AAA standards report 2022 to 2023
Published 5 December 2023
Applies to England
© Crown copyright 2023
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This publication is available at https://www.gov.uk/government/statistics/abdominal-aortic-aneurysm-screening-standards-report-2022-to-2023/aaa-standards-report-2022-to-2023
This report presents data against each of the 15 screening standards for screening activity related to abdominal aortic aneurysm (AAA) screening.
The data source used for this report is AAA SMaRT (screening management and referral tracking).
The NHS AAA screening programme aims to reduce aneurysm-related mortality through early detection, appropriate monitoring and treatment. The NHS AAA screening programme invites men for ultrasound screening during the year (1 April to 31 March) in which they turn 65. Men over 65, who have not previously been screened can self-refer. The programme offers annual or quarterly surveillance for all men who on initial scan are found to have a small or medium aneurysm respectively. Men found to have a large aneurysm are referred into the care of specialised vascular providers for diagnosis and treatment.
National AAA standards provide a defined set of measures that providers must meet to make sure services are safe and effective. The NHS AAA screening programme published a set of revised standards in April 2020.
This report is an official statistic. Official statistics are an essential public asset. They provide a window on society, the economy, and on the work and performance of government. They are fundamental to the judgements and decisions made by the public, by government, and by an enormous range of other organisations.
1. AAA Standards
There are 15 national AAA standards included in this report, which are:
- AAA-S01: completeness of offer (initial screen)
- AAA-S02: completeness of offer (annual surveillance scan)
- AAA-S03: completeness of offer (quarterly surveillance scan)
- AAA-S04: coverage (initial screen)
- AAA-S05: coverage (annual surveillance scan)
- AAA-S06: coverage (quarterly surveillance scan)
- AAA-S07: coverage of the initial screen in men living in deciles 1 to 3
- AAA-S08: uptake (initial screen)
- AAA-S09: uptake (annual surveillance scan)
- AAA-S10: uptake (quarterly surveillance scan)
- AAA-S11: non-visualised screens
- AAA-S12: internal quality assurance
- AAA-S13: nurse assessments
- AAA-S14: men seen at specialist assessments within 2 weeks
- AAA-S15: men operated on within 8 weeks
Standards data are published annually. Standard AAA-S04, AAA-S05 and AAA-S06 are also key performance indicators (KPIs), which are published quarterly.
Two thresholds, the acceptable threshold and achievable threshold are specified for each standard.
1.1 Provider table
Charts in this report display the internal code used by the AAA programme. This table shows the name of the provider associated with each code.
| Code | Provider | Region |
|---|---|---|
| BBW | Bristol, Bath and Weston AAA Screening Cohort | South West |
| BCO | Black Country AAA Screening Cohort | Midlands |
| BLM | Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | East of England |
| CAM | Cambridgeshire AAA Screening Cohort | East of England |
| CHM | Cheshire and Merseyside AAA Screening Cohort | North West |
| CML | Lancashire and South Cumbria AAA Screening Cohort | North West |
| COV | Coventry and Warwick AAA Screening Cohort | Midlands |
| CYH | Central Yorkshire AAA Screening Cohort | North East and Yorkshire |
| DBY | Derbyshire AAA Screening Cohort | Midlands |
| DOW | Dorset and Wiltshire AAA Screening Cohort | South West |
| ESX | Essex AAA Screening Cohort | East of England |
| FRV | Five Rivers AAA Screening Cohort | East of England |
| GLO | Gloucester and Swindon AAA Screening Cohort | South West |
| HAM | Hampshire AAA Screening Cohort | South East |
| HFD | Hertfordshire AAA Screening Cohort | East of England |
| HOE | Central England AAA Screening Cohort | Midlands |
| HRW | Hereford and Worcester AAA Screening Cohort | Midlands |
| KEN | Kent and Medway AAA Screening Cohort | South East |
| LEI | Leicester AAA Screening Cohort | Midlands |
| LNC | Lincolnshire AAA Screening Cohort | Midlands |
| MAN | Manchester AAA Screening Cohort | North West |
| NOE | North East and North Cumbria AAA Screening Cohort | North East and Yorkshire |
| NOL | North London AAA Screening Cohort | London |
| NOR | Norfolk and Waveney AAA Screening Cohort | East of England |
| NOT | Nottinghamshire AAA Screening Cohort | Midlands |
| NRH | Northamptonshire AAA Screening Cohort | Midlands |
| NSS | North and South Staffordshire AAA Screening Cohort | Midlands |
| PEN | Peninsula AAA Screening Cohort | South West |
| SDE | South Devon AAA Screening Cohort | South West |
| SOM | Somerset and North Devon AAA Screening Cohort | South West |
| STW | Shropshire, Telford and Wrekin AAA Screening Cohort | Midlands |
| SWL | South London AAA Screening Cohort | London |
| SYB | South Yorkshire and Bassetlaw AAA Screening Cohort | North East and Yorkshire |
| THV | Thames Valley AAA Screening Cohort | South East |
| WSR | West Surrey AAA Screening Cohort | South East |
| WSU | Sussex AAA Screening Cohort | South East |
| WYO | West Yorkshire AAA Screening Cohort | North East and Yorkshire |
| YOH | North Yorkshire and Humber AAA Screening Cohort | North East and Yorkshire |
Data are presented by financial year (1 April 2022 to 31 March 2023) unless stated otherwise.
2. AAA-S01: completeness of offer (initial screen)
There were 324,555 men aged 65 eligible for AAA screening between 1 April 2022 and 31 March 2023; 97.0% of those eligible men were offered an initial screen within the screening year plus 2 months. The reasons for not being invited include:
- offered after 31 May 2023 (mainly due to some local services still recovering from the impact of the COVID-19 pandemic)
-
incorrect contact details
-
deferring screening
-
opting out of the screening programme
- not offered
Figure 1: percentage of eligible cohort men offered screening within the screening year plus 2 months, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 1a: percentage of eligible cohort men offered screening within the screening year plus 2 months, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 95.4% |
| Black Country AAA Screening Cohort | 100.0% |
| Bristol, Bath and Weston AAA Screening Cohort | 99.9% |
| Cambridgeshire AAA Screening Cohort | 99.8% |
| Central England AAA Screening Cohort | 99.9% |
| Central Yorkshire AAA Screening Cohort | 100.0% |
| Cheshire and Merseyside AAA Screening Cohort | 70.9% |
| Coventry and Warwick AAA Screening Cohort | 100.0% |
| Derbyshire AAA Screening Cohort | 100.0% |
| Dorset and Wiltshire AAA Screening Cohort | 99.8% |
| Essex AAA Screening Cohort | 100.0% |
| Five Rivers AAA Screening Cohort | 100.0% |
| Gloucester and Swindon AAA Screening Cohort | 100.0% |
| Hampshire AAA Screening Cohort | 99.8% |
| Hereford and Worcester AAA Screening Cohort | 99.9% |
| Hertfordshire AAA Screening Cohort | 95.2% |
| Kent and Medway AAA Screening Cohort | 100.0% |
| Lancashire and South Cumbria AAA Screening Cohort | 100.0% |
| Leicester AAA Screening Cohort | 100.0% |
| Lincolnshire AAA Screening Cohort | 100.0% |
| Manchester AAA Screening Cohort | 99.9% |
| Norfolk and Waveney AAA Screening Cohort | 100.0% |
| North East and North Cumbria AAA Screening Cohort | 98.6% |
| North London AAA Screening Cohort | 100.0% |
| North Yorkshire and Humber AAA Screening Cohort | 86.9% |
| North and South Staffordshire AAA Screening Cohort | 100.0% |
| Northamptonshire AAA Screening Cohort | 99.8% |
| Nottinghamshire AAA Screening Cohort | 100.0% |
| Peninsula AAA Screening Cohort | 100.0% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 93.7% |
| Somerset and North Devon AAA Screening Cohort | 100.0% |
| South Devon AAA Screening Cohort | 99.9% |
| South London AAA Screening Cohort | 99.9% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 100.0% |
| Sussex AAA Screening Cohort | 83.4% |
| Thames Valley AAA Screening Cohort | 99.9% |
| West Surrey AAA Screening Cohort | 77.4% |
| West Yorkshire AAA Screening Cohort | 99.0% |
The data for the report showed the following provider level information:
* 18 out of the 38 screening providers achieved 100.0% for this standard
* Cheshire and Merseyside AAA Screening Cohort had the lowest outcome (70.9%)
* 33 out of 38 screening providers met the acceptable threshold of ≥ 95.0%
* 25 out of 38 screening providers also reached the achievable threshold of ≥ 99.9%
The following provider(s) did not meet the acceptable threshold:
* Cheshire and Merseyside AAA Screening Cohort
-
North Yorkshire and Humber AAA Screening Cohort
-
Shropshire Telford and Wrekin AAA Screening Cohort
-
Sussex AAA Screening Cohort
-
West Surrey AAA Screening Cohort
Figure 2: percentage of eligible cohort men offered screening according to the standard definition, by region, England, 1 April 2017 to 31 March 2023
The offer of the initial screen to men in each cohort year was stable between 2013/14 (see previous years reports for data prior to 2017/18) and 2019/20. Following the sharp drop in 2020/21 performance due to the impact of the pandemic, performance increased in 2021/22, and has increased further in 2022/23, meeting the acceptable threshold, and has almost returned to the pre-pandemic levels.
