2 0.7 5NG Central Lancashire PCT E16000088 112.8 26.6 94.4 2.9 1.7 0.4 0.7 5NE Cumbria PCT E16000086 125.4 31.0 94.7 2.7 1.3 0.4 0.8 5NH East Lancashire Teaching PCT E16000089 92.6 21.9 94.4 2.7 1.7 0.5 0.8 5NM Halton & St Helens PCT E16000093 78.7 19.9 93.1 4.0 1.7 0.5 0.7 5NQ Heywood, Middleton & Rochdale PCT E16000096 53.8 13.2 94.5 2.5 1.7 0.5 0.9 5J4 Knowsley PCT E16000038 38.9 9.0 92.4 3.6 2.4 0.7 0.9 5NL Liverpool PCT E16000092 120.6 26.1 92.3 2.8 3.0 0.8 1.0 5NT Manchester PCT E16000098 132.2 30.4 92.8 3.5 2.2 0.6 0.9 5NF North Lancashire Teaching PCT E16000087 76.5 17.7 94.3 2.8 1.6 0.5 0.9 5J5 Oldham PCT E16000039 56.8 13.9 94.9 2.3 1.6 0.4 0.8 5F5 Salford PCT E16000025 59.0 13.5 93.5 3.1 1.9 0.6 0.9 5NJ Sefton PCT E16000090 67.5 14.9 92.8 2.9 2.8 0.7 0.9 5F7 Stockport PCT E16000026 74.5 18.4 93.7 2.7 2.5 0.5 0.7 5LH Tameside & Glossop PCT E16000062 59.1 15.0 92.3 5.0 1.7 0.5 0.6 5NR Trafford PCT E16000097 57.8 13.1 94.2 3.0 1.7 0.4 0.7 5J2 Warrington PCT E16000037 51.9 13.2 95.2 2.8 1.2 0.3 0.5 5NN Western Cheshire PCT E16000094 61.9 15.7 94.3 2.0 2.7 0.5 0.6 5NK Wirral PCT E16000091 80.4 19.2 93.6 3.5 1.8 0.5 0.6 Yorkshire & the Humber SHA E18000003 1,309.2 309.4 94.5 3.4 0.9 0.4 0.8 5JE Barnsley PCT E16000042 60.7 13.9 93.9 3.7 0.8 0.5 1.1 5NY Bradford & Airedale Teaching PCT E16000102 128.0 27.1 95.2 3.2 0.5 0.4 0.8 5J6 Calderdale PCT E16000040 52.4 11.9 93.4 4.2 0.9 0.6 0.8 5N5 Doncaster PCT E16000078 73.4 18.1 94.5 3.5 0.8 0.4 0.9 5NW East Riding of Yorkshire PCT E16000100 76.2 19.9 94.6 3.4 0.8 0.4 0.7 5NX Hull Teaching PCT E16000101 69.1 17.6 92.5 5.0 0.9 0.5 1.1 5N2 Kirklees PCT E16000075 102.0 22.7 94.1 3.7 1.2 0.4 0.6 5N1 Leeds PCT E16000074 196.6 45.0 94.5 3.6 0.7 0.4 0.8 TAN North East Lincolnshire Care Trust Plus E17000005 39.1 9.1 93.3 3.8 1.4 0.4 1.0 5EF North Lincolnshire PCT E16000021 40.0 8.9 94.0 3.6 1.1 0.5 0.8 5NV North Yorkshire & York PCT E16000099 194.1 48.9 95.3 2.4 1.2 0.5 0.6 5H8 Rotherham PCT E16000031 60.9 13.2 94.9 3.0 0.8 0.4 0.8 5N4 Sheffield PCT E16000077 129.9 31.1 95.6 2.7 0.7 0.3 0.7 5N3 Wakefield District PCT E16000076 86.8 21.9 93.7 3.7 1.4 0.5 0.7 East Midlands SHA E18000004 1,107.4 274.3 94.3 3.2 1.4 0.4 0.7 5ET Bassetlaw PCT E16000023 26.6 6.8 94.8 3.0 0.9 0.3 0.9 5N7 Derby City PCT E16000080 72.6 18.2 94.0 4.0 1.0 0.3 0.7 5N6 Derbyshire County PCT E16000079 171.7 44.1 94.2 3.5 1.2 0.2 0.8 5PC Leicester City PCT E16000113 84.9 19.0 95.2 2.3 1.4 0.6 0.6 5PA Leicestershire County & Rutland PCT E16000112 163.6 40.1 95.4 2.2 1.3 0.5 0.6 5N9 Lincolnshire Teaching PCT E16000082 175.1 39.8 94.1 3.5 1.2 0.4 0.8 5PD Northamptonshire Teaching PCT E16000114 174.5 43.6 93.4 3.1 2.1 0.6 0.8 5EM Nottingham City PCT E16000022 73.9 19.0 92.7 4.5 1.7 0.4 0.8 5N8 Nottinghamshire County Teaching PCT E16000081 164.5 43.7 94.5 3.2 1.2 0.3 0.8 West Midlands SHA E18000005 1,389.1 332.5 93.3 3.6 1.9 0.5 0.7 5PG Birmingham East & North PCT E16000117 105.9 23.5 93.0 3.3 2.5 0.5 0.7 5MD Coventry Teaching PCT E16000070 83.5 19.8 93.5 3.5 1.7 0.2 1.1 5PE Dudley PCT E16000115 75.1 17.5 94.0 3.6 1.2 0.5 0.7 5MX Heart of Birmingham Teaching PCT E16000073 71.9 16.8 93.8 3.4 1.9 0.4 0.5 5CN Herefordshire PCT E16000015 42.5 10.7 94.0 2.8 2.2 0.5 0.5 5PH North Staffordshire PCT E16000118 50.0 12.9 92.9 3.3 2.2 0.6 1.0 5PF Sandwell PCT E16000116 82.5 18.7 93.7 3.6 1.7 0.4 0.6 5M2 Shropshire County PCT E16000065 69.4 17.0 92.2 4.3 2.5 0.4 0.6 TAM Solihull Care Trust E17000004 55.0 13.3 92.8 3.4 2.7 0.5 0.6 5M1 South Birmingham PCT E16000064 95.2 22.9 90.9 4.4 3.0 0.9 0.8 5PK South Staffordshire PCT E16000120 151.9 37.0 94.7 3.1 1.1 0.4 0.7 5PJ Stoke-on-Trent PCT E16000119 65.7 16.8 91.4 3.8 2.8 0.8 1.3 5MK Telford & Wrekin PCT E16000071 40.9 9.8 91.7 4.6 2.3 0.5 1.0 5M3 Walsall Teaching PCT E16000066 63.1 15.2 92.2 4.9 1.6 0.6 0.7 5PM Warwickshire PCT E16000122 136.8 32.4 94.6 3.1 1.3 0.2 0.9 5MV Wolverhampton City PCT E16000072 61.9 14.7 93.7 3.7 1.3 0.5 0.7 5PL Worcestershire PCT E16000121 137.9 33.5 93.7 3.5 1.9 0.6 0.3 East of England SHA E18000006 1,472.2 362.6 93.1 3.6 2.0 0.6 0.7 5P2 Bedfordshire PCT E16000104 108.8 27.5 92.6 3.1 2.7 0.7 0.9 5PP Cambridgeshire PCT E16000124 156.0 38.3 92.9 3.2 2.4 0.7 0.8 5PR Great Yarmouth & Waveney PCT E16000126 52.2 11.8 95.5 2.4 1.0 0.4 0.7 5QV Hertfordshire PCT (4) E16000150 299.7 75.5 93.9 3.2 2.0 0.5 0.5 5GC Luton PCT E16000029 50.8 11.7 92.3 3.1 3.0 0.6 0.9 5PX Mid Essex PCT E16000130 92.1 23.3 91.8 4.2 2.7 0.6 0.6 5PQ Norfolk PCT E16000125 178.5 41.7 95.0 2.5 1.1 0.5 0.8 5PW North East Essex PCT E16000129 75.4 19.6 93.3 3.7 2.1 0.4 0.6 5PN Peterborough PCT E16000123 44.3 10.8 90.3 6.3 1.7 0.7 1.0 5P1 South East Essex PCT E16000103 85.7 20.5 92.4 4.8 1.6 0.5 0.6 67
Table 12: NHS Cervical Screening Programme: Target Age Group (25-64), results of tests by Primary Care Organisation, 2010-11 Percentages & Thousands Result of test Number of Severe Eligible (1) women (2) Borderline Mild Moderate Dyskaryosis Population Screened Negative Dyskaryosis Dyskaryosis Dyskaryosis or worse ONS Code (000's) (000's) (%) (%) (%) (%) (%) England 13,689.8 3,310.7 93.4 3.5 1.9 0.5 0.7 5PY South West Essex PCT E16000131 105.5 25.5 92.0 4.1 2.6 0.6 0.7 5PT Suffolk PCT E16000127 150.3 38.2 92.9 4.2 1.6 0.6 0.8 5PV West Essex PCT E16000128 72.9 18.2 92.5 3.7 2.4 0.7 0.6 London SHA E18000007 2,475.9 568.9 92.3 3.7 2.9 0.6 0.5 5C2 Barking & Dagenham PCT E16000009 48.9 10.8 94.3 2.7 1.6 0.6 0.7 5A9 Barnet PCT E16000006 105.1 22.7 92.7 4.1 2.3 0.5 0.4 TAK Bexley Care Trust E17000002 57.7 14.2 91.6 4.2 3.0 0.6 0.6 5K5 Brent Teaching PCT E16000045 98.0 21.5 94.4 2.5 2.5 0.3 0.3 5A7 Bromley PCT E16000004 85.4 22.2 91.6 4.0 3.4 0.5 0.5 5K7 Camden PCT E16000047 75.4 16.1 89.8 3.1 5.8 0.7 0.6 5C3 City & Hackney Teaching PCT E16000010 82.8 19.3 92.8 4.2 2.0 0.5 0.5 5K9 Croydon PCT E16000049 101.6 23.6 92.0 3.5 3.3 0.7 0.5 5HX Ealing PCT E16000035 109.0 23.5 92.3 4.2 2.6 0.3 0.5 5C1 Enfield PCT E16000008 80.3 18.6 91.2 5.2 2.4 0.7 0.5 5A8 Greenwich Teaching PCT E16000005 74.5 17.3 92.4 3.7 2.8 0.6 0.6 5H1 Hammersmith & Fulham PCT E16000030 66.0 14.1 89.4 6.2 3.5 0.6 0.4 5C9 Haringey Teaching PCT E16000013 83.8 19.6 90.2 4.9 3.5 0.8 0.5 5K6 Harrow PCT E16000046 63.7 13.2 95.5 2.0 2.0 0.2 0.3 5A4 Havering PCT E16000002 63.6 13.4 94.0 3.2 1.7 0.5 0.6 5AT Hillingdon PCT E16000007 70.8 15.4 94.4 2.3 2.3 0.4 0.6 5HY Hounslow PCT E16000036 76.8 17.1 92.6 4.2 2.3 0.5 0.4 5K8 Islington PCT E16000048 70.0 16.9 90.2 4.1 4.3 0.9 0.5 5LA Kensington & Chelsea PCT E16000056 54.5 12.4 90.4 5.7 3.2 0.5 0.2 5A5 Kingston PCT E16000003 50.6 12.0 92.9 3.8 2.4 0.6 0.3 5LD Lambeth PCT E16000058 117.2 27.5 90.1 4.1 4.3 0.9 0.6 5LF Lewisham PCT E16000060 88.6 20.1 91.2 3.7 3.9 0.7 0.5 5C5 Newham PCT E16000012 89.0 20.1 94.8 3.1 1.4 0.4 0.3 5NA Redbridge PCT E16000083 73.2 16.1 95.0 2.6 1.6 0.5 0.4 5M6 Richmond & Twickenham PCT E16000067 56.1 13.9 93.0 3.9 2.2 0.5 0.4 5LE Southwark PCT E16000059 94.9 22.6 91.0 3.9 3.8 0.8 0.4 5M7 Sutton & Merton PCT E16000068 107.3 25.4 94.5 2.7 1.8 0.4 0.6 5C4 Tower Hamlets PCT E16000011 72.7 17.6 93.5 3.7 1.8 0.5 0.4 5NC Waltham Forest PCT E16000084 76.9 17.7 92.8 4.0 2.1 0.4 0.7 5LG Wandsworth PCT E16000061 116.9 28.4 91.1 2.3 5.5 0.5 0.7 5LC Westminster PCT E16000057 64.7 15.1 91.0 5.1 3.1 0.5 0.3 South East Coast SHA E18000008 1,116.8 283.2 93.5 3.5 1.8 0.6 0.7 5LQ Brighton & Hove City PCT E16000063 78.8 19.6 94.3 2.3 1.9 0.5 1.0 5P7 East Sussex Downs & Weald PCT E16000109 81.7 20.4 95.0 2.2 1.7 0.5 0.6 5QA Eastern & Coastal Kent PCT E16000132 175.8 45.8 91.0 5.5 2.1 0.7 0.6 5P8 Hastings & Rother PCT E16000110 42.4 10.7 94.8 2.0 1.9 0.6 0.8 5L3 Medway PCT E16000055 69.7 17.4 94.4 2.4 1.9 0.6 0.7 5P5 Surrey PCT E16000107 293.1 73.1 94.0 3.1 1.6 0.6 0.6 5P9 West Kent PCT E16000111 175.7 46.7 93.5 3.7 1.7 0.5 0.5 5P6 West Sussex PCT E16000108 199.7 49.6 93.4 3.6 1.7 0.4 0.9 South Central SHA E18000009 1,073.8 265.1 93.6 3.3 1.9 0.6 0.7 5QG Berkshire East PCT E16000137 109.1 25.2 92.8 3.4 2.3 0.6 0.9 5QF Berkshire West PCT E16000136 127.0 30.2 95.1 2.4 1.2 0.4 0.8 5QD Buckinghamshire PCT E16000134 134.7 33.4 94.4 2.7 1.8 0.5 0.6 5QC Hampshire PCT E16000133 323.1 81.9 93.5 3.4 1.9 0.6 0.6 5QT Isle of Wight NHS PCT E16000147 32.8 8.0 94.0 2.7 2.6 0.4 0.4 5CQ Milton Keynes PCT E16000016 68.4 17.4 91.6 4.8 1.8 0.8 1.0 5QE Oxfordshire PCT E16000135 167.6 41.8 94.2 3.1 1.5 0.5 0.7 5FE Portsmouth City Teaching PCT E16000027 51.3 12.2 92.9 2.6 3.1 0.7 0.7 5L1 Southampton City PCT E16000054 59.9 14.9 91.2 4.5 2.2 1.1 1.1 South West SHA E18000010 1,305.3 318.9 94.0 3.3 1.5 0.6 0.5 5FL Bath & North East Somerset PCT E16000028 44.9 10.7 95.2 2.5 1.1 0.5 0.6 5QN Bournemouth & Poole PCT E16000143 86.7 21.3 94.7 2.8 1.4 0.6 0.4 5QJ Bristol PCT E16000139 116.5 26.4 93.9 3.5 1.2 0.8 0.6 5QP Cornwall & Isles Of Scilly PCT E16000144 132.0 31.4 93.0 3.6 2.0 0.7 0.7 5QQ Devon PCT E16000145 177.9 44.9 93.3 3.2 2.1 0.7 0.6 5QM Dorset PCT E16000142 90.9 22.2 95.0 3.0 1.3 0.4 0.3 5QH Gloucestershire PCT E16000138 147.7 37.0 93.7 3.7 1.7 0.5 0.4 5M8 North Somerset PCT E16000069 51.4 12.1 95.0 3.1 0.9 0.6 0.4 5F1 Plymouth Teaching PCT E16000024 64.4 15.8 93.3 3.7 1.3 0.9 0.8 5QL Somerset PCT E16000141 126.5 31.8 93.9 3.6 1.4 0.5 0.6 5A3 South Gloucestershire PCT E16000001 63.4 15.6 95.0 3.1 0.9 0.5 0.5 5K3 Swindon PCT E16000044 55.2 13.4 93.2 3.8 1.8 0.7 0.5 TAL Torbay Care Trust E17000003 33.3 8.5 92.7 3.2 2.5 0.9 0.8 5QK Wiltshire PCT E16000140 114.6 27.8 95.2 2.7 1.0 0.6 0.5 (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'. (3) On 1st April 2010, 5CC - Blackburn with Darwen PCT became TAP - Blackburn with Darwen Teaching Care Trust Plus. (4) On 1st April 2010, 5P3 East & North Hertfordshire PCT and 5P4 West Hertfordshire PCT merged to create 5QV - Hertfordshire PCT. Source: KC53 Parts A2 and D Copyright 2011, The Health and Social Care Information Centre. All rights reserved 68
Table 13: NHS Cervical Screening Programme: Coverage by ageband and Primary Care Organisation, 2009-10 to 2010-11 Percentages & Thousands 2009-10 2010-11 Eligible Population (1) Coverage Eligible Population (1) 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) (less than (less than (less than (000's) (000's) (000's) (less than (less than (less than 3.5 yrs since last 5 yrs since last 5 yrs since last 3.5 yrs since last 5 yrs since last 5 yrs since last adequate test) adequate test) adequate test) adequate test) adequate test) adequate test) ONS Code (%) (%) (%) (%) (%) (%) England 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9 9,558.6 4,131.2 13,689.8 73.7 78.0 78.6 North East SHA E18000001 434.9 214.6 649.5 76.4 78.3 80.1 434.1 219.8 653.9 75.8 76.9 79.5 5ND County Durham PCT E16000085 85.1 44.5 129.6 78.1 79.1 81.4 84.9 45.7 130.5 77.2 77.6 80.8 5J9 Darlington PCT E16000041 17.5 8.3 25.8 78.2 79.1 81.4 17.3 8.5 25.8 77.6 78.2 81.0 5KF Gateshead PCT E16000050 34.7 16.3 51.0 76.0 77.2 79.6 34.7 16.9 51.6 76.0 75.3 79.1 5D9 Hartlepool PCT E16000019 15.3 7.0 22.3 72.4 73.6 76.6 15.2 7.3 22.5 71.8 70.3 75.2 5KM Middlesbrough PCT E16000053 24.6 11.1 35.7 69.2 73.4 74.1 24.7 11.4 36.1 68.1 71.5 73.1 5D7 Newcastle PCT E16000017 47.2 18.5 65.7 72.2 78.6 77.4 47.4 18.9 66.4 71.7 77.2 76.6 5D8 North Tyneside PCT E16000018 36.9 17.7 54.6 78.4 78.7 81.5 36.8 18.0 54.8 78.2 77.5 81.2 TAC Northumberland Care Trust E17000001 49.5 29.1 78.6 80.5 81.5 83.6 49.2 29.6 78.8 80.1 80.3 82.9 5QR Redcar & Cleveland PCT E16000146 21.1 11.2 32.3 75.8 77.0 79.6 21.2 11.5 32.6 75.0 75.4 78.9 5KG South Tyneside PCT E16000051 24.6 12.4 37.0 74.7 76.1 78.7 24.5 12.8 37.3 74.3 74.3 77.8 5E1 Stockton-on-Tees Teaching PCT E16000020 32.0 14.9 46.9 75.5 76.1 79.1 32.0 15.4 47.4 74.3 74.5 78.2 5KL Sunderland Teaching PCT E16000052 46.5 23.5 69.9 77.8 79.5 80.9 46.2 23.9 70.1 77.9 79.5 81.1 North West SHA E18000002 1,226.1 550.2 1,776.4 73.7 77.1 78.4 1,225.1 561.0 1,786.1 73.4 76.1 78.0 5HG Ashton, Leigh & Wigan PCT E16000032 52.7 22.6 75.3 76.3 77.4 80.5 52.7 22.8 75.5 76.5 75.9 80.0 5CC Blackburn with Darwen PCT (2) E16000014 27.8 11.1 38.9 68.8 74.8 74.8............ TAP Blackburn with Darwen Teaching Care Trust Plus (2) E17000006............ 27.9 11.3 39.2 68.0 74.2 74.4 5HP Blackpool PCT E16000033 24.1 11.6 35.7 71.2 73.5 75.5 24.1 11.6 35.8 71.0 73.3 75.3 5HQ Bolton PCT E16000034 49.0 21.8 70.9 73.5 79.6 79.2 49.2 22.1 71.4 72.9 77.7 78.3 5JX Bury PCT E16000043 33.4 14.5 47.8 76.4 79.3 80.8 33.4 14.8 48.2 76.4 77.8 80.3 5NP Central & Eastern Cheshire PCT E16000095 77.4 38.1 115.5 77.7 79.5 81.6 76.7 38.8 115.5 77.4 78.3 81.1 5NG Central Lancashire PCT E16000088 77.3 35.2 112.5 74.1 77.2 78.7 76.9 35.9 112.8 73.5 76.1 78.0 5NE Cumbria PCT E16000086 80.3 45.6 125.9 78.1 80.2 81.8 79.3 46.1 125.4 77.5 79.3 81.4 5NH East Lancashire Teaching PCT E16000089 62.6 30.2 92.8 73.6 77.6 78.7 62.2 30.5 92.6 72.9 76.7 78.3 5NMHalton & St Helens PCT E16000093 53.0 25.6 78.6 73.5 76.0 78.5 52.7 26.0 78.7 73.6 74.8 78.0 5NQ Heywood, Middleton & Rochdale PCT E16000096 37.0 16.3 53.3 72.3 77.5 77.7 37.2 16.7 53.8 72.5 76.7 77.7 5J4 Knowsley PCT E16000038 26.7 11.9 38.6 72.6 74.1 76.8 26.6 12.3 38.9 72.8 73.5 76.8 5NL Liverpool PCT E16000092 83.9 35.3 119.2 67.6 72.6 72.8 84.2 36.4 120.6 67.9 72.1 72.9 5NT Manchester PCT E16000098 101.3 28.0 129.3 67.9 73.7 73.3 103.3 28.9 132.2 67.8 72.6 73.1 5NF North Lancashire Teaching PCT E16000087 49.9 26.9 76.8 75.2 78.7 79.4 49.2 27.3 76.5 75.1 78.0 79.2 5J5 Oldham PCT E16000039 39.7 16.8 56.5 73.1 76.7 78.7 39.8 17.0 56.8 73.4 75.7 78.0 5F5 Salford PCT E16000025 41.9 15.7 57.6 72.4 76.8 77.4 43.0 16.0 59.0 71.9 75.6 76.8 5NJ Sefton PCT E16000090 44.5 23.2 67.6 70.3 72.1 74.6 43.8 23.7 67.5 70.0 71.9 74.6 5F7 Stockport PCT E16000026 51.1 23.1 74.3 77.5 79.7 81.6 50.8 23.7 74.5 76.8 79.0 81.3 5LH Tameside & Glossop PCT E16000062 40.9 17.8 58.6 74.6 77.1 79.2 40.8 18.3 59.1 74.6 76.2 78.8 5NR Trafford PCT E16000097 41.2 16.1 57.3 76.5 78.8 80.8 41.3 16.5 57.8 75.8 78.0 80.4 5J2 Warrington PCT E16000037 36.1 15.5 51.5 76.8 78.4 81.3 36.1 15.8 51.9 76.5 77.9 80.8 5NN Western Cheshire PCT E16000094 41.4 20.3 61.7 77.2 79.2 81.1 41.1 20.9 61.9 76.7 78.4 80.8 5NK Wirral PCT E16000091 53.1 27.0 80.1 73.6 75.2 77.9 52.9 27.5 80.4 73.5 74.6 77.8 Yorkshire & the Humber SHA E18000003 897.1 402.5 1,299.6 76.0 79.9 80.2 897.2 412.0 1,309.2 75.9 78.8 79.9 5JE Barnsley PCT E16000042 40.8 19.5 60.3 78.8 80.7 82.1 40.9 19.8 60.7 78.9 80.0 82.3 5NY Bradford & Airedale Teaching PCT E16000102 91.4 34.6 126.0 71.6 79.2 77.1 92.3 35.7 128.0 71.5 78.6 76.9 5J6 Calderdale PCT E16000040 35.7 16.2 51.9 79.3 80.4 82.1 35.8 16.6 52.4 78.5 80.8 82.3 5N5 Doncaster PCT E16000078 49.7 23.4 73.2 76.5 81.1 81.6 49.5 23.9 73.4 75.9 79.0 80.7 5NWEast Riding of Yorkshire PCT E16000100 47.7 28.4 76.1 79.6 80.1 82.6 47.3 28.9 76.2 79.0 78.1 81.4 5NX Hull Teaching PCT E16000101 47.7 21.0 68.7 75.0 77.9 79.2 47.7 21.4 69.1 74.7 76.7 78.7 5N2 Kirklees PCT E16000075 70.5 30.5 100.9 77.0 81.5 81.1 70.8 31.2 102.0 76.4 81.0 80.9 69
Table 13: NHS Cervical Screening Programme: Coverage by ageband and Primary Care Organisation, 2009-10 to 2010-11 Percentages & Thousands 2009-10 2010-11 Eligible Population (1) Coverage Eligible Population (1) 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) (less than (less than (less than (000's) (000's) (000's) (less than (less than (less than 3.5 yrs since last 5 yrs since last 5 yrs since last 3.5 yrs since last 5 yrs since last 5 yrs since last adequate test) adequate test) adequate test) adequate test) adequate test) adequate test) ONS Code (%) (%) (%) (%) (%) (%) England 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9 9,558.6 4,131.2 13,689.8 73.7 78.0 78.6 5N1 Leeds PCT E16000074 142.8 51.6 194.4 74.0 79.1 78.2 143.0 53.5 196.6 75.2 78.8 79.0 TAN North East Lincolnshire Care Trust Plus E17000005 26.5 12.6 39.1 78.2 80.0 81.6 26.3 12.8 39.1 78.2 79.8 81.8 5EF North Lincolnshire PCT E16000021 26.3 13.6 40.0 77.9 79.8 81.2 26.1 13.9 40.0 78.1 79.6 81.4 5NV North Yorkshire & York PCT E16000099 125.9 67.4 193.3 78.0 80.5 81.8 125.4 68.7 194.1 77.4 78.9 81.0 5H8 Rotherham PCT E16000031 41.5 19.4 60.9 75.9 80.3 80.3 41.2 19.7 60.9 76.1 79.8 80.5 5N4 Sheffield PCT E16000077 91.8 37.2 129.0 74.6 79.7 79.6 92.1 37.8 129.9 74.2 77.7 78.4 5N3 Wakefield District PCT E16000076 58.7 27.1 85.8 76.2 78.5 80.0 58.9 27.9 86.8 75.7 76.9 79.3 East Midlands SHA E18000004 755.5 345.2 1,100.7 77.6 81.9 82.1 755.0 352.4 1,107.4 76.9 80.4 81.4 5ET Bassetlaw PCT E16000023 17.6 8.9 26.5 79.7 82.6 83.9 17.5 9.1 26.6 78.7 80.7 82.9 5N7 Derby City PCT E16000080 51.7 20.2 71.9 76.1 81.9 81.0 51.9 20.7 72.6 75.7 79.9 80.2 5N6 Derbyshire County PCT E16000079 113.3 58.3 171.5 81.5 83.0 84.9 112.7 59.1 171.7 80.5 81.0 83.7 5PC Leicester City PCT E16000113 61.9 21.6 83.5 70.0 78.9 76.3 62.5 22.3 84.9 68.8 78.2 75.3 5PA Leicestershire County & Rutland PCT E16000112 109.2 53.9 163.1 79.9 82.2 83.6 108.6 55.0 163.6 79.2 81.6 83.2 5N9 Lincolnshire Teaching PCT E16000082 113.9 60.1 174.0 77.2 81.0 81.2 113.9 61.2 175.1 77.3 80.2 81.1 5PD Northamptonshire Teaching PCT E16000114 121.3 51.0 172.3 75.2 80.1 80.2 122.1 52.4 174.5 74.6 78.3 79.4 5EM Nottingham City PCT E16000022 56.7 18.0 74.7 73.1 81.2 78.9 55.6 18.3 73.9 72.5 79.2 78.4 5N8 Nottinghamshire County Teaching PCT E16000081 110.0 53.1 163.1 81.6 84.4 85.4 110.3 54.2 164.5 80.4 82.3 84.3 West Midlands SHA E18000005 954.5 429.3 1,383.8 73.9 77.3 78.5 952.8 436.3 1,389.1 73.4 76.3 78.0 5PG Birmingham East & North PCT E16000117 75.5 29.7 105.3 70.0 73.2 75.3 75.7 30.2 105.9 68.7 72.8 74.6 5MDCoventry Teaching PCT E16000070 59.6 22.5 82.1 71.3 77.5 76.6 60.5 23.0 83.5 70.6 77.1 76.5 5PE Dudley PCT E16000115 50.9 24.8 75.7 75.3 77.5 79.2 50.3 24.8 75.1 74.7 75.6 78.4 5MX Heart of Birmingham Teaching PCT E16000073 55.5 15.2 70.7 67.0 79.3 75.7 56.2 15.7 71.9 67.7 78.7 75.6 5CN Herefordshire PCT E16000015 26.8 15.5 42.3 76.6 78.3 80.2 26.7 15.8 42.5 75.6 77.4 79.4 5PH North Staffordshire PCT E16000118 32.4 17.8 50.2 78.5 79.8 81.9 32.0 18.0 50.0 77.5 78.7 81.3 5PF Sandwell PCT E16000116 58.9 22.7 81.6 72.8 77.0 77.5 59.4 23.2 82.5 71.3 75.6 76.6 5M2 Shropshire County PCT E16000065 44.2 25.1 69.3 77.9 79.5 81.8 43.9 25.5 69.4 77.1 77.8 80.9 TAMSolihull Care Trust E17000004 36.6 18.3 54.8 75.9 75.3 79.3 36.6 18.4 55.0 75.3 74.7 78.8 5M1 South Birmingham PCT E16000064 68.7 25.8 94.5 69.5 73.6 74.7 68.9 26.3 95.2 69.8 73.5 74.6 5PK South Staffordshire PCT E16000120 100.1 51.7 151.8 78.7 77.6 81.1 99.7 52.2 151.9 77.9 76.8 80.7 5PJ Stoke-on-Trent PCT E16000119 45.4 19.9 65.4 74.8 78.1 79.1 45.4 20.3 65.7 74.1 77.2 78.7 5MK Telford & Wrekin PCT E16000071 28.5 12.3 40.8 73.3 77.6 78.6 28.4 12.6 40.9 72.8 75.6 77.8 5M3 Walsall Teaching PCT E16000066 43.7 19.2 62.9 72.5 77.1 77.5 43.7 19.4 63.1 72.4 75.6 77.2 5PM Warwickshire PCT E16000122 93.0 44.0 137.0 75.8 78.1 79.8 91.4 45.4 136.8 75.3 76.4 79.4 5MV Wolverhampton City PCT E16000072 43.5 17.7 61.2 72.0 76.9 76.9 43.8 18.1 61.9 70.7 76.3 76.5 5PL Worcestershire PCT E16000121 91.2 47.1 138.3 75.5 78.0 79.2 90.4 47.5 137.9 76.1 77.4 79.2 East of England SHA E18000006 1,006.0 453.4 1,459.3 76.4 80.3 80.6 1,009.0 463.2 1,472.2 75.9 79.3 80.3 5P2 Bedfordshire PCT E16000104 74.8 33.3 108.1 78.3 82.6 82.5 74.8 34.0 108.8 77.8 81.5 82.3 5PP Cambridgeshire PCT E16000124 107.2 46.0 153.2 76.1 81.9 80.7 108.8 47.2 156.0 74.8 80.7 79.8 5P3 East & North Hertfordshire PCT (3) E16000105 103.5 43.0 146.4 79.0 82.2 82.6............ 5PR Great Yarmouth & Waveney PCT E16000126 33.4 18.6 52.0 76.7 78.8 80.3 33.3 18.8 52.2 75.5 77.9 79.7 5QV Hertfordshire PCT (3) E16000150............ 211.1 88.6 299.7 77.6 80.5 81.6 5GC Luton PCT E16000029 37.7 12.3 50.0 70.5 82.1 77.1 38.2 12.6 50.8 70.0 80.6 76.6 5PX Mid Essex PCT E16000130 63.4 28.6 91.9 75.7 79.4 80.0 63.0 29.0 92.1 75.6 78.5 80.0 5PQ Norfolk PCT E16000125 115.1 61.8 177.0 77.4 79.6 80.9 115.5 63.0 178.5 76.5 78.6 80.3 5PWNorth East Essex PCT E16000129 50.1 25.2 75.2 76.6 81.0 81.1 49.9 25.6 75.4 76.3 79.6 80.8 5PN Peterborough PCT E16000123 32.1 11.1 43.2 72.3 78.2 77.0 32.8 11.5 44.3 71.6 77.7 77.1 70
