CKMP Cervical Cytology Recall Post Total Hysterectomy and Removal of Cervix

Introduction

People who do not have a cervix are not eligible for cervical screening and should be ceased from recall permanently. People who have undergone a total hysterectomy (including removal of the cervix) no longer require screening and should be ceased from recall (Public Health England, 2019).

Process

1. A discharge summary document comes into the practice from secondary care informing that a woman has had a total hysterectomy with removal of cervix.
2. Admin staff code the hysterectomy and workflow the document to Specialist Sexual Health Nurse (Suzanne Fletcher or Jodie Godfrey in her absence). (As the discharge letter does not always specify if the cervix has been removed, all documents post- hysterectomy will be work flowed to Specialist Sexual Health Nurse for review).
3. The Specialist Sexual Health Nurse will review the discharge summary and if there is no cervix will complete and submit the Cease Recall form on the Cervical Screening Administration Service (CSAS) site. Screening – Cease/Opt Out · CSAS This will ensure that the CSAS will no longer recall the patient.
4. The Specialist Sexual Health Nurse will log the reference number from CSAS confirming the form has been submitted and received.
5. A patient who is ceased from call and recall due to absence of cervix are informed by letter from CSAS that they will receive no further invitations for screening. Where the person is registered with a GPpractice, call and recall must notify the practice that the ceasing process has been completed.

References

Public Health England (2019) Ceasing and deferring women from the NHS Cervical Screening Programme. Ceasing and deferring women from the NHS Cervical Screening Programme – GOV.UK (www.gov.uk) . Accessed on 03/02/23