36 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increase seen in Manchester AAA Screening Cohort, from 69.9% to 99.9% in 2022/23.
3. AAA-S02: completeness of offer (annual surveillance scan)
Between 1 April 2022 and 31 March 2023 there were 12,344 annual surveillance appointments due and 12,056 had an offer within 6 weeks of their due date (97.7%).
Figure 3: percentage of annual surveillance appointments due where there is an offered appointment within 6 weeks of the due date, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 3a: percentage of annual surveillance appointments due where there is an offered appointment within 6 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 99.4% |
| Black Country AAA Screening Cohort | 99.1% |
| Bristol, Bath and Weston AAA Screening Cohort | 97.9% |
| Cambridgeshire AAA Screening Cohort | 98.8% |
| Central England AAA Screening Cohort | 98.9% |
| Central Yorkshire AAA Screening Cohort | 99.1% |
| Cheshire and Merseyside AAA Screening Cohort | 100.0% |
| Coventry and Warwick AAA Screening Cohort | 98.6% |
| Derbyshire AAA Screening Cohort | 99.7% |
| Dorset and Wiltshire AAA Screening Cohort | 96.7% |
| Essex AAA Screening Cohort | 99.1% |
| Five Rivers AAA Screening Cohort | 99.7% |
| Gloucester and Swindon AAA Screening Cohort | 95.8% |
| Hampshire AAA Screening Cohort | 97.6% |
| Hereford and Worcester AAA Screening Cohort | 98.8% |
| Hertfordshire AAA Screening Cohort | 98.8% |
| Kent and Medway AAA Screening Cohort | 97.0% |
| Lancashire and South Cumbria AAA Screening Cohort | 98.5% |
| Leicester AAA Screening Cohort | 98.4% |
| Lincolnshire AAA Screening Cohort | 97.8% |
| Manchester AAA Screening Cohort | 93.7% |
| Norfolk and Waveney AAA Screening Cohort | 99.4% |
| North East and North Cumbria AAA Screening Cohort | 99.2% |
| North London AAA Screening Cohort | 98.1% |
| North Yorkshire and Humber AAA Screening Cohort | 100.0% |
| North and South Staffordshire AAA Screening Cohort | 99.4% |
| Northamptonshire AAA Screening Cohort | 97.6% |
| Nottinghamshire AAA Screening Cohort | 97.4% |
| Peninsula AAA Screening Cohort | 99.8% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 97.7% |
| Somerset and North Devon AAA Screening Cohort | 98.6% |
| South Devon AAA Screening Cohort | 98.6% |
| South London AAA Screening Cohort | 96.2% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 97.7% |
| Sussex AAA Screening Cohort | 96.5% |
| Thames Valley AAA Screening Cohort | 95.9% |
| West Surrey AAA Screening Cohort | 98.2% |
| West Yorkshire AAA Screening Cohort | 72.8% |
The data for the report showed the following provider level information:
* Cheshire and Merseyside AAA Screening Cohort and North Yorkshire and Humber AAA Screening Cohort had the highest outcome (100.0%)
* West Yorkshire AAA Screening Cohort (72.8%)
* 36 out of 38 screening providers met the acceptable threshold of ≥ 95.0%
* 12 out of 38 screening providers also reached the achievable threshold of ≥ 99.0%
The following provider(s) did not meet the acceptable threshold:
* Manchester AAA Screening Cohort
- West Yorkshire AAA Screening Cohort Nationally the proportion of annual surveillance appointments due where an appointment was offered 6 weeks either side of the due date decreased by 0.1 percentage points from 2021/22 to 2022/23, at 97.7%, however still meeting the acceptable threshold.
22 providers saw an improvement in performance between 2021/22 and 2022/23, with the largest improvement seen in Lancashire and South Cumbria AAA Screening Cohort, increasing from 94.0% to 98.5% in 2022/23. West Yorkshire AAA Screening Cohort saw the largest year on year decrease, with performance decreasing from 97.9% to 72.8% in 2022/23.
4. AAA-S03: completeness of offer (quarterly surveillance scan)
Between 1 April 2022 and 31 March 2023 there were 11,423 quarterly surveillance appointments due and 11,248 had an offer within 4 weeks of their due date (98.5%).
Figure 4: percentage of quarterly surveillance appointments due where there is an offered appointment within 4 weeks of the due date, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 4a: percentage of quarterly surveillance appointments due where there is an offered appointment within 4 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 98.2% |
| Black Country AAA Screening Cohort | 99.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 99.6% |
| Cambridgeshire AAA Screening Cohort | 98.4% |
| Central England AAA Screening Cohort | 99.0% |
| Central Yorkshire AAA Screening Cohort | 99.6% |
| Cheshire and Merseyside AAA Screening Cohort | 96.8% |
| Coventry and Warwick AAA Screening Cohort | 99.6% |
| Derbyshire AAA Screening Cohort | 99.0% |
| Dorset and Wiltshire AAA Screening Cohort | 99.7% |
| Essex AAA Screening Cohort | 96.5% |
| Five Rivers AAA Screening Cohort | 99.3% |
| Gloucester and Swindon AAA Screening Cohort | 98.6% |
| Hampshire AAA Screening Cohort | 96.8% |
| Hereford and Worcester AAA Screening Cohort | 98.6% |
| Hertfordshire AAA Screening Cohort | 98.7% |
| Kent and Medway AAA Screening Cohort | 96.8% |
| Lancashire and South Cumbria AAA Screening Cohort | 95.1% |
| Leicester AAA Screening Cohort | 96.6% |
| Lincolnshire AAA Screening Cohort | 99.6% |
| Manchester AAA Screening Cohort | 97.5% |
| Norfolk and Waveney AAA Screening Cohort | 98.6% |
| North East and North Cumbria AAA Screening Cohort | 99.2% |
| North London AAA Screening Cohort | 98.7% |
| North Yorkshire and Humber AAA Screening Cohort | 98.8% |
| North and South Staffordshire AAA Screening Cohort | 99.5% |
| Northamptonshire AAA Screening Cohort | 99.5% |
| Nottinghamshire AAA Screening Cohort | 97.4% |
| Peninsula AAA Screening Cohort | 99.4% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 100.0% |
| Somerset and North Devon AAA Screening Cohort | 99.7% |
| South Devon AAA Screening Cohort | 98.3% |
| South London AAA Screening Cohort | 97.4% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 99.6% |
| Sussex AAA Screening Cohort | 98.6% |
| Thames Valley AAA Screening Cohort | 97.8% |
| West Surrey AAA Screening Cohort | 100.0% |
| West Yorkshire AAA Screening Cohort | 96.8% |
The data for the report showed the following provider level information:
- Shropshire, Telford and Wrekin AAA Screening Cohort and West Surrey AAA Screening Cohort had the highest outcome (100.0%)
- Lancashire and South Cumbria AAA Screening Cohort (95.1%)
- 38 out of 38 screening providers met the acceptable threshold of ≥ 95.0%
- 15 out of 38 screening providers also reached the achievable threshold of ≥ 99.0%
Nationally the proportion of quarterly surveillance appointments due where an appointment was offered 4 weeks either side of the due date decreased by 0.1 percentage points from 2021/22 to 2022/23, at 98.5%, however still meeting the acceptable threshold.
