More accurate human papillomavirus testing means that cervical screening invitations will be sent less frequently to those not at risk.
Thanks to more accurate human papillomavirus (HPV) testing, invitations for cervical screening will be sent out every five years instead of every three for women aged 25-49 in England, if they have a negative test.
From July, younger women between 25 and 49 who test negative for HPV and are considered at a very low risk of cervical cancer over the next decade, will be invited at five-year intervals rather than three.
Those whose sample indicates the presence of HPV or who have a recent history of HPV will continue to be invited to more frequent screenings to check if HPV has cleared and if not, if any cell changes have developed.
“Taking a more personalised approach to cervical screening will help ensure everyone eligible can make the most of these life-saving services while sparing women appointments that they don’t need,” said Sue Mann, NHS national clinical director for women’s health.
In line with Scotland and Wales
Eligible women will first receive a notification through the NHS app to alert them to book a screening appointment, followed by a text message if the app notification isn’t opened. Letters will remain in place for those who need them.
Since December 2019, all cervical screening samples taken in England have been tested for high-risk HPV, which is more accurate than the previous method of cytology testing.
Analysis of a pilot of this approach in England, led by King’s College London researchers, showed that five-yearly screening is as safe as three-yearly, that the same number of cancers are found, and less frequent cervical screening tests are needed.
The move to five-year intervals brings England into line with Scotland and Wales.
“We welcome this change, which confirms that most women will not need to attend screening so frequently,” said Louise Ansari, chief executive of Healthwatch England.
