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NHS recruitment drive to help tackle loneliness and improve lives

The NHS is recruiting a growing army of social prescribing link workers to combat loneliness and isolation fuelled by coronavirus.

More than 1,200 are already helping people to improve their mental health and get more exercise by taking part in activities from gardening to ballroom dancing.

And now the NHS is fast-tracking recruitment of an additional 500, who will work with family doctors and the growing number of clinical staff working in primary care to provide personalised support to 125,000 more people per year.

One in five people who visit a GP surgery do not have a medical problem but can benefit from meeting others or a healthier lifestyle.

Social prescribing link workers, introduced to the NHS last year, spend time with patients to understand the reasons for them seeking help, and support them to get involved with activities such as sports teams, cooking classes or social clubs, or taking up life skill courses to improve their wellbeing.

As part of its Long Term Plan, the NHS was committed to employing 1,000 social prescribers by March 2021, with that target already surpassed.

Now, with the coronavirus pandemic compounding loneliness, isolation and mental health problems for many people, the NHS is providing extra funding to groups of GPs to allow them to go further, so that more than 400,000 people a year can benefit from the additional support that link workers can provide to local communities.

Nikki Kanani, London GP and NHS medical director for primary care, yesterday said:

“Link workers have been front and centre of the NHS’ response to COVID-19, helping some of our most vulnerable people with everything from accessing vital medicine to relieving loneliness during the lockdown.

“And as the NHS continues to support Covid patients while offering its usual world class care, link workers will remain vital, helping to improve people’s quality of life and emotional wellbeing and keeping them healthy.”

Social prescribers are just one way that the NHS is strengthening primary care, with more people also training to be a GP than ever before.

In all, 26,000 additional staff who are being recruited to roles supporting networks of family doctors over the coming years, meaning that people can access a wider range of care and treatment closer to home.

They join, among others, advanced paramedics, mental health therapists, clinical pharmacists and pharmacy technicians, dietitians, podiatrists and occupational therapists – paid for by significant the additional investment in primary and community care promised in the NHS Long Term Plan.

During the last year the NHS has worked hard to support its new link workers, many of whom have had to hit the ground running when they took up post just as the pandemic hit.

With lockdown stopping most social activities, many social prescribers have had to adapt their approach, working closely with local groups and volunteers to coordinate support for vulnerable patients, such as check-in and chats, food parcels and medicine deliveries.

James Sanderson, Director of NHS Personalised Care yesterday said:

“There is no one size fits all approach to a person’s health which is why the NHS will support 2.5 million people with long term conditions by 2024 to be actively involved in their own care and improve their long-term wellbeing.

“By putting people in contact with services and activities that matter to them, from cooking classes to walking football, they will not only be able to develop new skills, but will also be able to improve their health and wellbeing.”

Widening access to social prescribing support is part of the Government’s Loneliness Strategy of 2018, and in October 2019 the Department for Health and Social Care established the National Academy for Social Prescribing to help inform how local teams can best support those who need their help.

Chair of the National Academy for Social Prescribing, Professor Helen Stokes-Lampard, yesterday said:

“Link workers are an excellent new addition to the primary care team and are already having a great impact in helping people live their best lives. The academy is building the resources needed to enable social prescribing to thrive and the additional support for PCNs from NHS England is therefore warmly welcomed.”

 

Channel website: https://www.england.nhs.uk/

Original article link: https://www.england.nhs.uk/2020/08/nhs-recruitment-drive-to-help-tackle-loneliness-and-improve-lives/

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NHS England

NHS rolls out discreet home-testing kits against cervical cancer for millions of women

25/08/2026 13:10:00

Nearly 4 million women will be offered HPV self-testing kits if they have not attended cervical screening appointments following invitations from the NHS in England.

The NHS is starting to roll out the new self-testing kits from today to encourage more women to complete their potentially lifesaving screening to detect human papillomavirus (HPV), which can increase the risk of cervical cancer.

England’s leading women’s health doctor described the move as a “gamechanger” given that around a third of those eligible aren’t up to date with their cervical screening, and this test provides a more “discreet and convenient option” for them.

The self-testing kit contains a swab, similar to a long cotton bud, which is used to collect a sample from the vagina. The sample is then posted back to the NHS for free, where it is checked for high-risk HPV.

If high-risk HPV is found, individuals will be invited to book a follow-up cervical screening appointment at their GP surgery or sexual health clinic, where a nurse or doctor will take a small sample from the cervix to check for cell changes.

Cervical screening helps prevent cervical cancer by checking for high-risk types of HPV. It is a common virus that can cause changes to cells in the cervix. These changes can usually be treated before cancer develops.

Women who are eligible will start receiving invitations today via the NHS App, text message, email or letter, and once invited they will be able to order a free kit through the NHS App or their NHS online account.

This is the next major step the NHS is taking in its pledge to eliminate cervical cancer by 2040, by making it as easy as possible for people to get the lifesaving HPV vaccination and increasing cervical screening attendance.

Dr Sue Mann, National Clinical Director for Women’s Health at NHS England, said: “Screening saves thousands of lives each year by preventing cancers and catching them earlier, but only around two-thirds of women are attending cervical screening appointments when invited by the NHS.