16 of the 38 providers saw an improvement in performance between 2021/21 and 2022/23, with the largest improvement seen in South London AAA Screening Cohort, increasing from 93.3% to 97.4% in 2022/23. Leicester AAA Screening Cohort saw the largest decrease in performance, falling 3 percentage points to 96.6%, however they still achieved the acceptable standard.
5. AAA-S04: coverage (initial screen)
Of the 324,555 men aged 65 eligible for AAA screening between 1 April 2022 and 31 March 2023; 78.4% of those eligible men were conclusively tested within the screening year plus 2 months.
Figure 5: coverage - percentage of eligible cohort men conclusively tested within the screening year plus 2 months, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 5a: coverage - percentage of eligible cohort men conclusively tested within the screening year plus 2 months, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 74.4% |
| Black Country AAA Screening Cohort | 80.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 82.5% |
| Cambridgeshire AAA Screening Cohort | 83.1% |
| Central England AAA Screening Cohort | 74.5% |
| Central Yorkshire AAA Screening Cohort | 82.0% |
| Cheshire and Merseyside AAA Screening Cohort | 51.8% |
| Coventry and Warwick AAA Screening Cohort | 82.4% |
| Derbyshire AAA Screening Cohort | 86.5% |
| Dorset and Wiltshire AAA Screening Cohort | 86.3% |
| Essex AAA Screening Cohort | 82.3% |
| Five Rivers AAA Screening Cohort | 87.2% |
| Gloucester and Swindon AAA Screening Cohort | 85.6% |
| Hampshire AAA Screening Cohort | 82.0% |
| Hereford and Worcester AAA Screening Cohort | 85.4% |
| Hertfordshire AAA Screening Cohort | 77.6% |
| Kent and Medway AAA Screening Cohort | 85.6% |
| Lancashire and South Cumbria AAA Screening Cohort | 80.6% |
| Leicester AAA Screening Cohort | 84.5% |
| Lincolnshire AAA Screening Cohort | 85.0% |
| Manchester AAA Screening Cohort | 74.9% |
| Norfolk and Waveney AAA Screening Cohort | 85.5% |
| North East and North Cumbria AAA Screening Cohort | 78.5% |
| North London AAA Screening Cohort | 76.1% |
| North Yorkshire and Humber AAA Screening Cohort | 64.0% |
| North and South Staffordshire AAA Screening Cohort | 85.3% |
| Northamptonshire AAA Screening Cohort | 84.7% |
| Nottinghamshire AAA Screening Cohort | 86.1% |
| Peninsula AAA Screening Cohort | 85.5% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 78.8% |
| Somerset and North Devon AAA Screening Cohort | 88.8% |
| South Devon AAA Screening Cohort | 88.8% |
| South London AAA Screening Cohort | 74.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 83.2% |
| Sussex AAA Screening Cohort | 66.7% |
| Thames Valley AAA Screening Cohort | 82.2% |
| West Surrey AAA Screening Cohort | 59.5% |
| West Yorkshire AAA Screening Cohort | 77.8% |
The data for the report showed the following provider level information:
- Somerset and North Devon AAA Screening Cohort and South Devon AAA Screening Cohort had the highest outcome (88.8%)
- Cheshire and Merseyside AAA Screening Cohort had the lowest outcome (51.8%)
- 30 out of 38 screening providers met the acceptable threshold of ≥ 75.0%
- 12 out of 38 screening providers also reached the achievable threshold of ≥ 85.0%
The following provider(s) did not meet the acceptable threshold: -
Bedfordshire Luton and Milton Keynes AAA Screening Cohort
-
Cheshire and Merseyside AAA Screening Cohort
-
Five Rivers AAA Screening Cohort
-
Manchester AAA Screening Cohort
-
North Yorkshire and Humber AAA Screening Cohort
-
Peninsula AAA Screening Cohort
-
South Devon AAA Screening Cohort
- South London AAA Screening Cohort
Figure 6: coverage - percentage of eligible cohort men conclusively tested according to the standard definition, by region, England, 1 April 2017 to 31 March 2023
Following the decrease in performance in 2020/21, due to the impact of the pandemic, performance increased in 2021/22, and has again increased further in 2022/23, meeting the acceptable threshold and edging towards to pre-pandemic levels again.
29 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increase seen in North East and North Cumbria AAA Screening Cohort, from 31.1% to 78.5% in 2022/23. Peninsula AAA Screening Cohort saw the largest decrease in performance from 81.4% in 2021/22, to 66.7% in 2022/23.
6. AAA-S05: coverage (annual surveillance scan)
Of the 12,344 annual surveillance appointments due between 1 April 2022 to 31 March 2023, 90.9% had a conclusive test within 6 weeks of the due date.
Figure 7: coverage - percentage of annual surveillance appointments due where there is a conclusive test within 6 weeks of the due date, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 7a: coverage - percentage of annual surveillance appointments due where there is a conclusive test within 6 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 92.3% |
| Black Country AAA Screening Cohort | 96.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 88.3% |
| Cambridgeshire AAA Screening Cohort | 90.5% |
| Central England AAA Screening Cohort | 90.4% |
| Central Yorkshire AAA Screening Cohort | 92.2% |
| Cheshire and Merseyside AAA Screening Cohort | 92.8% |
| Coventry and Warwick AAA Screening Cohort | 94.9% |
| Derbyshire AAA Screening Cohort | 95.0% |
| Dorset and Wiltshire AAA Screening Cohort | 93.7% |
| Essex AAA Screening Cohort | 90.4% |
| Five Rivers AAA Screening Cohort | 96.0% |
| Gloucester and Swindon AAA Screening Cohort | 92.2% |
| Hampshire AAA Screening Cohort | 90.7% |
| Hereford and Worcester AAA Screening Cohort | 90.1% |
| Hertfordshire AAA Screening Cohort | 90.1% |
| Kent and Medway AAA Screening Cohort | 89.3% |
| Lancashire and South Cumbria AAA Screening Cohort | 91.6% |
| Leicester AAA Screening Cohort | 91.2% |
| Lincolnshire AAA Screening Cohort | 93.6% |
| Manchester AAA Screening Cohort | 84.9% |
| Norfolk and Waveney AAA Screening Cohort | 96.4% |
| North East and North Cumbria AAA Screening Cohort | 91.0% |
| North London AAA Screening Cohort | 89.5% |
| North Yorkshire and Humber AAA Screening Cohort | 94.9% |
| North and South Staffordshire AAA Screening Cohort | 96.2% |
| Northamptonshire AAA Screening Cohort | 89.8% |
| Nottinghamshire AAA Screening Cohort | 90.7% |
| Peninsula AAA Screening Cohort | 95.3% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 89.2% |
| Somerset and North Devon AAA Screening Cohort | 91.8% |
| South Devon AAA Screening Cohort | 94.2% |
| South London AAA Screening Cohort | 85.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 93.1% |
| Sussex AAA Screening Cohort | 87.1% |
| Thames Valley AAA Screening Cohort | 88.2% |
| West Surrey AAA Screening Cohort | 91.5% |
| West Yorkshire AAA Screening Cohort | 65.0% |
The data for the report showed the following provider level information:
- Black Country AAA Screening Cohort had the highest outcome (96.5%)
- West Yorkshire AAA Screening Cohort had the lowest outcome (65.0%)
- 36 out of 38 screening providers met the acceptable threshold of ≥ 85.0%
- 5 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following provider(s) did not meet the acceptable threshold: -
Manchester AAA Screening Cohort
- West Yorkshire AAA Screening Cohort Nationally the proportion of annual surveillance appointments due that had a conclusive test 6 weeks either side of the due date decreased by 0.1 percentage points from 2021/22 to 2022/23, at 90.9%, meeting the acceptable threshold.