Table 13: NHS Cervical Screening Programme: Coverage by ageband and Primary Care Organisation, 2009-10 to 2010-11 Percentages & Thousands 2009-10 2010-11 Eligible Population (1) Coverage Eligible Population (1) 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) (less than (less than (less than (000's) (000's) (000's) (less than (less than (less than 3.5 yrs since last 5 yrs since last 5 yrs since last 3.5 yrs since last 5 yrs since last 5 yrs since last adequate test) adequate test) adequate test) adequate test) adequate test) adequate test) ONS Code (%) (%) (%) (%) (%) (%) England 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9 9,558.6 4,131.2 13,689.8 73.7 78.0 78.6 5P1 South East Essex PCT E16000103 58.5 26.8 85.3 74.8 78.0 79.0 58.4 27.3 85.7 74.3 76.7 78.7 5PY South West Essex PCT E16000131 74.1 30.4 104.5 74.4 78.8 79.1 74.4 31.1 105.5 74.3 77.9 79.2 5PT Suffolk PCT E16000127 98.5 51.1 149.6 77.3 79.5 80.8 98.4 51.9 150.3 76.9 78.6 80.5 5PV West Essex PCT E16000128 50.1 21.9 72.0 77.0 80.0 81.0 50.4 22.5 72.9 77.0 79.4 80.9 5P4 West Hertfordshire PCT (3) E16000106 107.7 43.1 150.8 76.6 80.1 80.7............ London SHA E18000007 1,895.2 541.9 2,437.2 67.4 76.8 73.9 1,915.2 560.7 2,475.9 67.6 76.0 74.0 5C2 Barking & Dagenham PCT E16000009 36.7 10.0 46.7 69.8 75.9 75.6 38.3 10.6 48.9 69.8 75.5 75.6 5A9 Barnet PCT E16000006 76.7 26.8 103.5 65.2 75.8 72.1 77.6 27.4 105.1 65.3 74.6 72.0 TAK Bexley Care Trust E17000002 40.5 16.9 57.4 77.8 79.4 81.9 40.3 17.4 57.7 77.5 77.6 81.1 5K5 Brent Teaching PCT E16000045 75.5 21.6 97.1 62.0 76.3 69.9 75.8 22.2 98.0 62.4 76.0 70.2 5A7 Bromley PCT E16000004 59.4 25.1 84.5 77.6 80.8 81.8 59.5 25.9 85.4 77.0 79.5 81.2 5K7 Camden PCT E16000047 61.1 13.5 74.7 60.8 73.4 68.1 61.4 13.9 75.4 60.1 72.7 67.6 5C3 City & Hackney Teaching PCT E16000010 65.5 14.7 80.2 66.0 73.5 72.4 67.4 15.4 82.8 66.2 72.7 72.7 5K9 Croydon PCT E16000049 73.9 26.2 100.1 70.5 78.0 76.3 74.6 27.1 101.6 70.9 77.8 76.6 5HX Ealing PCT E16000035 82.0 24.3 106.3 64.2 77.4 71.6 83.9 25.2 109.0 62.7 76.0 70.5 5C1 Enfield PCT E16000008 54.9 20.2 75.1 74.6 81.6 80.0 58.7 21.5 80.3 73.9 79.6 78.9 5A8 Greenwich Teaching PCT E16000005 56.3 15.8 72.2 69.5 74.4 74.9 58.0 16.4 74.5 69.2 73.7 74.7 5H1 Hammersmith & Fulham PCT E16000030 54.5 11.0 65.6 60.4 70.1 67.8 54.7 11.3 66.0 60.2 70.0 67.2 5C9 Haringey Teaching PCT E16000013 66.0 18.2 84.3 65.3 77.0 72.2 65.1 18.8 83.8 66.8 76.3 73.1 5K6 Harrow PCT E16000046 45.0 17.5 62.4 63.7 78.1 72.2 45.8 17.9 63.7 62.6 76.3 71.2 5A4 Havering PCT E16000002 43.3 19.7 63.0 76.0 80.8 81.0 43.4 20.2 63.6 75.4 79.1 80.2 5AT Hillingdon PCT E16000007 50.8 18.8 69.6 68.7 76.3 74.8 51.5 19.3 70.8 67.9 75.6 74.3 5HY Hounslow PCT E16000036 55.3 17.5 72.8 66.7 77.0 73.3 58.5 18.3 76.8 64.8 75.1 71.6 5K8 Islington PCT E16000048 56.9 12.0 68.9 67.6 74.5 73.3 57.4 12.6 70.0 68.1 73.9 73.8 5LA Kensington & Chelsea PCT E16000056 46.5 12.4 58.9 58.8 68.5 66.4 42.6 11.8 54.5 64.8 71.6 71.2 5A5 Kingston PCT E16000003 37.8 12.7 50.5 70.4 78.3 76.1 37.6 13.0 50.6 70.8 76.7 76.0 5LD Lambeth PCT E16000058 95.9 19.1 115.0 65.1 75.0 71.7 96.7 20.5 117.2 65.8 73.3 71.9 5LF Lewisham PCT E16000060 69.8 17.1 86.9 68.1 76.6 74.7 70.5 18.2 88.6 68.0 76.6 74.8 5C5 Newham PCT E16000012 69.1 16.5 85.6 66.0 77.9 73.3 71.7 17.3 89.0 64.7 76.7 72.2 5NA Redbridge PCT E16000083 52.7 17.8 70.5 70.1 82.6 77.3 54.6 18.5 73.2 69.7 81.3 76.6 5M6 Richmond & Twickenham PCT E16000067 41.6 15.1 56.6 73.4 78.4 78.3 40.8 15.3 56.1 74.4 77.3 78.8 5LE Southwark PCT E16000059 77.1 16.3 93.3 66.5 75.3 72.8 77.5 17.3 94.9 67.3 74.5 73.3 5M7 Sutton & Merton PCT E16000068 80.4 26.3 106.7 70.7 76.2 76.1 80.2 27.1 107.3 70.9 75.6 76.3 5C4 Tower Hamlets PCT E16000011 58.5 10.3 68.9 63.8 75.6 70.4 62.0 10.7 72.7 64.4 75.6 71.0 5NC Waltham Forest PCT E16000084 58.2 16.3 74.4 71.6 81.6 77.7 60.0 17.0 76.9 70.7 80.1 77.0 5LG Wandsworth PCT E16000061 97.3 18.5 115.7 68.1 74.6 73.5 97.9 19.0 116.9 68.4 74.0 73.8 5LC Westminster PCT E16000057 55.9 13.8 69.7 61.2 70.7 68.3 51.1 13.5 64.7 66.6 72.7 72.6 South East Coast SHA E18000008 759.8 350.2 1,110.0 76.0 79.2 80.2 759.5 357.3 1,116.8 76.0 78.6 80.1 5LQ Brighton & Hove City PCT E16000063 59.9 18.4 78.3 71.9 74.6 75.9 60.0 18.8 78.8 72.1 74.9 76.2 5P7 East Sussex Downs & Weald PCT E16000109 52.1 29.5 81.6 76.0 77.8 79.5 51.7 29.9 81.7 76.6 78.1 80.1 5QA Eastern & Coastal Kent PCT E16000132 117.9 56.4 174.2 75.9 78.2 80.0 118.2 57.6 175.8 75.9 77.7 79.7 5P8 Hastings & Rother PCT E16000110 26.5 15.7 42.2 76.0 77.3 79.5 26.5 15.9 42.4 76.3 76.6 79.5 5L3 Medway PCT E16000055 48.6 21.2 69.8 75.9 80.3 81.0 48.2 21.5 69.7 75.6 79.2 80.7 5P5 Surrey PCT E16000107 202.5 89.0 291.5 75.7 79.9 80.3 201.9 91.2 293.1 75.6 78.9 80.1 5P9 West Kent PCT E16000111 120.0 54.1 174.1 78.6 81.4 82.5 120.6 55.1 175.7 78.1 80.5 82.1 5P6 West Sussex PCT E16000108 132.2 66.1 198.3 76.1 79.1 80.1 132.4 67.3 199.7 76.2 78.7 80.0 71
Table 13: NHS Cervical Screening Programme: Coverage by ageband and Primary Care Organisation, 2009-10 to 2010-11 Percentages & Thousands 2009-10 2010-11 Eligible Population (1) Coverage Eligible Population (1) 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) (less than (less than (less than (000's) (000's) (000's) (less than (less than (less than 3.5 yrs since last 5 yrs since last 5 yrs since last 3.5 yrs since last 5 yrs since last 5 yrs since last adequate test) adequate test) adequate test) adequate test) adequate test) adequate test) ONS Code (%) (%) (%) (%) (%) (%) England 9,541.9 4,038.6 13,580.5 74.0 78.9 78.9 9,558.6 4,131.2 13,689.8 73.7 78.0 78.6 South Central SHA E18000009 748.1 317.4 1,065.5 75.0 79.6 79.5 748.0 325.8 1,073.8 75.1 79.1 79.7 5QGBerkshire East PCT E16000137 79.1 28.4 107.4 72.6 79.4 78.2 79.8 29.3 109.1 72.9 78.9 78.2 5QF Berkshire West PCT E16000136 90.7 34.8 125.5 77.1 81.1 81.3 91.1 35.9 127.0 77.0 80.3 81.2 5QD Buckinghamshire PCT E16000134 91.3 42.3 133.6 76.4 80.9 81.2 91.3 43.4 134.7 75.6 79.5 80.6 5QC Hampshire PCT E16000133 217.5 104.2 321.7 78.0 80.5 81.6 216.3 106.7 323.1 77.7 80.2 81.6 5QT Isle of Wight NHS PCT E16000147 20.2 12.5 32.7 76.0 76.1 79.0 20.2 12.6 32.8 75.6 75.3 78.8 5CQ Milton Keynes PCT E16000016 48.9 18.1 67.0 73.6 78.8 79.0 49.7 18.7 68.4 73.3 78.2 78.8 5QE Oxfordshire PCT E16000135 118.8 48.6 167.5 71.9 78.5 77.1 117.6 50.0 167.6 73.8 78.6 78.1 5FE Portsmouth City Teaching PCT E16000027 37.5 13.3 50.8 69.5 77.2 74.5 37.6 13.7 51.3 69.5 76.7 74.9 5L1 Southampton City PCT E16000054 44.1 15.2 59.3 71.3 77.0 75.6 44.3 15.6 59.9 71.5 76.7 76.2 South West SHA E18000010 864.7 433.8 1,298.5 76.8 80.3 80.9 862.5 442.8 1,305.3 76.3 79.4 80.5 5FL Bath & North East Somerset PCT E16000028 30.1 14.6 44.7 75.6 80.7 80.0 30.0 14.9 44.9 75.9 80.2 80.1 5QN Bournemouth & Poole PCT E16000143 59.6 25.6 85.2 77.5 81.9 81.9 60.4 26.3 86.7 76.2 80.3 80.7 5QJ Bristol PCT E16000139 86.2 28.3 114.5 71.1 76.6 75.8 87.5 29.0 116.5 71.6 75.9 76.0 5QP Cornwall & Isles of Scilly PCT E16000144 81.9 49.1 131.0 76.2 78.6 80.3 82.4 49.6 132.0 75.4 77.7 79.6 5QQDevon PCT E16000145 112.5 65.7 178.2 78.4 81.1 82.1 111.3 66.6 177.9 77.7 79.8 81.6 5QMDorset PCT E16000142 55.4 35.3 90.6 79.9 82.2 83.4 55.0 35.9 90.9 79.1 80.7 82.6 5QH Gloucestershire PCT E16000138 98.6 48.4 147.0 78.9 81.1 82.2 98.1 49.6 147.7 78.6 80.7 82.2 5M8 North Somerset PCT E16000069 33.6 17.7 51.3 78.0 81.4 82.0 33.5 17.9 51.4 78.4 80.4 81.9 5F1 Plymouth Teaching PCT E16000024 44.8 19.2 64.0 74.7 80.1 79.9 44.7 19.7 64.4 74.0 78.7 79.2 5QL Somerset PCT E16000141 80.5 45.3 125.8 77.6 81.1 81.6 80.3 46.2 126.5 76.9 80.3 81.1 5A3 South Gloucestershire PCT E16000001 44.4 18.9 63.3 80.2 82.7 83.4 44.2 19.2 63.4 80.2 82.4 83.5 5K3 Swindon PCT E16000044 39.9 14.6 54.5 72.1 76.7 76.8 39.9 15.3 55.2 72.6 75.9 77.1 TAL Torbay Care Trust E17000003 21.2 12.1 33.3 75.2 77.9 79.3 21.1 12.2 33.3 75.0 76.6 78.8 5QK Wiltshire PCT E16000140 76.1 39.1 115.2 77.2 79.9 80.9 74.2 40.4 114.6 76.3 78.9 80.4.. = Not available - = Zero (1) This is the number of women in the resident population less those with recall ceased for clinical reasons. (2) On 1st April 2010, 5CC - Blackburn with Darwen PCT became TAP - Blackburn with Darwen Teaching Care Trust Plus. (3) On 1st April 2010, 5P3 East & North Hertfordshire PCT and 5P4 West Hertfordshire PCT merged to create 5QV - Hertfordshire PCT. Source: KC53 Parts A2 and A3 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 72
Table 14: Samples examined by pathology laboratories, by source of sample and result of test, 2010-11 England Percentages & Numbers Source Total NHS all ages GP NHSCC GUM Hospital Private Other Numbers Total 3,689,091 3,330,871 108,734 18,173 209,922 9,540 11,851 Inadequate 104,227 90,510 3,890 715 8,332 406 374 Negative 3,315,531 3,036,431 95,735 14,603 150,662 7,849 10,251 Borderline changes 146,073 115,884 4,710 1,534 22,598 743 604 Mild Dyskaryosis 78,260 54,102 2,909 945 19,555 409 340 Moderate Dyskaryosis 20,056 14,639 663 157 4,450 64 83 Severe Dyskaryosis 22,125 17,346 765 198 3,575 51 190?Invasive Carcinoma 932 633 25 16 252 3 3?Glandular Neoplasia 1,887 1,326 37 5 498 15 6 Percentages by result Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Inadequate 2.8 2.7 3.6 3.9 4.0 4.3 3.2 Negative 89.9 91.2 88.0 80.4 71.8 82.3 86.5 Borderline changes 4.0 3.5 4.3 8.4 10.8 7.8 5.1 Mild Dyskaryosis 2.1 1.6 2.7 5.2 9.3 4.3 2.9 Moderate Dyskaryosis 0.5 0.4 0.6 0.9 2.1 0.7 0.7 Severe Dyskaryosis 0.6 0.5 0.7 1.1 1.7 0.5 1.6?Invasive Carcinoma 0.0 0.0 0.0 0.1 0.1 0.0 0.0?Glandular Neoplasia 0.1 0.0 0.0 0.0 0.2 0.2 0.1 Percentages by source Total 100.0 90.3 2.9 0.5 5.7 0.3 0.3 Inadequate 100.0 86.8 3.7 0.7 8.0 0.4 0.4 Negative 100.0 91.6 2.9 0.4 4.5 0.2 0.3 Borderline changes 100.0 79.3 3.2 1.1 15.5 0.5 0.4 Mild Dyskaryosis 100.0 69.1 3.7 1.2 25.0 0.5 0.4 Moderate Dyskaryosis 100.0 73.0 3.3 0.8 22.2 0.3 0.4 Severe Dyskaryosis 100.0 78.4 3.5 0.9 16.2 0.2 0.9?Invasive Carcinoma 100.0 67.9 2.7 1.7 27.0 0.3 0.3?Glandular Neoplasia 100.0 70.3 2.0 0.3 26.4 0.8 0.3 Source: KC61 Part A1 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 73
Table 15: GP & NHS Community Clinic samples examined by pathology laboratories, by result of test and age of women, 2010-11 England Percentages & Numbers Result of Test Borderline Mild Moderate Severe?Invasive?Glandular Age Groups Total Inadequate Negative changes Dyskaryosis Dyskaryosis Dyskaryosis Carcinoma Neoplasia Numbers All ages 3,439,598 94,359 3,132,616 120,443 56,792 15,279 18,096 657 1,356 25-64 3,337,248 91,304 3,046,658 114,009 52,306 14,102 16,954 619 1,296 Under 20 2,602 90 1,890 323 242 43 14 - - 20-24 68,360 1,704 55,042 5,418 3,997 1,069 1,079 23 28 25-29 568,752 13,880 487,045 33,288 20,112 6,330 7,721 135 241 30-34 483,953 12,767 435,128 19,491 9,859 2,836 3,551 104 217 35-39 495,246 13,372 453,631 16,738 7,116 1,832 2,267 98 192 40-44 521,565 13,496 482,681 16,202 6,091 1,334 1,522 88 151 45-49 489,020 12,385 455,831 14,077 4,663 879 961 69 155 50-54 290,597 8,013 271,759 7,432 2,413 439 387 45 109 55-59 249,701 8,948 234,707 4,040 1,221 281 347 39 118 60-64 238,414 8,443 225,876 2,741 831 171 198 41 113 65-69 26,455 1,003 24,604 546 184 54 39 7 18 70-74 3,864 166 3,520 102 45 8 8 4 10 75 and over 1,069 92 902 45 18 3 2 3 4 Percentages All ages 100.0 2.7 91.1 3.5 1.7 0.4 0.5 0.0 0.0 25-64 100.0 2.7 91.3 3.4 1.6 0.4 0.5 0.0 0.0 Under 20 100.0 3.5 72.6 12.4 9.3 1.7 0.5 - - 20-24 100.0 2.5 80.5 7.9 5.8 1.6 1.6 0.0 0.0 25-29 100.0 2.4 85.6 5.9 3.5 1.1 1.4 0.0 0.0 30-34 100.0 2.6 89.9 4.0 2.0 0.6 0.7 0.0 0.0 35-39 100.0 2.7 91.6 3.4 1.4 0.4 0.5 0.0 0.0 40-44 100.0 2.6 92.5 3.1 1.2 0.3 0.3 0.0 0.0 45-49 100.0 2.5 93.2 2.9 1.0 0.2 0.2 0.0 0.0 50-54 100.0 2.8 93.5 2.6 0.8 0.2 0.1 0.0 0.0 55-59 100.0 3.6 94.0 1.6 0.5 0.1 0.1 0.0 0.0 60-64 100.0 3.5 94.7 1.1 0.3 0.1 0.1 0.0 0.0 65-69 100.0 3.8 93.0 2.1 0.7 0.2 0.1 0.0 0.1 70-74 100.0 4.3 91.1 2.6 1.2 0.2 0.2 0.1 0.3 75 and over 100.0 8.6 84.4 4.2 1.7 0.3 0.2 0.3 0.4.. = Not available - = Zero Source: KC61 Part B Copyright 2011, The Health and Social Care Information Centre. All rights reserved 74
Table 16: Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by Strategic Health Authority, 2010-11 Percentages England North North Yorkshire East West East of London South South South East West & Humber Midlands Midlands England East Coast Central West 0-2 weeks (0-14 days) 92.9 99.2 87.0 96.1 94.1 84.4 98.4 94.6 92.4 84.3 98.1 3-4 weeks (15-28 days) 6.1 0.7 10.9 3.7 5.8 10.3 1.6 4.9 7.5 13.1 1.9 5-6 weeks (29-42 days) 0.8 0.0 1.8 0.2 0.0 3.0 0.0 0.5 0.1 2.5 0.0 7-8 weeks (43-56 days) 0.2 0.0 0.3 0.0 0.0 2.0 0.0 0.0 0.0 0.0 0.0 9-10 weeks (57-70 days) 0.0 0.0 0.0 0.0 0.0 0.3 0.0 0.0 0.0 0.0 0.0 Over 10 weeks (over 70 days) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Source: KC61 Part A2 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 75
Table 16a: Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by laboratory, 2010-11 Percentages & Numbers Total Samples = 0-2 weeks 3-4 weeks 5-6 weeks 7-8 weeks 9-10 weeks Over 10 weeks 100% (0-14 days) (15-28 days) (29-42 days) (43-56 days) (57-70 days) (over 70 days) (numbers) (%) (%) (%) (%) (%) (%) England - 109 laboratories 3,685,622 92.9 6.1 0.8 0.2 0.0 0.0 North East 183,657 99.2 0.7 0.0 0.0 0.0 0.0 60090 James Cook University Hospital 19,390 99.9 0.0 0.0 - - - 60080 Queen Elizabeth Hospital 26,462 100.0 - - - - - 60103 Royal Victoria Infirmary 56,893 99.5 0.3 0.1 0.1 0.0 0.0 60160 Sunderland Royal Hospital 18,678 100.0-0.0 - - 0.0 60050 University Hospital of North Durham 40,232 97.8 2.2 0.0 - - - 60110 University Hospital of North Tees 22,002 99.2 0.8 0.0 0.0 0.0 0.0 North West 477,869 87.0 10.9 1.8 0.3 0.0 0.0 61850 Arrowe Park Hospital 23,321 97.8 2.0 0.1 0.0 0.0 0.0 62120 Blackpool Victoria Hospital (1) 2,101 34.7 64.6 0.7 - - - 61995 Chorley and South Ribble District General Hospital 10,068 100.0 - - - - - 61870 Countess of Chester Hospital 20,228 99.6 0.3 0.1 0.0 - - 60030 Cumberland Infirmary (2).............. 61960 East Lancashire Hospital (3) 10,816 52.2 47.5 0.0 - - 0.3 62010 Manchester Cytology Centre (11) 166,476 99.3 0.7 0.0 - - - 61890 Mid Cheshire Hospital Foundation Trust 33,207 99.7 0.3 0.0 - - - 61970 Royal Bolton Hospital 10,586 85.9 7.4 6.6 - - - 62030 Royal Lancaster Infirmary (4) 9,695 47.0 42.8 10.0 0.2 - - 61920 Royal Liverpool University Hospita (5) 36,303 89.8 9.6 0.6 - - - 62055 Royal Oldham Hospital (6) (7) 70,526 76.8 22.9 0.3 0.0 - - 61935 Southport and Formby District General Hospital 1,894 94.4 5.5 0.2 - - - 62080 Stepping Hill Hospital (6) 17,533 30.1 55.5 6.7 7.7 - - 62100 Tameside General Hospital (7) 10,857 8.3 44.5 47.0 0.2 - - 61880 University Hospital Aintree (5) 9,853 89.9 9.9 0.1 0.0-0.0 61940 Warrington Hospital 25,001 85.1 14.9 0.0 - - - 61930 Whiston Hospital 19,404 99.6 0.4 - - - - Yorkshire & the Humber 378,377 96.1 3.7 0.2 0.0 0.0 0.0 60290 Calderdale Royal Hospital 27,146 99.6 0.4 0.0 0.0 0.0-60220 Dewsbury and District Hospital 35,570 99.8 0.2 0.0 - - - 60200 Hull Royal Infirmary 33,273 100.0 0.0 - - - - 60335 Leeds Teaching Hospitals 80,115 100.0 0.0 0.0 0.0 - - 60240 Pathlinks (8) 60,270 99.9 0.0 0.0 0.0 - - 60470 Royal Hallamshire Hospital 89,947 83.9 15.3 0.7 0.1 0.0 0.0 60340 York Hospital 52,056 99.8 0.2 - - - - East Midlands 262,114 94.1 5.8 0.0 0.0 0.0 0.0 60360 Chesterfield Royal Hospital (9) 10,233 96.5 2.3 0.1 0.7 0.3 0.1 61450 Kettering General Hospital 21,142 100.0 0.0 - - - - 60410 King's Mill Hospital (9) 18,561 100.0 0.0 - - - - 60420 Leicester Royal Infirmary & Leicester General Hospital 62,240 100.0 - - - - - 61470 Northampton General Hospital 24,955 100.0 0.0 - - - - 60450 Nottingham City Hospital 49,700 69.8 29.9 0.2 0.0 0.0 0.0 60370 Royal Derby Hospital (9) 75,283 99.8 0.2 0.0 0.0 0.0 - West Midlands 326,696 84.4 10.3 3.0 2.0 0.3 0.0 61730 Birmingham Women's Hospital 29,017 69.3 30.7 0.0 - - - 61790 Heartlands Hospital 44,185 76.8 19.5 3.4 0.2 - - 61660 Hereford Hospital 14,476 99.5 0.4 0.0 - - 0.0 61740 New Cross Hospital 19,920 99.9 0.0 0.0 - - - 61755 Princess Royal Hospital & Royal Shrewsbury Hospital 33,356 46.8 8.5 22.4 19.6 2.6 0.0 61760 Russells Hall Hospital 21,808 99.4 0.6 0.0 - - - 61670 Sandwell Hospital & City Hospital 32,623 96.0 3.9 0.0 0.0 0.0 0.1 61820 University Hospital, Coventry 64,505 81.4 17.5 1.1 0.1 0.0 0.0 61720 University Hospital of North Staffordshire 49,841 99.3 0.7 0.0 - - - 61710 Walsall Manor Hospital 16,965 99.5 0.4 0.0 0.0 0.0 0.0 East of England 384,475 98.4 1.6 0.0 0.0 0.0 0.0 60870 Basildon University Hospital 23,538 99.5 0.4 0.0 0.0 0.0 0.0 60610 Bedford Hospital 38,937 100.0 0.0 - - - - 60790 Broomfield Hospital 23,699 100.0 0.0 - - - - 60850 Colchester General Hospital 24,810 99.8 0.1 0.0 0.0 0.0 0.0 60580 Ipswich Hospital 24,704 100.0 - - - - - 60540 Norfolk and Norwich University Hospital 56,422 100.0 0.0 - - - - 60560 Peterborough City Hospital 25,752 100.0 0.0 - - - - 60890 Princess Alexandra Hospital 19,095 99.9 0.1 0.0 0.0-0.0 60720 Queen Elizabeth ll Hospital 30,828 99.7 0.3 - - - - 60860 Southend University Hospital 22,659 100.0 0.0 0.0 - - - 60750 Watford General Hospital 34,886 83.5 16.4 0.0-0.0-60500 West Anglia Pathology Services 59,145 100.0 - - - - - London 679,587 94.6 4.9 0.5 0.0 0.0 0.0 60780 Chase Farm Hospital 42,670 100.0 0.0 - - - - 61120 King's College Hospital 27,575 100.0 0.0 - - 0.0-61230 Kingston Hospital 35,575 70.6 29.3 0.1 - - - 61240 Mayday University Hospital 25,895 99.6 0.3 0.0 - - - 60820 North Middlesex University Hospital 21,645 80.7 16.9 2.2 0.2 0.0-60710 Northwick Park Hospital 53,560 98.9 1.1 0.0 0.0 0.0 0.0 61140 Princess Royal University Hospital (10) 18,467 87.1 12.2 0.7 - - - 61070 Queen Elizabeth Hospital (10) 31,318 73.5 25.5 0.9 0.1 - - 61170 Queen Mary's Hospital Sidcup (10) 12,808 89.6 9.2 1.1 0.1 - - 60800 Queen's Hospital 48,540 90.2 9.7 0.1 0.0 0.0 0.0 61300 St George's Hospital 27,048 97.7 2.1 0.1 - - - 61280 St Helier Hospital 38,826 99.5 0.4 0.0 - - - 60740 St Mary's Hospital 71,413 100.0 0.0 0.0 - - 0.0 61090 St Thomas's Hospital 33,918 99.9 0.1-0.0 0.0-85070 The Doctors Laboratory 19,889 100.0 0.0 - - 0.0-60900 The Royal London Hospital 69,044 99.9 0.0 0.0 0.0 0.0 0.1 61020 The Whittington Hospital 24,881 86.3 5.1 8.7 0.0 - - 61000 University College Hospital 31,195 99.7 0.2 0.1 0.0 0.0 0.0 61130 University Hospital Lewisham 24,064 100.0 0.0 - - - - 61010 Whipps Cross University Hospital 21,256 99.2 0.5 0.2 0.1 0.0 0.0 76
