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Cervical Screening

Professional Resources

Call Recall

The Cervical Screening Administration Service (CSAS) is responsible for the call/recall for cervical screening.

Their role in supporting cervical screening includes:

  • Sending Prior Notification Lists (PNLs) of patients eligible for screening to GP practices
  • Ceasing and deferring patients
  • Sending out call and recall letters to patients
  • Notifying patients of test results once received from the laboratory

General enquiries to: CSAS.Enquiries@nhs.net

Primary Care Support

Public Health England

Cervical screening: call and recall administration best practice

Cervical screening: programme overview

Ceasing and deferring women from the NHS Cervical Screening Programme

NHS England

Guidance for acceptance of cervical screening samples in laboratories and pathways, roles and responsibilities

Cervical screening: programme and colposcopy management

Managing safety incidents in NHS screening programmes

Training and Education

Cervical sample taker training

National guidance on the training of new cervical sample takers

Education Pathway

Cervical sample taking is one element of a complex screening pathway. A cervical screening test is a consultation and clinical examination. A cervical sample taker must have the required level of knowledge and understanding of the cervical screening programme, and clinical skill, to safeguard the individual.

The following UK registered healthcare professionals are eligible to train to undertake the role of cervical sample taker:

  • Registered nurses
  • Registered nursing associates
  • Registered midwives
  • Physician associates who are registered on the Physician Associate Managed Voluntary Register (PAMVR)
  • Registered healthcare professionals working in integrated sexual health (ISH) clinics
  • General Medical Council (GMC) registered medical doctors

Taking cervical samples is a delegated activity and the nursing associate works within the remits of their professional code. The screening provider must consider safety, quality, competency and the treatment of disease, disorder or injury (TDDI) legislation when deploying a nursing associate. When a nursing associate has registered with the Nursing and Midwifery Council (NMC), a registered professional listed under the legislation (registered nurse or GP) will need to supervise their practice. The individual who provides this professional support must be present at the GP practice in order to undertake indirect supervision of the nursing associate when carrying out the procedure.

Registered nurses, nursing associates, midwives and physician associates must complete a recognised theoretical course followed by a period of supervised training as described in this guidance.

Initial Training

The training period for trainee sample takers is a maximum of 9 months from enrolment through to completion. Any training provider can be used as long as training meets the criteria within the national guidance and is accredited.

The links below are the training providers used across Surrey to date:

Some theoretical teaching is being offered virtually. Surrey Training Hub are working with all training providers to offer dates across Surrey, please see Eventbrite here for upcoming courses.

Sample Taker Numbers

Practice managers can now register someone working at their practice on the sample taker database and allocate a sample taker number  asp-tr.bspssampletakers@nhs.net In doing so, the individual health professional is confirming that they have taken or are undertaking training which meets the criteria within the national guidance.

To obtain a sample taker number the following information is needed:

NURSES:

You will need to provide the following training information to register a nurse:

  • Initial cervical screening training date and the name of the initial training provider
  • Cervical Sample taker update training date (if initial training was not within the last 3 years)
  • Certificate of completion - the most recent training course (this will be either initial or update training depending which was completed most recently).
  • Email address
  • NMC number
  • Full name
 

GPs:

You will need to provide the following training information to register a doctor:

  • Email address
  • GMC Number
  • Full Name

Doctors do not need an initial training date. Doing their medical degree and medical training is acceptable. As long as they have a GMC number, then we know they are a registered doctor. This can be accepted.

Although not mandatory it is highly recommended that GPs complete the e-LFH cervical screening update module.  We received this advice from NHS England and is stated on the website under updated training for GPs.  NHS Screening Programmes - elearning for healthcare (e-lfh.org.uk)

The national guidance on training to take samples is available here:

https://www.gov.uk/government/publications/cervical-screening-cervical-sample-taker-training

The national guidance recommends that qualified medical doctors undertake the cervical screening training as described in this guidance to enhance their specialist training.

It is only a  recommendation  and we cannot mandate that doctors undertake this.

Please consider any specialist training the Doctor has undertaken, prior experience of taking samples and make a decision whether following the guidance in sections 3.22/3.23 would be sufficient in order to take samples. 

We would expect Doctors are working within their professional codes of conduct / professional sphere of practice and would only undertake procedures unsupervised once they feel competent and are trained to do so. All registered health professionals involved in cervical screening must keep up to date with developments in the programme and meet their professional obligations for continuing professional development. The guidance also details the minimum requirements for update training.

Cervical Screening Mentor

The cervical screening mentor supports the trainee through their practical sample taker training and confirms their achievement for progression to the final evaluation and clinical assessment.

Mentors must be practising sample takers with at least 12 months continuous experience, having taken at least 50 cervical samples following completion of their own initial training. Mentors must have effective communication skills and ideally hold a relevant mentoring and, or teaching qualification. Further information about the role of the mentor is detailed in the national sample taker training guidance.

Cervical Screening Assessor

The assessor is external to the trainee’s place of work. The assessor is responsible for conducting the trainee’s final clinical assessment. The training provider is responsible for recruiting and inducting individuals to the role of assessor making sure they understand the role, are sufficiently prepared to carry it out and are consistent in their practice. Further information about the role of the assessor is detailed in the national sample taker training guidance.

There will be opportunity for experienced practitioners to undertake this course fully funded due to the challenges due to COVID-19. Please contact the Training Hub if you are interested in this opportunity.

Required Update Training for cervical sample takers

Sample takers must undertake a minimum of 3 hours update training every 3 years. The national eflh resource for sample takers meets the programme requirements for update training. This is a free resource suitable for update training only and sample takers will need to register and create an elfh account.

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