22 providers saw an improvement in performance between 2021/22 and 2022/23, with the largest improvement seen in Lancashire and South Cumbria AAA Screening Cohort, which increased from 86.4% to 91.6% in 2022/23.
7. AAA-S06: coverage (quarterly surveillance scan)
Of the 11,423 quarterly surveillance appointments due between 1 April 2021 to 31 March 2023, 92.4% had a conclusive test within 4 weeks of the due date.
Figure 8: coverage- percentage of quarterly surveillance appointments due where there is a conclusive test within 4 weeks of the due date, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 8a: coverage - percentage of quarterly surveillance appointments due where there is a conclusive test within 4 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 89.8% |
| Black Country AAA Screening Cohort | 94.7% |
| Bristol, Bath and Weston AAA Screening Cohort | 91.7% |
| Cambridgeshire AAA Screening Cohort | 91.4% |
| Central England AAA Screening Cohort | 89.7% |
| Central Yorkshire AAA Screening Cohort | 97.4% |
| Cheshire and Merseyside AAA Screening Cohort | 91.3% |
| Coventry and Warwick AAA Screening Cohort | 97.6% |
| Derbyshire AAA Screening Cohort | 90.2% |
| Dorset and Wiltshire AAA Screening Cohort | 99.0% |
| Essex AAA Screening Cohort | 89.2% |
| Five Rivers AAA Screening Cohort | 96.9% |
| Gloucester and Swindon AAA Screening Cohort | 95.1% |
| Hampshire AAA Screening Cohort | 91.0% |
| Hereford and Worcester AAA Screening Cohort | 92.6% |
| Hertfordshire AAA Screening Cohort | 92.4% |
| Kent and Medway AAA Screening Cohort | 92.0% |
| Lancashire and South Cumbria AAA Screening Cohort | 86.6% |
| Leicester AAA Screening Cohort | 90.3% |
| Lincolnshire AAA Screening Cohort | 96.5% |
| Manchester AAA Screening Cohort | 88.7% |
| Norfolk and Waveney AAA Screening Cohort | 96.7% |
| North East and North Cumbria AAA Screening Cohort | 90.4% |
| North London AAA Screening Cohort | 92.1% |
| North Yorkshire and Humber AAA Screening Cohort | 92.6% |
| North and South Staffordshire AAA Screening Cohort | 95.8% |
| Northamptonshire AAA Screening Cohort | 94.0% |
| Nottinghamshire AAA Screening Cohort | 90.9% |
| Peninsula AAA Screening Cohort | 95.3% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 91.5% |
| Somerset and North Devon AAA Screening Cohort | 94.0% |
| South Devon AAA Screening Cohort | 92.5% |
| South London AAA Screening Cohort | 87.5% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 98.7% |
| Sussex AAA Screening Cohort | 91.2% |
| Thames Valley AAA Screening Cohort | 89.0% |
| West Surrey AAA Screening Cohort | 93.6% |
| West Yorkshire AAA Screening Cohort | 91.1% |
The data for the report showed the following provider level information:
- Dorset and Wiltshire AAA Screening Cohort had the highest outcome (99.0%)
- Lancashire and South Cumbria AAA Screening Cohort had the lowest outcome (86.6%)
- 31 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 10 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following provider(s) did not meet the acceptable threshold: - Bedfordshire, Luton and Milton Keynes AAA Screening Cohort
-
Central England AAA Screening Cohort
-
Essex AAA Screening Cohort
-
Lancashire and South Cumbria AAA Screening Cohort
-
Manchester AAA Screening Cohort
-
South London AAA Screening Cohort
- Thames Valley AAA Screening Cohort
Nationally the proportion of quarterly surveillance appointments due that had a conclusive test within 4 weeks of the due date decreased by 0.6 percentage points from 2021/22 to 2022/23, at 92.4%, but still meeting the acceptable threshold.
15 providers saw an improvement in performance between 2021/22 and 2022/23, with the largest improvement seen in Dorset and Wiltshire AAA Screening Cohort, increasing from 94.1% to 99.0% in 2022/23, meeting the achievable standard.
8. AAA-S07: coverage of the initial screen in men living in deciles 1 to 3
Nationally for 2022/23, 70.8% of men in the eligible cohort who were tested and lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019. This contrasts with 78.4% for the overall cohort.
Figure 9: coverage - percentage of men in the eligible cohort who were tested and who lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 9a: coverage - percentage of men in the eligible cohort who were tested and who lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 64.8% |
| Black Country AAA Screening Cohort | 75.1% |
| Bristol, Bath and Weston AAA Screening Cohort | 71.9% |
| Cambridgeshire AAA Screening Cohort | 76.1% |
| Central England AAA Screening Cohort | 66.2% |
| Central Yorkshire AAA Screening Cohort | 76.3% |
| Cheshire and Merseyside AAA Screening Cohort | 50.8% |
| Coventry and Warwick AAA Screening Cohort | 74.2% |
| Derbyshire AAA Screening Cohort | 77.0% |
| Dorset and Wiltshire AAA Screening Cohort | 78.9% |
| Essex AAA Screening Cohort | 73.1% |
| Five Rivers AAA Screening Cohort | 81.8% |
| Gloucester and Swindon AAA Screening Cohort | 75.0% |
| Hampshire AAA Screening Cohort | 72.3% |
| Hereford and Worcester AAA Screening Cohort | 75.7% |
| Hertfordshire AAA Screening Cohort | 66.8% |
| Kent and Medway AAA Screening Cohort | 78.9% |
| Lancashire and South Cumbria AAA Screening Cohort | 71.7% |
| Leicester AAA Screening Cohort | 74.3% |
| Lincolnshire AAA Screening Cohort | 80.6% |
| Manchester AAA Screening Cohort | 66.7% |
| Norfolk and Waveney AAA Screening Cohort | 79.5% |
| North East and North Cumbria AAA Screening Cohort | 73.5% |
| North London AAA Screening Cohort | 71.8% |
| North Yorkshire and Humber AAA Screening Cohort | 54.5% |
| North and South Staffordshire AAA Screening Cohort | 77.9% |
| Northamptonshire AAA Screening Cohort | 75.3% |
| Nottinghamshire AAA Screening Cohort | 81.3% |
| Peninsula AAA Screening Cohort | 80.2% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 74.4% |
| Somerset and North Devon AAA Screening Cohort | 83.2% |
| South Devon AAA Screening Cohort | 80.3% |
| South London AAA Screening Cohort | 66.5% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 78.6% |
| Sussex AAA Screening Cohort | 59.6% |
| Thames Valley AAA Screening Cohort | 67.8% |
| West Surrey AAA Screening Cohort | 73.2% |
| West Yorkshire AAA Screening Cohort | 70.0% |
The data for the report showed the following provider level information:
-
Somerset and North Devon AAA Screening Cohort had the highest outcome (83.2%)
-
Cheshire and Merseyside AAA Screening Cohort had the lowest outcome (50.8%)
-
17 out of 38 screening providers met the acceptable threshold of ≥ 75.0%
-
None of 38 screening providers also reached the achievable threshold of ≥ 85.0%
The following provider(s) did not meet the acceptable threshold:
* Bedfordshire Luton and Milton Keynes AAA Screening Cohort
-
Black Country AAA Screening Cohort
-
Bristol Bath and Weston AAA Screening Cohort
-
West Yorkshire AAA Screening Cohort
Figure 10: coverage - percentage of men in the eligible cohort who were tested and who lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019, England, 1 April 2020 to 31 March 2023
Men living in more deprived areas are less likely to attend for screening but are more likely to have an aneurysm. It is important for providers to engage with men living in more deprived areas to make sure they can make a personal informed choice.
This standard is the third year of being reported and should be reviewed alongside standard 4. It was first introduced in April 2020, however performance during 2020/2021 was impacted by the COVID-19 pandemic. Performance has increased year on year, however it is below both the achievable and acceptable thresholds.
