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Cervical Cancer Prevention Week 2018 took place at the end of January and Healthwatch County Durham took the opportunity to research the uptake of cancer screening in the County to see why some eligible people were not taking part in the screening programme and if there was anything that could be done to encourage more people to participate. In total 897 women shared their views in the County which is the highest completion rate for any survey carried out by Healthwatch County Durham in the last two years and it reflects the importance screening programmes have in the early detection of illnesses. Cervical cancer screening supports detection of symptoms that may become cancer and is estimated to save 4,500 lives in England each year. Improvements in coverage would mean more cervical cancer is prevented or detected at earlier, more treatable stages. In Healthwatch County Durham survey sample it was reassuring that the vast majority of women recognised the health benefits of cervical screening and did make timely appointments to attend. However there were barriers for some women, one of the greatest being fear and anxiety. From the information provided in Healthwatch County Durham surveys and their discussions with women we have made the following observation for commissioners and service providers to consider. Women told us they felt it was easier to delay or forget about the screening as they receive a letter to make an appointment, rather than an actual date to attend. Healthwatch County Durham wondered if there could be a more effective follow-up procedure, for instance using texts or emails as well as letters. Suggesting times to attend or setting up on-line appointments systems for screening. We recognise there are some constraints on appointments due to the menstrual cycle, but still feel there is scope for improvement. The report contains no recommendations.

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