Lecture 8A Flashcards
Why do we screen?
To reduce the risk or impact of disease in a community
To identify those with early disease or those most at risk and offer early treatment
Who decides what is screened?
National Screening Committee- gives advice to the four countries on all aspects of screening. Makes recommendations and reviews evidence
Who is responsible for making screening programmes happen at a local level?
Clinical commissioning groups
What are NHS England public health functions?
Sexuals assault referral centres
Child health information systems
5 adult national screening programmes
Antenatal and new born screening
Immunisation programmes
What factors affect screening programme uptake?
Social eg smoking, deprived, heavy drinkers.
Less men than women. Those who attend other screening programmes more likely
People who feel healthy, afraid of outcome, lack of time, misunderstanding of instructions
People with a learning difficulty less likely
What is the problem with enhanced screening ethos with more detections?
Lacking workforce to handle it
Lack of funding
Impact on symptomatic service
People may use screening instead of going to GP
Relationship between screening uptake and positivity
As uptake increases positivity decreases due to the extra people who are screened being more likely to have disease due to social factors etc and so positivity goes down
How does Down’s screening work?
Done at 10-14 weeks. Told you have a high or low risk. If high risk can get an invasive test that may terminate pregnancy. If test comes back positive can get an abortion. Choice is with woman and very much respected