Table 16a: Samples examined by pathology laboratories: Time from receipt of sample to authorisation of report by laboratory, 2010-11 Percentages & Numbers Total Samples = 0-2 weeks 3-4 weeks 5-6 weeks 7-8 weeks 9-10 weeks Over 10 weeks 100% (0-14 days) (15-28 days) (29-42 days) (43-56 days) (57-70 days) (over 70 days) (numbers) (%) (%) (%) (%) (%) (%) England - 109 laboratories 3,685,622 92.9 6.1 0.8 0.2 0.0 0.0 South East Coast 322,164 92.4 7.5 0.1 0.0 0.0 0.0 61290 Ashford and St Peter's Hospital 34,995 100.0 0.0 0.0 0.0 - - 61080 Conquest Hospital 26,067 97.8 2.2 0.0 - - - 61100 Darent Valley Hospital 5,559 51.9 45.0 3.1 - - - 61200 East Surrey Hospital 30,710 98.4 1.6 0.0-0.0-61150 Maidstone Hospital 35,980 63.4 36.4 0.1-0.0-61030 Medway Maritime Hospital 25,829 97.2 2.7 0.0 0.0 - - 61270 Partnership Pathology Services - Guildford 40,079 98.7 1.2 0.0 0.0 0.0 0.0 61160 Preston Hall (Maidstone) 12,105 69.6 30.4-0.0 - - 61040 Royal Sussex County Hospital 33,329 95.8 4.2 0.0 0.0 - - 61325 Western Sussex 31,737 97.2 2.8 0.0 - - - 61190 William Harvey Hospital 45,774 99.4 0.5 0.0 0.0 0.0 0.0 South Central 277,904 84.3 13.1 2.5 0.0 0.0 0.0 61440 John Radcliffe Hospital 44,184 99.8 0.2 0.0 - - - 61350 Queen Alexandra Hospital 47,535 88.9 11.1 0.0 0.0 0.0-61490 Royal Berkshire Hospital 33,327 57.4 21.6 21.0 0.0 - - 61370 Royal Hampshire County Hospital 36,169 66.5 33.4 0.1 0.0 0.0 0.0 61410 Southampton General Hospital 31,139 100.0 - - - 0.0-61500 Stoke Mandeville Hospital 38,660 79.3 20.7 0.0 - - - 61510 Wexham Park Hospital 27,456 97.1 2.9 - - - 0.0 61520 Wycombe Hospital 19,434 84.3 15.6 0.0 0.0 - - South West 392,779 98.1 1.9 0.0 0.0 0.0 0.0 61560 Derriford Hospital 30,898 96.3 3.7 0.0 0.0 - - 61580 Gloucestershire Royal Hospital 79,265 100.0 - - - - - 61340 Great Western Hospital 20,477 93.3 6.7 - - - - 61600 Musgrove Park Hospital 43,799 100.0 0.0 0.0 - - 0.0 61360 Poole Hospital 45,220 99.9 0.1 0.0-0.0-61555 Royal Cornwall Hospital 28,269 100.0 0.0 - - - - 61565 Royal Devon and Exeter Hospital 35,277 100.0 - - - - - 61390 Royal United Hospital 32,062 99.9 0.0 0.0-0.0 0.0 61590 Southmead Hospital 58,745 91.6 8.1 0.2 0.1 0.0 0.0 61610 Torbay Hospital 18,767 99.9 0.1-0.0 - -.. = Not available - = Zero (1) Blackpool Victoria Hospital - cytology laboratory now closed - transferred to Manchester Cytology Centre on 10/05/2010. Note that as a result of the laboratory closure data was only submitted for part of the year. (2) Cumberland Infirmary - cytology laboratory has closed and was therefore unable to provide data on 'time from receipt of sample to authorisation of report'. (3) East Lancashire Hospital - cytology laboratory now closed - transferred to Manchester Cytology Centre on 01/08/2010. Note that as a result of the laboratory closure data was only submitted for part of the year. (4) Royal Lancaster Infirmary has submitted partial data up to September 2010 as the cytology laboratory closed and screening ceased in October 2010. (5) University Hospital Aintree - cytology laboratory now closed - transferred to Royal Liverpool University Hospital on 01/11/2010. Note that as a result of the laboratory closure data was only submitted for part of the year. (6) Stepping Hill Hospital - cytology laboratory now closed - transferred to the Pennine laboratory within Royal Oldham Hospital on 04/01/2011. Note that as a result of the laboratory closure data was only submitted for part of the year. (7) Tameside General Hospital - cytology laboratory now closed - transferred to the Pennine laboratory within Royal Oldham Hospital on 04/01/2011. Note that as a result of the laboratory closure data was only submitted for part of the year. (8) The Pathlinks network consists of Diana Princess of Wales Hospital, Scunthorpe General Hospital and Lincoln County Hospital. (9) Chesterfield Royal Hospital ceased screening as of September 2010. King's Mill Hospital ceased screening as of February 2011. Both merged with Royal Derby Hospital and therefore only partial data was available for Chesterfield Royal Hospital and King's Mill Hospital. (10) Princess Royal University Hospital, Queen Elizabeth Hospital and Queen Mary's Hospital Sidcup all moved on 01/04/2009 to South London Healthcare NHS Trust. For Part A2 a joint return was submitted for the 4th quarter of 2010-11 and therefore the data is presented as merged against Queen Elizabeth Hospital. (11) The following laboratories have closed and their work has transferred to Manchester Cytology Centre: Blackpool Victoria Hospital, Chorley and South Ribble District General Hospital, Cumberland Infirmary, East Lancashire Hospital, Royal Lancaster Infirmary. The cytology activity provided by the following hospitals has transferred or changed: Countess of Chester Hospital - cytology laboratory now closed - transferred to Arrowe Park Hospital on 01/04/2011. Chorley and South Ribble District General Hospital - cytology laboratory closed on 01/09/2010 and transferred to Manchester Cytology Centre. Royal Bolton Hospital - cytology laboratory now closed - transferred to the Pennine laboratory within Royal Oldham Hospital on 01/11/2010. Southport and Formby District General Hospital - cytology laboratory now closed - transferred to Manchester Cytology Centre and Royal Liverpool University Hospital on 01/07/2010. Barnsley District General Hospital, Rotherham District General Hospital and Doncaster Royal Infirmary all merged into Royal Hallamshire Hospital on 01/04/2010. Darent Valley Hospital merged with Preston Hall (Maidstone) on 29/07/2010 and became Maidstone Hospital. Name changes: North Tees General Hospital is now known as University Hospital of North Tees. Dewsbury District Hospital is now known as Dewsbury and District Hospital. York District Hospital is now known as York Hospital. Source: KC61 Part A2 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 77
Table 17: Samples examined by pathology laboratories, by source of sample, result of test and Strategic Health Authority, 2010-11 Result of test: Number Result of test Percentages & Numbers Percentages Total Borderline/ Moderate Severe or Borderline/ Moderate Severe or Samples Inadequate Negative Mild Dyskaryosis worse Inadequate Negative Mild Dyskaryosis worse England 3,689,091 104,227 3,315,531 224,333 20,056 24,944 2.8 89.9 6.1 0.5 0.7 North East SHA All Sources 183,657 2,563 163,818 14,529 1,065 1,682 1.4 89.2 7.9 0.6 0.9 GP 162,747 2,178 147,048 11,339 839 1,343 1.3 90.4 7.0 0.5 0.8 NHS Community Clinic 8,029 97 7,087 694 55 96 1.2 88.3 8.6 0.7 1.2 GUM 636 13 521 88 4 10 2.0 81.9 13.8 0.6 1.6 NHS Hospital 11,401 241 8,489 2,288 157 226 2.1 74.5 20.1 1.4 2.0 Private 105 1 79 24 1-1.0 75.2 22.9 1.0 - Other 739 33 594 96 9 7 4.5 80.4 13.0 1.2 0.9 North West SHA All Sources 482,186 13,647 436,196 26,304 2,378 3,661 2.8 90.5 5.5 0.5 0.8 GP 414,111 11,294 381,053 17,590 1,552 2,622 2.7 92.0 4.2 0.4 0.6 NHS Community Clinic 24,622 859 22,080 1,293 158 232 3.5 89.7 5.3 0.6 0.9 GUM 3,267 96 2,695 396 29 51 2.9 82.5 12.1 0.9 1.6 NHS Hospital 39,135 1,353 29,489 6,918 632 743 3.5 75.4 17.7 1.6 1.9 Private 744 36 626 77-5 4.8 84.1 10.3-0.7 Other 307 9 253 30 7 8 2.9 82.4 9.8 2.3 2.6 Yorkshire & the Humber SHA All Sources 378,377 5,706 350,212 17,742 1,795 2,922 1.5 92.6 4.7 0.5 0.8 GP 351,126 4,964 327,704 14,599 1,441 2,418 1.4 93.3 4.2 0.4 0.7 NHS Community Clinic 6,279 105 5,732 357 26 59 1.7 91.3 5.7 0.4 0.9 GUM 1,557 37 1,285 195 15 25 2.4 82.5 12.5 1.0 1.6 NHS Hospital 18,179 584 14,363 2,523 305 404 3.2 79.0 13.9 1.7 2.2 Private 459 7 426 20-6 1.5 92.8 4.4-1.3 Other 777 9 702 48 8 10 1.2 90.3 6.2 1.0 1.3 East Midlands SHA All Sources 262,035 4,712 241,201 13,269 1,044 1,809 1.8 92.0 5.1 0.4 0.7 GP 242,289 4,200 225,424 10,384 791 1,490 1.7 93.0 4.3 0.3 0.6 NHS Community Clinic 5,556 140 5,033 316 25 42 2.5 90.6 5.7 0.4 0.8 GUM 811 15 662 121 4 9 1.8 81.6 14.9 0.5 1.1 NHS Hospital 12,551 329 9,380 2,362 222 258 2.6 74.7 18.8 1.8 2.1 Private 474 23 401 45 2 3 4.9 84.6 9.5 0.4 0.6 Other 354 5 301 41-7 1.4 85.0 11.6-2.0 West Midlands SHA All Sources 326,696 9,575 292,791 20,325 1,483 2,522 2.9 89.6 6.2 0.5 0.8 GP 294,347 8,413 267,471 15,415 1,091 1,957 2.9 90.9 5.2 0.4 0.7 NHS Community Clinic 7,265 238 6,495 439 33 60 3.3 89.4 6.0 0.5 0.8 GUM 991 50 764 143 12 22 5.0 77.1 14.4 1.2 2.2 NHS Hospital 16,393 634 11,356 3,740 317 346 3.9 69.3 22.8 1.9 2.1 Private 332 17 266 42 3 4 5.1 80.1 12.7 0.9 1.2 Other 7,368 223 6,439 546 27 133 3.0 87.4 7.4 0.4 1.8 East of England SHA All Sources 383,706 9,602 345,197 24,028 2,176 2,703 2.5 90.0 6.3 0.6 0.7 GP 359,040 8,681 326,135 20,182 1,771 2,271 2.4 90.8 5.6 0.5 0.6 NHS Community Clinic 6,377 131 5,598 547 54 47 2.1 87.8 8.6 0.8 0.7 GUM 2,152 45 1,718 338 26 25 2.1 79.8 15.7 1.2 1.2 NHS Hospital 14,505 675 10,406 2,761 317 346 4.7 71.7 19.0 2.2 2.4 Private 1,467 66 1,189 192 8 12 4.5 81.0 13.1 0.5 0.8 Other 165 4 151 8-2 2.4 91.5 4.8-1.2 London SHA All Sources 679,587 25,242 594,732 52,008 4,133 3,472 3.7 87.5 7.7 0.6 0.5 GP 578,324 20,437 518,692 34,657 2,437 2,101 3.5 89.7 6.0 0.4 0.4 NHS Community Clinic 33,764 1,534 29,394 2,503 180 153 4.5 87.1 7.4 0.5 0.5 GUM 5,475 320 4,377 721 30 27 5.8 79.9 13.2 0.5 0.5 NHS Hospital 57,834 2,760 38,854 13,614 1,446 1,160 4.8 67.2 23.5 2.5 2.0 Private 3,492 166 2,817 452 35 22 4.8 80.7 12.9 1.0 0.6 Other 698 25 598 61 5 9 3.6 85.7 8.7 0.7 1.3 South East Coast SHA All Sources 322,164 9,744 288,876 19,352 1,945 2,247 3.0 89.7 6.0 0.6 0.7 GP 296,108 8,726 269,141 15,061 1,418 1,762 2.9 90.9 5.1 0.5 0.6 NHS Community Clinic 6,421 265 5,610 444 41 61 4.1 87.4 6.9 0.6 1.0 GUM 1,134 71 866 164 13 20 6.3 76.4 14.5 1.1 1.8 NHS Hospital 16,777 627 11,786 3,512 460 392 3.7 70.3 20.9 2.7 2.3 Private 1,311 46 1,121 133 6 5 3.5 85.5 10.1 0.5 0.4 Other 413 9 352 38 7 7 2.2 85.2 9.2 1.7 1.7 South Central SHA All Sources 277,904 6,576 251,491 16,146 1,681 2,010 2.4 90.5 5.8 0.6 0.7 GP 263,834 6,006 240,849 13,827 1,419 1,733 2.3 91.3 5.2 0.5 0.7 NHS Community Clinic 2,579 105 2,227 203 21 23 4.1 86.4 7.9 0.8 0.9 GUM 1,295 34 1,005 214 16 26 2.6 77.6 16.5 1.2 2.0 NHS Hospital 9,106 384 6,571 1,724 216 211 4.2 72.2 18.9 2.4 2.3 Private 830 22 641 151 6 10 2.7 77.2 18.2 0.7 1.2 Other 260 25 198 27 3 7 9.6 76.2 10.4 1.2 2.7 South West SHA All Sources 392,779 16,860 351,017 20,630 2,356 1,916 4.3 89.4 5.3 0.6 0.5 GP 368,945 15,611 332,914 16,932 1,880 1,608 4.2 90.2 4.6 0.5 0.4 NHS Community Clinic 7,842 416 6,479 823 70 54 5.3 82.6 10.5 0.9 0.7 GUM 855 34 710 99 8 4 4.0 83.0 11.6 0.9 0.5 NHS Hospital 14,041 745 9,968 2,711 378 239 5.3 71.0 19.3 2.7 1.7 Private 326 22 283 16 3 2 6.7 86.8 4.9 0.9 0.6 Other 770 32 663 49 17 9 4.2 86.1 6.4 2.2 1.2.. = Not available - = Zero Source: KC61 Part A1 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 78
Table 18: Outcome of referrals for samples registered at the laboratory between April 2009 - March 2010, by Strategic Health Authority Women referred after persistent non-negative sample (i.e. category 1/8/3 result) Percentages & Numbers Total with CIN3 & Non- Seen in known Cervical Adenocarcinoma HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy Total result Cancer in situ CIN2 CIN1 only No HPV Cancer result n/k biopsy NAD Numbers England 68,572 64,563 92 4,492 6,578 16,951 8,282 7,469 42 331 1,180 19,146 North East 4,277 4,138 6 364 506 1,314 521 782 6-83 556 North West 9,499 8,922 18 604 968 2,186 1,171 1,097 5 51 131 2,691 Yorkshire & Humber 4,948 4,678 12 503 629 1,036 732 698 3 16 48 1,001 East Midlands 3,355 3,179 2 290 315 800 311 263 1 36 28 1,133 West Midlands 6,956 6,433 7 357 400 1,015 493 451 3-106 3,601 East of England 5,983 5,710 6 506 593 1,802 844 708 5 21 103 1,122 London 15,803 14,551 18 702 1,290 4,448 2,106 1,552 7 165 254 4,009 South East Coast 5,449 5,184 10 313 508 1,137 633 695 2 13 92 1,781 South Central 4,959 4,729 3 286 511 1,275 438 487 8 17 102 1,602 South West 7,343 7,039 10 567 858 1,938 1,033 736 2 12 233 1,650 Percentage of cases with known result England 100.0 0.1 7.0 10.2 26.3 12.8 11.6 0.1 0.5 1.8 29.7 North East 100 0.1 8.8 12.2 31.8 12.6 18.9 0.1-2.0 13.4 North West 100 0.2 6.8 10.8 24.5 13.1 12.3 0.1 0.6 1.5 30.2 Yorkshire & Humber 100 0.3 10.8 13.4 22.1 15.6 14.9 0.1 0.3 1.0 21.4 East Midlands 100 0.1 9.1 9.9 25.2 9.8 8.3 0.0 1.1 0.9 35.6 West Midlands 100 0.1 5.5 6.2 15.8 7.7 7.0 0.0-1.6 56.0 East of England 100 0.1 8.9 10.4 31.6 14.8 12.4 0.1 0.4 1.8 19.6 London 100 0.1 4.8 8.9 30.6 14.5 10.7 0.0 1.1 1.7 27.6 South East Coast 100 0.2 6.0 9.8 21.9 12.2 13.4 0.0 0.3 1.8 34.4 South Central 100 0.1 6.0 10.8 27.0 9.3 10.3 0.2 0.4 2.2 33.9 South West 100 0.1 8.1 12.2 27.5 14.7 10.5 0.0 0.2 3.3 23.4 Women referred after single occurrence of potentially significant abnormality (i.e. category 7/4/5/6 result) Percentages & Numbers Total with CIN3 & Non- Seen in known Cervical Adenocarcinoma HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy Total result Cancer in situ CIN2 CIN1 only No HPV Cancer result n/k biopsy NAD Numbers England 38,884 37,831 1,047 21,412 8,761 3,285 840 1,236 158 106 243 743 North East 2,429 2,396 80 1,419 559 192 37 74 12-3 20 North West 4,932 4,793 136 2,578 1,270 368 115 174 19 13 23 97 Yorkshire & Humber 3,693 3,603 137 2,190 802 197 78 120 20 2 6 51 East Midlands 1,890 1,826 78 1,131 350 121 19 40 8 17 6 56 West Midlands 3,720 3,609 102 2,319 595 250 72 111 19-27 114 East of England 4,358 4,285 94 2,599 880 374 96 148 14 7 26 47 London 6,492 6,227 157 3,004 1,550 829 196 206 28 51 61 145 South East Coast 3,609 3,536 82 1,922 891 311 76 149 8 9 26 62 South Central 3,487 3,378 72 1,925 831 288 42 91 16 3 30 80 South West 4,274 4,178 109 2,325 1,033 355 109 123 14 4 35 71 Percentage of cases with known result England 100.0 2.8 56.6 23.2 8.7 2.2 3.3 0.4 0.3 0.6 2.0 North East 100.0 3.3 59.2 23.3 8.0 1.5 3.1 0.5-0.1 0.8 North West 100.0 2.8 53.8 26.5 7.7 2.4 3.6 0.4 0.3 0.5 2.0 Yorkshire & Humber 100.0 3.8 60.8 22.3 5.5 2.2 3.3 0.6 0.1 0.2 1.4 East Midlands 100.0 4.3 61.9 19.2 6.6 1.0 2.2 0.4 0.9 0.3 3.1 West Midlands 100.0 2.8 64.3 16.5 6.9 2.0 3.1 0.5-0.7 3.2 East of England 100.0 2.2 60.7 20.5 8.7 2.2 3.5 0.3 0.2 0.6 1.1 London 100.0 2.5 48.2 24.9 13.3 3.1 3.3 0.4 0.8 1.0 2.3 South East Coast 100.0 2.3 54.4 25.2 8.8 2.1 4.2 0.2 0.3 0.7 1.8 South Central 100.0 2.1 57.0 24.6 8.5 1.2 2.7 0.5 0.1 0.9 2.4 South West 100.0 2.6 55.6 24.7 8.5 2.6 2.9 0.3 0.1 0.8 1.7.. = Not available - = Zero Source: KC61 Part C2 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 79
Table 18a: Outcome of referrals for samples registered at the laboratory between April - June 2010, by Strategic Health Authority Women referred after persistent non-negative sample (i.e. category 1/8/3 result) Percentages & Numbers Total with CIN3 & Non- Seen in known Cervical Adenocarcinoma HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy Total result Cancer in situ CIN2 CIN1 only No HPV Cancer result n/k biopsy NAD Numbers England 18,181 17,105 25 1,044 1,663 4,352 2,348 1,921 3 82 318 5,349 North East 1,105 1,056 1 105 148 289 125 218 - - 13 157 North West 2,646 2,492 4 137 222 703 287 306 1 8 42 782 Yorkshire & Humber 1,678 1,577 3 156 202 318 242 219 1 5 13 418 East Midlands 813 784 1 71 71 157 76 68-4 8 328 West Midlands 1,731 1,628 1 75 96 222 119 100 - - 21 994 East of England 1,495 1,410 4 101 146 420 233 176-6 27 297 London 4,335 4,004 3 194 359 1,158 693 358 1 54 84 1,100 South East Coast 1,389 1,318 2 62 100 293 163 166-4 20 508 South Central 1,161 1,098 1 58 120 318 93 122 - - 18 368 South West 1,828 1,738 5 85 199 474 317 188-1 72 397 Percentage of cases with known result England 100 0.1 6.1 9.7 25.4 13.7 11.2 0.0 0.5 1.9 31.3 North East 100 0.1 9.9 14.0 27.4 11.8 20.6 - - 1.2 14.9 North West 100 0.2 5.5 8.9 28.2 11.5 12.3 0.0 0.3 1.7 31.4 Yorkshire & Humber 100 0.2 9.9 12.8 20.2 15.3 13.9 0.1 0.3 0.8 26.5 East Midlands 100 0.1 9.1 9.1 20.0 9.7 8.7-0.5 1.0 41.8 West Midlands 100 0.1 4.6 5.9 13.6 7.3 6.1 - - 1.3 61.1 East of England 100 0.3 7.2 10.4 29.8 16.5 12.5-0.4 1.9 21.1 London 100 0.1 4.8 9.0 28.9 17.3 8.9 0.0 1.3 2.1 27.5 South East Coast 100 0.2 4.7 7.6 22.2 12.4 12.6-0.3 1.5 38.5 South Central 100 0.1 5.3 10.9 29.0 8.5 11.1 - - 1.6 33.5 South West 100 0.3 4.9 11.4 27.3 18.2 10.8-0.1 4.1 22.8 Women referred after single occurrence of potentially significant abnormality (i.e. category 7/4/5/6 result) Percentages & Numbers Total with CIN3 & Non- Seen in known Cervical Adenocarcinoma HPV No CIN/ Cervical Colposcopy Inadequate Colposcopy Total result Cancer in situ CIN2 CIN1 only No HPV Cancer result n/k biopsy NAD Numbers England 9,823 9,554 259 5,328 2,244 842 224 314 41 30 52 220 North East 564 551 11 353 121 39 7 9 1 - - 10 North West 1,200 1,169 33 645 303 97 18 32 6 4 6 25 Yorkshire & Humber 1,018 999 37 598 224 61 22 33 14-1 9 East Midlands 493 479 17 284 98 40 9 7-2 1 21 West Midlands 837 813 16 519 141 58 17 16 6-7 33 East of England 1,190 1,174 30 669 270 112 28 49 - - 4 12 London 1,698 1,619 31 807 383 199 62 53 9 19 11 45 South East Coast 938 919 25 499 234 69 22 41 2 4 5 18 South Central 960 926 26 474 247 88 11 36 2-5 37 South West 925 905 33 480 223 79 28 38 1 1 12 10 Percentage of cases with known result England 100 2.7 55.8 23.5 8.8 2.3 3.3 0.4 0.3 0.5 2.3 North East 100 2.0 64.1 22.0 7.1 1.3 1.6 0.2 - - 1.8 North West 100 2.8 55.2 25.9 8.3 1.5 2.7 0.5 0.3 0.5 2.1 Yorkshire & Humber 100 3.7 59.9 22.4 6.1 2.2 3.3 1.4-0.1 0.9 East Midlands 100 3.5 59.3 20.5 8.4 1.9 1.5-0.4 0.2 4.4 West Midlands 100 2.0 63.8 17.3 7.1 2.1 2.0 0.7-0.9 4.1 East of England 100 2.6 57.0 23.0 9.5 2.4 4.2 - - 0.3 1.0 London 100 1.9 49.8 23.7 12.3 3.8 3.3 0.6 1.2 0.7 2.8 South East Coast 100 2.7 54.3 25.5 7.5 2.4 4.5 0.2 0.4 0.5 2.0 South Central 100 2.8 51.2 26.7 9.5 1.2 3.9 0.2-0.5 4.0 South West 100 3.6 53.0 24.6 8.7 3.1 4.2 0.1 0.1 1.3 1.1.. = Not available - = Zero Source: KC61 Part C1 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 80
