Contextual Overview

The Department of Health, NHS Cervical Screening Programme (NHSCSP) and Strategic Health Authorities require information from Primary Care Trusts on Cervical Screening.

The information helps to monitor the process of achieving the Government's target to reduce the incidence of invasive cervical cancer and to ensure that the screening programme is managed effectively. It is used to monitor coverage by the cervical screening programme of the eligible Primary Care Trust responsible population.

Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.

Information based on the KC53 return is published annually by the Department in the Statistical Bulletin `Cervical Screening Programme'.

Completing Return KC53: Cervical Screening Programme

The Cervical Screening Programme is a programme to deliver services within a 'structured framework' to a defined target population, planned by a Primary Care Trust. The services provided to the population under this programme may be carried out by one or more Health Care Providers - NHS Trust, general medical practitioner (GMP), private or voluntary organisation or any combination of these.

Information on Cervical Screening should be readily available from the call and recall service's computerised call and recall system. A standard computer programme is provided by NHS Connecting for Health.

The return requires the ORGANISATION CODE and ORGANISATION NAME of the Primary Care Trust. It requires information about women (PERSONS) on the lists of GPs in the Primary Care Trust and women from the unregistered population who live in the geographical area for which the Primary Care Trust is responsible at 31 March. It is completed annually and submitted within two months of this date.

Part F: Cervical Screening Programme - Test Recall/Status of women following most severe screening result in the year

This part of the return collects information about the action taken following a woman's most severe test result in a year.

The women included are those who have had a Screening Test and are aged 20 to 64. The age is derived from the PERSON BIRTH DATE.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

The data are based on the results of the woman's most severe test in the year and relate to Screening Tests with a Screening Test Date between 1 April - 31 March. Classifications are those of CYTOLOGY RESULT TYPE of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.

Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation.'

Woman's most severe test result in the year

This is classified by the following CYTOLOGY RESULT TYPES:

Inadequate (cat. 1)
Negative (cat. 2)
Mild dyskaryosis (cat. 3)
Severe dyskaryosis (cat. 4)
Severe dyskaryosis/?invasive carcinoma (cat. 5)
?Glandular neoplasia (cat. 6)
Moderate dyskaryosis (cat. 7)
Borderline changes (cat. 8)

The return requires a count of the CYTOLOGY SCREENING ACTION TYPE against each CYTOLOGY RESULT TYPE. The actions are classified into:

The actions are based on result codes 1 to 8 from HMR 101/5, the operational document used by most laboratories for coding the results of cervical smears.

Part A: Cervical Screening Programme - Status of PCT Responsible Population

Part A1

Part A1 of KC53 requires information on the routine recall interval in force in the Primary Care Trust for the Screening Programme. This is the CERVICAL SCREENING RECALL INTERVAL.

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

Part A2

Part A2 of KC53 requires information on the SCREENING STATUS of the Screening Population - the number of women in Primary Care Trusts responsible population at 31 March.

Screening Population is a HEALTH PROGRAMME POPULATION where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

Age of woman at 31 March (column 1)

The age bands are derived from the PERSON BIRTH DATE.

Under 20 (line 0001)
20-24 (line 0002)
25-29 (line 0003)
30-34 (line 0004)
35-39 (line 0005)
40-44 (line 0006)
45-49 (line 0007)
50-54 (line 0008)
55-59 (line 0009)
60-64 (line 0010)
65-69 (line 0011)
70-74 (line 0012)
75-79 (line 0013)
80 & over (line 0014)

Number of women resident in Primary Care Trust responsible population (column 2)

This is the total number of women of all ages derived from the registers maintained by the Primary Care Trust to ensure compatibility with the other data recorded on the return.

The responsible population includes:

• all patients on the lists of the GPs in the Primary Care Trust;

and

• the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.

Number of women recorded as having recall ceased (columns 3, 4 and 5)

These columns do not include women with the SCREENING STATUS classification of Recall suspended.

Column 3 counts women in the Screening Programme with the SCREENING STATUS classification of Recall ceased - clinical reasons. Women no longer eligible for screening due to removal of the cervix are included.

Column 4 counts the number of women with the SCREENING STATUS classification of Recall ceased - age reasons, and column 5 counts those with the classification of Recall ceased - other reasons.

Eligible population (column 6)

This is calculated by subtracting the number of women in column 3 (i.e. women with the SCREENING STATUS classification of Recall ceased - clinical reasons) from the number in column 2 (i.e. the Primary Care Trust responsible population).

Number of women whose most recent test was no more than 5 years ago (column 7)

This is calculated from the addition of columns (2) to (5) in part A3.

Coverage (%) - less than 5 years since last adequate test (column 8)

This is calculated from columns (6) and (7) in Part A2.

Target Age Group (25-64) (line 0015)

This counts the number of women in the Screening Programme aged between 25 and 64 on 31 March (sum of lines 0003 to 0010). Coverage of the Screening Programme is based on women aged 25 to 64, and not on the NHS Cervical Screening Programme's target population of women aged 20 to 64 who are eligible to receive screening test invitations.

Total all ages (line 9999)

This is the total for all age groups counted in lines 0001 to 0014 for each category of women.

Part A3: Cervical Screening Programme - Screening Status of Eligible Women at 31 March YYYY

This part of the return collects information specifically about the number of women screened by time since their last test. It includes all women who have had a Screening Test at any time during their life, even if the test was not part of a call and recall system, but was taken opportunistically. It does not include inadequate tests.

Age of women at 31 March (column 1)

The age bands are derived from the PERSON BIRTH DATE.

Under 20 (line 0001)
20-24 (line 0002)
25-29 (line 0003)
30-34 (line 0004)
35-39 (line 0005)
40-44 (line 0006)
45-49 (line 0007)
50-54 (line 0008)
55-59 (line 0009)
60-64 (line 0010)
65-69 (line 0011)
70-74 (line 0012)
75-79 (line 0013)
80 & over (line 0014)

Number of women whose most recent adequate test was in last 1.5 years (column 2)

Number of women whose most recent adequate test was more than 1.5 years but no more than 3 years ago (column 3)

Number of women whose most recent adequate test was more than 3 years but no more than 3.5 years ago (column 4)

Number of women whose most recent adequate test was more than 3.5 years but no more than 5 years ago (column 5)

Number of women whose most recent adequate test was more than 5 years but no more than 10 years ago (column 6)

Number of women whose most recent adequate test was more than 10 years but no more than 15 years ago (column 7)

Number of women whose most recent adequate test was more than 15 years ago (column 8)

The Screening Test Date should be used to derive the count of women tested in the time periods required by the return.

