Screening

For the latest updates on cancer during the Covid pandemic, always check the NCL Covid-19 GP website cancer pages.


For North Central London cancer remains the largest single cause of premature death. The three cancer screening programmes (breast, cervical and bowel) are delivered by the NHS through screening centres (bowel and breast) or in primary care (cervical). The reference guide in the downloads area highlights good practice in primary care. 

Late stage cancer diagnosis, compared to early stage diagnosis, results in poorer survival rates, worse patient experience and significantly increased costs. Patients diagnosed through screening usually have early stage disease, and five year survival for these patients is 93% compared to less than 10% for those with stage four disease. 

Cancer screening programme coverage* in North Central London is lower than both the London and the national average. There is evidence that interventions delivered through primary care can have a significant impact on improving participation in screening, overcoming some of the barriers and inequalities experienced by different patient groups. 

*Note on Coverage & Uptake: Coverage is the number of people screened within a designated time period (e.g. 5.5 years for cervical screening) out of the number of eligible people. Uptake is the number of people who attend screening within 6 months of being invited, out of the total number invited.

Key messages for primary care from the Good Practice Screening Guide

  • designate a cancer screening lead from a member of the practice healthcare team
  • check patient contact details at each encounter and regularly maintain the practice list
  • ensure that the practice has the most up to date mobile phone number for patients and has obtained the appropriate consent for using this number
  • ensure that Prior Notification Lists (PNLs) for cervical screening are dealt with promptly
  • ensure that advance lists (where available) for bowel screening are dealt with promptly
  • ensure that DNA/non-responder reports are flagged in patient records using the correct codes and followed up promptly
  • offer cervical screening opportunistically if due or appointment missed
  • actively promote cancer screening within the practice
  • do not omit patients with special or additional needs and ensure arrangements are in place for them
  • do not omit patients with a previous cancer diagnosis. They may be at higher risk of a new cancer in the same or a different site
  • ensure all practice staff know how to use the bowel screening kit and how to request a new kit
  • make screening and signposting information for each screening programme readily available

 



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Clinical Updates

NCL Cancer Alliance report highlights case studies on the use of electronic safety netting

NCL Wide Case studies show how the E-SN toolkit for tracking patients with actual or suspected cancer, is being used and adapted by GP practices
Jul 23rd, 2021
Service Updates

NHS National Bowel Screening Programme update

NCL Wide The NHS National Bowel Screening Programme has been extended to include FIT home testing for people aged 50-59
Jun 15th, 2021
Announcements

NCL Cancer Alliance launches symptoms awareness campaign

NCL Wide Cancer awareness campaign encouraging local residents to act on symptoms that may be a sign of cancer regardless of covid restrictions
May 27th, 2021
Announcements

NHSE&I Update on Bowel Scope Screening

Islington The programme is to be paused
Jan 6th, 2021
Clinical Updates

Breast Screening Update: Self-referrals for Women Over 71

Islington Services will provide appointments to self-referring women in line with previous technical guidance
Dec 2nd, 2020
Service Updates

Breast Screening Recovery Programme

Islington Self referral of over-70s temporarily paused
Nov 4th, 2020
Practice Manager News

Campaign: General Practice is Open, Get Checked for Cancer

Islington Each week, a different video will be promoted
Oct 21st, 2020
Service Updates

Cervical Screening Affected by Temporary Reagent Shortage

Islington Please continue to take samples as normal
Sep 29th, 2020
Announcements

Cervical Screening: Return to Routine Screening Following Treatment

Islington Guidelines recommend next routine cervical screen is six months after discharge
Sep 3rd, 2020
Announcements

YouScreen Study: Register to Participate

Islington Self-sampling has been hailed as a game-changer for cervical screening
Sep 2nd, 2020


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Last updated: Jun 2nd, 2021
Review date: Apr 2nd, 2022