Womens Health Evening Portishead Medical Group Monday 12

Women’s Health Evening Portishead Medical Group Monday 12 th October 7. 30 -9 pm

Introduction • • Mary Adams, North Somerset CCG Dr Kate Wood, PMG Dr Emily Lake, PMG Dr Gerwyn Owen, PMG

Topics to be Covered • • • Disease screening for women Hormone replacement treatment Vaginal Prolapse Osteoporosis Questions on any other concerns

Screening Programmes in the UK • What is screening? • Why do we screen?

Wilson Criteria for Screening • the condition should be an important health problem • the natural history of the condition should be understood • there should be a recognisable latent or early symptomatic stage • there should be a test that is easy to perform and interpret, acceptable, accurate, reliable, sensitive and specific • there should be an accepted treatment recognised for the disease • treatment should be more effective if started early • there should be a policy on who should be treated • diagnosis and treatment should be cost-effective • case-finding should be a continuous process

Breast Cancer Screening • Incidence rate is 125. 1/100, 000 (men 0. 9) • Eligible women, aged 50 to 70, receive an invitation letter explaining: • the programme • the benefits and risks of breast screening • Women do not always receive an invitation when they turn 50. They can expect their invitation within 3 years of their 50 th birthday. • Women cannot walk in and request breast screening unless they are over 70, when they can request screening every 3 years

Breast Cancer Screening • Early detection and treatment • Screening for high risk groups where significant family history ( first degree relatives) • Evaluation of the scheme has demonstrated more new cancers found and treated early • Debates

Cervical Cancer Screening Programme • Incidence rate in UK 8. 9/100, 000 • NHS cervical screening programme is available to women aged 25 to 64 in England • Women aged 25 to 49 receive invitations every 3 years. Women aged 50 to 64 receive invitations every 5 years. • The HPV vaccination programme started in 2008. Vaccinations will not have an impact on incidence for many years; vaccinated women should continue accepting offers of cervical screening

Cervical Cancer Screening Programme • What happens if screening is positive? • Colposcopy, biopsy • Treatment

Bowel Cancer Screening Programme • Incidence rate 37. 6/100, 000 • Stool sample • Screening every 2 years to all men and women aged 60 -74 • Positive result leads to colonoscopy usually • Treatment • If older than 74 then can request a kit by ringing 08007076060

Infectious Diseases in Pregnancy Screening • The infectious diseases in pregnancy screening (IDPS) programme currently screens for: • HIV • hepatitis B • syphilis • rubella susceptibility

Sickle Cell and Thalassaemia Screening • It screens for: • genetic carriers for sickle cell, thalassaemia and other haemoglobin disorders • sickle cell disease • thalassaemia • haemoglobin disorders • It offers screening to: • all pregnant women • fathers-to-be, where antenatal screening shows the mother is a genetic carrier • all newborn babies, as part of the newborn blood spot screening programme

Diabetic Eye Screening • This evidence shows that early identification and treatment of diabetic eye disease could reduce sight loss. The main treatment for diabetic retinopathy is laser surgery. • The eligible population for DES is all people with type 1 and type 2 diabetes aged 12 or over. • People already under the care of an ophthalmology specialist for the condition are not invited for screening. • The programme offers pregnant women with type 1 or type 2 diabetes additional tests because of the risk of developing retinopathy. • Screening gives people with diabetes and their primary diabetes care providers information about very early changes in their eyes. • Early warnings allow people to take preventative action to stop serious retinopathy developing.

Free NHS Health Checks • Men and women between 40 -74 invited to have one • Every 5 years • Family History and Lifestyle Questions • Height, weight, BMI, BP • Cholesterol • Blood glucose if at risk due to family history, raised blood pressure or obesity • Advice about smoking, exercise, alcohol and dementia awareness

• Conclusion • Any questions