1. AAA screening

2. AAA – 1.5x normal diameter/>3cm diameter 6000 deaths/year – England + Wales 2% all deaths men 65+ 4% men 65-74 have AAA

3. Risk factors Age Male (6x more common) Smoking Hypertension FH

4. March 2009 Coverage in England – March 2013 Premature death from rupture reduced by 50%

5. MASS – screening will prevent significant numbers of AAA ruptures and deaths MASS stats. – –240 men need to be invited to prevent 1 AAA death > 10 years –Over 10 years – in 10,000 men scanned, 65 ruptures prevented, 52 lives saved

6. Screening Inform GPs of invite and outcome Invited at 65 (3/52 before US) Over 65 – can opt-in (self –referral) Results – verbally at time + post