Cervical Screening Timescales

Part of 1. Questions to the First Minister – in the Senedd at 2:06 pm on 11 January 2022.

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Photo of Mark Drakeford Mark Drakeford Labour 2:06, 11 January 2022

Llywydd, I entirely share the frustration of Vikki Howells at the way that a success story was communicated in a way that caused such anxiety to so many people, because the screening system in Wales is a success story. We were the first part of the United Kingdom to change our screening system to a more sensitive test for cervical cancer in 2018. We've had vaccination for HPV amongst young women since 2008, and the risks from cervical cancer in the years to come will be very different, and much lower, than they were for so many people in the past.

Look, I'm just going to put on record if I could, Llywydd, what the decision actually means. When someone is tested in future, if their test shows that they are at high risk of HPV and that there are cell changes in the sample taken, they will be invited immediately for a colposcopy. If there are high-risk HPV signs but no cell changes, then the interval to the next screening will be one year. If there is no HPV and no cell changes demonstrated in the sample, then someone will be invited for cervical screening in five years' time. It's a change that maximises the benefits of the system and will save more lives. 

Now, there is learning to be done by Public Health Wales in the way they communicated this. They failed to explain to people the benefits of what was being proposed, how this will make the system better and stronger and more successful, and, as a result, we saw that string of people confused and made anxious by it. I think PHW has done its best to recover some of that ground since then, by putting out clearer and better information, and I'm really grateful to those third sector and cancer charities that came in and helped with that explanatory effort. Next time, we need to make sure that that's got right before the announcement is made, not as a sort of rescue effort after things have gone wrong.