28 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increases seen in Bedfordshire Luton and Milton Keynes AAA Screening Cohort, from 43.6% to 64.8% and Manchester AAA Screening Cohort, from 45.6% to 66.7%, in 2022/23. The largest decrease was for Sussex AAA Screening Cohort of 14.6 percentage points to 59.6%.
9. AAA-S08: uptake (initial screen)
There were 314,865 men offered AAA screening between 1 April 2022 and 31 March 2023; 80.8% of those men offered an initial screen were conclusively tested within the screening year plus 2 months.
Figure 11: uptake - percentage of eligible men offered screening who are conclusively tested within the screening year plus 2 months, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 11a: uptake - percentage of eligible men offered screening who are conclusively tested within the screening year plus 2 months, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 78.0% |
| Black Country AAA Screening Cohort | 80.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 82.6% |
| Cambridgeshire AAA Screening Cohort | 83.2% |
| Central England AAA Screening Cohort | 74.5% |
| Central Yorkshire AAA Screening Cohort | 82.0% |
| Cheshire and Merseyside AAA Screening Cohort | 73.0% |
| Coventry and Warwick AAA Screening Cohort | 82.4% |
| Derbyshire AAA Screening Cohort | 86.5% |
| Dorset and Wiltshire AAA Screening Cohort | 86.5% |
| Essex AAA Screening Cohort | 82.3% |
| Five Rivers AAA Screening Cohort | 87.2% |
| Gloucester and Swindon AAA Screening Cohort | 85.6% |
| Hampshire AAA Screening Cohort | 82.1% |
| Hereford and Worcester AAA Screening Cohort | 85.5% |
| Hertfordshire AAA Screening Cohort | 81.6% |
| Kent and Medway AAA Screening Cohort | 85.6% |
| Lancashire and South Cumbria AAA Screening Cohort | 80.6% |
| Leicester AAA Screening Cohort | 84.5% |
| Lincolnshire AAA Screening Cohort | 85.0% |
| Manchester AAA Screening Cohort | 75.0% |
| Norfolk and Waveney AAA Screening Cohort | 85.5% |
| North East and North Cumbria AAA Screening Cohort | 79.6% |
| North London AAA Screening Cohort | 76.2% |
| North Yorkshire and Humber AAA Screening Cohort | 73.7% |
| North and South Staffordshire AAA Screening Cohort | 85.4% |
| Northamptonshire AAA Screening Cohort | 84.8% |
| Nottinghamshire AAA Screening Cohort | 86.1% |
| Peninsula AAA Screening Cohort | 85.6% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 84.1% |
| Somerset and North Devon AAA Screening Cohort | 88.8% |
| South Devon AAA Screening Cohort | 88.9% |
| South London AAA Screening Cohort | 74.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 83.3% |
| Sussex AAA Screening Cohort | 80.0% |
| Thames Valley AAA Screening Cohort | 82.3% |
| West Surrey AAA Screening Cohort | 76.9% |
| West Yorkshire AAA Screening Cohort | 78.6% |
The data for the report showed the following provider level information:
- South Devon AAA Screening Cohort had the highest outcome (88.9%)
- Cheshire and Merseyside AAA Screening Cohort had the lowest outcome (73.0%)
- 33 out of 38 screening providers met the acceptable threshold of ≥ 75.0%
- 13 out of 38 screening providers also reached the achievable threshold of ≥ 85.0%
The following provider(s) did not meet the acceptable threshold: -
Central England AAA Screening Cohort
-
Cheshire and Merseyside AAA Screening Cohort
-
Manchester AAA Screening Cohort
-
North Yorkshire and Humber AAA Screening Cohort
- South London AAA Screening Cohort
Figure 12: uptake - percentage of men offered screening who are conclusively tested within the initial screening year plus 2 months, by region, England, 1 April 2017 to 31 March 2023
The percentage of men offered screening who were conclusively tested has remained relatively stable, even throughout the pandemic, and has seen a small increase from 2021/22 to 2022/23, continuing to meet the acceptable threshold.
28 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increase seen in Black Country AAA Screening Cohort, from 72.7% to 80.5% in 2022/23, meeting the acceptable threshold.
10. AAA-S09: uptake (annual surveillance scan)
Of the 12,056 annual surveillance appointments that were offered within 6 weeks of the due date, 93.1% had a conclusive test within the 6 weeks between 1 April 2022 to 31 March 2023.
Figure 13: uptake - percentage of annual surveillance appointments offered where there is a conclusive test within 6 weeks of the due date, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 13a: uptake - percentage of annual surveillance appointments offered where there is a conclusive test within 6 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 92.9% |
| Black Country AAA Screening Cohort | 97.4% |
| Bristol, Bath and Weston AAA Screening Cohort | 90.2% |
| Cambridgeshire AAA Screening Cohort | 91.6% |
| Central England AAA Screening Cohort | 91.4% |
| Central Yorkshire AAA Screening Cohort | 93.1% |
| Cheshire and Merseyside AAA Screening Cohort | 92.8% |
| Coventry and Warwick AAA Screening Cohort | 96.3% |
| Derbyshire AAA Screening Cohort | 95.3% |
| Dorset and Wiltshire AAA Screening Cohort | 96.9% |
| Essex AAA Screening Cohort | 91.2% |
| Five Rivers AAA Screening Cohort | 96.3% |
| Gloucester and Swindon AAA Screening Cohort | 96.3% |
| Hampshire AAA Screening Cohort | 92.9% |
| Hereford and Worcester AAA Screening Cohort | 91.2% |
| Hertfordshire AAA Screening Cohort | 91.2% |
| Kent and Medway AAA Screening Cohort | 92.1% |
| Lancashire and South Cumbria AAA Screening Cohort | 93.0% |
| Leicester AAA Screening Cohort | 92.7% |
| Lincolnshire AAA Screening Cohort | 95.7% |
| Manchester AAA Screening Cohort | 90.6% |
| Norfolk and Waveney AAA Screening Cohort | 97.0% |
| North East and North Cumbria AAA Screening Cohort | 91.7% |
| North London AAA Screening Cohort | 91.2% |
| North Yorkshire and Humber AAA Screening Cohort | 94.9% |
| North and South Staffordshire AAA Screening Cohort | 96.7% |
| Northamptonshire AAA Screening Cohort | 92.0% |
| Nottinghamshire AAA Screening Cohort | 93.1% |
| Peninsula AAA Screening Cohort | 95.5% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 91.3% |
| Somerset and North Devon AAA Screening Cohort | 93.1% |
| South Devon AAA Screening Cohort | 95.5% |
| South London AAA Screening Cohort | 88.7% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 95.3% |
| Sussex AAA Screening Cohort | 90.3% |
| Thames Valley AAA Screening Cohort | 92.0% |
| West Surrey AAA Screening Cohort | 93.2% |
| West Yorkshire AAA Screening Cohort | 89.2% |
The data for the report showed the following provider level information:
- Black Country AAA Screening Cohort had the highest outcome (97.4%)
- South London AAA Screening Cohort had the lowest outcome (88.7%)
- 36 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 12 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following provider(s) did not meet the acceptable threshold: -
South London AAA Screening Cohort
- West Yorkshire AAA Screening Cohort Nationally the proportion of annual surveillance appointments offered where there was a conclusive test within 6 weeks of the due date remained the same, at 93.1%, between 2021/22 to 2022/23, continuing to meet the acceptable threshold.
19 of the 38 providers saw an improvement in performance between 2021/22 and 2022/23, with the largest improvement seen in Gloucester AAA Screening Cohort, which increased from 92.9% to 96.3% in 2022/23, meeting the achievable threshold. Shropshire Telford and Wrekin AAA Screening Cohort saw the largest decrease in performance in 2022/23, compared with 2021/22 of 4.1 percentage points.
11. AAA-S10: uptake (quarterly surveillance scan)
Of the 11,248 quarterly surveillance appointments offered where there was a conclusive test within 4 weeks of the due date, 93.8% had a conclusive test within 4 weeks of the due date between 1 April 2022 to 31 March 2023.
