1 cervical screening programme, england, 2012-13: graphs

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1 Cervical Screening Programme, England, 2012-13: Graphs Cervical Screening Programme, England, 2012-13: Graphs

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Cervical Screening Programme, England, 2012-13: Graphs

Cervical Screening Programme, England, 2012-13: Graphs

Figure 1: Cervical screening – Five year coverage of the target age group (25-64) England at 31st March, 2003 to 2013

© Data prior to 2005, re-used with the permission of the Department of Health.Source: KC53, Health and Social Care Information Centre.

Figure 2: Cervical screening – Age appropriate coverage by age groupEngland, at 31st March, 2012 and 2013

Source: KC53, Health and Social Care Information Centre.

63.0 72.7 76.1 78.1 78.3 82.8 76.6 72.762.0 70.6 73.7 75.8 76.2 82.4 75.9 72.70

10

20

30

40

50

60

70

80

90

100

25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64

Percent2012 2013

25-49 (coverage <3.5 yrs since last test) 50-64 (coverage <5 yrs since last test)

Figure 3: Cervical screening – Five year coverage of the target age group (25-64)Primary Care Organisation (PCO), England, 31st March 2013

Source: KC53, Health and Social Care Information Centre.

422 76 49

0

20

40

60

80

60 65 70 75 80 85

Number of PCOs

Coverage (% of eligible population less than 5 years since last adequate test)

60 65 70 75 80 85 90

Source: KC53, Health and Social Care Information Centre.

Figure 3a: Cervical screening – Five year coverage of the target age group (25-64)Primary Care Organisation, England, 31st March 2013

Figure 4: Number of women aged 25-64 invited for screening, by age England, 2004-05 to 2012-13

Source: KC53, Health and Social Care Information Centre.

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13

25-64

50-64

25-49

Millions

4.244.15

4.69

Figure 5: Number of women tested, by ageEngland from 2004-05 to 2012-13

Source: KC53, Health and Social Care Information Centre.

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13

25-64

25-49

50-64

Millions

3.323.283.56

Figure 6: Cervical screening – Test results showing a high-grade abnormality as a percentage of all test results, by age groupEngland 2012-13

Source: KC53, Health and Social Care Information Centre.

3.08

1.67

1.07

0.74

0.53

0.45

0.41

0.39

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

Percent

Age

Figure 7: Cervical screening – Percentage of tests for women aged 25-64 with an abnormal resultEngland by Primary Care Organisation (PCO), 2012-13

Source: KC53, Health and Social Care Information Centre.

Figure 8: Cervical Screening – Time from screening to receipt of results as measured by expected date of delivery of result letter (eligible women aged 25–64 years), percentage received within 2 weeks: England by reporting region, 2012-13

Source: National Cancer Screening Statistics VSA15 Report, HSCIC ‘Open Exeter’ system (NHAIS).

98.6

96.6

97.7

97.1

97.6

99.4

97.4

98.0

98.0

97.7

95.9

97.1

70 75 80 85 90 95 100

South West

South East Coast

South Central

South East

London

East of England

West Midlands

East Midlands

North West

Yorkshire & the Humber

North East

NEYH

Percent

Yorkshire & the Humber

North-East

South Central

South East Coast

England - 97.8

Reporting Region SHA

Figure 9: Recall status for women with mild or borderline screening resultsEngland, 2011-12 and 2012-13

Source: KC53, Health and Social Care Information Centre.

3.6

23.1

70.4

33.226.0

43.7

0

10

20

30

40

50

60

70

80

90

Borderline changes(2011-12)

Borderline changes(2012-13)

Percent

1.0

7.9

26.18.5

72.9

83.6

0

10

20

30

40

50

60

70

80

90

Mild dyskaryosis(2011-12)

Mild dyskaryosis(2012-13)

Percent

Normal (A)

Repeat (R)

Suspend (S)

Figure 10: Cervical cytology – Percentages of samples from GP & NHS Community Clinics found to be inadequate, from women aged 25-64England, 2002-03 to 2012-13

© Data prior to 2005, re-used with the permission of the Department of Health.Source: KC61, Health and Social Care Information Centre.

9.4

2.2

0

1

2

3

4

5

6

7

8

9

10

2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13

Percent

Figure 11: Cervical cytology – Percentage of samples from GP & NHS Community Clinics found to be inadequate, for women aged 25-64, by laboratoryEngland, 2012-13

Source: KC61, Health and Social Care Information Centre.

6 34 27 15 4 10

5

10

15

20

25

30

35

% Inadequate

Number of laboratories

0 1 2 3 4 5 6 7 8

Figure 12: Outcome of referral following non-negative test result (persistent or with positive HPV test) England, April 2012 to June 2012

Source: KC61, Health and Social Care Information Centre.

Cervical Cancer0.1%

CIN3 or Adenocarcinoma

in situ6.8%

CIN210.4%

CIN126.3%

Non Cervical Cancer

0.0%

Other56.3%

Figure 13: Outcome of referral following single occurrence of potentially significant abnormalityEngland, April 2012 to June 2012

Source: KC61, Health and Social Care Information Centre.

Cervical Cancer2.5%

CIN3 or Adenocarcinoma

in situ57.2%CIN2

23.8%

CIN18.0%

Non Cervical Cancer

0.5%

Other8.1%

Figure 14: Positive Predictive Value, by laboratoryEngland, April 2012 to June 2012

Source: KC61, Health and Social Care Information Centre.

1 7 11 22 34 7 50

5

10

15

20

25

30

35

40

Number of Laboratories

Positive Predictive Value (%)

50 55 60 65 70 75 80 85 90 95 100

Figure 15: Referral Value, by laboratoryEngland, April 2012 to June 2012

Source: KC61, Health and Social Care Information Centre.

9 27 27 14 3 4 1 1 1

0

5

10

15

20

25

30

35

Number of Laboratories

Referral Value

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5

Figure 16: Women referred to colposcopy: time from referral to first offered appointment by indication England, 2012-13

Source: KC65, Health and Social Care Information Centre.

Figure 17: Biopsies taken at colposcopy – time from biopsy until patient informed of result (4 month sample)England, 2012-13

Source: KC65, Health and Social Care Information Centre.

38.4 45.2 13.71.7

1.10

10

20

30

40

50

60

less thanor equal to

2 weeks

more than2 weeks upto 4 weeks

more than4 weeks upto 8 weeks

more than8 weeks up

to 12weeks

over 12weeks

Percent

Weeks