Cervical test age review urged by Wales GPs

A Welsh practice has called on the government to scrap its 'dangerous' policy of offering cervical screening to young women under the age of 25.

In a letter sent to Cervical Screening Wales and seen by GP, Powys GP Dr Chris Nevill argued that testing below this age produces ‘harmful’ false positives.

All women in Wales aged 20-64 are invited for cervical screening every three years. A similar policy exists in Scotland.

But women in England are only invited once they are aged 25 and over.

Dr Nevill wants a full review of the evidence base for screening age and a shift to match England’s policy. ‘It is sobering to find that the consultant evidence-based body of opinion is in agreement that smears from the age of 20-24 are not only a waste of time but dangerous to the young women on whom they are inflicted,’ he wrote.

Speaking to GP, Dr Nevill said: ‘The evidence base is strongly against this practice. We can’t have a preventive programme that actually causes harm.’

He argued that frequent false positives from testing cause significant psychological harm. It also unnecessarily exposes young women to harm caused by treating abnormalities that might otherwise have disappeared by age 25, he claimed.

Many of the practice’s patients have friends who live over the nearby border with England, he added.

Inviting young women for screening when their friends in England are not leaves them confused and anxious, he said, and risks patients losing faith in screening measures.

Dr Nevill also criticised the Welsh government, which was also sent the letter, for failing to track the evidence base. ‘There’s been a lack of revision [of the policy] from the Welsh government. It has been left in the dark,’ he said.

A spokesman for the Welsh government defended the policy: ‘It is important that women attend their screening when invited to do so. Early identification and treatment can improve the outcome for patients. Women should also remain vigilant in-between screening.’

The spokesman added that the government was ‘continually monitoring and evaluating the latest evidence to ensure our screening programmes target the appropriate age group’, including reviewing the starting age of cervical cancer screening.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us:

Just published

UK COVID-19 vaccination programme tracker

UK COVID-19 vaccination programme tracker

GPs across the UK are playing a leading role in the largest-ever NHS vaccination...

GP-led sites behind almost three quarters of COVID-19 jabs in England

GP-led sites behind almost three quarters of COVID-19 jabs in England

GP-led vaccination sites have delivered nearly three quarters of COVID-19 vaccine...

GPs should ignore calls to throw away usable COVID-19 vaccine, says RCGP

GPs should ignore calls to throw away usable COVID-19 vaccine, says RCGP

Suggestions that vaccination sites should throw away usable doses of COVID-19 vaccine...

GPs urged to use influence to dispel COVID-19 vaccine myths and boost BAME uptake

GPs urged to use influence to dispel COVID-19 vaccine myths and boost BAME uptake

GPs have been encouraged to use their ‘huge influence’ to bust misinformation around...

Six in 10 over-80s vaccinated against COVID-19 as figures expose regional variation

Six in 10 over-80s vaccinated against COVID-19 as figures expose regional variation

Six in 10 people aged over 80 in England received a first dose of COVID-19 vaccine...

Summary of changes to the GP contract 2021/22

Summary of changes to the GP contract 2021/22

The BMA and NHS England have agreed minor changes to the GP contract for 2021/22....