Table 19: GP and NHS Community Clinic samples from women aged 25-64 examined by pathology laboratories, by laboratory and result, 2010-11 Percentages & Numbers Samples from GP and NHS Community Clinics - women aged 25-64 Total samples examined Result (as a percentage of total adequate) PPV % GP & Inadequate Total Negative Borderline Mild Moderate Severe Apr-10 Apr-09 All 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-10 Mar-10 England - 109 laboratories 3,689,091 3,337,248 2.7 3,245,944 93.9 3.5 1.6 0.4 0.6.... North East 183,657 166,444 1.3 164,229 91.6 5.4 1.6 0.5 0.8.... 60090 James Cook University Hospital 19,390 18,203 0.7 18,076 90.8 5.9 1.9 0.7 0.8 90.8 89.4 60080 Queen Elizabeth Hospital 26,462 23,783 4.1 22,798 90.5 6.8 1.3 0.5 0.9 87.2 88.9 60103 Royal Victoria Infirmary 56,893 50,857 1.0 50,367 92.9 3.7 1.9 0.5 1.0 91.7 81.9 60160 Sunderland Royal Hospital 18,678 16,664 1.2 16,457 89.6 7.2 2.2 0.6 0.5 75.4 88.0 60050 University Hospital of North Durham 40,232 36,568 0.8 36,285 92.3 5.5 1.0 0.4 0.8 90.0 88.6 60110 University Hospital of North Tees 22,002 20,369 0.6 20,246 91.0 6.2 1.6 0.7 0.6 88.2 87.5 North West 482,186 423,001 2.8 411,276 94.8 2.7 1.5 0.4 0.6.... 61850 Arrowe Park Hospital 23,320 20,514 3.3 19,831 94.5 3.3 1.3 0.3 0.4 78.9 84.6 62120 Blackpool Victoria Hospital (1) 2,101 1,785 1.2 1,764 94.7 3.0 1.0 0.5 0.8 88.0 84.3 61995 Chorley and South Ribble District General Hospital 10,071 8,977 2.6 8,742 94.2 2.8 1.9 0.4 0.6 71.6 84.3 61870 Countess of Chester Hospital 20,228 17,480 2.2 17,092 95.0 1.8 2.3 0.4 0.5 88.5 83.1 60030 Cumberland Infirmary (3) 4,244 3,911 1.2 3,864 95.0 3.2 1.0 0.2 0.6.... 61960 East Lancashire Hospital (4) 10,889 9,637 1.4 9,501 95.3 2.6 1.4 0.4 0.4.... 62010 Manchester Cytology Centre (14) 166,476 147,579 3.0 143,136 95.0 2.7 1.3 0.4 0.7 85.9 83.6 61890 Mid Cheshire Hospital Foundation Trust 33,207 29,822 3.9 28,645 95.7 2.8 0.8 0.1 0.6 84.1 80.5 61970 Royal Bolton Hospital 10,586 9,039 3.3 8,738 95.7 2.9 0.7 0.3 0.4 91.7 78.2 62030 Royal Lancaster Infirmary (5) 9,696 8,487 2.9 8,245 94.8 2.7 1.3 0.5 0.7 76.2 77.9 61920 Royal Liverpool University Hospital 36,303 31,005 1.8 30,452 94.0 2.1 2.4 0.6 0.9 94.9 93.4 62055 Royal Oldham Hospital (7) (8) 70,526 62,442 2.8 60,724 95.1 2.3 1.5 0.5 0.7 93.0 87.7 61935 Southport and Formby District General Hospital 1,893 1,668 0.8 1,654 92.4 4.1 2.6 0.2 0.6 71.4 70.5 62080 Stepping Hill Hospital (7) 17,531 15,369 3.8 14,786 94.3 2.5 2.4 0.3 0.5 64.1 81.1 62100 Tameside General Hospital (8) 10,857 9,525 1.4 9,388 92.3 5.8 1.1 0.4 0.4 71.8 78.9 61880 University Hospital Aintree (9) 9,853 8,608 1.5 8,482 93.4 3.6 2.0 0.4 0.5 90.9.. 61940 Warrington Hospital 25,001 20,436 2.7 19,877 95.7 2.6 0.9 0.3 0.5 83.6 86.8 61930 Whiston Hospital 19,404 16,717 2.2 16,355 93.2 4.3 1.5 0.4 0.6 69.7 87.6 Yorkshire & the Humber 378,377 347,497 1.4 342,558 94.8 3.4 0.8 0.4 0.7.... 60290 Calderdale Royal Hospital 27,146 25,142 0.9 24,922 94.1 4.0 0.8 0.4 0.6 82.2 87.8 60220 Dewsbury and District Hospital 35,570 32,994 0.9 32,697 94.1 3.9 1.1 0.4 0.5 88.5 82.6 60200 Hull Royal Infirmary 33,273 31,251 0.8 31,007 93.3 4.8 0.8 0.4 0.8 83.5 85.2 60335 Leeds Teaching Hospitals 80,115 72,472 2.3 70,825 95.1 3.5 0.3 0.5 0.7 86.6 88.3 60240 Pathlinks (10) 60,270 55,881 1.0 55,303 94.3 3.5 1.1 0.3 0.8 93.9 90.6 60470 Royal Hallamshire Hospital 89,947 81,364 1.5 80,156 95.6 2.8 0.6 0.3 0.7 84.0 81.7 60340 York Hospital 52,056 48,393 1.5 47,648 95.4 2.4 1.1 0.5 0.5 90.4 91.2 East Midlands 262,035 243,143 1.8 238,885 94.7 3.2 1.1 0.3 0.6.... 60360 Chesterfield Royal Hospital (11) 10,222 9,525 1.2 9,415 93.7 3.8 1.4 0.2 0.9 89.8 83.1 61450 Kettering General Hospital 21,142 19,495 2.2 19,066 93.1 3.8 1.5 0.6 0.9 72.7 82.3 60410 King's Mill Hospital (11) 18,571 17,144 1.5 16,890 95.5 2.6 1.0 0.2 0.7 87.1 92.5 60420 Leicester Royal Infirmary & Leicester General Hospital 62,240 58,227 1.8 57,205 95.8 2.2 1.1 0.4 0.5 83.5 84.3 61470 Northampton General Hospital 24,955 22,694 1.1 22,455 94.8 2.5 1.9 0.4 0.4 79.6 84.2 60450 Nottingham City Hospital (12) 49,618 45,272 2.5 44,155 93.9 4.0 1.2 0.3 0.7.... 60370 Royal Derby Hospital (11) 75,287 70,786 1.5 69,699 94.7 3.7 0.7 0.2 0.6 91.0 94.2 West Midlands 326,696 294,259 2.9 285,820 93.7 3.6 1.7 0.4 0.7.... 61730 Birmingham Women's Hospital 29,017 25,573 2.2 25,023 92.5 4.1 2.1 0.6 0.7 84.1 83.7 61790 Heartlands Hospital 44,185 40,453 4.5 38,649 93.8 3.2 2.1 0.4 0.6 78.4 80.3 61660 Hereford Hospital 14,476 13,235 2.7 12,875 94.4 2.9 1.9 0.4 0.4 82.5 85.1 61740 New Cross Hospital 19,920 18,657 2.0 18,284 94.0 3.8 1.1 0.4 0.7 89.7 88.7 61755 Princess Royal Hospital & Royal Shrewsbury Hospital 33,356 29,831 1.6 29,363 92.5 4.5 2.0 0.3 0.6 78.5 80.3 61760 Russells Hall Hospital 21,808 19,864 2.4 19,387 94.7 3.5 0.8 0.4 0.6 96.6 90.7 61670 Sandwell Hospital & City Hospital 32,623 30,305 3.4 29,284 94.7 3.3 1.3 0.3 0.5 94.1 90.0 61820 University Hospital, Coventry 64,505 53,431 2.5 52,119 94.3 3.3 1.4 0.1 0.9 83.9 86.4 61720 University Hospital of North Staffordshire 49,841 47,546 3.0 46,096 93.0 3.4 2.1 0.5 0.9 83.3 84.1 61710 Walsall Manor Hospital 16,965 15,364 4.1 14,740 92.7 5.1 1.3 0.4 0.5 93.0 79.6 East of England 383,706 355,560 2.4 347,026 93.2 3.7 1.9 0.5 0.6.... 60870 Basildon University Hospital 23,538 21,095 3.1 20,447 92.4 4.4 2.2 0.5 0.5 95.6 84.8 60610 Bedford Hospital (13) 38,176 36,585 3.1 35,469 92.3 3.3 3.0 0.5 0.8 78.9 79.5 81
Table 19: GP and NHS Community Clinic samples from women aged 25-64 examined by pathology laboratories, by laboratory and result, 2010-11 Percentages & Numbers Samples from GP and NHS Community Clinics - women aged 25-64 Total samples examined Result (as a percentage of total adequate) PPV % GP & Inadequate Total Negative Borderline Mild Moderate Severe Apr-10 Apr-09 All 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-10 Mar-10 England - 109 laboratories 3,689,091 3,337,248 2.7 3,245,944 93.9 3.5 1.6 0.4 0.6.... 60790 Broomfield Hospital 23,699 21,423 2.3 20,931 92.1 4.2 2.7 0.5 0.4 80.4 76.6 60850 Colchester General Hospital 24,804 22,170 2.1 21,711 94.2 3.3 1.7 0.3 0.5 87.8 78.7 60580 Ipswich Hospital 24,704 23,098 0.8 22,912 92.2 5.6 1.1 0.5 0.6 86.4 84.3 60540 Norfolk and Norwich University Hospital 56,421 53,142 2.3 51,897 95.1 2.6 1.1 0.5 0.7 78.9 84.9 60560 Peterborough City Hospital 25,752 23,597 3.2 22,845 90.9 6.3 1.5 0.6 0.7 85.2 92.7 60890 Princess Alexandra Hospital 19,095 17,463 1.9 17,131 92.4 4.1 2.4 0.6 0.5 84.5 89.3 60720 Queen Elizabeth ll Hospital 30,837 29,198 2.3 28,526 95.1 2.5 1.5 0.5 0.5 85.5 86.3 60860 Southend University Hospital 22,659 21,166 2.7 20,585 92.4 5.1 1.6 0.4 0.5 92.5 86.9 60750 Watford General Hospital 34,876 31,911 3.1 30,929 93.4 3.8 2.1 0.3 0.4 86.9 86.7 60500 West Anglia Pathology Services 59,145 54,712 2.0 53,643 93.3 3.1 2.2 0.6 0.8 78.0 82.5 London 679,587 586,823 3.6 565,833 93.2 3.6 2.4 0.4 0.4.... 60780 Chase Farm Hospital 42,670 37,619 3.0 36,484 93.3 4.8 1.3 0.4 0.3 85.0 87.1 61120 King's College Hospital 27,575 23,446 4.5 22,383 90.5 5.2 3.5 0.5 0.3 63.0 71.4 61230 Kingston Hospital 35,575 31,318 3.1 30,346 93.2 4.0 2.3 0.4 0.3 82.0 69.1 61240 Mayday University Hospital 25,895 23,646 2.3 23,096 92.7 3.4 3.0 0.6 0.4 72.0 65.0 60820 North Middlesex University Hospital 21,645 18,865 7.5 17,454 91.1 5.3 2.6 0.7 0.4 68.0 70.0 60710 Northwick Park Hospital 53,560 48,331 1.9 47,416 96.1 1.7 1.6 0.2 0.3 83.0 78.6 61140 Princess Royal University Hospital 18,467 16,230 4.8 15,452 92.8 3.5 2.9 0.3 0.4 72.0 77.0 61070 Queen Elizabeth Hospital 31,318 28,003 4.4 26,761 92.8 3.8 2.3 0.5 0.5 74.0 80.2 61170 Queen Mary's Hospital Sidcup 12,808 10,728 3.2 10,389 92.8 3.9 2.4 0.5 0.4 83.0 79.7 60800 Queen's Hospital 48,540 44,020 1.8 43,215 95.1 2.8 1.3 0.4 0.5 81.0 78.7 61300 St George's Hospital 27,048 22,221 1.9 21,798 92.8 0.9 5.3 0.3 0.7 86.0 87.6 61280 St Helier Hospital 38,826 35,105 2.5 34,222 95.5 2.7 1.1 0.3 0.3 73.0 87.2 60740 St Mary's Hospital 71,413 56,408 2.6 54,926 92.0 5.2 2.2 0.3 0.2 80.0 80.1 61090 St Thomas's Hospital 33,918 27,800 3.5 26,823 91.9 3.1 3.7 0.8 0.4 66.0 74.9 85070 The Doctors Laboratory 19,889 17,642 5.3 16,703 92.9 4.4 2.1 0.3 0.4 77.0 67.2 60900 The Royal London Hospital 69,044 59,898 7.2 55,583 94.5 3.6 1.2 0.3 0.3 81.2 80.9 61020 The Whittington Hospital 24,881 21,603 2.5 21,063 91.6 4.1 3.3 0.7 0.4 66.0 80.1 61000 University College Hospital 31,195 23,881 3.0 23,166 90.5 3.1 5.4 0.6 0.5 70.0 74.3 61130 University Hospital Lewisham 24,064 20,765 5.4 19,641 91.4 3.9 3.7 0.6 0.4 79.0 83.2 61010 Whipps Cross University Hospital 21,256 19,294 2.0 18,912 93.8 3.9 1.5 0.3 0.5 83.0 82.6 South East Coast 322,164 293,807 2.9 285,149 93.8 3.6 1.5 0.5 0.6.... 61290 Ashford and St Peter's Hospital 34,995 31,275 2.2 30,596 93.8 3.3 1.8 0.6 0.5 76.7 77.6 61080 Conquest Hospital 26,067 23,749 2.2 23,218 95.2 2.2 1.6 0.4 0.6 91.2 87.8 61100 Darent Valley Hospital 5,559 5,211 2.4 5,085 95.0 2.2 1.7 0.5 0.6 77.4 80.5 61200 East Surrey Hospital 30,710 28,478 2.2 27,848 94.5 2.9 1.7 0.4 0.6 85.7 84.8 61150 Maidstone Hospital 35,980 33,735 1.6 33,200 93.6 4.0 1.5 0.5 0.4.... 61030 Medway Maritime Hospital 25,829 24,077 4.6 22,966 94.6 2.5 1.6 0.5 0.7 86.2 85.1 61270 Partnership Pathology Services - Guildford 40,079 35,783 2.3 34,963 93.9 3.6 1.3 0.6 0.6 84.6 79.9 61160 Preston Hall (Maidstone) 12,105 11,316 2.0 11,091 93.3 4.2 1.6 0.4 0.5 77.3 79.5 61040 Royal Sussex County Hospital 33,329 30,755 2.1 30,103 95.1 2.1 1.6 0.4 0.8 86.9 87.4 61325 Western Sussex 31,737 28,696 4.0 27,541 92.8 4.7 1.4 0.3 0.8 75.8 81.9 61190 William Harvey Hospital 45,774 40,732 5.4 38,538 91.8 5.7 1.5 0.5 0.4 91.0 85.2 South Central 277,904 258,174 2.3 252,249 93.7 3.4 1.8 0.5 0.7.... 61440 John Radcliffe Hospital 44,184 41,222 2.9 40,017 94.1 3.4 1.4 0.4 0.6 81.3 85.4 61350 Queen Alexandra Hospital 47,535 43,442 3.1 42,075 94.1 2.5 2.5 0.5 0.4 69.4 73.7 61490 Royal Berkshire Hospital 33,327 31,502 2.1 30,827 95.3 2.4 1.2 0.4 0.8 87.4 90.2 61370 Royal Hampshire County Hospital 36,169 34,164 3.1 33,115 93.6 4.0 1.4 0.5 0.5 89.8 83.6 61410 Southampton General Hospital 31,139 28,725 2.3 28,076 91.3 4.8 2.1 0.9 0.9 81.8 91.6 61500 Stoke Mandeville Hospital 38,660 36,162 1.2 35,740 92.6 4.3 1.6 0.7 0.7 78.6 86.0 61510 Wexham Park Hospital 27,456 24,837 1.5 24,473 93.5 3.2 2.0 0.5 0.8 86.9 87.8 61520 Wycombe Hospital 19,434 18,120 1.1 17,926 95.2 2.2 1.8 0.3 0.5 88.5 87.8 South West 392,779 368,540 4.2 352,919 94.3 3.4 1.3 0.5 0.4.... 61560 Derriford Hospital 30,898 28,252 7.1 26,241 94.5 3.6 0.8 0.6 0.5 79.4 83.1 61580 Gloucestershire Royal Hospital 79,265 77,070 3.9 74,064 93.8 3.8 1.6 0.4 0.3 85.8 81.5 61340 Great Western Hospital 20,477 18,867 6.0 17,739 93.8 3.8 1.4 0.6 0.4 90.2 90.2 61600 Musgrove Park Hospital 43,799 40,227 2.9 39,066 94.2 3.9 1.1 0.4 0.5 89.9 86.2 61360 Poole Hospital 45,220 41,876 3.6 40,387 95.5 2.6 1.1 0.5 0.3 75.3 86.5 61555 Royal Cornwall Hospital 28,269 26,739 5.3 25,324 92.6 3.9 2.3 0.6 0.6 90.8 89.4 82
Table 19: GP and NHS Community Clinic samples from women aged 25-64 examined by pathology laboratories, by laboratory and result, 2010-11 Percentages & Numbers Samples from GP and NHS Community Clinics - women aged 25-64 Total samples examined Result (as a percentage of total adequate) PPV % GP & Inadequate Total Negative Borderline Mild Moderate Severe Apr-10 Apr-09 All 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-10 Mar-10 England - 109 laboratories 3,689,091 3,337,248 2.7 3,245,944 93.9 3.5 1.6 0.4 0.6.... 61565 Royal Devon and Exeter Hospital 35,277 31,922 4.1 30,620 93.7 3.3 1.8 0.6 0.5 77.3 81.7 61390 Royal United Hospital 32,062 30,571 3.8 29,399 95.6 2.5 0.9 0.5 0.5 91.6 85.9 61590 Southmead Hospital 58,745 55,858 3.8 53,737 94.9 3.2 0.9 0.6 0.5 74.6 83.9 61610 Torbay Hospital 18,767 17,158 4.8 16,342 94.0 2.9 1.9 0.6 0.6 78.2 80.6.. = Not available - = Zero (1) Blackpool Victoria Hospital - cytology laboratory now closed - transferred to Manchester Cytology Centre on 10/05/2010. Note that as a result of the laboratory closure data was only submitted for part of the year. (2) Chorley and South Ribble District General Hospital cytology laboratory closed on 01/09/2010 and transferred to Manchester Cytology Centre. This resulted in a high number of referrals where the outcome could not be followed up. (3) Cumberland Infirmary - cytology laboratory now closed - transferred to Manchester Cytology Centre on 01/06/2010. Note that as a result of the laboratory closure data was only submitted for part of the year. (4) East Lancashire Hospital - cytology laboratory now closed - transferred to Manchester Cytology Centre on 01/08/2010. Note that as a result of the laboratory closure data was only submitted for part of the year and PPV values were not available. (5) Royal Lancaster Infirmary submitted partial data for Parts A and B (samples examined and results) up to September 2010 as screening ceased in October 2010 and transferred to Manchester Cytology Centre. Partial data was also submitted for Part C1 (PPV April - June 2010). (6) Southport and Formby District General Hospital - cytology laboratory now closed - transferred to Manchester Cytology Centre and Royal Liverpool University Hospital on 01/07/2010. This resulted in a high number of referrals where the outcome could not be followed up. (7) Stepping Hill Hospital - cytology laboratory now closed - transferred to the Pennine laboratory within Royal Oldham Hospital on 04/01/2011. Note that as a result of the laboratory closure data was only submitted for part of the year. (8) Tameside General Hospital - cytology laboratory now closed - transferred to the Pennine laboratory within Royal Oldham Hospital on 04/01/2011. Note that as a result of the laboratory closure data was only submitted for part of the year. (9) University Hospital Aintree - cytology laboratory now closed - transferred to Royal Liverpool University Hospital on 01/11/2010. Note that as a result of the laboratory closure data was only submitted for part of the year. The laboratory was unable to provide a PPV for April 2009 to March 2010. (10) The Pathlinks network consists of Diana Princess of Wales Hospital, Scunthorpe General Hospital and Lincoln County Hospital. (11) Chesterfield Royal Hospital ceased screening as of September 2010. King's Mill Hospital ceased screening as of February 2011. Both merged with Royal Derby Hospital and therefore only partial data was available for Chesterfield Royal Hospital and King's Mill Hospital. (12) Nottingham City Hospital stopped screening cytology samples in May 2011 and was therefore unable to supply the data required for the calculation of PPVs. (13) Bedford Hospital - due to a change in their laboratory system part way through the year, not all samples registered are included in the reported figures. (14) The following laboratories have closed and their work has transferred to Manchester Cytology Centre: Blackpool Victoria Hospital, Chorley and South Ribble District General Hospital, Cumberland Infirmary, East Lancashire Hospital, Royal Lancaster Infirmary. The cytology activity provided by the following hospitals has transferred or changed: Countess of Chester Hospital - cytology laboratory now closed - transferred to Arrowe Park Hospital on 01/04/2011. Royal Bolton Hospital - cytology laboratory now closed - transferred to the Pennine laboratory within Royal Oldham Hospital on 01/11/2010. Barnsley District General Hospital, Rotherham District General Hospital and Doncaster Royal Infirmary all merged into Royal Hallamshire Hospital on 01/04/2010. Princess Royal University Hospital, Queen Elizabeth Hospital and Queen Mary's Hospital Sidcup all moved on 01/04/2009 to South London Healthcare NHS Trust. Darent Valley Hospital merged with Preston Hall (Maidstone) on 29/07/10 and became Maidstone Hospital. Name changes: Dewsbury District Hospital is now known as Dewsbury and District Hospital. York District Hospital is now known as York Hospital. North Tees General Hospital is now known as University Hospital of North Tees. Source: KC61 Parts A1, B, C1 and C2 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 83
Table 20: Women referred to colposcopy: referral indication of first offered appointment, by Strategic Health Authority, 2010-11 England (217 returns) Percentages & Numbers Referral indication Strategic Health Authority Result of screening sample England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West Total number of referrals = 100% 142,984 7,859 21,474 13,587 9,821 13,556 13,946 28,491 10,955 9,865 13,430 Screening sample - Total (1) 75.1 81.4 66.9 68.0 68.1 80.2 78.2 75.8 81.4 79.6 78.0 Inadequate 1.5 0.6 1.2 1.8 1.0 1.8 1.1 2.2 0.8 1.0 2.2 Borderline changes 19.2 30.1 19.8 25.4 11.5 16.4 18.3 18.2 17.0 18.5 19.6 Mild dyskaryosis 29.0 21.1 25.4 15.8 29.8 33.6 28.0 37.0 31.2 27.3 30.8 Moderate dyskaryosis 11.0 11.4 8.0 8.8 8.9 10.7 13.5 9.8 14.2 15.0 13.5 Severe dyskaryosis 13.2 17.0 11.6 14.7 15.4 16.4 15.9 7.8 16.6 16.4 10.8 Severe /?invasive carcinoma 0.4 0.5 0.3 0.4 0.4 0.5 0.4 0.2 0.3 0.6 0.3?Glandular Neoplasia 0.8 0.8 0.7 1.1 1.1 0.8 1.0 0.6 1.2 0.8 0.8 Clinical indication - urgent 4.5 3.4 5.4 6.3 6.0 3.5 5.2 4.7 1.9 2.6 4.6 Clinical indication - non urgent 15.4 13.2 11.2 20.8 21.7 16.2 16.4 12.6 16.0 17.4 15.9 Other 5.0 2.0 16.5 4.9 4.3 0.2 0.2 6.9 0.7 0.4 1.4 (1) Sum of Inadequate, borderline changes, mild dyskaryosis, moderate dyskaryosis, severe dyskaryosis, severe /?invasive carcinoma and?glandular neoplasia. Totals may not add up to the sum of components due to rounding. Source: KC65 Part A Copyright 2011, 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, 2010-11 England (217 returns) Percentages Referral indication Strategic Health Authority Waiting time England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West All referrals less than or equal to 2 weeks 27.9 28.4 32.6 25.3 39.3 32.9 30.5 22.6 22.0 17.0 30.1 less than or equal to 4 weeks 65.5 66.6 69.9 64.4 73.9 79.2 70.5 57.0 57.4 55.0 66.2 less than or equal to 8 weeks 96.4 99.0 96.9 97.6 98.1 99.2 99.2 92.2 96.0 91.3 98.9 less than or equal to 12 weeks 99.2 99.9 98.8 99.5 99.8 99.8 99.8 99.3 98.8 96.8 99.7 Moderate or severe dyskaryosis less than or equal to 4 weeks 94.6 99.1 92.8 94.6 94.6 98.6 95.9 96.7 94.1 82.1 96.9 Severe /?invasive carcinoma less than or equal to 2 weeks 93.0 97.6 91.9 89.7 89.5 94.4 100.0 94.4 97.3 91.2 79.4?Glandular neoplasia less than or equal to 2 weeks 88.5 93.3 87.7 91.3 74.0 98.1 97.1 89.9 72.5 85.7 96.3 Source: KC65 Part A Copyright 2011, The Health and Social Care Information Centre. All rights reserved 84
