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Written question asked by Stephen O'Brien (Conservative) on Tuesday, 10 March 2015, in the House of Commons. It was due for an answer on Thursday, 12 March 2015. It was answered by Jane Ellison (Conservative) on Tuesday, 17 March 2015 on behalf of the Department of Health.


Cervical Cancer

Question

To ask the Secretary of State for Health, pursuant to the Answer of 3 March 2015 to Question 225373, if he will make it his policy that GPs should be able to commission cervical smear tests for diagnostic purposes to investigate presenting symptoms outside the routine screening timeframes; and what additional opportunities there are for patients to be tested for diagnostic purposes outside the screening programme.

Answer

A smear test is primarily used for screening purposes, and is unlikely to be appropriate when a woman has gynaecological issues that are symptomatic of cancer.

In such cases the National Institute for Health and Care Excellence Referral Guidelines for Suspected Cancer (2005) are available to help general practitioners (GPs) assess when it is appropriate to refer patients for suspected cancer, including cervical cancer. The Guidelines make clear recommendations in relation to gynaecological cancer, and state that:

β€œA patient who presents with symptoms suggesting gynaecological cancer should be referred to a team specialising in the management of gynaecological cancer, depending on local arrangements.”

In relation to cervical cancer the guidelines make clear that a smear test is not required before referral:

β€œIn patients found on examination to have clinical features that raise the suspicion of cervical cancer, an urgent referral should be made. A cervical smear test is not required before referral, and a previous negative cancer smear result is not a reason to delay referral.”

Therefore, when a woman is experiencing gynaecological problems which are symptomatic of gynaecological cancer, their GP would be expected to refer them to the appropriate specialist without needing to conduct a smear test.


Secondary information

Type
Written question
Reference
226985
Session
2014-15
Related items
Cervical Cancer
Tuesday, 3 March 2015
Written questions
House of Commons
Subjects
Cervical cancer Screening
Link
View this Written question on www.parliament.uk