Specialised Commissioning Alert: screening

Showing posts with label screening. Show all posts

16 October 2019

The review makes a number of recommendations regarding screening in England around governance, IT systems, uptake and delivery, performance, financial incentives, creating capacity to change, improving audit and research.
A key change is that NHS England should take responsibility for the delivery of all screening programmes, integrating the delivery of targeted and population screening previously split between NHS England and PHE.

Information about imaging practice standards for bowel cancer screening of individuals unsuitable for a colonoscopy. It reflects the experience and changing evidence of the role of imaging and particularly of computed tomography colonography (CTC) as the main colonic examination.

This report presents the evidence around newborn bloodspot screening and gives views of people living with rare and genetic diseases. It contains recommendations to adapt decision-making to fit rare diseases, to embrace the potential of screening as a rare disease identification system, and to take advantage of developments in technology.

This document provide details, including the terms of reference, for an independent review of national cancer screening programmes in England.
The programme was launched by Professor Sir Mike Richards and is part of the Long Term Plan. It will make a series of recommendations to the NHS England board about the future delivery of cancer screening programmes and is expected to be published by summer 2019. [NHS England announcement here.]

Adult health screening
House of Commons Public Accounts Committee 10 May 2019

The PAC took evidence on the management of four of the 11 health screening programmes operating in England: bowel, breast and cervical cancers and abdominal aortic aneurism. It found that none of the screening programmes examined met their targets for ensuring the eligible population was screened in 2017–18.
The IT used to identify the eligible population for screening has been unfit for purpose for screening programmes since 2011, but still has not been replaced.
Overall it was concluded that the national oversight of screening programmes has failed patients, resulting in thousands of women not being invited for breast and cervical screenings or waiting too long for their cervical screening results.

Summary

Information for commissioners and screening providers, to help improve access to screening for people with severe mental illness.
Appendix 1 is a list of mental health service providers across England.

This document outlines the service and quality indicators expected by NHS England to ensure that a high standard of service is provided for targeted screening for lung cancer across England.
Standard Protocol prepared for the Targeted Lung Health Checks Programme

A Hospital Frailty Risk Score for older people in acute care, based on routinely collected data, was found to be a low-cost systematic way of screening for frailty. Patients with the highest scores had increased odds of 30-day mortality, long hospital stay, and 30-day readmission.

Pulse oximetry screening for critical congenital heart defects
Cochrane Database of Systematic Reviews 1 March 2018, Issue 3. Art. No.: CD011912.

A review of the evidence on the accuracy of pulse oximetry for detection of critical congenital heart defects (CCHDs) in asymptomatic newborn infants (21 studies) found that for every 10,000 apparently healthy newborn infants screened, around six of them will have CCHD. The pulse oximetry test will correctly identify five of these newborn infants with CCHD (but will miss one case).

A feasibility study which is part of the Manchester Lung Screening Pilot - the UK’s first NHS community-based, CT lung cancer screening service, has demonstrated that the approach helps identify lung cancers at early enough to cure them. People at risk of lung diseases were invited though their GP practice to attend a Lung Health Check at a pop up facility in a supermarket car park. The work was funded by Macmillan Cancer Support and commissioned by Manchester CCGs.
See also Manchester City Health and Wellbeing Board paper 1 November 2017, Lung Health Checks in Manchester