Figure 14: uptake - percentage of quarterly surveillance appointments offered where there is a conclusive test within 4 weeks of the due date, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 14a: uptake - percentage of quarterly surveillance appointments offered where there is a conclusive test within 4 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 91.4% |
| Black Country AAA Screening Cohort | 95.1% |
| Bristol, Bath and Weston AAA Screening Cohort | 92.1% |
| Cambridgeshire AAA Screening Cohort | 92.8% |
| Central England AAA Screening Cohort | 90.7% |
| Central Yorkshire AAA Screening Cohort | 97.8% |
| Cheshire and Merseyside AAA Screening Cohort | 94.3% |
| Coventry and Warwick AAA Screening Cohort | 98.0% |
| Derbyshire AAA Screening Cohort | 91.1% |
| Dorset and Wiltshire AAA Screening Cohort | 99.3% |
| Essex AAA Screening Cohort | 92.4% |
| Five Rivers AAA Screening Cohort | 97.6% |
| Gloucester and Swindon AAA Screening Cohort | 96.5% |
| Hampshire AAA Screening Cohort | 94.0% |
| Hereford and Worcester AAA Screening Cohort | 93.9% |
| Hertfordshire AAA Screening Cohort | 93.6% |
| Kent and Medway AAA Screening Cohort | 95.0% |
| Lancashire and South Cumbria AAA Screening Cohort | 91.0% |
| Leicester AAA Screening Cohort | 93.5% |
| Lincolnshire AAA Screening Cohort | 96.8% |
| Manchester AAA Screening Cohort | 91.0% |
| Norfolk and Waveney AAA Screening Cohort | 98.1% |
| North East and North Cumbria AAA Screening Cohort | 91.1% |
| North London AAA Screening Cohort | 93.2% |
| North Yorkshire and Humber AAA Screening Cohort | 93.7% |
| North and South Staffordshire AAA Screening Cohort | 96.3% |
| Northamptonshire AAA Screening Cohort | 94.4% |
| Nottinghamshire AAA Screening Cohort | 93.3% |
| Peninsula AAA Screening Cohort | 95.9% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 91.5% |
| Somerset and North Devon AAA Screening Cohort | 94.3% |
| South Devon AAA Screening Cohort | 94.1% |
| South London AAA Screening Cohort | 89.9% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 99.1% |
| Sussex AAA Screening Cohort | 92.5% |
| Thames Valley AAA Screening Cohort | 91.0% |
| West Surrey AAA Screening Cohort | 93.6% |
| West Yorkshire AAA Screening Cohort | 94.1% |
The data for the report showed the following provider level information:
- Dorset and Wiltshire AAA Screening Cohort had the highest outcome (99.3%)
- South London AAA Screening Cohort had the lowest outcome (89.9%)
- 37 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 12 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following provider(s) did not meet the acceptable threshold: - South London AAA Screening Cohort Nationally the proportion quarterly surveillance appointments offered where there is a conclusive test within 4 weeks of the due date decreased by 0.6 percentage points from 2021/22 to 2022/23, at 93.8%, however this continued to meet the acceptable threshold.
14 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increase seen in Hampshire AAA Screening Cohort, from 90.0% to 94.0% in 2022/23. The largest decrease seen was in Shropshire Telford and Wrekin AAA Screening Cohort, from 97.8% to 91.5%, however still meeting the acceptable threshold.
12. AAA-S11: non-visualised screens
Screening providers should aim to minimise the percentage of screens that cannot be visualised. Therefore, the lower the value the better for this standard. Nationally 1.0% of cohort screens were non-visualised in 2022/23.
Figure 15: test - percentage of screening encounters where aorta could not be visualised, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 15a: test - percentage of screening encounters where aorta could not be visualised, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 2.3% |
| Black Country AAA Screening Cohort | 1.0% |
| Bristol, Bath and Weston AAA Screening Cohort | 1.3% |
| Cambridgeshire AAA Screening Cohort | 1.1% |
| Central England AAA Screening Cohort | 0.6% |
| Central Yorkshire AAA Screening Cohort | 0.3% |
| Cheshire and Merseyside AAA Screening Cohort | 0.9% |
| Coventry and Warwick AAA Screening Cohort | 1.8% |
| Derbyshire AAA Screening Cohort | 0.3% |
| Dorset and Wiltshire AAA Screening Cohort | 0.7% |
| Essex AAA Screening Cohort | 2.8% |
| Five Rivers AAA Screening Cohort | 0.5% |
| Gloucester and Swindon AAA Screening Cohort | 0.7% |
| Hampshire AAA Screening Cohort | 0.5% |
| Hereford and Worcester AAA Screening Cohort | 1.9% |
| Hertfordshire AAA Screening Cohort | 0.9% |
| Kent and Medway AAA Screening Cohort | 0.5% |
| Lancashire and South Cumbria AAA Screening Cohort | 0.6% |
| Leicester AAA Screening Cohort | 0.3% |
| Lincolnshire AAA Screening Cohort | 2.3% |
| Manchester AAA Screening Cohort | 4.2% |
| Norfolk and Waveney AAA Screening Cohort | 0.4% |
| North East and North Cumbria AAA Screening Cohort | 0.0% |
| North London AAA Screening Cohort | 0.5% |
| North Yorkshire and Humber AAA Screening Cohort | 0.6% |
| North and South Staffordshire AAA Screening Cohort | 0.2% |
| Northamptonshire AAA Screening Cohort | 0.3% |
| Nottinghamshire AAA Screening Cohort | 1.3% |
| Peninsula AAA Screening Cohort | 0.7% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 1.8% |
| Somerset and North Devon AAA Screening Cohort | 1.1% |
| South Devon AAA Screening Cohort | 1.4% |
| South London AAA Screening Cohort | 0.8% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 0.7% |
| Sussex AAA Screening Cohort | 0.8% |
| Thames Valley AAA Screening Cohort | 0.8% |
| West Surrey AAA Screening Cohort | 1.1% |
| West Yorkshire AAA Screening Cohort | 2.0% |
The data for the report showed the following provider level information:
- Manchester AAA Screening Cohort had the highest outcome (4.2%)
- North East and North Cumbria AAA Screening Cohort had the lowest outcome (0.0%)
- 37 out of 38 screening providers met the acceptable threshold of ≤ 3.0%
- 24 out of 38 screening providers also reached the achievable threshold of ≤ 1.0%
Figure 16: test - percentage of screening encounters where aorta could not be visualised, by region, England, 1 April 2017 to 31 March 2023
The percentage of non-visualised screens is stable across England over the series. For 2022/23, performance remained at 1.0%, and met the achievable threshold.
22 of the 38 providers improved their performance from 2021/22 to 2022/23, with the largest decrease seen in North and South Staffordshire AAA Screening Cohort, from 1.3% to 0.2%, meeting the achievable threshold. The largest increase was seen in Lincolnshire AAA Screening Cohort, from 0.7% to 2.3%
13. AAA-S12: internal quality assurance
Of the 2,628 men with a small or medium size aneurysm (aorta ≥ 3.0 to < 5.5cm), 84.9% had their svg images for report reviewed within 21 days of the scan taking place.