Women called but no adequate smear (column 9)

This is a count of the number of women who have been invited at any time in their lives but have no adequate smear.

Women called but never attended (column 10)

This is a count of the number of women who have been invited at any time in their lives but have never attended.

Number of women with no cytology record (column 11)

This is a count of women in the Primary Care Trust responsible population with no cervical screening history.

The responsible population includes:

• all patients on the lists of the GPs in the Primary Care Trust;

and

• the unregistered population who live within the geographical area for which the Primary Care Trust is responsible.

Target Age Group (25-64) (line 0015)

This counts the number of women in the Screening Programme aged between 25 and 64 on 31 March (sum of lines 0003 to 0010). Coverage of the Screening Programme is based on women aged 25 to 64, and not on the NHS Cervical Screening Programme's target population of women aged 20 to 64 who are eligible to receive Screening Test Invitations.

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

Total all ages (line 9999)

This is the total for all age groups counted in lines 0001 to 0014 for each category of women.

Part B: Cervical Screening Programme - Number of Women Invited

Part B of KC53 requires age-banded data on the number of women invited for screening, The number invited relates to Screening Test Invitations with an APPOINTMENT DATE OFFERED between 1 April and 31 March. This date does not necessarily relate to a due date in the year - e.g. the Screening Test could be set to take place outside this period. Where a woman is invited on more than one occasion in the year, the last invitation is recorded on KC53.

A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

Age of woman at 31 March (column 1)

The age bands are derived from the PERSON BIRTH DATE.

Under 20 (line 0001)
20-24 (line 0002)
25-29 (line 0003)
30-34 (line 0004)
35-39 (line 0005)
40-44 (line 0006)
45-49 (line 0007)
50-54 (line 0008)
55-59 (line 0009)
60-64 (line 0010)
65-69 (line 0011)
70-74 (line 0012)
75 & over (line 0013)

Call (column 2)

A count of the number of women invited for their first screen i.e. those who have never been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

Routine recall (column 3)

A count of the number of women invited for screening in the year as a result of a routine recall for screening. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

Surveillance (column 4)

A count of the number of women invited for early screening because of a previous abnormal screening result or following treatment for cervical abnormalities. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than three years for surveillance.

Abnormality (column 5)

A count of the number of women invited for early screening because their last smear showed some abnormality and a repeat was advised. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than three years because of abnormality.

Inadequate smear (column 6)

A count of the number of women invited for screening because their last smear was inadequate. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than three years because of inadequate smear, or the classification Technical recall (inadequate test).

Target age group (line 0014)

This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

Total all ages (line 9999)

This is the total for all age groups counted in lines 0001 to 0013 for each INVITATION TYPE.

Part C1: Cervical Screening Programme - Number of Women Tested - by Age

Part C1 of KC53 requires data on the women screened in the year, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test'.

Call (column 2)

A count of the number of women screened in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

Routine recall (column 3)

A count of the number of women screened in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

Surveillance (column 4)

A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.

Abnormality (column 5)

A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.

Inadequate smear (column 6)

Enter the number of women screened in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).

While recall suspended (column 7)

A count of the number of women screened in the year who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall suspended'.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

While recall ceased (column 8)

A count of the number of women screened opportunistically in the year who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.

Not Invited by Programme (column 9)

A count of the number of women screened opportunistically during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'not invited by programme'.

Target age group (line 0014)

This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).

Total all women (line 9999)

This is the total for all age groups counted in lines 0001 to 0013 for each INVITATION TYPE or women who have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE recorded.

Part C2: Cervical Screening Programme - Number of Women Tested - by Result

Part C2 of KC53 requires data on the women aged 20 - 64 screened in the year, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.

Call (column 2)

A count of the number of women screened in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

Routine recall (column 3)

A count of the number of women screened in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

Surveillance (column 4)

A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.

Abnormality (column 5)

A count of the number of women screened in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.

Inadequate smear (column 6)

Enter the number of women screened in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).

While recall suspended (column 7)

A count of the number of women screened in the year who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall suspended'.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

While recall ceased (column 8)

A count of the number of women screened opportunistically in the year who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.

Not Invited by Programme (column 9)

A count of the number of women screened opportunistically during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'not invited by programme'.

Result of test

This is classified by the following CYTOLOGY RESULT TYPES:
Inadequate (cat. 1) (line 0001)
Negative (cat. 2) (line 0002)
Borderline changes (cat. 8) (line 0003)
Mild dyskaryosis (cat. 3) (line 0004)
Moderate dyskaryosis (cat. 7) (line 0005)
Severe dyskaryosis (cat. 4) (line 0006)
Severe dyskaryosis/?invasive carcinoma (cat. 5) (line 0007)
?Glandular neoplasia (cat. 6) line 0008)

Total women tested aged 20-64 (line 9999)

This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0001 to 0008).

Part C3: Cervical Screening Programme - Number of Tests - by Result

Part C3 of KC53 requires data on all tests in the review period, not limited to the target age group 20 - 64, by invitation or opportunistically. The number screened relates to Screening Tests with a Screening Test Date between 1 April and 31 March. Where a woman is screened more than once in the year, for whatever reason, her INVITATION TYPE at her first Screening Test Date in the review period is to be recorded.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.

Call (column 2)

A count of the number of tests in the year as a result of a first call for screening within 12 months of the original invitation. These women will not have been screened before. The INVITATION TYPE of the Screening Test Invitation will have the classification First call.

A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

Routine recall (column 3)

A count of the number of tests in the year as a result of a routine recall for screening within 12 months of the recall invitation. These women will have had a previous negative result and been recalled after the usual interval (3 to 5 years). The INVITATION TYPE of the Screening Test Invitation will have the classification Routine recall.

