Cervical Sample Taker Database CSTD www cstd neyhqarc

Cervical Sample Taker Database (CSTD) www. cstd. neyhqarc. nhs. uk/admin/ www. cstd. neyhqarc. nhs. uk/cxportfolio/ Martin Jones Presentation by: Date: 17 March 2016

Incidents • • 1993 - 1, 100 Birmingham women were recalled after a nurse took smears with a tongue depressor. 1994 - 4, 000 women were recalled after a Merton, Sutton and Wandsworth Authority computer error meant abnormal results were missed. 1995 - 18, 000 smears were re-checked after a consultant from the Prince Charles Hospital in Merthyr Tydfil was suspended following allegations that he was underreporting positive smear test results. 1996 - at Kent and Canterbury Hospital, where at least eight women died and 90, 000 were recalled 1997 - 20, 000 smear tests assessed at Inverclyde Royal Hospital in Greenock, Scotland, were reviewed after it was revealed some had been misread. 1997 - 8, 000 tests from the James Paget Hospital in Gorleston, Norfolk, were rechecked after it emerged that lab workers were testing slides at home. 1998 - 1, 000 women were recalled at St George's Hospital in south London after concern that some women with abnormalities were unsatisfactorily treated. This case is slightly different from the others in that it occurred after the initial screening process. 1

National/local context • NHSCSP Guidance ‘ABC 2’ stated ‘Smear takers must have received proper training in smear taking’. • Introduction of LBC by the NHSCSP in 2006 , programme of retraining of both the sample taker’s and screening staff to ensure a high quality service 2

Why has this been developed? • There was no standardised method of issuing sample taker codes across the region • There was no centralised list of qualified practicing sample takers in the region • This has resulted in a failure to cease trainees from taking samples when they have failed to complete training • There was no standardised process for PCTs and GP practices to monitor sample taker competencies • QA did not have a method of monitoring sample takers or practice performance • There was no clear system of monitoring whether sample takers were attending update training every three years 3

What is it? • Web based database • Register of all the sample takers in the North East, Yorkshire and the Humber • Performance management tool • Central location for recording all cervical sample taker training • Resource for current national, regional and local guidelines and protocols on cervical screening 4

Sample taker codes • All sample takers practicing cervical screening in the North East, Yorkshire and the Humber region should be registered on the Cervical Sample Taker Database (CSTD) • The CSTD sample taker code format is A 1234 for qualified sample takers and A 1234 T for trainee sample takers 5

Sample taker codes (Ctnd) • You will only require one code for the region and this can be used at several locations • You should not share your sample taker code with another sample taker • The details of samples taken on this code will be uploaded to the CSTD for you to view 6

CSTD Access The CSTD has three parts: • Administration access (www. cstd. neyhqarc. nhs. uk/admin) • Individual sample taker access (www. cstd. neyhqarc. nhs. uk) • Trainee sample taker access (www. cstd. neyhqarc. nhs. uk/cxportfolio) 7

Administrative Access This can be accessed by the various user types including: • General practice managers / Sample taking coordinators • Hospital based programme coordinators • Screening and immunisations staff within the area teams • Training providers & Cervical screening mentors • CSTD management team 8

CSTD Sample Taker Access If you have a CSTD sample taker code you will also have access to log into the CSTD website You may use the CSTD website for the following: • Access regional and national cervical screening protocols and guidance • View your TZ and Inadequate rates and RAG (Red-Amber. Green) ratings • View details of the samples you have taken • Upload training records and certificates Once you have qualified it is recommended that you log into the CSTD on a quarterly basis to review your performance data 9

RAG Rating System Cases as a Percentage of Population 100 90 80 Data Average 70 2 SD limits 3 SD limits 60 50 40 0 50 100 150 200 Population Source: Enter Source Here 10 250 300 350

Interpretation of results • RAG analysis – Red - rate is significantly below average (>2 sd) – Amber - rate is below average (between 1 & 2 sd) – Green – rate is average (within 1 sd) • Minimum number of samples = 20.

Home Page 11

Dashboard 12

Your Details 13

Your Reports 14

Sample Taker Performance Report 15

Sample Taker Performance Report 16

Combined RAG Rating Report

Documents and Updates

Contacting Us

Any Questions? Cervical Sample Taker Database • Sample takers only www. cstd. neyhqarc. nhs. uk • Cervical Screening E-portfolio www. cstd. neyhqarc. nhs. uk/cxportfolio