Table 22: Appointments for colposcopy: attendance status and appointment type, by Strategic Health Authority, 2010-11 England (217 returns) Percentages and Numbers Appointment type Strategic Health Authority Attendance status England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West Total Appointments 443,737 21,859 75,247 37,413 27,369 43,617 36,035 105,962 34,771 24,126 37,338 New Appointments Total number = 100% 177,128 9,495 26,011 16,900 12,249 16,910 16,945 36,593 13,618 11,876 16,531 Attended 77.7 81.5 81.0 77.3 84.3 76.1 80.5 71.1 77.3 80.3 78.2 Cancelled by patient - in advance 10.7 8.9 7.1 9.8 5.4 11.7 10.5 14.7 10.7 10.8 12.1 Cancelled by patient - on the day 2.2 1.7 1.6 2.1 2.1 3.5 2.1 2.5 2.0 1.2 2.4 Cancelled by clinic 1.6 0.9 2.0 2.7 1.2 0.5 0.8 2.1 1.7 1.2 1.2 DNA - no advance warning 7.7 7.0 8.0 8.0 6.9 8.2 6.1 9.5 8.3 6.5 6.1 DNA - arrived late 0.1 0.0 0.3 0.0-0.0 0.0 0.1 0.0 0.0 - DNA - 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 Total number = 100% 31,957 2,304 3,997 3,332 1,536 2,844 2,900 6,810 2,567 2,263 3,404 Attended 84.1 84.2 82.6 81.6 95.9 87.5 89.7 78.9 87.4 81.4 84.9 Cancelled by patient - in advance 7.8 7.7 6.8 8.3 1.0 4.8 4.4 12.0 7.4 7.4 8.8 Cancelled by patient - on the day 1.8 2.3 1.9 2.2 0.3 3.0 1.3 1.8 1.3 1.2 1.9 Cancelled by clinic 2.1 1.0 3.8 2.8 0.2 0.9 0.9 2.8 0.5 5.3 1.0 DNA - no advance warning 4.1 4.8 4.6 5.0 2.5 3.8 3.5 4.4 3.3 4.6 3.3 DNA - arrived late 0.1 0.0 0.3-0.1 0.0 0.2 0.1 0.0 0.0 0.0 DNA - left without being seen 0.0-0.1 0.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Follow up Total number = 100% 234,652 10,060 45,239 17,181 13,584 23,863 16,190 62,559 18,586 9,987 17,403 Attended 67.0 72.6 66.6 65.3 74.0 70.2 69.8 61.6 71.7 68.5 67.7 Cancelled by patient - in advance 10.7 7.8 9.6 8.9 7.3 7.1 9.1 14.6 10.2 11.5 12.4 Cancelled by patient - on the day 3.0 2.8 2.2 3.2 2.5 4.5 3.1 3.2 3.5 1.5 3.6 Cancelled by clinic 5.2 3.4 8.2 6.4 3.1 2.0 4.5 5.4 3.5 6.5 3.6 DNA - no advance warning 14.0 13.4 13.4 16.2 13.1 16.1 13.4 15.1 11.1 12.0 12.7 DNA - arrived late 0.0 0.0 0.1 0.0 0.0 0.0 0.0 0.1 0.0-0.0 DNA - left without being seen 0.0 0.0 0.0 0.1-0.0 0.0 0.0 0.0 0.0 0.0.. = Not available - = Zero Source: KC65 Part B Copyright 2011, The Health and Social Care Information Centre. All rights reserved 85
Table 23: Women referred to colposcopy: first attendance by result of referral, type of procedure and Strategic Health Authority, 2010-11 England (217 returns) Percentages & Numbers Referral indication Strategic Health Authority Treatment England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West Total number of referrals = 100% (1) 137,375 7,738 21,053 13,059 10,302 12,867 13,371 26,001 10,523 9,541 12,920 All referrals (1) No procedure 39.2 23.4 43.1 34.4 42.0 51.4 32.4 43.0 39.1 38.2 32.8 Procedure used 60.8 76.6 56.9 65.6 58.0 48.6 67.6 57.0 60.9 61.8 67.2 Inadequate Diagnostic biopsy 44.8 54.4 45.5 47.4 35.7 28.7 43.8 53.8 37.5 36.7 53.9 Excision 14.2 21.4 10.0 15.7 18.6 17.4 21.4 2.2 20.5 24.4 12.4 Ablation without biopsy 0.6 0.3 0.4 0.2 1.5 1.0 1.0 0.3 0.7 0.4 0.3 Ablation with biopsy 0.1 0.0 0.2 0.1 0.2 0.0-0.1 0.7 0.1 - Other 1.1 0.5 0.8 2.1 2.0 1.5 1.3 0.6 1.6 0.2 0.6 No procedure 77.0 92.9 70.6 88.7 67.0 88.5 68.3 73.4 78.9 69.2 78.2 Procedure used 23.0 7.1 29.4 11.3 33.0 11.5 31.7 26.6 21.1 30.8 21.8 Diagnostic biopsy 20.6 7.1 27.5 8.4 28.0 10.2 29.0 24.8 17.8 26.4 19.0 Excision 0.7-1.2 0.4 2.0 0.4 0.7 0.4-2.2 0.7 Ablation without biopsy 0.5-0.4-2.0-0.7 0.4-2.2 0.7 Ablation with biopsy 0.1-0.4 - - - - - 1.1 - - Other 1.1 - - 2.5 1.0 0.9 1.4 1.1 2.2-1.4 Low Grade (2) No procedure 39.0 18.7 42.3 30.6 42.2 60.8 33.2 40.1 45.4 38.8 27.6 Procedure used 61.0 81.3 57.7 69.4 57.8 39.2 66.8 59.9 54.6 61.2 72.4 Diagnostic biopsy 57.1 78.0 55.3 64.8 48.8 34.3 61.5 59.3 47.8 52.3 69.9 Excision 3.4 3.1 2.2 4.2 8.4 3.8 4.4 0.3 4.6 8.8 2.1 Ablation without biopsy 0.1-0.1 0.1 0.2 0.2 0.3 0.0 0.1-0.1 Ablation with biopsy 0.1 0.0 0.0 0.0 0.1 0.0-0.0 0.4 0.1 - Other 0.4 0.2 0.1 0.4 0.3 0.9 0.6 0.2 1.7 0.0 0.3 High Grade (3) No procedure 15.3 6.7 16.0 10.5 17.4 19.3 11.9 19.7 15.7 21.1 10.8 Procedure used 84.7 93.3 84.0 89.5 82.6 80.7 88.1 80.3 84.3 78.9 89.2 Diagnostic biopsy 38.2 29.5 42.9 37.9 28.9 28.6 28.0 70.3 29.7 21.4 47.0 Excision 46.0 63.7 40.8 51.1 53.3 51.1 59.9 9.9 52.8 57.4 41.6 Ablation without biopsy 0.1 - - 0.0 0.0 0.2 0.1-0.1 0.0 0.5 Ablation with biopsy 0.1-0.2-0.2 0.1 - - 0.4 0.1 - Other 0.3 0.0 0.1 0.5 0.3 0.7 0.1 0.1 1.2 0.1 0.1 Clinical Indication - Urgent No procedure 56.5 47.2 52.3 48.8 65.5 65.2 55.2 58.0 53.5 58.9 61.2 Procedure used 43.5 52.8 47.7 51.2 34.5 34.8 44.8 42.0 46.5 41.1 38.8 Diagnostic biopsy 35.0 44.8 43.5 38.2 22.2 20.6 33.1 38.3 29.7 33.6 32.1 Excision 3.3 5.2 0.7 5.4 3.6 3.9 5.0 0.7 10.9 5.4 4.3 Ablation without biopsy 1.4 1.2 1.1 0.9 2.3 2.6 3.2 0.7 2.0 0.4 0.7 Ablation with biopsy 0.4 0.4 0.9 0.2 0.2 - - 0.4 1.0 1.2 - Other 3.4 1.2 1.5 6.6 6.3 7.7 3.5 1.9 3.0 0.4 1.8 Clinical Indication - Non urgent No procedure 61.9 63.9 52.9 55.9 58.8 73.1 60.2 63.4 63.5 65.0 67.3 Procedure used 38.1 36.1 47.1 44.1 41.2 26.9 39.8 36.6 36.5 35.0 32.7 Diagnostic biopsy 29.0 28.2 40.8 35.1 25.5 15.1 27.6 31.9 24.6 25.9 27.7 Excision 2.7 3.5 0.8 1.8 4.2 3.7 2.7 0.5 4.5 6.0 2.3 Ablation without biopsy 2.5 1.9 1.6 0.7 5.3 4.7 4.3 1.3 3.4 2.0 0.7 Ablation with biopsy 0.4 0.2 0.8 0.2 0.5 - - 0.3 2.2 0.1 - Other 3.5 2.3 3.2 6.2 5.7 3.3 5.1 2.7 1.8 1.0 2.0.. = Not available - = Zero (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. Source: KC65 Part C1 Copyright 2011, The Health and Social Care Information Centre. All rights reserved 86
Table 24: Biopsies taken at colposcopy: time from biopsy until patient informed of result, by Strategic Health Authority (4 month sample), 2010-11 England (217 returns) Percentages and Numbers Strategic Health Authority Waiting time England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West All Referrals 43,875 3,066 6,806 4,024 2,775 3,402 4,729 9,086 2,882 2,742 4,363 All Referrals (as percentage = 100%) less than or equal to 2 weeks 37.9 48.1 33.0 35.8 38.5 39.2 48.0 31.8 25.0 29.8 54.7 more than 2 weeks up to 4 weeks 42.8 38.9 42.7 44.2 43.0 49.3 39.9 46.0 45.8 35.9 38.4 more than 4 weeks up to 8 weeks 16.2 12.7 19.3 17.4 15.0 10.4 11.0 19.4 23.0 24.7 6.7 more than 8 weeks up to 12 weeks 1.7 0.1 2.5 1.5 1.0 0.6 0.8 2.3 2.0 5.7 0.1 over 12 weeks 1.4 0.1 2.5 1.1 2.5 0.4 0.4 0.6 4.1 4.0 0.1 All informed within 8 weeks 96.9 99.8 95.0 97.4 96.5 99.0 98.8 97.2 93.8 90.4 99.8 Source: KC65 Part D Copyright 2011, The Health and Social Care Information Centre. All rights reserved Table 25: Non diagnostic biopsies taken at colposcopy: by type, outcome and Strategic Health Authority (4 month sample) 2010-11 England (217 returns) Percentages and Numbers Strategic Health Authority Outcome England North North Yorkshire East West East London South South South East West & Humber Midlands Midlands of England East Coast Central West Number of biopsies reported 15,417 1,164 2,161 1,475 1,268 1,752 1,923 2,124 890 1,201 1,459 Biopsies with unknown result 146 1 63 10 23 - - 8 5 36 - Biopsies with known result = 100% 15,271 1,163 2,098 1,465 1,245 1,752 1,923 2,116 885 1,165 1,459 Percentages Cancer 1.4 1.9 1.4 2.5 1.6 1.2 0.9 1.3 1.1 0.8 1.8 Adenocarcinoma in situ 2.1 2.1 2.5 2.6 3.6 2.9 0.9 0.8 1.8 2.4 2.1 CIN 3 44.0 48.1 38.5 49.6 41.8 53.7 48.1 37.9 42.7 43.9 38.1 CIN 2 25.1 26.7 27.6 22.5 23.1 16.6 25.3 27.1 27.7 28.2 27.2 CIN 1 14.3 10.7 16.7 9.8 13.7 9.7 13.6 19.6 14.8 16.8 15.7 HPV / Cervicitis only 5.0 3.3 8.1 3.5 4.1 6.7 3.1 5.3 5.1 4.7 4.5 No CIN / No HPV 7.8 7.1 5.1 8.9 11.6 9.2 8.0 7.8 6.4 3.1 10.6 Inadequate / unsatisfactory biopsy 0.2 0.1 0.3 0.7 0.6 0.1 0.2 0.1 0.3 0.1 0.1 Total showing CIN or worse 86.9 89.5 86.6 86.9 83.7 84.0 88.8 86.7 88.1 92.1 84.9.. = Not available - = Zero Source: KC65 Part E Copyright 2011, The Health and Social Care Information Centre. All rights reserved 87
Table 26a: Summary statistics by colposcopy clinic, England 2010-11: waiting times and attendances Numbers & Percentages KC65 Part A: 1st appointment KC65 Part B All referrals Moderate or Severe dyskaryosis/? Glandular Appointments for severe dyskarosis?invasive carcinoma neoplasia colposcopy Trust code and name Name of unit Total referrals Clinical indication (%) Number of cases Less than 4 weeks wait (%) Number of cases Less than 2 weeks wait (%) Number of cases Less than 2 weeks wait (%) Attendance (%) DNA (%) Eng England 142,984 20.0 34,559 94.6 511 93.0 1,181 88.5 72.5 10.9 Q30 North East 7,859 16.5 2,233 99.1 41 97.6 60 93.3 77.7 9.8 RLN City Hospitals Sunderland NHS Foundation Trust Sunderland Royal Hospital 833 6.6 190 100.0 2 100.0 13 100.0 81.0 13.0 RXP County Durham and Darlington NHS Foundation Trust Bishop Auckland General Hospital 333 2.7 120 100.0 - - 3 100.0 78.7 6.7 RXP Darlington Memorial Hospital 232 0.4 94 100.0 - - 3 100.0 81.3 8.5 RXP Shotley Bridge Community Hospital (1) 227 8.8 66 98.5 2 100.0 3 100.0 83.7 9.3 RXP University Hospital of North Durham 361 16.9 90 100.0 - - 3 100.0 82.8 9.3 RR7 Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital 1,098 20.3 279 99.6 3 100.0 13 92.3 77.6 9.1 RVW North Tees and Hartlepool NHS Foundation Trust University Hospital of Hartlepool 536 23.5 93 100.0 - - 1-75.8 10.7 RVW University Hospital of North Tees 564 23.4 160 98.1 - - 3 33.3 74.7 9.1 RTF Northumbria Healthcare NHS Foundation Trust Berwick Infirmary 31-9 100.0 - - - - 77.1 9.7 RTF Hexham General Hospital 171 12.9 56 98.2 3 100.0 - - 80.6 9.2 RTF North Tyneside General Hospital 631 17.9 184 96.7 9 88.9 2 100.0 73.5 10.4 RTF Wansbeck General Hospital 564 13.3 196 100.0 5 100.0 2 100.0 82.3 9.3 RTR South Tees Hospitals NHS Foundation Trust Friarage Hospital 181 18.8 56 98.2 1 100.0 3 100.0 72.2 8.5 RTR James Cook University Hospital 651 10.8 252 100.0 5 100.0 3 100.0 73.1 6.6 RE9 South Tyneside NHS Foundation Trust South Tyneside District Hospital 288 34.7 70 100.0 - - 4 100.0 74.5 9.5 RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary 1,158 22.4 318 98.1 11 100.0 4 100.0 76.8 11.0 Q31 North West 21,474 16.6 4,195 92.8 62 91.9 154 87.7 72.4 11.2 REM Aintree Hospitals NHS Trust University Hospital Aintree 1,296 17.3 188 94.7 2 50.0 2 100.0 81.2 2.8 RXL Blackpool Teaching Hospitals NHS Foundation Trust Blackpool Victoria Hospital 507-157 93.0 2 100.0 5 100.0 64.4 12.8 RMC Bolton NHS Foundation Trust Royal Bolton Hospital 668 10.9 185 96.8 4 100.0 5 100.0 85.5 10.7 5NP Central and Eastern Cheshire PCT Cumberland House 53 7.5 12 91.7 - - - - 89.4 5.8 RW3 Central Manchester University Hospitals NHS Foundation Trust St Mary's Hospital 1,039 10.6 124 91.1 - - 3 100.0 60.6 17.4 RJR Countess of Chester Hospital NHS Foundation Trust Countess of Chester Hospital 602 11.5 147 95.2 7 57.1 15 100.0 47.1 10.0 RXR East Lancashire Hospitals NHS Trust Burnley General Hospital (2) 923 9.9 192 88.0 6 100.0 6 66.7 85.4 12.1 RXR Royal Blackburn Hospital (2) 261 4.6 65 86.2 1-3 33.3 85.2 12.4 RJN Eastern Cheshire NHS Trust Macclesfield District General Hospital 361 24.1 75 89.3 - - 4 50.0 85.7 2.0 5NQ Heywood, Middleton & Rochdale PCT Dawes Family Practice 189 13.8 51 96.1 - - - - 89.7 6.9 RXN Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital & Chorley and South Ribble District General Hospital 996 19.0 189 96.8 3 100.0 5 80.0 57.6 9.3 REP Liverpool Women's NHS Foundation Trust Liverpool Women's Hospital 2,108 27.9 217 97.2 3 100.0 9 88.9 77.9 8.5 5NT Manchester PCT The Palatine Centre 99 3.0 18 100.0 - - - - 82.0 5.0 RBT Mid Cheshire Hospitals NHS Foundation Trust Leighton Hospital 529 6.4 140 91.4 3 100.0 1 100.0 64.6 11.5 RNL North Cumbria University Hospitals NHS Trust Cumberland Infirmary (3) 717 8.8 159 95.0 6 100.0 6 100.0 64.4 10.8 RW6 Pennine Acute Hospitals NHS Trust Fairfield General Hospital 354 5.6 124 100.0 1 100.0 7 100.0 75.0 9.0 RW6 North Manchester General Hospital 646 7.4 152 100.0 1 100.0 4 100.0 74.6 17.6 RW6 Rochdale Infirmary 217 18.0 47 80.9 - - 4 75.0 58.7 7.6 RW6 Royal Oldham Hospital 675 28.6 151 99.3 1 100.0 8 62.5 74.7 5.4 RM3 Salford Royal NHS Foundation Trust Hope Hospital 528 18.4 129 97.7 - - 5 100.0 82.2 17.7 RVY Southport and Ormskirk Hospital NHS Trust Ormskirk and District General Hospital 456 30.3 85 89.4 3 100.0 2 100.0 70.6 12.0 RVY Southport and Formby District General Hospital 290 27.2 42 73.8 - - - - 75.9 7.7 RBN St Helens and Knowsley Hospitals NHS Trust Whiston Hospital 1,116 30.2 172 99.4 - - 10 90.0 76.1 18.3 RWJ Stockport NHS Foundation Trust Stepping Hill Hospital 628 2.5 175 94.9 1 100.0 4 100.0 82.7 17.1 RMP Tameside Hospital NHS Foundation Trust Tameside General Hospital 528 0.2 155 98.7 6 100.0 2 50.0 87.8 3.5 RQ6 The Royal Liverpool and Broadgreen University Hospitals NHS Trust Royal Liverpool University Hospital 538 20.6 114 88.6 - - - - 67.2 29.6 RM4 Trafford Healthcare NHS Trust Trafford General Hospital 398 21.1 59 61.0 - - 4 75.0 69.9 2.0 RM2 University Hospital of South Manchester NHS Foundation Trust Withington Hospital 122-29 37.9 - - - - 60.8 12.4 RM2 Wythenshawe Hospital 708 8.9 126 96.0 2 100.0 4 75.0 77.9 9.3 RTX University Hospitals of Morecambe Bay NHS Trust Furness General Hospital 207 8.7 60 88.3 - - 3 100.0 92.2 4.6 RTX Royal Lancaster Infirmary 243 12.8 55 74.5 2 100.0 1 100.0 77.8 16.4 RTX Westmorland General Hospital 218 19.3 61 83.6 1 100.0 3 33.3 93.2 5.6 RWW Warrington and Halton Hospitals NHS Foundation Trust Warrington Hospital 1,097 33.8 139 80.6 3 100.0 5 100.0 87.4 11.8 RBL Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital 949 25.5 182 92.3 2 100.0 20 95.0 60.3 12.7 RRF Wrightington, Wigan and Leigh NHS Foundation Trust Leigh Infirmary 1,208 5.5 219 98.2 2 100.0 4 100.0 77.7 7.6 Q32 Yorkshire & Humber 13,587 27.1 3,193 94.6 58 89.7 149 91.3 72.1 11.6 88
Table 26a: Summary statistics by colposcopy clinic, England 2010-11: waiting times and attendances Numbers & Percentages KC65 Part A: 1st appointment KC65 Part B All referrals Moderate or Severe dyskaryosis/? Glandular Appointments for severe dyskarosis?invasive carcinoma neoplasia colposcopy Trust code and name Name of unit Total referrals Clinical indication (%) Number of cases Less than 4 weeks wait (%) Number of cases Less than 2 weeks wait (%) Number of cases Less than 2 weeks wait (%) Attendance (%) DNA (%) Eng England 142,984 20.0 34,559 94.6 511 93.0 1,181 88.5 72.5 10.9 RCF Airedale NHS Foundation Trust Airedale General Hospital 330 35.8 82 100.0 - - 5 100.0 75.1 14.2 RFF Barnsley Hospital NHS Foundation Trust Barnsley Hospital 974 25.7 162 100.0 4 100.0 7 100.0 55.1 9.8 RAE Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary 851 39.2 214 57.5 1 100.0 10 90.0 72.2 8.4 RWY Calderdale and Huddersfield NHS Foundation Trust Calderdale Royal Hospital 381 2.4 148 99.3 - - 14 100.0 82.3 8.4 RWY Holme Valley Memorial Hospital 138 32.6 36 88.9 - - - - 73.3 4.5 RWY Huddersfield Royal Infirmary 304 11.8 78 92.3 - - 7 85.7 78.1 8.5 5J6 Calderdale PCT Upper Valley Colposcopy Unit 73 8.2 21 90.5 - - - - 82.9 8.8 RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Bassetlaw Hospital 275 9.5 61 96.7 - - 4 75.0 79.4 11.5 RP5 Doncaster Royal Infirmary 879 13.5 187 86.6 - - 13 92.3 69.0 13.4 RP5 Doncaster Royal Infirmary GUM Clinic 49 57.1 2 100.0 - - - - 57.5 20.6 RP5 Retford Hospital 106 11.3 22 95.5 - - 1 100.0 67.2 15.6 5N5 Doncaster PCT Carcroft Health Centre 150 24.7 36 94.4 - - - - 80.9 4.8 RCD Harrogate and District NHS Foundation Trust Harrogate District Hospital 503 61.0 78 100.0 1 100.0 7 100.0 80.8 8.3 RWA Hull and East Yorkshire Hospitals NHS Trust Castle Hill Hospital 276 13.0 80 98.8 1 100.0 6 100.0 66.1 10.2 RWA Hull Royal Infirmary 737 9.6 282 99.3 2 100.0 7 100.0 67.1 12.1 RR8 Leeds Teaching Hospitals NHS Trust St James's University Hospital 1,795 28.1 455 96.9 25 84.0 19 84.2 80.8 17.8 RR8 Wharfedale Hospital 33 84.8 - - 1 - - - 93.5 6.5 RXF Mid Yorkshire Hospitals NHS Trust Dewsbury and District Hospital 498 13.3 145 100.0 1 100.0 4 100.0 83.4 13.2 RXF Pontefract Hospital 720 17.8 188 100.0 3 100.0 5 100.0 74.7 11.5 TAN North East Lincolnshire Care Trust Plus Littlefield Lane GP Surgery 59 16.9 19 100.0 - - 1 100.0 73.8 6.4 RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital 428 31.1 100 100.0 4 100.0 2 100.0 66.0 12.0 RJL Goole and District Hospital 100 24.0 29 93.1 1 100.0 2 50.0 71.7 6.3 RJL Scunthorpe General Hospital 396 28.3 98 98.0 5 100.0 6 100.0 68.3 8.3 RCC Scarborough and North East Yorkshire Healthcare NHS Trust Bridlington and District Hospital 47 31.9 6 100.0 - - 1-79.6 16.7 RCC Scarborough General Hospital 355 41.4 100 99.0 - - 9 88.9 85.5 9.1 RHQ Sheffield Teaching Hospitals NHS Foundation Trust Jessop Wing 1,591 34.5 229 94.8 4 100.0 2 100.0 74.6 11.9 RFR The Rotherham NHS Foundation Trust Rotherham Hospital 931 40.9 134 95.5 4 75.0 7 57.1 75.7 11.3 5N3 Wakefield District PCT White Rose GP Surgery 40-12 100.0 - - - - 97.5 - RCB York Teaching Hospital NHS Foundation Trust York Hospital 568 25.5 189 100.0 1 100.0 10 100.0 63.4 8.4 Q33 East Midlands 9,821 27.7 2,389 94.6 38 89.5 104 74.0 79.8 9.8 RFS Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal Hospital 681 25.8 173 100.0 3 100.0 5 100.0 84.9 8.9 RTG Derby Hospitals NHS Foundation Trust Royal Derby Hospital 972 29.4 218 96.8 5 100.0 11 81.8 86.3 8.9 5N6 Derbyshire County PCT Buxton Medical Centre 54 16.7 15 86.7 - - - - 82.4 17.6 5N6 Goyt Valley Medical Practice 37 2.7 13 100.0 - - - - 83.7 5.4 RY8 Derbyshire Community Health Services NHS Trust Heanor Memorial Hospital 144 47.2 18 94.4 - - 1 100.0 81.7 6.0 RNQ Kettering General Hospital NHS Foundation Trust Kettering General Hospital 638 23.5 241 100.0 10 100.0 6 100.0 85.4 7.7 RNS Northampton General Hospital NHS Trust Northampton General Hospital 1,005 31.0 172 95.3 1 100.0 5 100.0 76.9 6.9 RX1 Nottingham University Hospitals NHS Trust Nottingham City Hospital (4) 973 36.1 204 98.0 1 100.0 6 50.0 78.9 14.0 RX1 Queen's Medical Centre 1,334 30.0 273 99.6 3 33.3 11 90.9 67.8 7.8 RK5 Sherwood Forest Hospitals NHS Foundation Trust King's Mill Hospital & Newark Hospital 709 6.9 239 97.9 5 80.0 14 92.9 81.7 7.9 RWD United Lincolnshire Hospitals NHS Trust Grantham and District Hospital 210 24.8 52 98.1 - - 2 100.0 97.8 1.4 RWD Lincoln County Hospital 678 33.8 160 83.8 6 100.0 17 88.2 88.7 7.1 RWD Pilgrim Hospital Boston 386 5.7 127 70.9 2 100.0 4 25.0 85.7 10.9 RWE University Hospitals of Leicester NHS Trust Leicester Royal Infirmary & Leicester General Hospital 2,000 30.6 484 92.1 2 50.0 22 31.8 81.1 13.3 Q34 West Midlands 13,556 19.7 3,668 98.6 71 94.4 103 98.1 73.6 12.2 RLU Birmingham Women's NHS Foundation Trust Birmingham Women's Hospital 1,805 35.2 309 99.7 12 100.0 16 100.0 59.9 16.7 RJF Burton Hospitals NHS Foundation Trust Queen's Hospital 348 17.5 98 100.0 5 100.0 2 100.0 71.5 13.1 RLT George Eliot Hospital NHS Trust George Eliot Hospital 371 33.4 131 97.7 2 100.0 - - 73.3 10.9 RR1 Heart of England NHS Foundation Trust Heartlands Hospital 607 9.9 128 99.2 3 66.7 4 100.0 71.4 21.9 RR1 Good Hope Hospital 809 27.9 151 100.0 2 100.0 2 100.0 76.5 16.2 RR1 Solihull Hospital 604 8.9 125 99.2 4 100.0 - - 76.8 16.1 RLQ Hereford Hospitals NHS Trust Hereford Hospital 361 12.2 105 98.1 2 100.0 2 100.0 80.0 14.6 RJD Mid Staffordshire NHS Foundation Trust Stafford Hospital 430 0.2 165 93.9 5 80.0 4 100.0 80.1 10.9 RXK Sandwell and West Birmingham Hospitals NHS Trust City Hospital 477 17.2 98 100.0 2 100.0 4 100.0 70.7 9.6 RXK Sandwell Hospital 561 23.0 124 99.2 1 100.0 5 100.0 68.3 13.5 89