“Offering millions of women an alternative test they can do from the comfort of their own homes will be a gamechanger – making it easier than ever for them to get tested for HPV. 

“There are lots of reasons that may stop women from getting their cervical screening – embarrassment, lack of time, or worries about discomfort – and these kits provide a discreet and convenient option we hope will encourage more women to take up the life-saving test. 

“So, if you’re invited to take part, please order a test – it’s a simple swab you can do at home in minutes.”

Cervical screening appointments with a clinician remain the best way to help prevent cervical cancer, but HPV self-testing is being introduced by the NHS as an additional choice for people who have not taken up previous invitations.

HPV self-testing is an invitation-only offer and is being rolled out in phases across England as part of the NHS Cervical Screening Programme, starting with those aged between 30 and 65, who have not attended cervical screening following previous invitations.

The national rollout comes on the back of the YouScreen trial run by North London cancer alliances in collaboration with NHS England and King’s College London in 2021, which found offering self-testing kits to under-screened women at their GP practice or at home could boost the numbers screened in England by about 400,000 each year.

The UK National Screening Committee used evidence from this trial in its recommendation to roll this out wider.

The latest figures show that 68.8% of eligible women were up to date with their cervical screening – below the NHS England target of 80%. This means around 4 million women in England are not up to date with their routine check-up.

Women aged 24-64 are invited for cervical screening by the NHS every five years, or more frequently if HPV is detected.

Anyone who has been invited for cervical screening can still book an appointment at any time, even if the invitation was sent months or years ago.

It is still important to attend cervical screening appointments if you have been vaccinated against HPV as the vaccine does not provide protection from all types of HPV, so there is a still a small chance of getting cervical cancer.

People who routinely attend for a cervical screening test with a clinician at their GP practice or sexual health clinic should continue to book their appointments as normal.

Health and Social Care Secretary Yvette Cooper said: “Cervical cancer is preventable – but that’s why we want to make it as easy and convenient as possible for women to keep up with their screening.

“These free self-testing kits will be offered to four million women who are currently behind on their screening to make it easier for as many women as possible to keep themselves healthy and safe.

“This is the future NHS we are building – there for all of us when we need it, and acting as early as possible to stop preventable deaths.”

Cancer Research UK’s Chief Executive, Michelle Mitchell, said: “Cervical screening is a powerful tool that saves lives – it can prevent cervical cancer or spot it at an earlier stage when treatment is more likely to be successful. 

“While it’s best for cervical screening to be done by a nurse or doctor, there are barriers that make it challenging for some people to attend. At-home HPV self-testing kits will help more people take part in a way that works for them.

“If people receive their cervical screening or self-testing kit invitation, please consider taking up the offer and encourage loved ones to do the same. Beating cervical cancer means beating it for everyone, and this move brings us closer to that goal.”

Athena Lamnisos, Chief Executive Officer at The Eve Appeal, said: “There are many reasons why those eligible for cervical screening don’t attend.

“Challenges around the type of test it is, limited awareness around HPV and its role in cancer development, as well as practical barriers such as problems around booking and attending an appointment, stop many from going.

“Cervical screening is designed to prevent cervical cancer rather than respond to symptoms, attending a clinic requires people to actively prioritise an appointment among the many competing demands of everyday life.

“Self-testing which can be done at home will be a step-change for many. We have the incredible opportunity to see the back of cervical cancer. How brilliant would that be? But to achieve this, we need to support everyone eligible to attend screening.

“At Eve we welcome the rollout of this programme and its focus on the audiences who need it most in the first stage of the screening pathway. Looking to the future, we hope that self-testing will provide the under-screened and never screened with a new option to help address some of the key barriers. 

“This is not a replacement for clinician screening, and we will continue to work with and support those attending their traditional cervical screening, to help make their appointments more comfortable and accessible. 

“The NHS has set a 2040 target for eliminating cervical cancer. We hope that rolling out self-testing will help us reach it.”

Dawn Bryant, 62, from Hertfordshire, had cancerous cells found early thanks to NHS cervical screening and feels extremely lucky that it was detected and treated before the cancer progressed any further.

She says cervical screening may have saved her life and is encouraging other women who haven’t had theirs yet or have put it off, to book an appointment or do the at-home HPV test if invited.

“My nan died of cervical cancer when I was only 11 so I know how difficult it can be and how important cervical screening is.

“A screening test when I was 32 found I had severe high-grade cell changes, and after further testing I was told it was cancer. 

“I am so lucky it was found at an early stage and could be easily treated. I had some surgery to remove the cells, but I didn’t have to have chemotherapy, radiotherapy, or anything. It was a very scary time, but who knows what would have happened if I’d delayed having the test. 

“Since then, I have been regularly monitored, and had many tests and colposcopies, and although they can be a bit uncomfortable, I would not think twice about having them done again.

“I know lots of women who have put off having screening, and sadly, some who have been diagnosed with advanced cervical cancer after putting it off for years.

“It is so important women go for these check-ups or do the home-testing kit if invited. It doesn’t take very long and if you’re worried or have questions, the staff are excellent and will talk to you and help answer any fears you’ve got.”