Surveillance (column 4)

A count of the number of tests in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years for surveillance.

Abnormality (column 5)

A count of the number of tests in the year as a result of a non-routine recall for screening within 12 months of the recall invitation. These women will usually have had a recent mildly abnormal smear. The INVITATION TYPE of the Screening Test Invitation will have the classification Repeat in less than 3 years because of abnormality.

Inadequate smear (column 6)

Enter the number of tests in the year as a result of a technical recall within 12 months of the recall invitation. The INVITATION TYPE of the Screening Test Invitation will have either the classification Repeat in less than 3 years because of inadequate smear or the classification Technical recall (inadequate test).

While recall suspended (column 7)

A count of the number of tests in the year of women who were suspended from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'Screened while recall suspended'

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

While recall ceased (column 8)

A count of the number of tests in the year of women who were ceased from the call and recall system at the time of their Screening Test Date. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification of 'screened while recall ceased'.

Not Invited by Programme (column 9)

A count of the number of opportunistic tests during the year. This includes all women whose Recall Status was "No action", "GP not informed", "GP informed", "ZZZ GP" and those women whose Recall Status was "Final non-responder" where the initial invitation was generated more than 12 months ago. These women will have had a Screening Test with the OPPORTUNISTIC SCREENING TYPE classification 'not invited by programme'.

Result of test

This is classified by the following CYTOLOGY RESULT TYPES:
Inadequate (cat. 1) (line 0001)
Negative (cat. 2) (line 0002)
Borderline changes (cat. 8) (line 0003)
Mild dyskaryosis (cat. 3) (line 0004)
Moderate dyskaryosis (cat. 7) (line 0005)
Severe dyskaryosis (cat. 4) (line 0006)
Severe dyskaryosis/?invasive carcinoma (cat. 5) (line 0007)
?Glandular neoplasia (cat. 6) line 0008)

Total all results (line 9999)

This counts the number of tests in the Screening Programme for all age groups on 31 March (sum of lines 0001 to 0008).

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

Part D: Cervical Screening Programme - Result of Test

Part D of KC53 requires age-banded data on the most severe results of cervical screening tests recorded during the year. It does not include inadequate tests. Where a woman has only one smear tested in the year which turns out to be inadequate, or more than one, all of which are inadequate, no entry is required.

The data are based on the results of the woman's most severe test in the year and relate to Screening Tests with a Screening Test Date between 1 April - 31 March. Classifications are those of CYTOLOGY RESULT TYPES of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.

A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation.'

Negative (column 2)

A count of the number of women with a CYTOLOGY RESULT TYPE classification of Negative (cat. 2).

Borderline (column 3)

A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Borderline changes (cat. 8) .

Mild dyskaryosis (column 4)

A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Mild dyskaryosis (column 4) .

Moderate dyskaryosis (column 5)

A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Moderate dyskaryosis (cat. 7).

Severe dyskaryosis (column 6)

A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Severe dyskaryosis (cat. 4).

Severe dyskaryosis/?invasive carcinoma (column 7)

A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was Severe dyskaryosis/?invasive carcinoma (cat. 5).

?Glandular neoplasia (column 8)

A count of the number of women whose most severe CYTOLOGY RESULT TYPE classification was ?Glandular neoplasia (cat. 6).

Target age group (line 0014)

This counts the number of women in the Screening Programme aged between 20 and 64 on 31 March (sum of lines 0002 to 0010).

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

Total all ages (line 9999)

This is the total for all age groups counted in lines 0001 to 0013 for each CYTOLOGY RESULT TYPE classification.

Part E: Cervical Screening Programme - Notification of Result - Waiting Times

This part of the return requires information on the length of time elapsing between a woman taking a smear test and when notification of the result is sent to her by the call and recall service. The national standard to be achieved is that women should be advised in writing of the result of their test four weeks from the date the test was taken. The information is used to monitor the performance of Screening Programmes and laboratories.

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 06 'Screening Programme'.

The return also collects information on those instances where the letter is sent directly by the laboratory or by some other agency instead of by the call and recall service.

The return counts all tests and not just those tests with the most severe result. It includes only smears taken as part of a NHS Screening Programme.

Number of weeks between date smear is taken and date result is sent from the call and recall service

This is the number of weeks between the Screening Test Date and the Screening Result Sent Date of the Screening Test, where the RESULT SENT DIRECT indicator is Yes.

A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'. Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. Screening Result Sent Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 29 'Screening Result Sent Date'.

They are sub-divided into the following time periods:

Less than or equal to four weeks (line 0001)
> 4 weeks up to 6 weeks (line 0002)
> 6 weeks up to 8 weeks (line 0003)
> 8 weeks up to 10 weeks (line 0004)
> 10 weeks up to 12 weeks (line 0005)
> Over 12 weeks (line 0006)

Number of tests (column 2)

This counts the number of Screening Tests where results were sent from the call and recall service for each time period.

Total (line 0007)

This is the total of Screening Tests for all time periods counted in lines 0001 to 0006.

Letter not sent by the call and recall service (line 0008)

This counts the number of Screening Tests where the RESULT SENT DIRECT indicator is No, indicating that the result was not sent by the call and recall service.

Contextual Overview

The Department, NHS Breast Screening Programme (NHSBSP) and Regional Offices require information from Health Authorities on the breast cancer screening status of their residents.

The information is used to assess performance. Quality targets for breast screening are monitored and poor performances identified and followed up via performance management.

Information on screening is used to monitor progress towards achieving the Government's target of a reduction in the death rate in the population invited for screening.

Information on the return is also used in Public Expenditure Survey (PES) negotiations, resource allocation to the NHS and Departmental accountability.

Information based on the KC63 return is published annually by the Department in the Statistical Bulletin `Breast Screening Programme'.

Completing Return KC63 - Adult Screening Programmes: Breast Screening

The Breast Screening Programme is a structured programme by a Strategic Health Authority which is directed towards detecting specific diseases and conditions in a specific target group. The services provided to the population under this programme are carried out by a breast screening centre or Unit.

A Screening Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National code 06 'Screening programme'. A breast screening centre is type of a SERVICE POINT.