Table 26a: Summary statistics by colposcopy clinic, England 2010-11: waiting times and attendances Numbers & Percentages KC65 Part A: 1st appointment KC65 Part B All referrals Moderate or Severe dyskaryosis/? Glandular Appointments for severe dyskarosis?invasive carcinoma neoplasia colposcopy Trust code and name Name of unit Total referrals Clinical indication (%) Number of cases Less than 4 weeks wait (%) Number of cases Less than 2 weeks wait (%) Number of cases Less than 2 weeks wait (%) Attendance (%) DNA (%) Eng England 142,984 20.0 34,559 94.6 511 93.0 1,181 88.5 72.5 10.9 RXW Shrewsbury and Telford Hospital NHS Trust Princess Royal Hospital 575 18.3 159 99.4 1 100.0 9 100.0 81.3 9.9 RXW Royal Shrewsbury Hospital 625 15.8 161 96.9 1 100.0 10 90.0 79.6 7.5 5PK South Staffordshire PCT Sir Robert Peel Hospital 253 8.7 74 98.6 2 100.0 4 100.0 80.3 9.0 RJC South Warwickshire NHS Foundation Trust Warwick Hospital 433 14.5 167 97.6 2 50.0 2 50.0 76.2 5.3 RNA The Dudley Group of Hospitals NHS Foundation Trust Russells Hall Hospital 727 19.0 197 99.5 1 100.0 7 100.0 84.8 11.0 RL4 The Royal Wolverhampton Hospitals NHS Trust New Cross Hospital 625 18.4 207 98.1 - - 7 100.0 79.7 12.4 RJE University Hospital of North Staffordshire NHS Trust University Hospital of North Staffordshire 1,454 6.7 531 99.1 17 100.0 13 100.0 75.6 6.4 RKB University Hospitals Coventry and Warwickshire NHS Trust Hospital of St Cross, Rugby 125 22.4 43 100.0 - - - - 76.4 12.7 RKB University Hospital, Coventry 781 30.6 281 100.0 4 75.0 3 100.0 75.0 13.3 RBK Walsall Healthcare NHS Trust Walsall Manor Hospital 569 4.7 157 98.7 2 100.0 5 100.0 73.7 14.4 RWP Worcestershire Acute Hospitals NHS Trust Alexandra Hospital 356 48.6 71 94.4 2 100.0 1 100.0 69.9 5.6 RWP Kidderminster Hospital and Treatment Centre 196 18.4 64 98.4 - - 1 100.0 66.1 8.1 RWP Worcestershire Royal Hospital 366 23.0 103 95.1 1 100.0 2 100.0 84.6 3.2 5PL Worcestershire PCT Evesham Community Health 98 23.5 19 100.0 - - - - 85.4 0.9 Q35 East of England 13,946 21.6 4,097 95.9 59 100.0 136 97.1 76.4 9.3 RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Basildon University Hospital 751 19.0 186 96.8 3 100.0 9 100.0 73.8 13.1 RC1 Bedford Hospital NHS Trust Bedford Hospital 761 22.2 235 87.2 4 100.0 10 90.0 75.3 10.6 RGT Cambridge University Hospitals NHS Foundation Trust Addenbrooke's Hospital 1,145 30.4 395 85.3 3 100.0 8 100.0 78.1 9.5 RDE Colchester Hospital University NHS Foundation Trust Colchester General Hospital 683 22.7 229 98.3 - - 5 100.0 60.9 8.1 RWH East and North Hertfordshire NHS Trust Lister Hospital 794 20.5 273 100.0 4 100.0 6 100.0 74.5 8.7 RQQ Hinchingbrooke Health Care NHS Trust Hinchingbrooke Hospital 549 39.7 163 100.0 5 100.0 4 100.0 83.5 5.3 RGQ Ipswich Hospital NHS Trust Ipswich Hospital 693 7.4 258 97.7 3 100.0 22 95.5 73.8 7.1 RGP James Paget University Hospitals NHS Foundation Trust James Paget University Hospital 498 9.0 156 93.6 2 100.0 1 100.0 84.9 7.9 RC9 Luton and Dunstable Hospital NHS Foundation Trust Luton and Dunstable Hospital 695 19.4 268 96.6 9 100.0 11 100.0 82.7 11.2 RQ8 Mid Essex Hospital Services NHS Trust Broomfield Hospital 806 19.2 196 100.0 2 100.0 16 93.8 85.5 7.2 RM1 Norfolk and Norwich University Hospitals NHS Foundation Trust Norfolk and Norwich University Hospital 1,416 15.5 380 97.6 6 100.0 7 100.0 92.3 4.4 RGN Peterborough and Stamford Hospitals NHS Foundation Trust Peterborough City Hospital 915 10.1 297 97.0 6 100.0 6 100.0 81.8 8.5 RAJ Southend University Hospital NHS Foundation Trust Southend University Hospital 807 20.8 221 100.0 2 100.0 4 100.0 75.6 8.9 RQW The Princess Alexandra Hospital NHS Trust Princess Alexandra Hospital 966 33.0 178 99.4 4 100.0 9 100.0 74.7 11.6 RCX The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust Queen Elizabeth Hospital 534 17.6 147 98.6 2 100.0 5 100.0 79.7 12.1 RWG West Hertfordshire Hospitals NHS Trust St Albans City Hospital 667 28.9 126 90.5 - - 6 100.0 72.8 10.7 RWG Watford General Hospital 505 21.2 108 89.8 - - - - 64.0 12.7 RGR West Suffolk Hospitals NHS Trust West Suffolk Hospital 761 31.4 281 99.6 4 100.0 7 85.7 79.9 5.8 Q36 London 28,491 17.3 5,039 96.7 54 94.4 158 89.9 66.0 12.6 RF4 Barking, Havering and Redbridge Hospitals NHS Trust Queen's Hospital 1,453 17.9 417 98.1 5 100.0 8 75.0 81.5 12.0 RVL Barnet and Chase Farm Hospitals NHS Trust Barnet Hospital 948 17.1 153 100.0 - - 2 100.0 63.4 10.2 RVL Chase Farm Hospital 708 11.0 126 99.2 3 100.0 3 100.0 69.5 9.9 RNJ Barts and The London NHS Trust St Bartholomew's Hospital 836 19.1 142 97.2 1 100.0 2 100.0 65.7 13.0 RQM Chelsea and Westminster Hospital NHS Foundation Trust Chelsea and Westminster Hospital 1,234-119 95.8 - - 3 100.0 66.0 12.9 RJ6 Croydon Health Service NHS Trust Croydon Hospital 931 12.4 251 99.6 2 100.0 7 100.0 61.8 13.9 RC3 Ealing Hospital NHS Trust Ealing Hospital 745 5.5 100 100.0 - - 12 100.0 94.9 4.2 RVR Epsom and St Helier University Hospitals NHS Trust St Helier Hospital 610 17.7 178 84.8 - - 5 80.0 69.7 14.3 RJ1 Guy's and St Thomas' NHS Foundation Trust Guy's Hospital 1,866 15.9 407 99.8 1 100.0 11 90.9 69.4 9.8 RQX Homerton University Hospital NHS Foundation Trust Homerton Hospital 947 28.9 142 94.4 - - 6 50.0 65.4 18.4 RYJ Imperial College Healthcare NHS Trust Hammersmith Hospital 585 17.8 86 95.3 1 100.0 2 50.0 58.4 14.2 RYJ St Mary's Hospital 1,524 25.9 143 97.9 - - 15 100.0 59.4 19.0 RJZ King's College Hospital NHS Foundation Trust King's College Hospital 1,207 13.8 169 91.7 - - 9 100.0 55.7 16.0 RAX Kingston Hospital NHS Trust Kingston Hospital 1,117 6.7 216 94.9 4 100.0 3 100.0 60.2 12.3 RJ2 Lewisham Healthcare NHS Trust University Hospital Lewisham 1,271 15.8 254 100.0 1 100.0 7 100.0 72.4 9.0 RNH Newham University Hospital NHS Trust Newham Hospital 743 32.3 123 100.0 - - 3 100.0 73.1 8.0 RAP North Middlesex University Hospital NHS Trust North Middlesex University Hospital 1,241 5.8 215 94.4 1 100.0 1 100.0 62.6 14.7 RV8 North West London Hospitals NHS Trust Central Middlesex Hospital 448 6.9 26 96.2 - - 1 100.0 75.7 14.7 RV8 Northwick Park Hospital 744 9.3 128 98.4 - - 6 83.3 75.7 11.2 RAL Royal Free Hampstead NHS Trust The Royal Free Hospital (5) 906 17.5 154 89.0 - - 6 50.0 70.2 16.4 RYQ South London Healthcare NHS Trust Princess Royal University Hospital 766 6.4 162 98.1 1 100.0 11 90.9 55.0 8.7 RYQ Queen Elizabeth Hospital 682 6.2 153 82.4 7 85.7 3 33.3 59.1 15.2 90
Table 26a: Summary statistics by colposcopy clinic, England 2010-11: waiting times and attendances Numbers & Percentages KC65 Part A: 1st appointment KC65 Part B All referrals Moderate or Severe dyskaryosis/? Glandular Appointments for severe dyskarosis?invasive carcinoma neoplasia colposcopy Trust code and name Name of unit Total referrals Clinical indication (%) Number of cases Less than 4 weeks wait (%) Number of cases Less than 2 weeks wait (%) Number of cases Less than 2 weeks wait (%) Attendance (%) DNA (%) Eng England 142,984 20.0 34,559 94.6 511 93.0 1,181 88.5 72.5 10.9 RYQ Queen Mary's Hospital Sidcup 581 16.5 123 96.7 2 100.0 3 100.0 63.1 10.6 RJ7 St George's Healthcare NHS Trust St George's Hospital 1,668 32.6 274 98.5 11 81.8 12 100.0 87.8 8.9 RAS The Hillingdon Hospitals NHS Foundation Trust The Hillingdon Hospital 805 20.2 125 99.2 5 100.0 5 100.0 67.0 11.0 RKE The Whittington Hospital NHS Trust The Whittington Hospital 1,524 30.1 268 100.0 2 100.0 3 100.0 55.9 12.8 RRV University College London Hospitals NHS Foundation Trust University College Hospital 1,035 35.1 155 98.7 3 100.0 6 100.0 68.8 10.7 RFW West Middlesex University Hospital NHS Trust West Middlesex Hospital 420 9.0 58 98.3 - - 1-56.6 6.8 RGC Whipps Cross University Hospital NHS Trust Whipps Cross University Hospital 946 18.2 172 98.3 4 100.0 2 100.0 65.4 13.7 Q37 South East Coast 10,955 17.9 3,374 94.1 37 97.3 131 72.5 75.0 9.4 RTK Ashford and St Peter's Hospitals NHS Foundation Trust Ashford and St Peter's Hospital 999 25.6 332 99.4 1 100.0 5 100.0 77.5 8.1 RTK The Blanche Heriot Unit 33 9.1 6 83.3 - - - - 96.4 1.8 RXH Brighton and Sussex University Hospitals NHS Trust Royal Sussex County Hospital 989 21.8 418 99.5 7 100.0 23 69.6 71.7 13.1 RN7 Dartford and Gravesham NHS Trust Darent Valley Hospital 644 16.8 191 88.0 3 100.0 12 58.3 81.8 11.0 RVV East Kent Hospitals University NHS Foundation Trust Buckland Hospital 242 14.9 48 100.0 1 100.0 1 100.0 71.2 7.3 RVV Kent and Canterbury Hospital 408 13.2 78 52.6 - - 5 60.0 77.6 12.4 RVV Queen Elizabeth The Queen Mother Hospital 646 20.1 115 94.8 3 100.0 3 100.0 78.8 15.4 RVV William Harvey Hospital 584 3.8 139 100.0 1 100.0 5 100.0 76.1 6.1 RXC East Sussex Healthcare NHS Trust Conquest Hospital 309 12.0 125 100.0 1 100.0 6 100.0 60.7 8.3 RXC Eastbourne District General Hospital 346 6.1 143 99.3 2 100.0 9 88.9 84.7 6.7 RVR Epsom and St Helier University Hospitals NHS Trust Leatherhead Hospital 221 27.6 57 96.5 - - 4 75.0 76.8 11.3 RDU Frimley Park Hospital NHS Foundation Trust Frimley Park Hospital 654 8.7 292 96.9 2 100.0 8 75.0 77.3 8.4 RWF Maidstone and Tunbridge Wells NHS Trust Maidstone Hospital 508 6.7 165 100.0 1 100.0 2 50.0 84.0 6.6 RWF Tunbridge Wells Hospital 661 4.7 176 62.5 2 50.0 2 50.0 75.3 13.1 RPA Medway NHS Foundation Trust Medway Maritime Hospital 868 11.4 266 92.1 2 100.0 17 58.8 89.0 9.9 RA2 Royal Surrey County Hospital NHS Foundation Trust Royal Surrey County Hospital 509 30.5 172 98.3 - - 12 66.7 84.9 12.5 RTP Surrey and Sussex Healthcare NHS Trust Crawley Hospital 643 26.1 217 97.7 5 100.0 8 75.0 65.1 5.9 RTP Dorking General Hospital 234 10.3 95 91.6 - - 2-59.9 10.0 RYR Western Sussex Hospitals NHS Trust St Richard's Hospital 577 22.5 146 94.5 3 100.0 2 100.0 65.6 6.2 RYR Worthing Hospital & Southlands Hospital 880 36.0 193 97.9 3 100.0 5 80.0 66.7 6.5 Q38 South Central 9,865 20.0 3,103 82.1 57 91.2 77 85.7 75.6 8.6 RN5 Basingstoke and North Hampshire NHS Foundation Trust Basingstoke and North Hampshire Hospital 533 23.3 157 93.0 2 50.0 5 100.0 72.7 7.8 RXQ Buckinghamshire Healthcare NHS Trust Stoke Mandeville Hospital 515 4.5 226 77.0 4 75.0 4 50.0 91.6 5.9 RXQ Wycombe Hospital 405 16.3 144 97.2 1 100.0 4 100.0 83.8 6.6 RD7 Heatherwood and Wexham Park Hospitals NHS Foundation Trust Heatherwood Hospital 559 28.6 135 76.3 2 100.0 8 62.5 73.3 10.3 RD7 Wexham Park Hospital 865 31.1 196 98.0 4 75.0 5 80.0 69.2 19.4 5QT Isle of Wight NHS PCT St Mary's Hospital 341 12.6 63 93.7 1 100.0 1 100.0 73.6 8.1 RD8 Milton Keynes Hospital NHS Foundation Trust Milton Keynes Hospital 741 9.6 306 95.1 10 80.0 9 88.9 81.4 5.7 RTH Oxford Radcliffe Hospitals NHS Trust Oxford Radcliffe Hospitals 1,293 17.5 432 78.9 12 100.0 7 57.1 86.4 6.6 RHU Portsmouth Hospitals NHS Trust Queen Alexandra Hospital 1,523 9.8 418 66.0 2 100.0 3 66.7 65.6 9.8 RHW Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital 946 25.1 346 45.1 13 100.0 9 100.0 73.6 6.1 RHM Southampton University Hospitals NHS Trust Southampton General Hospital 1,644 31.0 544 99.4 - - 14 100.0 79.7 5.5 RN1 Winchester and Eastleigh Healthcare NHS Trust Royal Hampshire County Hospital 500 19.4 136 95.6 6 100.0 8 100.0 84.9 4.6 91
Table 26a: Summary statistics by colposcopy clinic, England 2010-11: waiting times and attendances Numbers & Percentages KC65 Part A: 1st appointment KC65 Part B All referrals Moderate or Severe dyskaryosis/? Glandular Appointments for severe dyskarosis?invasive carcinoma neoplasia colposcopy Trust code and name Name of unit Total referrals Clinical indication (%) Number of cases Less than 4 weeks wait (%) Number of cases Less than 2 weeks wait (%) Number of cases Less than 2 weeks wait (%) Attendance (%) DNA (%) Eng England 142,984 20.0 34,559 94.6 511 93.0 1,181 88.5 72.5 10.9 Q39 South West 13,430 20.6 3,268 96.9 34 79.4 109 96.3 73.9 8.9 RBD Dorset County Hospital NHS Foundation Trust Dorset County Hospital 441 32.7 92 97.8 - - 2 100.0 76.2 8.2 RTE Gloucestershire Hospitals NHS Foundation Trust Gloucestershire Royal Hospital 1,259 13.1 304 97.0 4 100.0 10 90.0 79.4 8.4 RN3 Great Western Hospitals NHS Foundation Trust Great Western Hospital 629 11.0 192 99.5 - - 3 66.7 82.5 12.2 RVJ North Bristol NHS Trust Southmead Hospital 1,271 9.0 225 99.6 5 80.0 13 100.0 72.5 7.8 RBZ Northern Devon Healthcare NHS Trust North Devon District Hospital 411 13.9 121 93.4 2-9 100.0 62.4 11.9 RK9 Plymouth Hospitals NHS Trust Derriford Hospital 927 19.1 313 95.5 5 80.0 7 100.0 83.8 10.3 RD3 Poole Hospital NHS Foundation Trust St Mary's Gynaecology Unit 309 7.4 84 98.8 1 100.0 3 100.0 67.8 7.8 REF Royal Cornwall Hospitals NHS Trust Ramsay Health Care 115 1.7 22 100.0 - - - - 90.5 6.5 REF Royal Cornwall Hospital 1,203 21.5 293 99.0 3 100.0 5 80.0 83.8 8.0 RH8 Royal Devon and Exeter NHS Foundation Trust Royal Devon and Exeter Hospital 1,106 26.9 236 97.5 6 83.3 15 100.0 69.4 11.5 RD1 Royal United Hospital Bath NHS Trust Royal United Hospital 865 23.6 310 90.6 1 100.0 4 100.0 81.3 9.3 RNZ Salisbury NHS Foundation Trust Salisbury District Hospital 333 16.5 121 94.2 - - 3 100.0 64.2 7.3 RA9 South Devon Healthcare NHS Foundation Trust Torbay Hospital 933 21.2 200 98.5 3 33.3 8 87.5 77.4 8.1 RBA Taunton and Somerset NHS Foundation Trust Musgrove Park Hospital 1,051 45.4 183 98.9 2 100.0 8 100.0 65.8 7.7 RDZ The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Royal Bournemouth Hospital 374 19.3 115 100.0 - - 3 100.0 71.3 8.9 RA7 University Hospital Bristol NHS Foundation Trust St Michael's Hospital 1,881 19.9 383 96.6 - - 9 100.0 66.7 6.0 RA4 Yeovil District Hospital NHS Foundation Trust Yeovil District Hospital 322 23.6 74 98.6 2 100.0 7 100.0 83.5 7.8.. = Not available - = Zero (1) Shotley Bridge Community Hospital includes figures for HMP Low Newton. (2) Royal Blackburn Hospital closed in September 2010 - work transferred to Burnley General Hospital. Note that as a result of the closure data was only submitted by Royal Blackburn Hospital for part of the year. (3) Cumberland Infirmary - some minor data quality issues have been reported for this clinic due to issues with the IT system. (4) Nottingham City Hospital - some over counting has been reported in the figures submitted for this hospital. (5) The Royal Free Hospital - Issues with the IT system outputs at this unit have caused some data quality issues affecting the KC65 data submitted. The following changes occurred in these Trusts/hospitals: The GUM service at the Mid Staffordshire NHS Foundation Trust is no longer in operation. The Samuel Johnson Clinic closed in March 2010 and the work was absorbed by Sir Robert Peel Hospital. Data for Queen Elizabeth II Hospital, East and North Hertfordshire NHS Trust, is now submitted under Lister Hospital. Queensway Medical Centre closed in March 2010 and the work was absorbed by Southend University Hospital. Mayday Healthcare NHS Trust became Croydon Health Service NHS Trust and Mayday Hospital became Croydon Hospital on 01/10/2010. Queen Mary s, Roehampton has now merged with Kingston Hospital. Princess Royal University Hospital, Queen Elizabeth Hospital and Queen Mary's Hospital Sidcup all moved to South London Healthcare NHS Trust on 01/04/2009. Princess Royal Hospital has merged with Royal Sussex County Hospital as one service on two sites. HMP Downview, South East Coast, has now closed. Source: KC65 Parts A and B Copyright 2011, The Health and Social Care Information Centre. All rights reserved 92
