Rachelle Ross
17 Feb 2023 · Coroner Carly Henley · Newcastle upon Tyne and North Tyneside
The coroner's concerns
1. lack of automatic flag for non-responder smear test patients
“During the course of the inquest I heard evidence from GP [name redacted] at the Collingwood Health Group who [REDACTED] informed me that GP practice records do not include an alert from EMIS or System 1 IT systems to provide an automatic flag on a patient's GP medical records if they are classed as a non-responder for a smear test by the National Screening Service.”
2. delayed detection of cervical cancer
“The alert system is only triggered after a patient attends a smear test. For a non-responder, they go back into the three or five year waiting list for a National Screening invitation for a smear test.”
3. manual warning entry variability
“An automatic flag or alert when a patient fails to attend for a smear test as part of the National Screening Service, would mean that a GP surgery would not have to manually add a warning as an entry onto an individual's GP records. It would standardise the approach across all GP surgeries and could increase patient safety.”