Information on Breast Screening should be readily available from the Health Authorities computerised call and recall system designed for breast cancer screening. A standard computer program is provided by NHS Connecting for Health.

The return must be submitted by Health Authorities in respect of women resident in the Health Authority at 31 March. It is completed annually and submitted by the end of October following the end of the financial year to which the return relates.

The KC63 return requires the ORGANISATION CODE and ORGANISATION NAME of the Health Authority as well as the name of a contact and the contact telephone number.

Detailed information about compilation of the KC63 is contained in the NHS Connecting for Health publication `KC63 Statistics: Table definitions'.

Breast Screening Programme

Part 1: Cross Section Analysis of Population Coverage within period 1/4/xxxx - 31/3/xxxx

KC63 requires information on the screening history of women who were resident in the Strategic Health Authority at 31 March.

All types of screening episodes taking place within the stated period are counted. However, a woman will only be counted once in each screening category, regardless of how many of episodes she has. An `episode' may be the result of a Screening Test Invitation (within the programme) or a REFERRAL REQUEST for an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test' from outside the programme.

A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

Age of Woman at 31 March (column 2)

The age bands are derived from the PERSON BIRTH DATE of the PERSON at 31 March.

Number of women resident at 31 March xxxx (column 3)

This is derived from the registers maintained by the Strategic Health Authority to ensure compatibility with the other data recorded on the return.

Number of Ineligible Women (column 4)

A count of women with SCREENING STATUS classifications of 'Recall suspended' or 'Recall ceased'.

Never Screened: Number of women selected (column 5)

This counts the number of women (PERSONS IN PROGRAMME) who have been selected for screening, but have no Screening Test or with a current first Screening Test with no BREAST ASSESSMENT OR TEST OUTCOME.

A Screening Test is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.

Never Screened: Number never selected (column 6)

This counts the number of women who have no screening history at all.

Call/Recall Episodes: Number invited in period (column 7)

The number invited relates to women with SCREENING STATUS classifications of 'First call' or 'Routine recall' who are sent Screening Test Invitations with first test date offered (the first APPOINTMENT DATE OFFERED) between 1 April and 31 March.

A Screening Test Invitation is an APPOINTMENT associated with an APPOINTMENT OFFER where the APPOINTMENT CLASSIFICATION CODE is National Code 06 'Screening Test'.

Call/Recall Episodes: Number screened in period (column 8)

The number screened relates to the women in column 7 who have a Screening Test with a SCREENING TEST RESULT.

Call/Recall Episodes: Number invited in last 3 years (column 9)

The number invited relates to women with SCREENING STATUS classifications of 'First call' or 'Routine recall' who are sent Screening Test Invitations with first test date offered within the last three years.

Call/Recall Episodes: Number screened in last 3 years (column 10)

The number screened relates to those women in column 9 who have a Screening Test with a SCREENING TEST RESULTS.

Self/GP Referral Episodes: Number screened in period (column 11)

The number screened relates to women with REFERRAL REQUEST for Screening Test with SCREENING REFERRAL SOURCE classifications of 'Self-referral' or 'GP referral' with a Screening Test Date between 1 April and 31 March and a SCREENING TEST RESULTS.

Screening Test Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'.

Self/GP Referral Episodes: Number screened in last three years (column 12)

The number screened relates to women with REFERRAL REQUEST for Screening Test classifications of 'Self-referral' or 'GP referral' with a Screening Test Date in the past three years and a SCREENING TEST RESULTS.

Women screened in period (column 13)

The number screened relates to women with a Screening Test Date between 1 April and 31 March who have a Screening Test with a SCREENING TEST RESULTS. This excludes the number invited with a SCREENING STATUS classification of 'Non-routine/Early recall advised'.

Women screened in last three years (column 14)

The number screened relates to women with a Screening Test Date in the past three years who have a Screening Test with a SCREENING TEST RESULTS. This excludes the number invited with a SCREENING STATUS classification of 'Non-routine/Early recall advised'.

Coverage: % Women screened in last 3 years (column 15)

This is the percentage of eligible women who have been screened in the last 3 years. It is derived from the number screened in last three years (column 14) divided by (the number of women resident as at 31 March xxxx (column 3) minus the number of ineligible women (column4)) multiplied by 100.

Part 2: Women with Open Episodes

This counts the number of women with open screening episodes. An open episode is incomplete; an invitation for Screening Test or REFERRAL REQUEST for Screening Test has not yet resulted in a SCREENING TEST RESULTS.

Line 001 counts the number of open episodes which were initiated by a REFERRAL REQUEST for Screening Test; Line 002 counts the number of open episodes which were initiated by an invitation for Screening Test.

Contextual Overview

The Department of Health and Regional Offices require summary details from NHS Health Care Providers on Community Dental Health Services to monitor the availability of Community Dental Health Services and to ensure that value for money is being achieved in this area.

Information based on the return is also used for Departmental accountability.

Some of the information based on the return is published in "Health and Personal Social Services Statistics".

Completing KC64: Community Dental Service - Dental Activity

The central return KC64 is completed by NHS Trusts and Strategic Health Authority for their staff providing community dental services. It requires information on Community Dental Health Service activity, covering hours worked, age group of PATIENT, source of referral and some types of work carried out.

The KC64 return relates to activity taking place over a 12 month period, between 1 April of one year and 31 March of the following year. The return is made annually and submitted within two months of the end of the year to which it relates.

KC64 requires the ORGANISATION CODE and ORGANISATION NAME of the NHS Health Care Providers as well as the name of the contact and the contact telephone number, with an e-mail address, if available.

Part 1: Screening Programmes

Part 1 of the return requires information on Oral Health Programme screening activity carried out and the number of people referred for treatment as a result of screening.

Oral Health Programme is a HEALTH PROGRAMME where the HEALTH PROGRAMME TYPE is National Code 04 'Oral Health Programme'.

Part 1 applies to those Oral Health Programmes where the SCREENING OR PROMOTION INDICATOR identifies that the programme is a Screening Programme. It requires a count of the total number of PATIENTS screened, and (of those) the number referred for further attention. No information is required about hours worked for this part of the return.

