https://phescreening.blog.gov.uk/2017/02/08/give-us-your-views-on-breast-screening-standards/

Give us your views on breast screening standards

In 1988, the UK implemented the first national breast screening programme following evidence published in the Forrest Report.

Breast screening appointment image
The NHS Breast Screening Programme routinely screens women aged 50 to 70

We routinely screen women between the ages of 50 and 70 and aim to reduce the number of deaths from breast cancer by finding disease at an early stage.

Naturally, standards for the programme have evolved over time as performance has improved, both in terms of screening sensitivity (avoiding false negative results) and specificity (avoiding false positives).

These standards and targets appear in many guidance documents for breast screening professionals.

We are now consolidating the standards into one document that is out for consultation. We will then be able to update this document immediately whenever targets are revised.  At the same time, we are updating our professional guidance documents without reference to targets.

The consolidated standards will:

  • encourage services to perform to high standards based on the best evidence available
  • make sure women can access a high quality screening service throughout England
  • give commissioners ways to assess the quality and performance of their screening services
  • give local screening services mechanisms to compare themselves to national performance
  • give women peace of mind that the programme is monitoring local services using evidence based targets

We asked a range of important stakeholders to help us revise the programme standards to make them fit for purpose.  These included statisticians, clinicians and all other disciplines working in the service.

It is now your opportunity to comment. If you have any concerns, we would like your comments, so please take part in the consultation by reading the draft revised standards and completing the response form.

The public consultation period will last until 27 February.

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8 comments

  1. katrehman

    As a woman who has opted out of the breast screening programme I feel until more can be done to identify dangerous growths to ones that would never have harmed ...I will stay opted out!

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    • D.Haupt

      Agree, wish there was as much investment in the natural history of untreated DCIS! might free many women from this gruelling ordeal.

      Link to this comment Reply
      • Jacquie Jenkins

        There are two current trials which are trying to understand the natural history of DCIS (Forget me not and Loris) from women in the breast screening programme. The outcomes should help inform screening policy in the future.

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  2. Julie Harrison

    The best way of screening is via a Thermogram. The mammogram I had didn't even pick up the cancer I had. Mammograms cause cancer too and make a cancer that is present like to leak cancerous cells into the breast tissue spreading it further

    Link to this comment Reply
    • Jacquie Jenkins

      Screening by mammography (using x-rays) is the best proven way to detect cancers in women aged 50 to 70. There is a very small risk of radiation exposure due to x-rays causing cancer but this is greatly outweighed by the reduction in breast cancer mortality.

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  3. Phil Bullock

    Its very good to see this open consultation process in breast screening. Would cervical benefit from a similar approach I wonder?

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    • Ruth Stubbs

      Thank you for the comment. The cervical screening programme standards are currently being reviewed and will follow the same open consultation process.

      Link to this comment Reply
  4. Cheryl Cruwys

    Breast Density Matters UK have submitted responses by email today, 26/2/17.

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