Fast Track Cervical Screening Clinic for Staff

The Challenge

The aim of the campaign was to raise awareness of the importance of cervical screening and also to increase uptake.  As part of the ACE (Acceleration, Co-ordination & Evaluation) initiative, the colposcopy service within the Trust, ran a pilot scheme whereby female members of staff (both Trust and Carillion) who are eligible for cervical screening can attend a drop-in appointment to have a cervical screening test performed whilst they are at work.  Trust staff include medical, nursing and administration staff and Carillion staff include domestic staff, porters, etc.  The Trust female staff population is approximately 6,080.  The female Carillion staff population is 614.

The plan would be to ‘pilot’ a ‘structured drop in service’ whereby staff could make an appointment and be allocated a slot at a time of day suitable for them and the nurse. The pilot was introduced as an initiative to try and increase the numbers of women in the Middlesbrough area accessing cervical screening services. The ACE project states that Middlesbrough is among the worst areas in England for cervical screening coverage. Prior to commencing the pilot a survey was randomly emailed to as many female Trust staff as possible. Carillion staff were sent a paper copy of the survey. To date we have had 752 responses with 594 (80%) women stating they would prefer to use this service if it was available. The vast majority of responses have cited ‘convenience’ and ‘difficulty obtaining primary care appointments’ as the main reason they would prefer to attend cervical screening appointments in the workplace. 121 women (16%) said they were not up to date with their screening tests mainly due to lack of appointments at GP surgery and time constraints.

Action

Mobility Chart Key

 

Posters, fliers and stickers were used to promote the service. These were handed out to staff and left in staff areas, notice boards etc.  The Trust Communications department also promoted the service on the staff intranet and advertised it in the staff briefings.

 

Outcomes

In total 48 women were screened during the pilot period.  All women who attended were asked to complete an evaluation of the service they had received, the results of which are as follows:

  • 100% of women reported they were seen at their given appointment time.
  • 100% of women felt the room they were seen in was clean and tidy.
  • 100% of women felt their privacy and dignity was maintained during the procedure.
  • 100% of women reported they were given all of the information they felt they needed.
  • 100% of women said they would recommend this service to their colleagues.

From the 48 women who were screened three women had an abnormal screening result and since went on to have colposcopy appointments.

Following the results of the pilot it has been agreed that we can continue to provide this service for the foreseeable future. We intend to continue to promote the service using the campaign materials and to also continue to remind staff the service is available by doing periodic email ‘drops’ as we have found this type of promotion is very effective.