Cervical Screening

Mike Kane Excerpts

Monday 19th July 2021 Westminster Hall

[Mike Kane (Wythenshawe and Sale East) (Lab) [V]]

Thank you, Mr Pritchard. It is a pleasure to serve under your chairmanship. I add my congratulations to the petitioners on securing a debate in Parliament on such an important topic.

In January 2021, the Minister stated:

“While we do not hold waiting lists for National Health Service screening programmes, NHS England…are confident that no one eligible for cervical screening has missed an invitation for an appointment.”

An invitation is one thing, but being able to book and access a test can be quite a different matter. In the third quarter of 2021, no clinical commissioning groups in England achieved 80% coverage of women invited for a test. I am, of course, aware of the pressures placed on the NHS during the pandemic, and my speech does not denigrate it at all, but 600,000 cervical screening opportunities are estimated to have failed to go ahead in the UK just in April and May of last year.

In October 2019, NHS England commissioned an independent review of adult screening programmes. It highlighted that demographic factors—levels of affluence and deprivation, and ethnic diversity—have a huge impact on whether women take up the tests. For women who live in areas with higher levels of deprivation, such as parts of my constituency of Wythenshawe and Sale East, the coverage of screening programmes is lower than average.

Hologic, a fantastic innovative medical technology company in my constituency, focuses primarily on improving women’s health and wellbeing. It specialises in high-volume population screening. We know that more than 99% of cervical cancer cases are preventable and that, alongside HPV vaccination, cervical cancer screening is one of the most effective ways to prevent that cancer.

There are opportunities to improve screenings, both for clinicians and for patients, by adopting new innovative screening technologies. One such method is using HPV mRNA testing for primary cervical screening. The tests provide significantly higher clarity and would safely reduce the number of women who require a colposcopy, thereby reducing unnecessary fear, anxiety and stress for the women involved. It would also reduce the pressure on an already overburdened system, save the NHS an estimated £15 million a year, and potentially prevent 30,000 unnecessary colposcopy procedures.

Currently, just 54% of all samples in England are processed using that form of testing, meaning that 1.5 million women in England do not have access to the technology. England should move towards a system in which mRNA HPV primary screening is the gold standard used by all labs. With better co-ordination within NHS England, cervical screening would, for example, be commissioned by the same part of the NHS as colposcopies, enabling clinicians to work more effectively together and have a positive impact on patient experience and outcome.

Another innovative technological advance is digital cytology. This advanced imaging technology, used to identify lesions and pre-cancerous cells, which stores cervical images using cloud-based technology, would help maximise screening capacity, enabling any cytologist with capacity in the network to access a particular image. That would provide a much more flexible deployment of the workforce, would speed up time from result to treatment if necessary, and provide physical efficiencies, such as less need for storage and for the transportation of cervical images and slides.

Rolling out such technologies would save not only money and time, but would, in time, reduce the stress on women and girls at a worrying time, as has been pointed out today, as well as reducing the need for unnecessary gynaecological procedures. It would also provide a streamlining of these lifesaving services. I would welcome any comments that the Minister has about those suggestions.