Table 26b: Summary statistics by colposcopy clinic, England 2010-11: procedures and outcomes KC65 Part C1 : 1st appointment KC65 Part D Numbers & Percentages KC65 Part E Procedure type used (all referrals) Biopsy outcome Non diagnostic biopsies 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 (1) Total showing CIN or worse (%) (2) Eng England 39.2 60.8 44.8 14.2 0.6 0.1 1.1 96.9 15,271 86.9 Q30 North East 23.4 76.6 54.4 21.4 0.3 0.0 0.5 99.8 1,163 89.5 RLN City Hospitals Sunderland NHS Foundation Trust Sunderland Royal Hospital 10.6 89.4 73.7 15.7 - - - 100.0.. 97.5 RXP County Durham and Darlington NHS Foundation Trust Bishop Auckland General Hospital 15.5 84.5 69.5 14.3 - - 0.6 99.1.. 97.5 RXP Darlington Memorial Hospital 10.5 89.5 60.0 28.6 - - 0.9 100.0.. 87.5 RXP Shotley Bridge Community Hospital (3) 26.3 73.7 57.8 15.9 - - - 100.0.. 70.0 RXP University Hospital of North Durham 34.2 65.8 58.9 6.9 - - - 99.3.. 97.5 RR7 Gateshead Health NHS Foundation Trust Queen Elizabeth Hospital 24.5 75.5 53.4 21.4 - - 0.8 100.0.. 90.0 RVW North Tees and Hartlepool NHS Foundation Trust University Hospital of Hartlepool 20.7 79.3 56.3 19.6 3.2 0.2-100.0.. 82.5 RVW University Hospital of North Tees 16.3 83.7 59.0 23.8 0.9 - - 100.0.. 85.0 RTF Northumbria Healthcare NHS Foundation Trust Berwick Infirmary 9.7 90.3 64.5 25.8 - - - 100.0.. 100.0 RTF Hexham General Hospital 21.0 79.0 59.3 19.2 - - 0.6 100.0.. 87.5 RTF North Tyneside General Hospital 25.7 74.3 53.6 20.5 - - 0.2 99.7.. 90.0 RTF Wansbeck General Hospital 21.5 78.5 52.0 26.1-0.4 0.2 100.0.. 95.0 RTR South Tees Hospitals NHS Foundation Trust Friarage Hospital 21.5 78.5 49.4 28.5 0.6 - - 100.0.. 95.0 RTR James Cook University Hospital 17.9 82.1 47.7 34.4 - - - 100.0.. 95.0 RE9 South Tyneside NHS Foundation Trust South Tyneside District Hospital 36.6 63.4 31.4 32.0 - - - 100.0.. 80.0 RTD The Newcastle Upon Tyne Hospitals NHS Foundation Trust Royal Victoria Infirmary 37.2 62.8 42.6 18.4 - - 1.9 99.2.. 90.0 Q31 North West 43.1 56.9 45.5 10.0 0.4 0.2 0.8 95.0 2,098 86.6 REM Aintree Hospitals NHS Trust University Hospital Aintree 65.5 34.5 22.9 10.5 0.9 0.1 0.2 99.6.. 92.5 RXL Blackpool Teaching Hospitals NHS Foundation Trust Blackpool Victoria Hospital 32.4 67.6 37.1 30.2 0.3 - - 91.0.. 95.0 RMC Bolton NHS Foundation Trust Royal Bolton Hospital 15.4 84.6 77.3 6.2 0.3 0.8-98.7.. 90.0 5NP Central and Eastern Cheshire PCT Cumberland House 15.7 84.3 82.4 2.0 - - - 100.0.. 80.0 RW3 Central Manchester University Hospitals NHS Foundation Trust St Mary's Hospital 50.9 49.1 47.4 1.1 0.6 - - 87.1.. 87.5 RJR Countess of Chester Hospital NHS Foundation Trust Countess of Chester Hospital 52.2 47.8 31.9 15.8 - - - 100.0.. 92.5 RXR East Lancashire Hospitals NHS Trust Burnley General Hospital (4) 55.3 44.7 36.5 5.3 1.2 1.2 0.4 96.0.. 92.5 RXR Royal Blackburn Hospital (4) 56.3 43.7 41.8 1.9 - - - 98.1.. 90.0 RJN Eastern Cheshire NHS Trust Macclesfield District General Hospital 26.5 73.5 61.3 9.6 0.9 1.7-88.1.. 87.5 5NQ Heywood, Middleton & Rochdale PCT Dawes Family Practice 41.8 58.2 40.1 17.5 - - 0.6 100.0.. 100.0 RXN Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital & Chorley and South Ribble District General Hospital 45.4 54.6 44.0 10.3 0.1 0.1 0.1 99.7.. 80.0 REP Liverpool Women's NHS Foundation Trust Liverpool Women's Hospital 65.9 34.1 20.3 8.6 0.3 0.0 4.9 98.8.. 80.0 5NT Manchester PCT The Palatine Centre 42.6 57.4 57.4 - - - - 100.0.. - RBT Mid Cheshire Hospitals NHS Foundation Trust Leighton Hospital 44.5 55.5 36.8 16.9 0.6 0.6 0.6 88.9.. 92.5 RNL North Cumbria University Hospitals NHS Trust Cumberland Infirmary (5) 26.9 73.1 55.2 17.6 - - 0.3 90.7.. 92.5 RW6 Pennine Acute Hospitals NHS Trust Fairfield General Hospital 12.7 87.3 75.5 11.5 0.3 - - 98.9.. 92.5 RW6 North Manchester General Hospital 26.9 73.1 61.3 11.0-0.3 0.5 100.0.. 90.0 RW6 Rochdale Infirmary 34.1 65.9 53.4 12.5 - - - 95.7.. 85.0 RW6 Royal Oldham Hospital 28.8 71.2 65.5 5.6 0.2 - - 97.1.. 77.5 RM3 Salford Royal NHS Foundation Trust Hope Hospital 42.0 58.0 44.8 12.0-1.3-98.0.. 87.5 RVY Southport and Ormskirk Hospital NHS Trust Ormskirk and District General Hospital 39.8 60.2 56.0 2.3 1.9 - - 100.0.. 92.5 RVY Southport and Formby District General Hospital 41.6 58.4 58.1-0.3 - - 98.9.. 80.0 RBN St Helens and Knowsley Hospitals NHS Trust Whiston Hospital 26.1 73.9 60.3 11.1 0.2-2.3 97.7.. 72.5 RWJ Stockport NHS Foundation Trust Stepping Hill Hospital 38.6 61.4 58.3 2.8 0.2 0.2-85.5.. 92.5 RMP Tameside Hospital NHS Foundation Trust Tameside General Hospital 29.9 70.1 64.8 5.3 - - - 95.6.. 92.5 RQ6 The Royal Liverpool and Broadgreen University Hospitals NHS Trust Royal Liverpool University Hospital 45.6 54.4 39.5 14.9 - - - 99.3.. 100.0 RM4 Trafford Healthcare NHS Trust Trafford General Hospital 27.9 72.1 62.4 7.6 1.6-0.5 100.0.. 95.0 RM2 University Hospital of South Manchester NHS Foundation Trust Withington Hospital 51.1 48.9 37.0 7.4 - - 4.4 67.9.. 25.0 RM2 Wythenshawe Hospital 45.5 54.5 42.4 10.3 1.0 0.7-98.9.. 80.0 RTX University Hospitals of Morecambe Bay NHS Trust Furness General Hospital 20.8 79.2 76.8 2.4 - - - 90.4.. 87.5 RTX Royal Lancaster Infirmary 35.3 64.7 57.6 7.1 - - - 79.5.. 75.0 RTX Westmorland General Hospital 26.7 73.3 62.7 7.8 1.8 0.5 0.5 84.4.. 85.0 RWW Warrington and Halton Hospitals NHS Foundation Trust Warrington Hospital 62.0 38.0 32.6 4.9 0.4-0.1 97.9.. 95.0 RBL Wirral University Teaching Hospital NHS Foundation Trust Arrowe Park Hospital 42.3 57.7 43.4 13.2 0.3 0.1 0.7 96.9.. 87.5 RRF Wrightington, Wigan and Leigh NHS Foundation Trust Leigh Infirmary 32.0 68.0 47.6 19.3 0.6-0.5 84.4.. 82.5 93
Table 26b: Summary statistics by colposcopy clinic, England 2010-11: procedures and outcomes KC65 Part C1 : 1st appointment KC65 Part D Numbers & Percentages KC65 Part E Procedure type used (all referrals) Biopsy outcome Non diagnostic biopsies 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 (1) Total showing CIN or worse (%) (2) Eng England 39.2 60.8 44.8 14.2 0.6 0.1 1.1 96.9 15,271 86.9 Q32 Yorkshire & Humber 34.4 65.6 47.4 15.7 0.2 0.1 2.1 97.4 1,465 86.9 RCF Airedale NHS Foundation Trust Airedale General Hospital 55.9 44.1 34.3 9.7 - - - 93.6.. 100.0 RFF Barnsley Hospital NHS Foundation Trust Barnsley Hospital 69.0 31.0 19.4 11.6 - - - 100.0.. 80.5 RAE Bradford Teaching Hospitals NHS Foundation Trust Bradford Royal Infirmary 32.1 67.9 49.6 18.2 - - 0.1 91.1.. 90.0 RWY Calderdale and Huddersfield NHS Foundation Trust Calderdale Royal Hospital 20.0 80.0 30.1 48.8 0.3-0.8 100.0.. 100.0 RWY Holme Valley Memorial Hospital 29.7 70.3 50.7 17.4 - - 2.2 100.0.. 90.0 RWY Huddersfield Royal Infirmary 36.2 63.8 28.3 35.5 - - - 100.0.. 100.0 5J6 Calderdale PCT Upper Valley Colposcopy Unit 5.5 94.5 72.6 21.9 - - - 93.9.. 85.0 RP5 Doncaster and Bassetlaw Hospitals NHS Foundation Trust Bassetlaw Hospital 36.0 64.0 57.8 4.3 0.4-1.6 95.4.. 75.0 RP5 Doncaster Royal Infirmary 19.4 80.6 73.0 4.7 0.1-2.8 96.2.. 80.5 RP5 Doncaster Royal Infirmary GUM Clinic 63.5 36.5 36.5 - - - - 100.0.. 100.0 RP5 Retford Hospital 28.7 71.3 63.8 - - - 7.4 100.0.. 60.0 5N5 Doncaster PCT Carcroft Health Centre 46.4 53.6 47.7 4.6 - - 1.3 100.0.. 95.0 RCD Harrogate and District NHS Foundation Trust Harrogate District Hospital 37.0 63.0 38.7 17.0 - - 7.4 100.0.. 90.0 RWA Hull and East Yorkshire Hospitals NHS Trust Castle Hill Hospital 39.0 61.0 39.0 20.9 - - 1.2 93.2.. 77.5 RWA Hull Royal Infirmary 28.1 71.9 37.7 33.8 - - 0.4 92.3.. 90.0 RR8 Leeds Teaching Hospitals NHS Trust St James's University Hospital 20.5 79.5 51.3 19.8-0.1 8.3 95.8.. 87.5 RR8 Wharfedale Hospital 47.7 52.3 25.0 4.5 - - 22.7 75.0.. 35.0 RXF Mid Yorkshire Hospitals NHS Trust Dewsbury and District Hospital 26.6 73.4 61.8 11.4 0.2 - - 96.7.. 87.5 RXF Pontefract Hospital 24.9 75.1 53.2 18.2 2.4 0.5 0.9 100.0.. 85.0 TAN North East Lincolnshire Care Trust Plus Littlefield Lane GP Surgery 15.3 84.7 61.0 23.7 - - - 100.0.. 100.0 RJL Northern Lincolnshire and Goole Hospitals NHS Foundation Trust Diana Princess of Wales Hospital 16.3 83.7 56.6 24.8-0.5 1.9 100.0.. 92.5 RJL Goole and District Hospital 20.9 79.1 50.5 26.4-1.1 1.1 100.0.. 80.0 RJL Scunthorpe General Hospital 25.0 75.0 43.9 25.5 3.2-2.4 100.0.. 87.5 RCC Scarborough and North East Yorkshire Healthcare NHS Trust Bridlington and District Hospital 25.6 74.4 55.8 16.3 - - 2.3 100.0.. - RCC Scarborough General Hospital 31.0 69.0 38.1 29.5-0.3 1.2 97.9.. 92.5 RHQ Sheffield Teaching Hospitals NHS Foundation Trust Jessop Wing 43.2 56.8 56.6 0.2 - - - 98.2.. 97.5 RFR The Rotherham NHS Foundation Trust Rotherham Hospital 60.0 40.0 38.4 1.6 - - - 98.9.. 77.5 5N3 Wakefield District PCT White Rose GP Surgery - 100.0 100.0 - - - - 100.0.. - RCB York Teaching Hospital NHS Foundation Trust York Hospital 25.1 74.9 51.2 22.8 - - 0.8 100.0.. 82.5 Q33 East Midlands 42.0 58.0 35.7 18.6 1.5 0.2 2.0 96.5 1,245 83.7 RFS Chesterfield Royal Hospital NHS Foundation Trust Chesterfield Royal Hospital 42.0 58.0 32.5 25.5 - - - 94.2.. 87.5 RTG Derby Hospitals NHS Foundation Trust Royal Derby Hospital 14.9 85.1 60.0 18.8 - - 6.3 99.7.. 85.0 5N6 Derbyshire County PCT Buxton Medical Centre 11.1 88.9 74.1 - - - 14.8 96.6.. 100.0 5N6 Goyt Valley Medical Practice 20.0 80.0 77.1 - - - 2.9 100.0.. - RY8 Derbyshire Community Health Services NHS Trust Heanor Memorial Hospital 43.4 56.6 55.7 - - - 0.8 100.0.. 67.5 RNQ Kettering General Hospital NHS Foundation Trust Kettering General Hospital 27.0 73.0 54.6 11.3 6.9 0.2 0.0 99.2.. 92.5 RNS Northampton General Hospital NHS Trust Northampton General Hospital 63.2 36.8 24.8 9.1 0.8 0.6 1.4 97.0.. 77.5 RX1 Nottingham University Hospitals NHS Trust Nottingham City Hospital (6) 30.1 69.9 62.7 7.1 - - - 100.0.. 82.5 RX1 Queen's Medical Centre 47.8 52.2 35.5 12.8 - - 4.0 97.0.. 77.7 RK5 Sherwood Forest Hospitals NHS Foundation Trust King's Mill Hospital & Newark Hospital 11.6 88.4 62.4 23.3 1.2 1.4-95.1.. 97.5 RWD United Lincolnshire Hospitals NHS Trust Grantham and District Hospital 17.4 82.6 65.3 8.9 8.5 - - 100.0.. 90.0 RWD Lincoln County Hospital 37.1 62.9 29.1 25.7 8.1 - - 99.2.. 87.5 RWD Pilgrim Hospital Boston 13.4 86.6 5.1 79.5 1.7-0.3 65.0.. 90.0 RWE University Hospitals of Leicester NHS Trust Leicester Royal Infirmary & Leicester General Hospital 63.2 36.8 6.8 26.3 0.4-3.3 95.7.. 80.0 Q34 West Midlands 51.4 48.6 28.7 17.4 1.0 0.0 1.5 99.0 1,752 84.0 RLU Birmingham Women's NHS Foundation Trust Birmingham Women's Hospital 68.4 31.6 18.3 10.7 0.4-2.1 99.4.. 85.0 RJF Burton Hospitals NHS Foundation Trust Queen's Hospital 51.9 48.1 33.7 13.2 0.6-0.6 97.6.. 92.5 RLT George Eliot Hospital NHS Trust George Eliot Hospital 41.6 58.4 12.8 36.3 7.8-1.4 97.4.. 87.5 RR1 Heart of England NHS Foundation Trust Heartlands Hospital 43.4 56.6 46.3 8.9 0.7-0.7 98.6.. 87.5 RR1 Good Hope Hospital 33.2 66.8 52.7 9.0 2.8-2.4 97.1.. 67.5 RR1 Solihull Hospital 49.3 50.7 36.8 11.4 1.9-0.5 98.8.. 87.5 RLQ Hereford Hospitals NHS Trust Hereford Hospital 39.5 60.5 43.0 14.8 0.3-2.5 92.5.. 97.5 94
Table 26b: Summary statistics by colposcopy clinic, England 2010-11: procedures and outcomes KC65 Part C1 : 1st appointment KC65 Part D Numbers & Percentages KC65 Part E Procedure type used (all referrals) Biopsy outcome Non diagnostic biopsies 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 (1) Total showing CIN or worse (%) (2) Eng England 39.2 60.8 44.8 14.2 0.6 0.1 1.1 96.9 15,271 86.9 RJD Mid Staffordshire NHS Foundation Trust Stafford Hospital 24.6 75.4 60.2 15.2 - - - 100.0.. 87.5 RXK Sandwell and West Birmingham Hospitals NHS Trust City Hospital 74.5 25.5 8.2 15.7 - - 1.6 100.0.. 80.0 RXK Sandwell Hospital 69.0 31.0 10.8 19.9 - - 0.2 100.0.. 82.5 RXW Shrewsbury and Telford Hospital NHS Trust Princess Royal Hospital 42.8 57.2 44.2 9.6 0.4-3.1 100.0.. 77.5 RXW Royal Shrewsbury Hospital 34.3 65.7 55.3 5.2 0.5 0.5 4.1 100.0.. 67.5 5PK South Staffordshire PCT Sir Robert Peel Hospital 49.2 50.8 42.1 8.3 0.4 - - 100.0.. 87.5 RJC South Warwickshire NHS Foundation Trust Warwick Hospital 34.3 65.7 35.3 27.1 1.9-1.4 99.1.. 100.0 RNA The Dudley Group of Hospitals NHS Foundation Trust Russells Hall Hospital 56.5 43.5 14.6 24.7 1.5-2.6 100.0.. 92.5 RL4 The Royal Wolverhampton Hospitals NHS Trust New Cross Hospital 40.4 59.6 30.9 26.1 2.1-0.5 99.4.. 82.5 RJE University Hospital of North Staffordshire NHS Trust University Hospital of North Staffordshire 62.4 37.6 2.2 34.4 - - 1.0 98.8.. 87.5 RKB University Hospitals Coventry and Warwickshire NHS Trust Hospital of St Cross, Rugby 47.6 52.4 24.6 27.8 - - - 100.0.. 100.0 RKB University Hospital, Coventry 36.7 63.3 33.9 28.5 0.8 - - 99.6.. 90.0 RBK Walsall Healthcare NHS Trust Walsall Manor Hospital 80.7 19.3 2.0 15.7 0.7-0.9 98.1.. 87.5 RWP Worcestershire Acute Hospitals NHS Trust Alexandra Hospital 61.7 38.3 31.8 5.9 - - 0.6 99.1.. 77.5 RWP Kidderminster Hospital and Treatment Centre 40.4 59.6 45.5 13.1 - - 1.0 100.0.. 87.5 RWP Worcestershire Royal Hospital 42.8 57.2 48.2 4.9 0.5-3.5 100.0.. 72.5 5PL Worcestershire PCT Evesham Community Health 49.0 51.0 40.2 6.9 - - 3.9 100.0.. 87.5 Q35 East of England 32.4 67.6 43.8 21.4 1.0-1.3 98.8 1,923 88.8 RDD Basildon and Thurrock University Hospitals NHS Foundation Trust Basildon University Hospital 62.4 37.6 19.2 16.3 0.6-1.5 96.7.. 90.0 RC1 Bedford Hospital NHS Trust Bedford Hospital (7) 41.6 58.4 47.8 9.0 0.3-1.4 100.0.. 60.0 RGT Cambridge University Hospitals NHS Foundation Trust Addenbrooke's Hospital (8) 59.4 40.6 19.8 20.8 - - - 100.0.. 97.5 RDE Colchester Hospital University NHS Foundation Trust Colchester General Hospital 37.0 63.0 47.5 15.1 0.5 - - 99.6.. 100.0 RWH East and North Hertfordshire NHS Trust Lister Hospital 30.8 69.2 37.5 25.2 4.7-1.7 99.6.. 90.0 RQQ Hinchingbrooke Health Care NHS Trust Hinchingbrooke Hospital (7) 56.9 43.1 16.3 18.5 1.8-6.5 100.0.. 87.5 RGQ Ipswich Hospital NHS Trust Ipswich Hospital 25.0 75.0 28.7 44.9 1.2-0.3 99.5.. 90.0 RGP James Paget University Hospitals NHS Foundation Trust James Paget University Hospital (7) (9) 13.5 86.5 66.1 20.0 0.2-0.2 94.7.. 92.5 RC9 Luton and Dunstable Hospital NHS Foundation Trust Luton and Dunstable Hospital 29.6 70.4 34.9 35.1 0.1-0.3 88.3.. 80.0 RQ8 Mid Essex Hospital Services NHS Trust Broomfield Hospital 51.4 48.6 45.3 3.3 - - - 100.0.. 87.5 RM1 Norfolk and Norwich University Hospitals NHS Foundation Trust Norfolk and Norwich University Hospital (7) (10) 15.0 85.0 60.7 23.2 0.4-0.8 99.6.. 92.5 RGN Peterborough and Stamford Hospitals NHS Foundation Trust Peterborough City Hospital 30.0 70.0 47.0 20.3 0.1-2.6 99.3.. 95.0 RAJ Southend University Hospital NHS Foundation Trust Southend University Hospital 17.6 82.4 62.1 20.3 - - - 100.0.. 97.5 RQW The Princess Alexandra Hospital NHS Trust Princess Alexandra Hospital (7) 40.6 59.4 35.6 15.7 1.7-6.5 100.0.. 92.5 RCX The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust Queen Elizabeth Hospital 20.4 79.6 50.0 26.8 2.6-0.2 100.0.. 80.0 RWG West Hertfordshire Hospitals NHS Trust St Albans City Hospital 17.3 82.7 65.3 16.2 1.2 - - 100.0.. 90.0 RWG Watford General Hospital (7) 18.6 81.4 63.5 15.5 0.8-1.6 100.0.. 95.0 RGR West Suffolk Hospitals NHS Trust West Suffolk Hospital 15.7 84.3 41.8 39.0 3.3-0.1 99.6.. 92.5 Q36 London 43.0 57.0 53.8 2.2 0.3 0.1 0.6 97.2 2,116 86.7 RF4 Barking, Havering and Redbridge Hospitals NHS Trust Queen's Hospital 55.9 44.1 41.3 2.6-0.2-97.0.. 85.0 RVL Barnet and Chase Farm Hospitals NHS Trust Barnet Hospital 28.8 71.2 70.9-0.3 - - 99.1.. 90.0 RVL Chase Farm Hospital 24.9 75.1 73.0 0.2 0.9 0.2 0.9 99.0.. 87.5 RNJ Barts and The London NHS Trust St Bartholomew's Hospital 51.3 48.7 41.1 3.1 0.4-4.0 99.5.. 70.0 RQM Chelsea and Westminster Hospital NHS Foundation Trust Chelsea and Westminster Hospital 68.2 31.8 31.0 0.3 0.4 - - 99.3.. 95.0 RJ6 Croydon Health Service NHS Trust Croydon Hospital 37.8 62.2 57.7 3.4 1.0-0.1 73.2.. 95.0 RC3 Ealing Hospital NHS Trust Ealing Hospital 33.6 66.4 66.0 0.4 - - - 98.9.. 87.5 RVR Epsom and St Helier University Hospitals NHS Trust St Helier Hospital 20.9 79.1 76.8 2.3 - - - 98.5.. 97.5 RJ1 Guy's and St Thomas' NHS Foundation Trust Guy's Hospital 39.4 60.6 57.4 2.0-0.1 1.1 97.4.. 92.5 RQX Homerton University Hospital NHS Foundation Trust Homerton Hospital 36.8 63.2 61.2 0.8 - - 1.3 99.7.. 95.0 RYJ Imperial College Healthcare NHS Trust Hammersmith Hospital 53.1 46.9 46.7 0.2 - - - 97.8.. 87.5 RYJ St Mary's Hospital 34.6 65.4 65.3 0.1 - - - 100.0.. 77.5 RJZ King's College Hospital NHS Foundation Trust King's College Hospital 52.6 47.4 44.5 2.3 - - 0.6 97.9.. 77.5 RAX Kingston Hospital NHS Trust Kingston Hospital 59.5 40.5 40.2 0.3 0.1 - - 95.9.. 97.5 RJ2 Lewisham Healthcare NHS Trust University Hospital Lewisham 32.6 67.4 66.2 0.8 0.2-0.2 100.0.. 95.0 RNH Newham University Hospital NHS Trust Newham Hospital 48.4 51.6 42.2 9.4 - - - 99.5.. 82.5 RAP North Middlesex University Hospital NHS Trust North Middlesex University Hospital 37.0 63.0 60.4 1.0 1.2 0.4-97.7.. 97.5 95
Table 26b: Summary statistics by colposcopy clinic, England 2010-11: procedures and outcomes KC65 Part C1 : 1st appointment KC65 Part D Numbers & Percentages KC65 Part E Procedure type used (all referrals) Biopsy outcome Non diagnostic biopsies 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 (1) Total showing CIN or worse (%) (2) Eng England 39.2 60.8 44.8 14.2 0.6 0.1 1.1 96.9 15,271 86.9 RV8 North West London Hospitals NHS Trust Central Middlesex Hospital 40.1 59.9 59.7 0.2 - - - 100.0.. 85.0 RV8 Northwick Park Hospital 22.1 77.9 77.9 - - - - 99.3.. 87.5 RAL Royal Free Hampstead NHS Trust The Royal Free Hospital (11) 46.3 53.7 51.7 0.7 - - 1.3 93.0.. 87.5 RYQ South London Healthcare NHS Trust (3) Princess Royal University Hospital 39.3 60.7 52.1 6.7 0.3 0.4 1.2 92.9.. 87.5 RYQ Queen Elizabeth Hospital 28.0 72.0 68.6 1.9 0.5 0.5 0.5 92.2.. 77.5 RYQ Queen Mary's Hospital Sidcup 33.6 66.4 53.1 10.2 1.2 0.7 1.3 92.1.. 92.5 RJ7 St George's Healthcare NHS Trust St George's Hospital 45.7 54.3 41.7 11.8 - - 0.9 98.0.. 95.0 RAS The Hillingdon Hospitals NHS Foundation Trust The Hillingdon Hospital 32.8 67.2 65.5 0.7 0.3-0.7 100.0.. 82.5 RKE The Whittington Hospital NHS Trust The Whittington Hospital 59.1 40.9 37.4 0.2 0.5-2.8 100.0.. 82.5 RRV University College London Hospitals NHS Foundation Trust University College Hospital 40.0 60.0 59.0 0.5 0.3-0.1 100.0.. 95.0 RFW West Middlesex University Hospital NHS Trust West Middlesex Hospital 26.4 73.6 72.3 1.3 - - - 100.0.. 100.0 RGC Whipps Cross University Hospital NHS Trust Whipps Cross University Hospital 63.1 36.9 36.0 0.1 0.7-0.1 100.0.. 72.5 Q37 South East Coast 39.1 60.9 37.5 20.5 0.7 0.7 1.6 93.8 885 88.1 RTK Ashford and St Peter's Hospitals NHS Foundation Trust Ashford and St Peter's Hospital 44.6 55.4 40.5 14.5 0.1 0.1 0.2 99.0.. 97.5 RTK The Blanche Heriot Unit 31.0 69.0 48.3 13.8 3.4-3.4 100.0.. 57.5 RXH Brighton and Sussex University Hospitals NHS Trust Royal Sussex County Hospital 24.2 75.8 34.2 40.5 0.5 0.6-97.6.. 95.0 RN7 Dartford and Gravesham NHS Trust Darent Valley Hospital 35.2 64.8 29.9 28.9 3.3 2.7-95.1.. 92.5 RVV East Kent Hospitals University NHS Foundation Trust Buckland Hospital 67.7 32.3 17.5 14.8 - - - 100.0.. 80.0 RVV Kent and Canterbury Hospital 54.3 45.7 37.2 8.2 - - 0.2 80.8.. 87.5 RVV Queen Elizabeth The Queen Mother Hospital 63.3 36.7 24.8 11.9 - - - 83.5.. 55.0 RVV William Harvey Hospital 61.4 38.6 20.5 18.2 - - - 100.0.. 100.0 RXC East Sussex Healthcare NHS Trust Conquest Hospital 13.6 86.4 61.6 24.5-0.3-100.0.. 95.0 RXC Eastbourne District General Hospital 24.0 76.0 57.5 18.2 - - 0.3 98.3.. 72.5 RVR Epsom and St Helier University Hospitals NHS Trust Leatherhead Hospital 32.7 67.3 56.5 10.3 0.5 - - 100.0.. 90.0 RDU Frimley Park Hospital NHS Foundation Trust Frimley Park Hospital 21.7 78.3 27.7 27.3 0.3 0.2 22.8 96.5.. 85.0 RWF Maidstone and Tunbridge Wells NHS Trust Maidstone Hospital 28.9 71.1 51.2 19.5 0.4 - - 86.1.. 100.0 RWF Tunbridge Wells Hospital 27.1 72.9 66.1 6.0 0.3 0.2 0.2 78.6.. - RPA Medway NHS Foundation Trust Medway Maritime Hospital 46.4 53.6 26.3 26.1 0.4 0.4 0.5 87.6.. 30.0 RA2 Royal Surrey County Hospital NHS Foundation Trust Royal Surrey County Hospital 21.5 78.5 53.3 21.7 0.8 1.8 1.0 95.1.. 80.0 RTP Surrey and Sussex Healthcare NHS Trust Crawley Hospital 18.8 81.2 65.2 13.6 2.2 0.3-94.3.. 95.0 RTP Dorking General Hospital 10.8 89.2 74.5 14.3 0.4 - - 95.9.. 97.5 RYR Western Sussex Hospitals NHS Trust St Richard's Hospital 61.0 39.0 8.9 26.0 1.6 1.9 0.5 94.4.. 90.0 RYR Worthing Hospital & Southlands Hospital 59.7 40.3 19.7 17.4 0.6 2.5 0.1 93.6.. 85.0 Q38 South Central 38.2 61.8 36.7 24.4 0.4 0.1 0.2 90.4 1,165 92.1 RN5 Basingstoke and North Hampshire NHS Foundation Trust Basingstoke and North Hampshire Hospital 85.2 14.8 3.8 11.1 - - - 97.0.. - RXQ Buckinghamshire Healthcare NHS Trust Stoke Mandeville Hospital 22.6 77.4 43.2 33.4-0.4 0.4 88.8.. 97.5 RXQ Wycombe Hospital 24.2 75.8 48.8 25.8 0.5 0.5 0.2 97.7.. 100.0 RD7 Heatherwood and Wexham Park Hospitals NHS Foundation Trust Heatherwood Hospital 60.9 39.1 19.3 17.8 1.8 0.2-100.0.. 87.5 RD7 Wexham Park Hospital 63.7 36.3 1.7 32.8 0.1 0.1 1.5 63.8.. 60.0 5QT Isle of Wight NHS PCT St Mary's Hospital 19.3 80.7 49.8 27.8 2.1 0.9-100.0.. 82.5 RD8 Milton Keynes Hospital NHS Foundation Trust Milton Keynes Hospital 37.1 62.9 42.4 19.7 0.7-0.1 100.0.. 97.5 RTH Oxford Radcliffe Hospitals NHS Trust Oxford Radcliffe Hospitals 29.8 70.2 50.7 19.4 0.1 - - 84.3.. 92.5 RHU Portsmouth Hospitals NHS Trust Queen Alexandra Hospital 39.1 60.9 34.2 26.2 0.3 0.1 0.2 71.9.. 90.0 RHW Royal Berkshire NHS Foundation Trust Royal Berkshire Hospital 22.5 77.5 42.9 34.2 0.3 0.1-95.8.. 97.5 RHM Southampton University Hospitals NHS Trust Southampton General Hospital 36.9 63.1 41.1 21.9 0.1 - - 99.5.. 93.5 RN1 Winchester and Eastleigh Healthcare NHS Trust Royal Hampshire County Hospital 33.6 66.4 44.9 20.8 0.6 0.2-96.8.. 95.0 96
