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New local health and care partnerships could save lives

Doctors and nurses will be able to reduce unnecessary patient tests and improve safety through better working between hospitals and GPs and social care.

New partnerships will be introduced giving health and care staff better and faster access to vital information about the person in their care, so they can determine the right action as quickly as possible, whether that is urgent tests or a referral to a specialist.

At the moment, in many local areas GPs and other care professionals are often not able to access crucial patient information quickly if it is held in another part of the health service sometimes having to rely on post or fax instead.

Dr Simon Eccles, chief clinical information officer for Health and Care, said: “Sharing information for people’s individual care can be lifesaving by quickly providing staff with the details they need, from patient histories to previous test results and care plans.

“The public already assume their GP Practice and hospital can see their records, now in the NHS’s 70th year through Local Health and Care Records we will start to make this possible.”

In recent years a number of small scale projects, created by local organisations, have done this successfully. In many cases this is supporting integrated health and social care teams who are working together.

  • In Rotherham patients are leaving hospital faster. Community nurses know when their patients have been admitted to hospital so they can start conversations earlier about what needs to happen so patients can be ready to go home.
  • In Dorset care for elderly patients is a smoother and less stressful experience. A 96-year-old with a number of long term medical conditions is reassured that if they are taken ill, or fall over the emergency services will already understand their conditions and not need them to repeat the information.
  • In Leeds GPs benefit from a window into the hospital. They can see when their patients have appointments, which patients are in hospital and view letters and results that may not yet have arrived at the practice.

Yesterday NHS England announced that three areas, covering 14 million people, have been chosen to become ‘Local Health and Care Record Exemplars’ (LHCRE).

Will Smart, chief information officer for Health and Care, said: “Through Local Health and Care Record Exemplars we are raising the bar for how the NHS can improve care through technology.

“By sharing information across a larger population, we can ensure that as people move across the different parts of the NHS and social care they don’t have to repeat themselves and provide the same information time and again.

“We were very impressed by the standard of bids we received and the ambition across the country, in the coming weeks we will be talking to those remaining areas to understand which two are ready to join the initial group this year.”

Each new partnership will receive up to £7.5 million over two years to put in place an electronic shared local health and care record that makes the relevant information about people instantly available to everyone involved in their care and support.

The selected areas are:

  • Greater Manchester
  • Wessex
  • One London

NHS England will work with the other sites that bid to join the programme over the next few weeks to understand more about their plans and how we can work with them to help realise their ambitions.

Each Local Health and Care Record Exemplar will work on a larger scale than existing local projects, providing healthcare staff who need it access to the information they need for people’s individual care.

Each Local Health and Care Record Exemplar is made up of either one or multiple Sustainability Transformation Partnerships (STPs).

The new partnerships will also work to better understand demand for local services and to plan effectively for future demand.

Health Minister Lord O’Shaughnessy said: “Patients rightly expect that, wherever they’re being treated in the NHS, doctors and nurses will have access to all the vital information they need.

“Building on successful projects across England, this new programme will make that a reality for millions of patients – with the potential to improve care and save lives.”

On 25 May, new General Data Protection Regulations (GDPR) will come into force in the UK, giving the public more control over how their personal information is used.

The Government will also introduce a new national data opt-out on 25 May, which will offer people a choice on how their confidential patient information is used for research and planning.

The NHS has a long history of scientific breakthroughs and providing patient’s with access to leading research trials and the latest treatments.

In the future the NHS and Government will seek to establish Digital Innovation Hubs to provide a safe, controlled and secure environment for research that can bring patients benefits from scientific breakthroughs much faster.

 

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

Original article link: https://www.england.nhs.uk/2018/05/new-local-health-and-care-partnerships-could-save-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.”