Figure 17: test - percentage of abnormal screens (aorta ≥ 3.0 to < 5.5cm) reviewed 21 calendar days of the initial screen date, by provider, England, 1 April 2022 to 31 March 2023
Figure 17a: test - percentage of abnormal screens (aorta ≥ 3.0 to < 5.5cm) reviewed 21 calendar days of the initial screen date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 64.7% |
| Black Country AAA Screening Cohort | 44.4% |
| Bristol, Bath and Weston AAA Screening Cohort | 71.1% |
| Cambridgeshire AAA Screening Cohort | 85.0% |
| Central England AAA Screening Cohort | 73.3% |
| Central Yorkshire AAA Screening Cohort | 91.5% |
| Cheshire and Merseyside AAA Screening Cohort | 98.4% |
| Coventry and Warwick AAA Screening Cohort | 100.0% |
| Derbyshire AAA Screening Cohort | 98.6% |
| Dorset and Wiltshire AAA Screening Cohort | 41.2% |
| Essex AAA Screening Cohort | 64.2% |
| Five Rivers AAA Screening Cohort | 84.6% |
| Gloucester and Swindon AAA Screening Cohort | 88.5% |
| Hampshire AAA Screening Cohort | 55.2% |
| Hereford and Worcester AAA Screening Cohort | 87.3% |
| Hertfordshire AAA Screening Cohort | 98.0% |
| Kent and Medway AAA Screening Cohort | 100.0% |
| Lancashire and South Cumbria AAA Screening Cohort | 96.7% |
| Leicester AAA Screening Cohort | 94.4% |
| Lincolnshire AAA Screening Cohort | 96.2% |
| Manchester AAA Screening Cohort | 79.5% |
| Norfolk and Waveney AAA Screening Cohort | 96.1% |
| North East and North Cumbria AAA Screening Cohort | 78.3% |
| North London AAA Screening Cohort | 94.6% |
| North Yorkshire and Humber AAA Screening Cohort | 98.9% |
| North and South Staffordshire AAA Screening Cohort | 59.0% |
| Northamptonshire AAA Screening Cohort | 67.6% |
| Nottinghamshire AAA Screening Cohort | 98.4% |
| Peninsula AAA Screening Cohort | 97.2% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 66.7% |
| Somerset and North Devon AAA Screening Cohort | 71.4% |
| South Devon AAA Screening Cohort | 100.0% |
| South London AAA Screening Cohort | 97.7% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 100.0% |
| Sussex AAA Screening Cohort | 93.1% |
| Thames Valley AAA Screening Cohort | 100.0% |
| West Surrey AAA Screening Cohort | 88.6% |
| West Yorkshire AAA Screening Cohort | 74.0% |
The data for the report showed the following provider level information:
The following provider(s) had the highest outcome (100.0%):
* Coventry and Warwick AAA Screening Cohort
- Kent and Medway AAA Screening Cohort
- South Devon AAA Screening Cohort
- South Yorkshire and Bassetlaw AAA Screening Cohort
- Thames Valley AAA Screening Cohort
- Dorset and Wiltshire AAA Screening Cohort had the lowest outcome (41.2%)
- 34 out of 38 screening providers met the acceptable threshold of ≥ 60.0%
- 15 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following provider(s) did not meet the acceptable threshold: - Black Country AAA Screening Cohort
-
Dorset and Wiltshire AAA Screening Cohort
-
Hampshire AAA Screening Cohort
- North and South Staffordshire AAA Screening Cohort
Nationally the proportion men with a small or medium size aneurysm that had their svg images for report reviewed within 21 days of the scan taking place decreased by 1.1 percentage points from 2021/22 to 2022/23, at 84.90%, however continuing to meet the acceptable threshold.
19 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increase seen in Norfolk and Waveney AAA Screening Cohort, from 40.4% to 96.1% in 2021/22, meeting the achievable threshold. The largest decrease was seen in Black Country AAA Screening Cohort, from 92.9% to 44.4%.
14. AAA-S13: nurse assessments
Of the 2,927 men who had a small or medium aneurysm detected (aorta ≥ 3.0 to < 5.5cm) at initial screen and the number of men who had a medium aneurysm detected (aorta ≥ 4.5 to < 5.5cm) at the annual surveillance scan, 68.0% had a nurse assessment within 12 weeks of their conclusive scan.
Figure 18: test - percentage of men who had a small or medium aneurysm detected (aorta ≥ 3.0 to < 5.5cm) at initial screen and the number of men who had a medium aneurysm detected (≥ 4.5 to < 5.5cm) at the annual surveillance scan who had a nurse assessment ≤ 12 weeks of their conclusive scan, by provider, England, 1 April 2022 to 31 March 2023
Figure 18a: test - percentage of men who had a small or medium aneurysm detected (aorta ≥ 3.0 to < 5.5cm) at initial screen and the number of men who had a medium aneurysm detected (≥ 4.5 to < 5.5cm) at the annual surveillance scan who had a nurse assessment ≤ 12 weeks of their conclusive scan, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 76.6% |
| Black Country AAA Screening Cohort | 77.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 52.8% |
| Cambridgeshire AAA Screening Cohort | 50.6% |
| Central England AAA Screening Cohort | 67.7% |
| Central Yorkshire AAA Screening Cohort | 54.0% |
| Cheshire and Merseyside AAA Screening Cohort | 75.4% |
| Coventry and Warwick AAA Screening Cohort | 98.2% |
| Derbyshire AAA Screening Cohort | 95.2% |
| Dorset and Wiltshire AAA Screening Cohort | 60.0% |
| Essex AAA Screening Cohort | 71.3% |
| Five Rivers AAA Screening Cohort | 76.9% |
| Gloucester and Swindon AAA Screening Cohort | 80.0% |
| Hampshire AAA Screening Cohort | 36.7% |
| Hereford and Worcester AAA Screening Cohort | 88.1% |
| Hertfordshire AAA Screening Cohort | 60.3% |
| Kent and Medway AAA Screening Cohort | 66.7% |
| Lancashire and South Cumbria AAA Screening Cohort | 83.2% |
| Leicester AAA Screening Cohort | 76.5% |
| Lincolnshire AAA Screening Cohort | 71.0% |
| Manchester AAA Screening Cohort | 46.2% |
| Norfolk and Waveney AAA Screening Cohort | 65.4% |
| North East and North Cumbria AAA Screening Cohort | 96.3% |
| North London AAA Screening Cohort | 57.9% |
| North Yorkshire and Humber AAA Screening Cohort | 38.8% |
| North and South Staffordshire AAA Screening Cohort | 72.7% |
| Northamptonshire AAA Screening Cohort | 35.3% |
| Nottinghamshire AAA Screening Cohort | 77.8% |
| Peninsula AAA Screening Cohort | 65.3% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 80.6% |
| Somerset and North Devon AAA Screening Cohort | 57.9% |
| South Devon AAA Screening Cohort | 78.2% |
| South London AAA Screening Cohort | 73.7% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 71.3% |
| Sussex AAA Screening Cohort | 56.8% |
| Thames Valley AAA Screening Cohort | 59.1% |
| West Surrey AAA Screening Cohort | 61.0% |
| West Yorkshire AAA Screening Cohort | 90.5% |
The data for the report showed the following provider level information:
-
Coventry and Warwick AAA Screening Cohort had the highest outcome (98.2%)
- Northamptonshire AAA Screening Cohort had the lowest outcome (35.3%)
- 34 out of 38 screening providers met the acceptable threshold of ≥ 50.0%
- 8 out of 38 screening providers also reached the achievable threshold of ≥ 80.0%
The following provider(s) did not meet the acceptable threshold: -
Hampshire AAA Screening Cohort
-
Manchester AAA Screening Cohort
-
North Yorkshire and Humber AAA Screening Cohort
- Northamptonshire AAA Screening Cohort
Nationally the proportion of men eligible for a nurse assessment who attended an appointment increased by 3.5 percentage point from 2021/22 to 2022/23, to 68.0%, which met the acceptable threshold.
23 of the 38 providers saw an increase in performance from 2021/22 to 2022/23, with the largest increase seen in Bedfordshire Luton and Milton Keynes AAA Screening Cohort, from 29.3% to 76.6% in 2022/23. Northamptonshire AAA Screening Cohort saw the largest reduction, down to 35.3%, from 70.0% in 2021/22.
15. AAA-S14: men seen at specialist assessments within 2 weeks
Of the 990 men with an aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, 900 (93.1%) were seen by a vascular specialist within 2 weeks of their last conclusive scan.
N.B. men who had an aorta greater than or equal to 4.0cm that has grown 1cm or more in one year were included for first time in 2022/23 data.