The contact date for the Face To Face Contact Dental must fall within the period covered by the return, between 1 April and 31 March.

Face to Face Contacts Dental is a CARE CONTACT where the CARE CONTACT TYPE is National Code 17 'Face to Face Contact Dental'. Contact Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 39 'Contact Date'.

Number screened (Initial Contacts)

This requires a count of all the Face to Face Contacts Dental identified as Initial Contacts.

Initial Contact is the first face to face CARE CONTACT occasion on which a PATIENT is seen.

Number referred (total) (from screening Initial Contacts)

This requires a count of the Face To Face Contact Dental identified as first contacts in the financial year where the DENTAL REFERRAL INDICATOR indicates whether the PATIENT has been referred for further attention or not following screening during a Face To Face Contact Dental.

The Face to Face Contacts Dental are subdivided by the classifications of ORAL HEALTH AGE GROUP as follows:

Total (line 9999)

This is the total of all age groups counted in lines 0001 - 0004.

Part 2: Preventive Programmes

Part 2 applies to those Oral Health Programmes run in the Strategic Health Authority or NHS Trust with a SCREENING OR PROMOTION INDICATOR of Health promotion. It requires a count of the hours worked by all grades of dental STAFF MEMBERS IN PROGRAMMES IN PERIODS.

Part 2a: Hours Worked In Oral Health Promotion And Other Preventive Programmes

Part 2a requires the total of HOURS WORKED IN PERIOD ON PROGRAMME by all grades of dental STAFF MEMBERS IN PROGRAMMES IN PERIODS - these are the Dental Staff Members involved in work on the Oral Health Programme with a SCREENING OR PROMOTION INDICATOR of health promotion during one financial year REPORTING PERIOD.

PART 2b: Oral Health Promotion And Other Preventive Programmes

Part 2b requires the number of Health Promotion Programmes and other Oral Health Programmes run in the Strategic Health Authority or NHS Trusts with a SCREENING OR PROMOTION INDICATOR of Health promotion in place at the date of the return. These are sub-divided by the ORAL HEALTH AGE GROUP classifications as follows:

Total (line 9999)

This is the total of all age groups counted in lines 0001 - 0004.

Part 3: Patient Care

Part 3 requires information on different aspects of PATIENT dental treatment:

• the hours worked by staff;
• the number of patients seen, both first contacts in financial year and initial contacts;
• information on referral;
• details of some treatment carried out.

Part 3a: Hours Worked

Part 3a requires the total of HOURS WORKED IN PERIOD ON TREATMENT by all grades of dental staff members in periods - these are the Dental Staff Members involved in the treatment of patients during a financial period.

Part 3: Patient Care - continued

Part 3b: Patient Contacts

Part 3b requires a count of the total episodes of care started and the total number of individuals seen in the period covered by the return, between 1 April and 31 March. The contacts are sub-divided by Age Group which are classifications of ORAL HEALTH AGE GROUP:

Total Episodes of Care (Initial Contacts) (line 0001)

The number of episodes started in the period is obtained by counting the Dental Treatment Contacts identified as Initial Contacts.

Dental Treatment Contact is a Face To Face Contact Dental within a Dental Episode involving a face to face between a Dental Staff Member and a PATIENT where dental care is provided. Initial Contact is the first face to face CARE CONTACT occasion on which a PATIENT is seen. Dental Episode is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 16 'Dental Episode'.

Total Individuals seen (First Contacts in the Financial Year) (line 0002)

The number of individuals seen in the period is obtained by counting the Dental Treatment Contact identified as first contact in the financial year. Note that this includes those individuals with a Dental Episode spanning the end of one financial year and the start of another.

Part 3c: Information on Referral

Part 3c requires information on episodes of care started in the period covered by the return by Dental Referral Source Type. The count of episodes is obtained by counting the Dental Treatment Contacts between 1 April and 31 March identified as Initial Contact. These are sub-divided by Age Group which are classifications of ORAL HEALTH AGE GROUP:

Source of Referral (i) Episodes of Care (first column)

This column lists the various SOURCE OF REFERRAL FOR COMMUNITY DENTAL.

Community Dental Service (CDS) screening programme (line 0001)

This requires a count of Initial Contacts initiated by a SOURCE OF REFERRAL FOR COMMUNITY DENTAL classification of 'Community Dental Service screening programme'.

Other dentist (line 0002)

This requires a count of Initial Contacts initiated by a SOURCE OF REFERRAL FOR COMMUNITY DENTAL classification of 'Other dentist'.

Recall (line 0003)

This requires a count of Initial Contacts initiated by a SOURCE OF REFERRAL FOR COMMUNITY DENTAL classification of 'Recall'.

Self (line 0004)

This requires a count of Initial Contacts initiated by a SOURCE OF REFERRAL FOR COMMUNITY DENTAL classification of 'Self'.

Other (line 0005)

This requires a count of Initial Contacts initiated by SOURCE OF REFERRAL FOR COMMUNITY DENTAL classification of 'Other'.

Total Episodes of Care (line 9999)

This is the total of Dental Episodes initiated by all referral sources.

Source Of Referral (ii) Episodes for which individuals were unable to obtain treatment within the GDS (line 0006)

This requires a count of Dental Episodes where the GENERAL DENTAL SERVICE INDICATOR indicates that the General Dental Service was unable to provide care.

Part 3d: Patient Care

Part 3d requires information on episodes of care that include certain DENTAL TREATMENT CLASSIFICATIONS with a Contact Date (see ACTIVITY DATE) within the period covered by the return. These are sub-divided by ORAL HEALTH AGE GROUP which are classifications of contact date:

General anaesthesia (line 0001)

This requires a count of the number of Dental Episode which include Dental Treatment of DENTAL TREATMENT CLASSIFICATION classification of 'General anaesthesia'. The Contact Dates must be in the period covered by the return.

Sedation (line 0002)

This requires a count of the number of Dental Episodes which include Dental Treatment of DENTAL TREATMENT CLASSIFICATION classification of 'Sedation'. The Contact Dates must be in the period covered by the return.

