Screening Administration Support for GPs and Nurses
See below for guidance on cervical screening administration and the most frequently asked questions.
Support for GP Practices and practice nurses
Step One – Prior Notification Lists (PNL)
PCSE provides Prior Notification Lists (PNLs) to GP practices either hardcopy via post or electronically via Open Exeter approximately 10 weeks before patients’ cervical screening tests are due.
Step Two – Review PNL
Practices need to review the PNLs and identify any patients who shouldn’t be screened.
GP Practices can delay screening due to the patient:
- Being pregnant
- Having had a recent test
- Currently under cytological follow-up
Women can be removed from the screening programme:
- By informed choice – a signed Disclaimer form is required
- If they are aged over 65
- If they have no cervix
- Under the Mental Capacity Act
- If they are undergoing radiotherapy
Notify PCSE of Ceasing, Deferral or Amendment
Practices should email or fax any Ceased, Deferral, and Amendment to Cytology forms to PCSE before the cut off shown on the Open Exeter PNL to avoid inappropriate invitations. Our contact details can be found on our contacts page.
When a practice notifies us that a woman should be ceased from the PNL, a marker is set on NHAIS and we will cancel the patient from Screening Call/Recall programme. The practice will then receive a Cease notification via Open Exeter.
Screening invitations and reminders
PCSE posts out screening invitation letters to patients approximately six weeks before the test is due. Reminder letters will be sent approximately 18 weeks after the first invitation letter and approximately 14 weeks after reminder letter, where no test has been received.
Tests are completed at the GP practice. The sample taker should use the pre-populated HMR101 form agreed in your area which can be accessed through your clinical system or via Open Exeter. When using Open Exeter please ensure you print the HMR101 –A5(2009) version, which provides the woman’s last 12 results on the form, making it easier and quicker for the lab to produce accurate results.
Sample takers should validate the woman’s address at the time of the test to ensure that result letters can be sent directly to the patient.
PCSE receives electronic files of patient results from laboratories daily. We then send out result letters to the patient according to result code, action code and repeat months as recommended by the laboratory.
All women must receive the cervical screening results within 14 days of having the test. If a result is abnormal, patients are sent a Direct Referral to Colposcopy. The GP Practice will also be notified of an abnormal result and Direct Referral to Colposcopy recommendation. Patients should contact their GP Practice / the number on the referral letter to organise a colposcopy appointment.
How are screening call / recall invitations and results letters posted?
Abnormal results letters where a referral is required will be posted first class. Invitation and all other results letters will be posted business class.
Screening letters are printed in a purpose-built, state of the art print facility, which complies with all relevant legislation governing the handling of sensitive data.
What action should my practice take if a patient has a private tests or test carried out abroad?
Private test results and tests carried out aboard can be added to a woman’s screening history. A copy of the test result should be sent to PCSE so that it can be added to the records. Women registered with a GP Practice who have private tests or have tests carried out abroad are entitled to a free NHS test and should still be offered screening at the appropriate interval. For details on where to send your test result, please visit our contacts page.