Figure 19: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, seen by vascular specialist within 2 weeks, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 19a: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, seen by vascular specialist within 2 weeks, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 88.2% |
| Black Country AAA Screening Cohort | 100.0% |
| Bristol, Bath and Weston AAA Screening Cohort | 100.0% |
| Cambridgeshire AAA Screening Cohort | 91.7% |
| Central England AAA Screening Cohort | 96.8% |
| Central Yorkshire AAA Screening Cohort | 100.0% |
| Cheshire and Merseyside AAA Screening Cohort | 100.0% |
| Coventry and Warwick AAA Screening Cohort | 100.0% |
| Derbyshire AAA Screening Cohort | 90.0% |
| Dorset and Wiltshire AAA Screening Cohort | 91.2% |
| Essex AAA Screening Cohort | 87.9% |
| Five Rivers AAA Screening Cohort | 84.6% |
| Gloucester and Swindon AAA Screening Cohort | 100.0% |
| Hampshire AAA Screening Cohort | 78.0% |
| Hereford and Worcester AAA Screening Cohort | 93.8% |
| Hertfordshire AAA Screening Cohort | 91.3% |
| Kent and Medway AAA Screening Cohort | 97.1% |
| Lancashire and South Cumbria AAA Screening Cohort | 96.8% |
| Leicester AAA Screening Cohort | 80.0% |
| Lincolnshire AAA Screening Cohort | 100.0% |
| Manchester AAA Screening Cohort | 90.4% |
| Norfolk and Waveney AAA Screening Cohort | 92.1% |
| North East and North Cumbria AAA Screening Cohort | 100.0% |
| North London AAA Screening Cohort | 100.0% |
| North Yorkshire and Humber AAA Screening Cohort | 97.5% |
| North and South Staffordshire AAA Screening Cohort | 95.2% |
| Northamptonshire AAA Screening Cohort | 77.8% |
| Nottinghamshire AAA Screening Cohort | 93.3% |
| Peninsula AAA Screening Cohort | 80.8% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 92.3% |
| Somerset and North Devon AAA Screening Cohort | 100.0% |
| South Devon AAA Screening Cohort | 100.0% |
| South London AAA Screening Cohort | 86.1% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 95.2% |
| Sussex AAA Screening Cohort | 96.6% |
| Thames Valley AAA Screening Cohort | 90.9% |
| West Surrey AAA Screening Cohort | 100.0% |
| West Yorkshire AAA Screening Cohort | 92.3% |
The data for the report showed the following provider level information:
The following provider(s) had the highest outcome (100.0%):
* Black Country AAA Screening Cohort
-
Bristol, Bath and Weston AAA Screening Cohort
-
Central Yorkshire AAA Screening Cohort
-
Cheshire and Merseyside AAA Screening Cohort
-
Coventry and Warwick AAA Screening Cohort
-
Gloucester and Swindon AAA Screening Cohort
-
Lincolnshire AAA Screening Cohort
-
North East and North Cumbria AAA Screening Cohort
-
North London AAA Screening Cohort
-
Somerset and North Devon AAA Screening Cohort
-
South Devon AAA Screening Cohort
- West Surrey AAA Screening Cohort
- Northamptonshire AAA Screening Cohort had the lowest outcome (77.8%)
- 30 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 19 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following provider(s) did not meet the acceptable threshold: - Bedfordshire Luton and Milton Keynes AAA Screening Cohort
-
Essex AAA Screening Cohort
-
Five Rivers AAA Screening Cohort
-
Hampshire AAA Screening Cohort
-
Leicester AAA Screening Cohort
-
Northamptonshire AAA Screening Cohort
-
Peninsula AAA Screening Cohort
- South London AAA Screening Cohort
Nationally the percentage of men seen for a specialist assessment within 2 weeks of their last conclusive scan increased by 0.5 percentage points from 2021/22 to 2022/23, to 93.1%, continuing to meet the acceptable threshold.
16 of the 38 providers saw an increase in performance from 2021/22 to 2022/23. The largest increase was seen in North Yorkshire and Humber AAA Screening Cohort, from 73.3% to 97.5% in 2022/23, meeting the achievable threshold. Hampshire AAA Screening Cohort saw the largest reduction, down to 78.0%, from 93.5%.
16. AAA-S15: men operated on within 8 weeks
Of the 800 men with an aorta of ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining 30.1% were operated on by a vascular specialist within 8 weeks.
N.B. men who had an aorta greater than or equal to 4.0cm that has grown 1cm or more in one year were included for first time in 2022/23 data.
Figure 20: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining, operated on by a vascular specialist within 8 weeks, by screening provider, England, 1 April 2022 to 31 March 2023
Figure 20a: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining, operated on by a vascular specialist within 8 weeks, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 53.3% |
| Black Country AAA Screening Cohort | 69.2% |
| Bristol, Bath and Weston AAA Screening Cohort | 0.0% |
| Cambridgeshire AAA Screening Cohort | 11.1% |
| Central England AAA Screening Cohort | 10.5% |
| Central Yorkshire AAA Screening Cohort | 11.8% |
| Cheshire and Merseyside AAA Screening Cohort | 38.5% |
| Coventry and Warwick AAA Screening Cohort | 16.7% |
| Derbyshire AAA Screening Cohort | 12.0% |
| Dorset and Wiltshire AAA Screening Cohort | 11.5% |
| Essex AAA Screening Cohort | 25.0% |
| Five Rivers AAA Screening Cohort | 21.7% |
| Gloucester and Swindon AAA Screening Cohort | 57.9% |
| Hampshire AAA Screening Cohort | 41.7% |
| Hereford and Worcester AAA Screening Cohort | 60.0% |
| Hertfordshire AAA Screening Cohort | 29.4% |
| Kent and Medway AAA Screening Cohort | 13.8% |
| Lancashire and South Cumbria AAA Screening Cohort | 48.1% |
| Leicester AAA Screening Cohort | 7.7% |
| Lincolnshire AAA Screening Cohort | 66.7% |
| Manchester AAA Screening Cohort | 28.9% |
| Norfolk and Waveney AAA Screening Cohort | 65.7% |
| North East and North Cumbria AAA Screening Cohort | 31.8% |
| North London AAA Screening Cohort | 36.0% |
| North Yorkshire and Humber AAA Screening Cohort | 30.3% |
| North and South Staffordshire AAA Screening Cohort | 15.8% |
| Northamptonshire AAA Screening Cohort | 6.2% |
| Nottinghamshire AAA Screening Cohort | 7.7% |
| Peninsula AAA Screening Cohort | 28.6% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 8.3% |
| Somerset and North Devon AAA Screening Cohort | 50.0% |
| South Devon AAA Screening Cohort | 41.7% |
| South London AAA Screening Cohort | 31.2% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 7.1% |
| Sussex AAA Screening Cohort | 0.0% |
| Thames Valley AAA Screening Cohort | 41.7% |
| West Surrey AAA Screening Cohort | 72.7% |
| West Yorkshire AAA Screening Cohort | 33.3% |
The data for the report showed the following provider level information:
- West Surrey AAA Screening Cohort had the highest outcome (72.7%)
- Bristol, Bath and Weston AAA Screening Cohort and Sussex AAA Screening Cohort had the lowest outcome (0.0%)
- 5 out of 38 screening providers met the acceptable threshold of ≥ 60.0%
- None of 38 screening providers reached the achievable threshold of ≥ 80.0%
- 33 providers did not meet the acceptable threshold:
Figure 21: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining, operated on by a vascular specialist within 8 weeks, by region, England, 1 April 2017 to 31 March 2023
The percentage of men operated on within 8 weeks is gradually starting to increase nationally. For 2022/23, performance has improved 0.5 percentage point from 2021/22, but it is still considerably less than the acceptable threshold.
17 of the 38 providers improved their performance from 2021/22 to 2022/23, with the largest increase seen in Gloucester AAA Screening Cohort, increasing from 8.7% to 57.9% in 2022/23, however this was still short of the acceptable threshold. The largest decrease was in Peninsula AAA Screening Cohort, which fell to 28.6% (from 68.8% in 2021/22).
17. Outcomes
There were 42 AAA ruptures during the screening year, 29 of which were fatal. 16 of the deaths were in men on surveillance (2.9% of the deaths in surveillance) and 13 had been referred for surgery. For the men referred to surgery, 5 had been turned down or had declined the operation and 8 died while waiting for surgery. Of the 8, 5 died after waiting more than 8 weeks for surgery. In 2021/22, 7 men died while waiting for surgery, 4 of which died after waiting more than 8 weeks from their referral.