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Homepage ? New Releases ? 2005 ? Breast_and_cervical_screen_050728

Press Release

Thursday 28th July 2005 (0930h)
An update of Scottish Breast Screening Programme (SBSP) statistics (information up to financial year 2003/04) and Scottish Cervical Screening statistics (information up to financial year 2004/05), are published today by Information Services, NHS National Services Scotland and are available at the following web addresses:

http://www.isdscotland.org/breast_screening

http://www.isdscotland.org/cervical_screening
 

Key Points:

Breast screening
  • 11 of 12 NHSBSP standards (NHS Breast Screening Programme performance standards) are being achieved. However, the referral for assessment rate for women screened for the first time, at 10.8%, narrowly fails to meet the standard (a rate of less than 10%.
  • All NHS Boards met the minimum attendance standard of >70% of women invited during the latest three year period (2001/02 to 2003/04).

    Breast cancer mortality in females aged 55-69 decreased by 27.6% between 1990 and 2003. (Percentage change was calculated using the fitted rates of 101.7 per 100,000 female population in 1990 and 73.6 per 100,000 in 2003. The corresponding observed rates are 99.4 and 78.6 per 100,000 female population, respectively.)

Cervical screening

  • All women between the ages of 20 and 60 inclusive are eligible for a cervical smear test at least once every 5 years.  In practice, NHS Boards invite women for screening every 3 years. Of eligible women, 79.3% had been screened for cervical cancer in the previous 3.5 years and 84.6% in the previous 5.5 years. These rates, which exclude Lothian, are similar to uptake rates in previous years.
  • The process of liquid based technology reduces the rate of unsatisfactory smears and low grade smear results and therefore the need for repeat smears.  The total number of smears processed for the year 2004/2005 ending 31 March 2005 was 406,305 compared with 429,522 in 2003/2004.  This is likely to be attributable to the increased use of liquid based cytology in Scotland and may also reflect recent changes implemented by the new GMS contract.
  • Cervical cancer incidence decreased by 36.5% between 1986 and 2001. (Percentage change was calculated using the fitted rates of 16.6 per 100,000 female population in 1986 and 10.5 per 100,000 in 2001. The corresponding observed rates are 17.0 and 10.6 per 100,000 female population, respectively.)

What is being added on 28 July?

Breast Screening

  • New data for the latest available financial year, 2003/2004, have been added to the breast screening standards (including attendance figures), biopsy results and screening outcome tables.
  • Data for the latest available calendar year, 2003, have been added to the table and chart showing the trend in mortality from breast cancer in the age group most likely to be affected by screening (55-69 years).

Data for previous years have been updated where appropriate.

Cervical Screening

  • New data for the latest available financial year, 2004/2005, have been added to the uptake of cervical screening.
  • New data for the latest available quarter, Jan ? Mar 2005, have been added to the cervical cytology workload tables.
  • Data for the latest available calendar year, 2001, have been updated on the table and chart showing the trend in incidence for cervical cancer.

Background information

1.  Breast screening:

  • Figures for the breast screening standards, attendance, biopsy results and screening outcomes tables were obtained from the Scottish Breast Screening Programme (SBSP) information system and include data for all static screening centres and mobile screening units.
  • Breast cancer mortality figures are derived from death registration data and mid-year population estimates obtained from the General Register Office, Scotland.

2.  Cervical screening:

  • Information on the uptake of cervical screening is collected from NHS boards annually by ISD Scotland.  Figures for Lothian NHS Board are unavailable/calculated on different basis.
  • With the introduction of the new GMS contract, GPs receive payment based on a sliding scale 25-80%. This new scale was first introduced as at 1st January 2005.
  • Information on cervical cytology workload is collected quarterly by ISD Scotland.  All information shown is based on statistical returns from the individual laboratories.

3.    This is an ISD Scotland National Statistics release. National Statistics are produced to high professional  
       standards and adhere to codes of practice. They undergo regular quality assurance reviews to ensure that   
       they meet customer needs and they are produced free from any political interference.

4.    ISD Scotland is a division of NHS National Services Scotland.  ISD Scotland collects, collates and maintains
       a wide range of health service data sets, which form the national corporate database for NHSScotland. By
       providing information, statistical services and effective use of information management and technology, ISD
       Scotland contributes to health improvement by informing decision-making, research and debate within
       NHSScotland, government departments and other organisations.

       For more information about ISD Scotland see the website : http://www.isdscotland.org/isd/


Further information is available from:

Fiona Campbell, Epidemiology and Statistics Group, Healthcare Information Group
email  Fiona.Campbell@isd.csa.scot.nhs.uk
phone (0131) 275 6125

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