Call and Recall System
4.1 Cervical screening call and recall administration provider responsibilities
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Can a cytology slide review be used as a primary HPV screening test?
Cytology slide review in addition to hrHPV testing of samples may result in a combination of cytology and hrHPV test results which is not recognised in the primary HPV screening protocol.
Such tests cannot be recorded on the call/recall IT system as primary HPV screening tests.
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Colposcopy Clinics
7.1 Referrals for colposcopy
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Failsafe in Primary Care
5.1 GPs providing cervical screening services
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How is cervical cytology standardized?
Terminology for reporting cervical cytology is standardized by the Bethesda System, which has been revised several times; the current system was developed in 2014 ( figure 1) [ 1-4 ].
This topic will discuss components of the cervical cytology and HPV report and management of select results.
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How should cervical intraepithelial neoplasia (CIN) be managed before primary HPV screening?
Women recently treated for cervical intraepithelial neoplasia ( CIN) or cervical glandular intraepithelial neoplasia ( CGIN) prior to the implementation of HPV primary screening should be managed according to the colposcopy management recommendations for the implementation of primary hrHPV screening ( see section 14 and appendix 2).
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Introduction
This guidance aims to make sure that reasonable and effective failsafe measures are applied consistently across the NHS Cervical Screening Programme (NHSCSP), whilst avoiding unnecessary duplication of administrative effort.
This version updates and replaces guidance from 2018 to reflect the implementation of the primary human papillomavirus (HPV) .
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Laboratory Failsafe
6.1 Role of the laboratory
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The Failsafe Process
Failsafe processes make sure that as far as possible the cervical screening programme (CSP) takes the correct action following a cervical screening test, or that a valid reason for not taking that action is known and recorded.
The effective monitoring of failsafe requires documentation of: 1. the point at which a required screening activity is star.
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The Role of The Screening Commissioner
NHS England (the commissioner of screening services) has responsibility on behalf of the Secretary of State for Health to commission and contract according to national regulations and guidance to ensure a safe, accessible and effective service.
Cervical screening requires actions to pass safely and effectively between many different organisations. .
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Where can I find a summary of cervical screening result and action codes?
A summary of the result and action codes is included in appendix 2: cervical screening result and action codes (primary HPV) part 1.
Valid code combinations are shown in appendix 2:
- cervical screening result and action codes (primary HPV) part 2