Orthodontics (line 0003)

This requires a count of the number of Dental Episodes which include Dental Treatment of DENTAL TREATMENT CLASSIFICATION classification of 'Orthodontics'. The Contact Dates must be in the period covered by the return. Note that no information is required about orthodontic treatment for PATIENTS aged 65 and over.

Part 4: Epidemiology

Total hours spent on survey work

This requires a count of the number of Dental Episode which include Dental Treatment of DENTAL TREATMENT CLASSIFICATION of 'General anaesthesia'. The Contact Dates must be in the period covered by the return.

Sedation (line 0002)

This requires a count of the number of Dental Episodes which include Dental Treatment of DENTAL TREATMENT CLASSIFICATION of 'Sedation'. The Contact Dates must be in the period covered by the return.

Orthodontics (line 0003)

This requires a count of the number of Dental Episodes which include Dental Treatment of DENTAL TREATMENT CLASSIFICATION of 'Orthodontics'. The Contact Dates must be in the period covered by the return. Note that no information is required about orthodontic treatment for PATIENTS aged 65 and over.

Part 4: Epidemiology

Total hours spent on survey work

Part 4 requires the total of HOURS WORKED IN PERIOD ON SURVEY by Dental Officers (line 0001).

Contextual Overview

The Department of Health requires the collection of information about services provided by Sexual and Reproductive Health Clinics, in order to monitor the implementation of the Government's strategy to reduce the number of teenage pregnancies.

Improving contraception and sexual health services and encouraging young people to seek advice are important aspects of the Teenage Pregnancy Strategy. Best Practice Guidance on the provision of effective contraception and advice services for young people was issued in November 2000 and Local Teenage Pregnancy Strategies all include proposals to ensure that appropriate services are in place.

Monitoring of the Teenage Pregnancy Strategy is being undertaken partly through a National Indicator Set, which was issued in November 2001. This includes indicators on the provision of services in accordance with Best Practice Guidance and the uptake of services by under 18 year olds. The Central Return Form KT31 will provide data needed for these indicators.

The Best Practice Guidance on service provision is concerned with services for young people under 25, and this is reflected in KT31:

(i) A key goal of the Teenage Pregnancy Strategy is to reduce the rate of conceptions for under 18s. The AGE group is split into 16-17 year olds and 18-19 year olds in parts B and C of the form.

(ii) An important part of the Teenage Pregnancy Strategy is to increase the awareness and involvement of young men in sexual health matters. Data on males is to be collected for exactly the same AGE groups as for females.

Completing the Central Return KT31 Family Planning Services

The coverage of the KT31 return includes services provided by NHS Trusts / Primary Care Trusts in Sexual and Reproductive Health Clinics and at Sexual and Reproductive Health Domiciliary Visits and also those provided by non-NHS clinics funded wholly or in part by the NHS. Not included are services provided by CONSULTANTS in Out-Patient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.

Sexual and Reproductive Health Clinic and Out-Patient Clinic are both types of a CLINIC OR FACILITY. A Sexual and Reproductive Health Domiciliary Visit is a CARE CONTACT where the CARE CONTACT TYPE is National Code 21 'Family Planning Domiciliary Visit'.

A contact is a Clinic Attendance Sexual and Reproductive Health Service or a Sexual and Reproductive Health Domiciliary Visit, during which a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.

Clinic Attendance Sexual and Reproductive Health Service and Sexual and Reproductive Health Domiciliary Visit are both a CARE CONTACT where the CARE CONTACT TYPE is National Code 07 'Clinic Attendance Family Planning' and 21 'Family Planning Domiciliary Visit' respectively.

A first contact in financial year is the first time a PATIENT is seen in the year by the family planning service. A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by any NHS Trust / Primary Care Trust.

Where a couple are seen together only one first contact is recorded; where either vasectomy or the male condom is the main method chosen, the first contact is recorded as one with a man; in all other cases, where any other method is chosen, the first contact is recorded as one with a woman.

The CONTRACEPTION METHOD MAIN for new PATIENTS is that chosen after counselling; for existing PATIENTS it is the principal method in use unless a change is advised. For new PATIENTS, the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.

The information in the KT31 Central Return form can now be submitted to the Department of Health via the Internet. If you would be interested in using this facility, please contact your Information Manager. Alternatively further information about this facility can be obtained from the Department of Health: http://www.dh.gov.uk

Part A (I) - Total Contacts

For Part A (1), record all contacts, including those occurring at young persons' clinics. Contacts at a young persons clinic should also be counted at A (ii).

A contact is a Clinic Attendance Sexual and Reproductive Health Service or a Sexual and Reproductive Health Domiciliary Visit during which a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.

Clinic Attendance Sexual and Reproductive Health Service and Sexual and Reproductive Health Domiciliary Visit are both a CARE CONTACT where the CARE CONTACT TYPE is National Code 07 'Clinic Attendance Family Planning' and 21 'Family Planning Domiciliary Visit' respectively.

Line 1: Column 4: The total number of clinic attendance contacts

This is the total number of Clinic Attendances Sexual and Reproductive Health Service contacts, where a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.

Line 2: Column 4: The total number of domiciliary visit contacts

This is the total number of Sexual and Reproductive Health Domiciliary Visits contacts, where a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.

Line 9: Column 4: The total number of contacts for both clinic attendance and domiciliary visits

This is the total number of contacts for both Clinic Attendance Sexual and Reproductive Health Service and Sexual and Reproductive Health Domiciliary Visit contacts, where a PATIENT is seen by professional staff for counselling, or in order to be prescribed contraceptives.

Clinic Attendance Sexual and Reproductive Health Service and Sexual and Reproductive Health Domiciliary Visit are both a CARE CONTACT where the CARE CONTACT TYPE is National Code 07 'Clinic Attendance Family Planning' and 21 'Family Planning Domiciliary Visit' respectively.

Part A (II) - Clinic sessions for people aged under 25

Part A (ii) - A young persons' clinic is one intended for persons up to, but not including, the AGE of 25.

Line 1: Column 6: The total number of clinic sessions held (recorded each time a Young Persons Clinic is held) (Line 1: Column 6)

A clinic session is recorded each time a young persons' clinic is held; do not include any other type of clinic session.

