Guidance

Cervical screening provider lead (CSPL) actions checklist

Updated 20 October 2021

Applies to England

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This publication is available at https://www.gov.uk/government/publications/cervical-screening-disclosure-of-audit-results-toolkit/cervical-screening-provider-lead-cspl-actions-checklist

The following information is a suggested checklist of actions for the cervical screening provider lead (CSPL) during the audit process leading up to the offer of disclosure to a woman who has been diagnosed with cervical cancer.

The CSPL should:

  • receive the cervical cancer diagnosis information from the histology laboratory
  • log the case and add it to the agenda of the colposcopy multidisciplinary team (MDT) meeting
  • initiate the audit of invasive cervical cancer, and contact the relevant parties (this may include one or more of cytology, histology and colposcopy departments)
  • make contact with the relevant clinician at the treating organisation (if the individual is being treated at a different organisation to where their diagnosis was made)
  • complete the audit
  • inform the SQAS at the earliest opportunity if there is a possible screening incident
  • present the audit results at the colposcopy MDT, where a decision is made regarding the classification of the case, including whether duty of candour applies
  • ensure agreement is made at the MDT regarding who will be the disclosing clinician
  • inform the treating organisation of the results of the review
  • finalise the summary report, incorporating the final case assessment, and send to the disclosing clinician
  • send the completed audit to the Screening Quality Assurance Service (SQAS)
  • ensure the disclosure offer letter and any reminder letters are sent by the diagnosing organisation’s clinical team
  • ensure the treating organisation is informed that disclosure has been offered
  • document the end of the disclosure process when advised by the disclosing clinician

Following the episode the CSPL should:

  • include any local outcomes and learning in their annual report - this report will be discussed at the local programme board following approval by the organisation, enabling outcomes and learning to be captured by the SQAS
  • carry out an annual audit of offers of disclosure to individuals diagnosed with cervical cancer
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