Cancer screening coverage: breast cancer - WMCA

The proportion of women eligible for screening who have had a test with a recorded result at least once in the previous 36 months.RationaleBreast screening supports early detection of cancer and is estimated to save 1,400 lives in England each year. This indicator provides an opportunity to incentivise screening promotion and other local initiatives to increase coverage of breast screening.Improvements in coverage would mean more breast cancers are detected at earlier, more treatable stages.Breast screening supports early detection of cancer and is estimated to save 1,400 lives in England each year. This indicator provides an opportunity to incentivise screening promotion and other local initiatives to increase coverage of breast screening.Improvements in coverage would mean more breast cancers are detected at earlier, more treatable stages.Definition of numeratorTested women (numerator) is the number of eligible women aged 53 to 70 registered with a GP with a screening test result recorded in the past 36 months.Definition of denominatorEligible women (denominator) is the number of women aged 53 to 70 years resident in the area (determined by postcode of residence) who are eligible for breast screening at a given point in time, excluding those whose recall has been ceased for clinical reasons (for example, due to previous bilateral mastectomy).CaveatsData for ICBs are estimated from local authority data. In most cases ICBs are coterminous with local authorities, so the ICB figures are precise. In cases where local authorities cross ICB boundaries, the local authority data are proportionally split between ICBs, based on population located in each ICB.The affected ICBs are:Bath and North East Somerset, Swindon and Wiltshire;Bedfordshire, Luton and Milton Keynes;Buckinghamshire, Oxfordshire and Berkshire West;Cambridgeshire and Peterborough;Frimley;Hampshire and Isle of Wight;Hertfordshire and West Essex;Humber and North Yorkshire;Lancashire and South Cumbria;Norfolk and Waveney;North East and North Cumbria;Suffolk and North East Essex;Surrey Heartlands;Sussex;West Yorkshire.Please be aware that the April 2019 to March 2020, April 2020 to March 2021 and April 2021 to March 2022 data covers the time period affected by the COVID19 pandemic and therefore data for this period should be interpreted with caution.This indicator gives screening coverage by local authority . This is not the same as the indicator based on population registered with primary care organisations which include patients wherever they live. This is likely to result in different England totals depending on selected (registered or resident) population footprint.The indicator excludes women outside the target age range for the screening programme who may self refer for screening.Standards say "Women who are ineligible for screening due to having had a bilateral mastectomy, women who are ceased from the programme based on a ‘best interests’ decision under the Mental Capacity Act 2005 or women who make an informed choice to remove themselves from the screening programme will be removed from the numerator and denominator.There are a number of categories of women in the eligible age range who are not registered with a GP and subsequently not called for screening as they are not on the Breast Screening Select (BS Select) database. Screening units have a responsibility to maximise coverage of eligible women in their target population and should therefore be accessible to women in this category through self referral and GP referral ."This indicator gives screening coverage by local authority . This is not the same as the indicator based on population registered with primary care organisations which include patients wherever they live. This is likely to result in different England totals depending on selected (registered or resident) population footprint.

过去36个月内至少进行过一次检测并记录结果的符合筛查条件的女性比例。理由：乳腺筛查有助于癌症的早期发现，据估计，每年可挽救英格兰1400人的生命。此指标为激励筛查推广和其他地方性举措以增加乳腺筛查覆盖率提供了机会。覆盖率的提升意味着更多乳腺癌能够在早期、更易治疗的阶段被发现。符合分子定义：已检测的女性（分子）是指在过去36个月内由全科医生注册并记录了筛查测试结果的、年龄在53至70岁之间的符合条件女性的数量。符合分母定义：符合条件女性（分母）是指在指定时间点居住在该地区（由居住地邮编确定）、年龄在53至70岁之间且符合乳腺筛查条件的女性数量，不包括因临床原因（例如，由于先前双侧乳房切除术）而终止召回的女性。注意事项：ICBs的数据是根据地方政府数据进行估算的。在大多数情况下，ICBs与地方政府界限相同，因此ICB数据是精确的。在地方政府跨越ICB界限的情况下，地方政府数据将根据每个ICB中的人口比例分配给ICBs。受影响的ICBs包括：巴思和东北索美塞、斯温顿和威尔特郡；贝德福德郡、卢顿和米尔顿凯恩斯；白金汉郡、牛津郡和伯克郡西部；剑桥郡和彼得伯勒；弗里姆利；汉普郡和怀特岛；赫特福德郡和西埃塞克斯；哈伯恩和北约克郡；兰开夏郡和南坎布里亚；诺福克和韦恩；东北和南坎布里亚；萨福克和北东埃塞克斯；萨里心脏地带；萨里；西约克郡。请注意，2019年4月至2020年3月、2020年4月至2021年3月和2021年4月至2022年3月的数据涵盖了受COVID-19大流行影响的时期，因此应谨慎解读这段时间的数据。此指标按地方政府提供筛查覆盖率。这与基于在初级保健组织中注册的患者的指标不同，这些患者无论居住何地都会被包括在内。这可能导致英格兰总数据的不同。此指标排除了筛查项目目标年龄范围之外的、可能自行申请筛查的女性。标准规定：“因双侧乳房切除术而不符合筛查条件的女性、根据2005年《精神健康法案》下的‘最佳利益’决定而停止参与项目的女性或做出明智选择退出筛查项目的女性将被从分子和分母中去除。在符合年龄范围的女性中，有多个类别未在全科医生处注册，因此未收到筛查邀请，因为她们不在乳腺筛查选择（BS Select）数据库中。筛查单位有责任最大化其目标人群中的符合条件的女性覆盖率，因此应通过自我推荐和全科医生推荐使这类女性能够获得服务。”此指标按地方政府提供筛查覆盖率。这与基于在初级保健组织中注册的患者的指标不同，这些患者无论居住何地都会被包括在内。这可能导致英格兰总数据的不同。