Line 2: Column 6: The total number of contacts regardless of a patients age (recorded each time a Young Persons Clinic is held) (Line 1: Column 6)

All contacts at young persons clinics should be recorded, regardless of the age of the PATIENT; where a couple attend together, record one contact only

Part B - First Contacts in the Financial Year - Females

This is a count of the 'Main Methods of Contraception Chosen': CONTRACEPTION METHOD MAIN (Lines 01-17), recorded the first time a female PATIENT is seen in the year by the family planning service: first contact in financial year, broken down by 7 AGE groups (columns 8-14). Please provide full details if possible; if full year detail by age or method is not available, part year or sample based detail would be helpful in addition to any full-year figures.

The CONTRACEPTION METHOD MAIN for new PATIENTS, is that chosen after counselling; for existing CONTRACEPTION METHODS MAIN, it is the principal method in use unless a change is advised. For new PATIENTS, the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.

Note: Information about male first contacts should be recorded in part D(i) of the KT31 form)

Main Method of Contraception Chosen (Female first contacts in financial year): Column 7: Lines 01-17

This is the CONTRACEPTION METHOD MAIN chosen or already in use by a female PATIENT, recorded during a first contact in financial year.

The first contact in financial year is the first time a female PATIENT is seen in the year by the family planning service.

A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by any NHS Trust / Primary Care Trust.

Oral Contraceptive: Lines 01 - 02

Line 01: Columns 8 - 14: Main Method of Contraception Chosen - (i) Combined Preparation - (Oral Contraceptive)

This is the count of the number of times the classification of 'Combined Preparation - oral contraceptive' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Line 02: Columns 8 - 14: Main Method of Contraception Chosen - (ii) Progestogen only (Oral Contraceptive)

This is the count of the number of times the classification of 'Progestogen only - oral contraceptive' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Line 03: Columns 8 - 14: Main Method of Contraception Chosen - IU Device (IUD)

This is the count of the number of times the classification of 'IU Device (IUD)' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 14).

Note: IU Devices - do not include use of the Mirena intra-uterine system (IUS), this should be included at line 13.

Line 04: Columns 8 - 14: Main Method of Contraception Chosen - Cap, Diaphragm

This is the count of the number of times the classification of 'Cap, Diaphragm' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 14).

Line 05: Columns 8 - 14: Main Method of Contraception Chosen - Injectable contraceptive

This is the count of the number of times the classification of 'Injectable contraceptive' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Line 06: Columns 8 - 14: Main Method of Contraception Chosen - Other chemicals (Spermicides etc, but only when used on their own)

This is the count of the number of times the classification of 'Other chemicals' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Note: Other Chemicals (mainly spermicidal foams, gels, jellies and cream), should be included only when they are used on their own and not when used with, for example, a barrier method.

Line 07: Columns 8 - 14: Main Method of Contraception Chosen - Male condom (female first Contacts only)

This is the count of the number of times the classification of 'Male condoms' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 - 14).

Line 08: Columns 8 - 14: Main Method of Contraception Chosen - Female condom: e.g. FEMIDOM

This is the count of the number of times the classification of 'Female condoms' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 - 14).

Main Method of Contraception Chosen - Natural Family Planning/Fertility Awareness (Rhythm Method): Lines 09-10

Where both indictors and devices are used, record under line 10 devices.

Line 09: Columns 8 - 14: Main Method of Contraception Chosen - (i) Fertility Indicators (singular or combined)

This is the count of the number of times the classification of 'Fertility Indicators' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Line 10: Columns 8 - 14: Main Method of Contraception Chosen - (ii) Fertility Devices (including Persona)

This is the count of the number of times the classification of 'Fertility devices' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 - 14).

For Lines 9 and 10 - The terms "Natural Family Planning" or "Fertility Awareness" are now used in preference to 'Rhythm Method'. There are a number of recognised indicators that monitor the timing of ovulation, for example cycle length, waking body temperature, cervical secretions (cervical mucus); these indicators may be used in combination and there are also fertility devices (including Persona).

Line 11: Columns 8 - 14: Main Method of Contraception Chosen - Female Sterilisation

This is the count of the number of times the classification of 'Female sterilisation' is chosen or has already been chosen as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Line 12: Columns 8 - 14: Main Method of Contraception Chosen - Implant

This is the count of the number of times the classification of 'Implants' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Line 13: Columns 8 - 14: Main Method of Contraception Chosen - IU System (IUS) (Including Mirena)

This is the count of the number of times the classification of 'IU System (IUS) (Including Mirena)*' is chosen or is already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

*Include use of the Mirena intra-uterine system (IUS)

Line 14: Columns 8 - 14: Main Method of Contraception Chosen - Contraceptive Patch

This is the count of the number of times the classification of 'Patches' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 -14).

Line 15: Columns 8 - 14: Main Method of Contraception Chosen - Other Methods

This is the count of the number of times the classification of 'Other methods' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 -14).

Note: Record here the number of women whose CONTRACEPTION METHOD MAIN is not listed in lines 1 to 14; include in line 15 women whose first contact is an attendance for post-coital (emergency) contraception, who have no other method recorded as their main method.

Line 16: Columns 8 - 14: Main Method of Contraception: No Method Provided

This is the count of the number of times the classification of 'No method provided' is recorded the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8 -14).

Note: Record here the number of women who attend for contraceptive advice and have no current method, but for whom no method is advised (Line 16: Column 7)

Line 17: Columns 8 - 14: Contact for Reasons other than Contraception

This is the count of the number of times 'Contact for reasons other than contraception' is recorded the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 8-14).

Note: Record here the number of women who attend the clinic solely for purposes not connected with contraceptive advice, e.g. for cervical screening only (Line 17: Column 7)

Line 99: Totals - Main Method of Contraception Chosen (broken down by age groups: Columns 8 - 14) - for Female first contacts in financial year

This is the count of the total for each age group for first contact in financial year for females, broken down by 7 age groups (columns 8 - 14).

Line 99: Totals - Column 8

The totals for Column 8 (age: <15), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 8 in Line: 99 - Total.

