2. National Cervical Screening Programme Presentation to Smear Takers 2014 Eileen Aukett Register Coordinator - Northland

3. Contact details www.nsu.govt.nz Free Phone 0800 729 729 Or 09 4700575 (Northland Region)

4. Did you know: 2008 Processing 425,00 smears of which 1.3% are high grade results (HSIL) 28,000 colposcopies 16 lifetime smears per woman Per annum 170 women diagnosed with invasive cervical cancer in NZ and 60 women die 2013 Processing 433,000 smears, 7,450 HG (1.7%) 31,540 Colposcopies Public and Private 16 lifetime smears per woman In 2011, 161 diagnosed with invasive cancer in NZ and 52 died of cervical cancer in 2010

5. Did you know (ctd) 2008 Between 1990 and 2005 the death rate from cervical cancer in New Zealand decreased by 60% 2013 Between 1998 and 2010 mortality rate from Cervical Cancer decreased 32% Northland 2013 13,000 Screens 660 Colposcopies The NCSP currently includes * 7000 smear takers * 20 DHB’s * 7 Laboratories

6. Roles of NCSP-R Central Team Maintain the NCSP-Register Manage records and correspondence Conduct quality assurance Liaise with the regional service sites Audit and Monitor women outside the NCSP guidelines Provide first level support for NCSP- Register users Manage enquiries

7. Reports Available Screening Event History (on request) Smear Taker Recall (monthly and on request) Overdue Smears (monthly and on request) Quality of Smears (annually and on request)

8. Recall of Women for smears The minimum number of attempts to contact women for recall is three, however it is expected that further efforts will be made where possible. For women who have not responded to recall, opportunistic screening may be appropriate. Women should not be removed or archived from recall lists

9. Screening History Report Provided on demand Provides women’s screening history Request from your Regional Team (phone 09 4700575 or fax 09 4700576 Laboratories and Colposcopy Clinics generate their own

10. Smear Taker Recall Report When women are due to have a smear, they must be followed up by Health Practitioners Lists due women by level of abnormality i.e. HG, LG, and Normal history. Automatically generated by the Register two months prior to when the particpant will be due for a smear and sent out monthly

11. Smear Taker Recall Report

12. Overdue Smears Report Tells smear takers who is overdue for a cervical smear Opportunity for smear takers to update demographics and other relevant information Automatically generated by the NCSP-Register and sent out monthly A woman stays on report for a maximum of 90 days Women with abnormal history will receive a recall letter at 3 months and 6 months Women with normal history will receive a recall letter at 6 months and 9 months

13. Overdue Smears Report

14. Quality of Smears Report Details compliance and performance information based on quality of smears with adequate cell counts against number of smears taken Can be generated on request by Smear Taker or Health Facility Automatically generated and sent out yearly to smear takers

15. Quality of Smears Report for a Facility

16. Quality of Smears Report for a Smear Taker

17. Further information Screening Matters – Can be downloaded from NSU Website NCSP Competencies for Smear Taker training - NSU Website NCSP Operational Policy & Standards – Section – Section 4 Providing a Smear taker service – NSU Website Best Practice Guidance on HPV Testing – NSU Website

18. Thank you