> Date: Sat, 16 May 1998 16:07:26 -0000
> Organization: South West Information Service
> Subject: Cervical Cytology workflow and referrals - a modest proposal part 2
> From: [log in to unmask] (Adrian Midgley)
> To: [log in to unmask]
> Reply-to: [log in to unmask]
> The interval between discovery of an abnormality on cervical cytology
> screening, and colposcopy if that is what is indicated, is a time of
> great worry for any woman.
>
> It should therefore be minimised.
>big snip<
Yes, but define what is a the minimum wait?
Does the 'abnormality' on the smear prioritise the wait? Of course,
but most abnormal smears are just that, abnormal but not
pathological.
Assuming that the wait is to be two weeks, what other services
are to be reduced to meet this target?
Yes, PCGs should address this issue, but far more people die from
other things (13 in Rotherham from Ca Cervix last year I think).
How are PCGs to address and prioritise all these?
Is this what they call health needs assessment?
Dr David J Plews
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