Transcript Womens` Health Evening - Portishead Medical Group

Women’s Health Evening
Portishead Medical Group
Monday 12th October 7.30-9pm
Introduction
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Mary Adams, North Somerset CCG
Dr Kate Wood, PMG
Dr Emily Lake, PMG
Dr Gerwyn Owen, PMG
Topics to be Covered
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Disease screening for women
Hormone replacement treatment
Vaginal Prolapse
Osteoporosis
Questions on any other concerns
Screening Programmes in the UK
• What is screening?
• Why do we screen?
Wilson Criteria for Screening
• the condition should be an important health problem
• the natural history of the condition should be understood
• there should be a recognisable latent or early symptomatic
stage
• there should be a test that is easy to perform and interpret,
acceptable, accurate, reliable, sensitive and specific
• there should be an accepted treatment recognised for the
disease
• treatment should be more effective if started early
• there should be a policy on who should be treated
• diagnosis and treatment should be cost-effective
• case-finding should be a continuous process
Breast Cancer Screening
• Incidence rate is 125.1/100,000 (men 0.9)
• Eligible women, aged 50 to 70, receive an invitation
letter explaining:
• the programme
• the benefits and risks of breast screening
• Women do not always receive an invitation when they
turn 50. They can expect their invitation within 3 years
of their 50th birthday.
• Women cannot walk in and request breast screening
unless they are over 70, when they can request
screening every 3 years
Breast Cancer Screening
• Early detection and treatment
• Screening for high risk groups where
significant family history ( first degree
relatives)
• Evaluation of the scheme has demonstrated
more new cancers found and treated early
• Debates
Cervical Cancer Screening Programme
• Incidence rate in UK 8.9/100,000
• NHS cervical screening programme is available to
women aged 25 to 64 in England
• Women aged 25 to 49 receive invitations every 3
years. Women aged 50 to 64 receive invitations
every 5 years.
• The HPV vaccination programme started in 2008.
Vaccinations will not have an impact on incidence
for many years; vaccinated women should
continue accepting offers of cervical screening
Cervical Cancer Screening Programme
• What happens if screening is positive?
• Colposcopy, biopsy
• Treatment
Bowel Cancer Screening Programme
• Incidence rate 37.6/100,000
• Stool sample
• Screening every 2 years to all men and women
aged 60-74
• Positive result leads to colonoscopy usually
• Treatment
• If older than 74 then can request a kit by
ringing 08007076060
Infectious Diseases in Pregnancy
Screening
• The infectious diseases in pregnancy screening
(IDPS) programme currently screens for:
• HIV
• hepatitis B
• syphilis
• rubella susceptibility
Sickle Cell and Thalassaemia Screening
• It screens for:
• genetic carriers for sickle cell, thalassaemia and other
haemoglobin disorders
• sickle cell disease
• thalassaemia
• haemoglobin disorders
• It offers screening to:
• all pregnant women
• fathers-to-be, where antenatal screening shows the mother
is a genetic carrier
• all newborn babies, as part of the newborn blood spot
screening programme
Diabetic Eye Screening
• This evidence shows that early identification and treatment of
diabetic eye disease could reduce sight loss. The main treatment for
diabetic retinopathy is laser surgery.
• The eligible population for DES is all people with type 1 and type 2
diabetes aged 12 or over.
• People already under the care of an ophthalmology specialist for
the condition are not invited for screening.
• The programme offers pregnant women with type 1 or type 2
diabetes additional tests because of the risk of developing
retinopathy.
• Screening gives people with diabetes and their primary diabetes
care providers information about very early changes in their eyes.
• Early warnings allow people to take preventative action to stop
serious retinopathy developing.
Free NHS Health Checks
• Men and women between 40-74 invited to have
one
• Every 5 years
• Family History and Lifestyle Questions
• Height, weight, BMI, BP
• Cholesterol
• Blood glucose if at risk due to family history,
raised blood pressure or obesity
• Advice about smoking, exercise, alcohol and
dementia awareness
• Conclusion
• Any questions