Table 26b: Summary statistics by colposcopy clinic, England 2010-11: procedures and outcomes KC65 Part C1 : 1st appointment KC65 Part D Numbers & Percentages KC65 Part E Procedure type used (all referrals) Biopsy outcome Non diagnostic biopsies 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 (1) Total showing CIN or worse (%) (2) Eng England 39.2 60.8 44.8 14.2 0.6 0.1 1.1 96.9 15,271 86.9 Q39 South West 32.8 67.2 53.9 12.4 0.3-0.6 99.8 1,459 84.9 RBD Dorset County Hospital NHS Foundation Trust Dorset County Hospital 37.6 62.4 61.2 0.5 0.7 - - 99.4.. 100.0 RTE Gloucestershire Hospitals NHS Foundation Trust Gloucestershire Royal Hospital 25.1 74.9 58.8 16.0 - - 0.1 99.7.. 90.0 RN3 Great Western Hospitals NHS Foundation Trust Great Western Hospital 17.4 82.6 78.2 4.4 - - - 100.0.. 100.0 RVJ North Bristol NHS Trust Southmead Hospital 26.1 73.9 66.2 7.1 0.1-0.6 100.0.. 77.5 RBZ Northern Devon Healthcare NHS Trust North Devon District Hospital 48.4 51.6 25.6 25.1 0.5-0.3 100.0.. 82.5 RK9 Plymouth Hospitals NHS Trust Derriford Hospital 16.9 83.1 67.0 13.9 2.3 - - 99.7.. 92.5 RD3 Poole Hospital NHS Foundation Trust St Mary's Gynaecology Unit 20.4 79.6 73.2 5.7 - - 0.7 100.0.. 82.5 REF Royal Cornwall Hospitals NHS Trust Ramsay Health Care 11.3 88.7 69.6 17.4 1.7 - - 100.0.. 77.5 REF Royal Cornwall Hospital 25.4 74.6 55.3 19.1 0.2 - - 99.7.. 92.5 RH8 Royal Devon and Exeter NHS Foundation Trust Royal Devon and Exeter Hospital 38.5 61.5 41.8 15.8 - - 3.9 100.0.. 80.0 RD1 Royal United Hospital Bath NHS Trust Royal United Hospital 32.2 67.8 43.8 22.9 1.1 - - 100.0.. 95.0 RNZ Salisbury NHS Foundation Trust Salisbury District Hospital 29.7 70.3 61.4 7.0 0.6-1.3 100.0.. 80.0 RA9 South Devon Healthcare NHS Foundation Trust Torbay Hospital 73.9 26.1 10.4 13.6 - - 2.1 100.0.. 87.5 RBA Taunton and Somerset NHS Foundation Trust Musgrove Park Hospital 44.1 55.9 46.4 9.6 - - - 99.6.. 87.5 RDZ The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Royal Bournemouth Hospital 18.3 81.7 80.6 1.1 - - - 100.0.. 97.5 RA7 University Hospital Bristol NHS Foundation Trust St Michael's Hospital 28.2 71.8 60.4 10.9 0.1-0.4 99.5.. 72.5 RA4 Yeovil District Hospital NHS Foundation Trust Yeovil District Hospital 59.9 40.1 38.2 1.9 - - - 100.0.. 87.5.. = Not available - = Zero (1) Number of cases excludes those non-diagnostic biopsies with an unknown result. (2) Percentages have been rounded up to the next 2.5%. (3) Shotley Bridge Community Hospital includes figures for HMP Low Newton. (4) Royal Blackburn Hospital closed in September 2010 - work transferred to Burnley General Hospital. Note that as a result of the closure data was only submitted by Royal Blackburn Hospital for part of the year. (5) Cumberland Infirmary - some minor data quality issues have been reported for this clinic due to issues with the IT system. (6) Nottingham City Hospital - some over counting has been reported in the figures submitted for this hospital. (7) Some undercounting has been reported in the KC65 part E figures for these clinics. (8) Addenbrooke's Hospital: Due to issues with the laboratory system not all treatments have been reported. (9) James Paget University Hospital - data quality issues have been reported due to issues with the unit's IT system. (10) Norfolk and Norwich University Hospital - Procedure type excludes women referred under HPV test of cure. (11) The Royal Free Hospital - Issues with the IT system outputs at this unit have caused some data quality issues affecting the KC65 data submitted. The following changes occurred in these Trusts and hospitals: The GUM service at the Mid Staffordshire NHS Foundation Trust is no longer in operation. The Samuel Johnson Clinic closed in March 2010 and the work was absorbed by Sir Robert Peel Hospital. Data for Queen Elizabeth II Hospital, East and North Hertfordshire NHS Trust is now submitted under Lister Hospital. Queensway Medical Centre closed in March 2010 and the work was absorbed by Southend University Hospital. Mayday Healthcare NHS Trust became Croydon Health Service NHS Trust and Mayday Hospital became Croydon Hospital on 01/10/2010. Queen Mary s, Roehampton has now merged with Kingston Hospital. Princess Royal University Hospital, Queen Elizabeth Hospital and Queen Mary's Hospital Sidcup all moved to South London Healthcare NHS Trust on 01/04/2009. Princess Royal Hospital has merged with Royal Sussex County Hospital as one service on two sites. HMP Downview, South East Coast, has now closed. Source: KC65 Parts C1, D and E Copyright 2011, The Health and Social Care Information Centre. All rights reserved 97
Appendices Appendix A - Definitions 5.1 Coverage is defined as the percentage of women in a population who were eligible for screening at a given point in time and 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. The eligible population is the Primary Care Trust s responsible population 30. 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. 30 The PCTs responsible population comprises: - all persons registered with a GP whose practice forms part of the PCT, regardless of where the person is resident, plus - any persons not registered with a GP who are resident within the PCTs statutory geographical boundary Note that persons resident within the PCTs geographic area, but registered with a GP belonging to another PCT, are the responsibility of that other Primary Care Trust. 98
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, i.e. 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. Negative: HMR 101/5 cat. 2 (negative); women with a negative test result will usually be returned to the screening programme to be called again at the normal interval (3 or 5 years). Shorter recall intervals may be appropriate for women under surveillance or follow-up after treatment Inadequate: HMR 101/5 cat. 1 (inadequate); inadequate means it was not possible to obtain a valid result from the sample. Women with inadequate samples 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 results of moderate dyskaryosis or worse. PPV relating cytology with histology is calculated from outcomes of referral for tests with results of moderate dyskaryosis or worse as follows: (Numerator / Denominator) x 100 99
Numerator: Number of tests with results of moderate dyskaryosis or worse with outcome of referral: cancer, adenocarcinoma in situ, CIN3 or CIN2. Denominator: Number of tests as per numerator, but also including outcomes of CIN 1, HPV only, No CIN/HPV and 'seen in colposcopy - No Abnormality Detected' (where result was moderate dyskaryosis or worse). 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 protocol 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: www.cancerscreening.nhs.uk/cervical/hpv-triage-test-of-cure.html 5.7 Percentile A percentile is the value of a variable below which a certain percent of observations fall. For example, the 10th percentile is the value (or score) below which 10 percent of the observations may be found. 5.8 In the tables:.. = Not available - = Zero 5.9 For definitions of further medical terminology please visit the NHS Cancer Screening Programmes website at www.cancerscreening.nhs.uk 100
Appendix B - Glossary Term?Glandular Neoplasia Definition?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 adenocarcinoma 31.?Invasive Carcinoma?Invasive Carcinoma means suspected invasive carcinoma. Invasive carcinoma is commonly called cancer. Ablation Adenocarcinoma in situ A treatment that destroys tissue rather than removes it. A localized growth of abnormal glandular tissue that may become malignant 32. 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 itself 33. Carcinoma in situ (CIS) CIN 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 started 34. CIN 3 is sometimes called 'carcinoma in situ'. Cervical Intra-epithelial Neoplasia. See Definitions for more information Colposcope Colposcopy 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. A colposcopy is a detailed examination of the cervix (the neck of the womb). 35 Cytology The medical and scientific study of cells. Cervical cytology refers to a 31 Source: Achievable standards, Benchmarks for reporting, and Criteria for evaluating cervical Cytopathology, NHSCSP Publication No 1, May 2000 32 http://medical-dictionary.thefreedictionary.com 33 NHS Choices: http://www.nhs.uk/conditions/biopsy/pages/introduction.aspx 34 NHS Choices: Cervical Cancer - Treatment - NHS Choices 35 NHS Choices: http://www.nhs.uk/conditions/colposcopy/pages/introduction.aspx 101
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 CIN 36. 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 Diagnostic biopsy: Non-diagnostic 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 37. A biopsy taken to make a diagnosis. A biopsy performed to treat and to provide diagnostic information at the same time. Histology The study of the form of structures seen under the microscope 38. HPV Liquid Based Cytology (LBC) 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 of the cervix 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) is a way of preparing cervical samples for examination in the laboratory 39. 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. 36 Source: Achievable standards, Benchmarks for reporting, and Criteria for evaluating cervical Cytopathology, NHSCSP Publication No 1, May 2000 37 NHS Choices: http://www.nhs.uk/conditions/biopsy/pages/introduction.aspx 38 MedicineNet.Com, http://www.medterms.com 39 http://www.cancerscreening.nhs.uk/cervical/lbc.html 102
Appendix C Feedback from Users The publication webpage has a Have your say link which invites users to comment on the publication. We have received a small amount of feedback from users following the last two publications (Cervical Screening Programme, England, 2008-09 and 2009-10): The comments were received from: Primary Care Trust 2 Strategic Health Authority 1 Public Health Organisation 1 Freelance Journalist 1 When asked how useful the report was, the responses were: Very useful 1 Useful 2 Not very useful 1 Not useful at all 1 One user reported that they found the publication easy to read with up to date statistics. One user reported that they found the publication too complex and indigestible. The NHS IC has since changed the format of the report s Executive Summary and it is hoped that users will find this more accessible. Additions have also been made to the Glossary in Appendix B. Some comments received required additional information to clarify them but user contact details had not been provided. The Have your say feedback template has now been amended and there is a separate section that gives users the option of leaving their name and email address so that their comments can be responded to. 103
Appendix D Data Validation and Data Quality Information on the Cervical Screening Programme is collected on the following returns: KC53 information from the call and recall system, collected on Primary Care Organisations. KC61 information on screening samples examined by pathology laboratories, collected from laboratories carrying out cervical cytology. KC65 information on referrals to colposcopy, subsequent treatment and outcome, collected from clinics/trusts providing colposcopy services. In addition to the above returns, data on time from screening to receipt of results is obtained from monthly reports produced by the open Exeter system 40. In 2010-11, returns were received on all PCOs and from all laboratories and colposcopy clinics. The NHS Cervical Screening Programme includes regional Quality Assurance Reference Centres (QARCs) which quality assure the data collections. Data validation and quality assurance checks are also carried out by the NHS IC as part of the publication process. Validation undertaken by the NHS IC includes: Comparisons with previous years data to ensure that any unusual trends are identified and explained Consistency checks between different parts of the returns Checks that totals equal the sums of parts 40 Connecting for Health (CfH) Exeter system (NHAIS), Cancer Screening Statistics VSA15 Report. 104
Checks on the calculations of statistics Part of the NHS IC s quality assurance procedure includes returning data tables to the QARCs for verification prior to publication. Data quality issues identified through the data validation/quality assurance processes are detailed below. KC53 No data quality issues were highlighted through the quality assurance and validation procedures. KC61 Data quality issues were reported by some Regional QA Co-ordinators in relation to data received from 8 laboratories carrying out cervical cytology. Footnotes have been placed against these clinics/trusts in the Data Tables. Data quality issues were primarily associated with laboratory/hospital closures during the collection period in the North West leading to problems with data collection or providing a complete data set. Issues with laboratory IT systems (e.g. a change in system) were also responsible for the data quality issues reported for some laboratories. KC65 Data quality issues were reported by some Regional QA Co-ordinators in relation to data received from 10 clinics/trusts providing colposcopy services. Footnotes have been placed against these clinics/trusts in the Data Tables. Data quality issues were primarily associated with IT systems but on occasion were due to human error. Data quality problems highlighted by the QA Co-ordinators varied and included some undercounting, errors in data recording, issues around the accuracy of some data and the inclusion of non colposcopy clinic data in error. 105
In addition, some QA co-ordinators highlighted issues around recording data on the KC65 collection form. In some instances, those supplying the data were not clear how to record certain information or reported that the current form did not enable them to record some activity accurately. Where data quality issues have been highlighted for a particular laboratory or clinic /trust some caution should be exercised when comparing figures over time as some apparent changes could reflect changes in data quality/completeness rather than real changes. Experimental Statistics: Time from Screening to Receipt of results In previous years, this publication has reported the time from screening to availability of result This year, time from screening to receipt of result is reported as these data are considered to be of more interest to users of the statistics (see Section 1.4 on Experimental Statistics for more information). Tables 9b and 9c present experimental statistics at both regional and local level for time from screening to receipt of result. In addition, monthly local statistics are available through the following link: www.ic.nhs.uk/pubscervscreen1011 All the statistics on time from screening to receipt of results are published as experimental statistics as they are undergoing evaluation. A key part of the Experimental Statistics label is user engagement in the evaluation of those statistics. The NHS IC invites readers to comment on this publication, which will help inform the next report. Comments may be sent to: enquiries@ic.nhs.uk The statistics on time from screening to receipt of results have not been validated by the NHS IC like the other statistics in this report and this should be borne in mind when using them. 106
Appendix E - 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/cervscreen1011 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/statistic alhealthcare/dh_4086491 Further information about cervical screening is available from the NHS Cancer Screening Programmes website: http://www.cancerscreening.nhs.uk/ 107
Published by the NHS Information Centre for health and social care Part of the Government Statistical Service ISBN 978-1-84636-604-8 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 enquiries@ic.nhs.uk Copyright 2011 The Health and Social Care Information Centre, Screening and Immunisations 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. 108