Line 99: Totals - Column 9

The totals for Column 9 (age: 15), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 9 in Line: 99 - Total

Line 99: Totals - Column 10

The totals for Column 10 (age: 16-17), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 10 in Line: 99 - Total

Line 99: Column 11

The totals for Column 11 (age: 18-19), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 11 in Line: 99 - Total

Line 99: Column 12

The totals for Column 12 (age: 20-24), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 12 in Line: 99 - Total

Line 99: Column 13

The totals for Column 13 (age: 25-34), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 13 in Line: 99 - Total

Line 99: Column 14

The totals for Column 14 (age: 35+), for Lines 01-17 (Main Methods of Contraception Chosen) added together, to create a total figure for Column 14 in Line: 99 - Total

Column 15: Lines 01-17

The total count for each CONTRACEPTION METHOD MAIN chosen or already in use (lines 01-17), should be entered into each line in Column 15. The total for each line that needs to be entered into Column 15, is the figure for each age group (columns 8-14), added together to form a total for each CONTRACEPTION METHOD MAIN.

Column 15: Line 99

This is the total count for all PATIENTS - females, from all CONTRACEPTION METHODS MAIN chosen (lines 01-17), for all age groups (columns 8-14).

Part C - Post Coital Contraceptives - Females - Number of Occasions

Part C - Record every contact with a woman for CONTRACEPTION METHOD POST COITAL, not just first contacts.

Line 01: Post Coital Contraceptives - Females - Number of occasions (Type of Post Coital Contraception - Hormonal)

This is a count for the number of contacts with women for CONTRACEPTION METHOD POST COITAL (not just for first contacts), for type of post-coital contraception classification of 'Hormonal', broken down by 7 age groups (columns 17-23).

Line 02: Post Coital Contraceptives - Females - Number of occasions (Type of Post Coital Contraception - IUD)

This is a count for the number of contacts with women for CONTRACEPTION METHOD POST COITAL (not just for first contacts), for type of post-coital contraception classification of 'IUD', broken down by 7 age groups (columns 17 - 23).

Line 99: Totals Column 17 - 23

The totals for Columns 17-23, for Lines 01-02 (CONTRACEPTION METHOD POST COITAL classification of 'Hormonal' and 'IUD') added together to create total figures for each age group, in Line: 99.

Column 24: Totals Lines 01-02

The total count for each type of CONTRACEPTION METHOD POST COITAL for lines 01-02, should be entered into each line in Column 24. The total for each line that needs to be entered into Column 24, is the figure for each age group (columns 17-23), added together to form a total for each type of post-coital contraception.

Column 24: Line 99

This is the total count from both types of CONTRACEPTION METHOD POST COITAL (lines 01-02), for all age groups (columns 8-14).

Part D(i) First contacts in the financial year - male

Main Method of Contraception Chosen (Males - first contacts in financial year)

This is the CONTRACEPTION METHOD MAIN chosen or already in use; the first time a male PATIENT is seen in the year by the family planning service. A subsequent contact with the same service provider does not count as a first contact, so each PATIENT is recorded only once in any year by any NHS Trust / Primary Care Trust.

The CONTRACEPTION METHOD MAIN for new PATIENTS is that chosen after counselling; for existing CONTRACEPTION METHODS MAIN, it is the principal method in use unless a change is advised. For new PATIENTS, the main method should be the substantive method chosen and not any interim method, even if the choice is not made until a subsequent attendance or visit. In particular, where vasectomy or female sterilisation is the method chosen after counselling, any interim methods used while waiting for an operation should not be recorded.

Line 01: Main Method of Contraception Chosen - Vasectomy

This is the count of the number of times the classification of 'Vasectomy' is chosen or has already been chosen as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 26-32).

Line 02: Main Method of Contraception Chosen - Male condom

This is the count of the number of times the classification of 'Male Condoms' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 26-32).

Line 03: Main Method of Contraception Chosen - Other methods

This is the count of the number of times the classification of 'Other Methods' are chosen or are already in use as a CONTRACEPTION METHOD MAIN, the first time a PATIENT is seen in the year at a family planning service , broken down by 7 age groups (columns 26-32).

Note: Record the number of male first contacts whose main method is neither vasectomy nor male condom

Line 04: Main Method of Contraception Chosen - No method provided

This is the count of the number of times the classification of 'No method provided' is recorded the first time a PATIENT is seen in the year at a family planning service as a CONTRACEPTION METHOD MAIN, broken down by 7 age groups (columns 26-32).

Line 05: Main Method of Contraception Chosen: Contact for reasons other than contraception

This is the count of the number of times the classification of 'Contacts for reasons other than contraception' is recorded the first time a male PATIENT is seen in the year at a family planning service, broken down by 7 age groups (columns 26-32).

Line 99: Totals - Column 26 - 32

The totals for Columns 26-32, for Lines 1-5 for the CONTRACEPTION METHOD MAIN chosen or already in use by males during first contact in the financial year, added together to create total figures for each age group in Line: 99.

Column 33: Totals - Lines 1-5

The total count for each CONTRACEPTION METHOD MAIN chosen by Males or already in use for lines 1-5, should be entered into each line in Column 33. The total for each line that needs to be entered into Column 33, is the figure for each age group (columns 26-32) added together to form a total for each CONTRACEPTION METHOD MAIN chosen (Lines 1-5).

Column 44: Total - Line 99

This is the total count for all Main Methods of Contraception chosen or already in use by Males during first contacts in financial year, from all CONTRACEPTION METHODS MAIN (lines 1 - 5), for all age groups (columns 26-32).

Part D (ii) Vasectomies - all operations in family planning clinics, out-patients clinics or under contract

Column 34: Total of all vasectomy operations carried out at family planning Clinics, out-patient clinics or under contract.

A count of all the vasectomy operations carried out by the NHS Trust / Primary Care Trust in a Sexual and Reproductive Health Clinic or an Out-Patient Clinic or under contract with a non-NHS clinic or hospital; do not include vasectomies carried out by the NHS Trust / Primary Care Trust on an in-patient basis.

Sexual and Reproductive Health Clinic and Out-Patient Clinic are both types of a CLINIC OR FACILITY.