Cellular Pathology News

CYTOLOGY CELEBRATION AND RAFFLE FOR JO’S CERVICAL CANCER TRUST

March 24th, 2020

The Cytology department hosted a farewell party on Friday 13th March at Buckerell Lodge, Exeter. We would like to thank everyone who attended, it was a wonderful evening.

We held a raffle with NINE fantastic prizes, all proceeds going towards Jo’s  cervical cancer trust, the UK’s leading cervical cancer charity.

 


We would like to thank everyone for their generous donations and congratulations to those who won prizes…  we raised £226 !!!

The Cytology department would like to thank all those involved with cervical screening for their dedication and professionalism over the years. We wish you all the best of luck for the future.


CHANGES TO THE CERVICAL SCREENING PROGRAMME

February 26th, 2020

FOR PRACTICE MANAGERS AND CERVICAL SCREENING SAMPLE TAKERS: CHANGES TO THE CERVICAL SCREENING PROGRAMME

Devon and Cornwall

Communications were sent out on the 3rd of September 2019 by the Head of Public Health Commissioning, NHS England and NHS Improvement – South West to confirm that the processing and reporting of all cervical screening samples taken in your practice will transfer to Severn Pathology, North Bristol NHS Trust.

This change will be effective for all samples taken on and after the 18th March 2020 onwards for all practices in Devon and Cornwall.

All cervical samples sent to Severn Pathology will undergo testing for Human Papilloma Virus (HPV) in the first instance (HPV primary screening). The result of the HPV test determines whether or not cytology testing is also carried out.

 

Cervical Screening Requests – Open Exeter

Please be aware of the following changes in the requesting process which may require action for your practice:

Electronic requesting systems (including ICE and other order communications platforms) will no longer be used for cervical screening samples. Any practices currently using electronic requesting for cervical screening requests will have this functionality switched off from the date of service transfer. Any electronic requesting currently used for other pathology requests will remain unchanged.

All sample takers will require access to Open Exeter and should request access from their practice manager if they do not currently have it.

A guide to using Open Exeter for this purpose is attached to this communication.

 

Electronic Reporting of Cervical Screening Results

Cervical screening results will be sent electronically from Severn Pathology, North Bristol NHS Trust to all GP practice clinical systems.

There may be a period of a few days where you will receive reports from both the new and previous provider on different patients.

 

Direct Referrals from the Laboratory to Colposcopy

Direct referrals will be made from the laboratory at Severn Pathology, North Bristol NHS Trust following the service transfer but practices will not notice any change in the referral process. Your patients will continue to be referred to the same colposcopy clinic as previously.

 

Sample Taker Consumables

Severn Pathology will be requesting that all cervical screening samples be transported in new bags which will have orange swirls with a white outline. The bags will be provided with the sample taker consumable kits. Existing kits and bags can be used up before switching over. The current arrangements in place for requesting sample taker kits will remain unchanged until further notice.

 

Sample Transport

Existing arrangements are expected to remain for the collection of cervical screening samples from practices for onward delivery to Bristol from a network of local hubs which will be a mixture of existing and newly created collection points. You will be notified if this changes.

For more information please see:

https://www.gov.uk/government/collections/cervical-screening-professional-guidance

Or speak to your cervical screening sample taker training lead.

 

For  ALL laboratory queries please contact the Cytology department at Severn Pathology on 0117 414 9810.

Katherine Hunt, Lead Biomedical Scientist, Cytology

Dr Karin Denton, Lead Cytopathologist

Website: https://www.nbt.nhs.uk/severn-pathology/pathology-services/cellular-pathology/cytology

 

CERVICAL SCREENING REQUESTS – OPEN EXETER GUIDE 

All cervical screening sample requests will need to be made via Open Exeter using the pre-populated HMR101 (editable) printed request form.

Sample taker PIN codes and clinical details should be typed into the relevant boxes, which will eliminate issues for the laboratory with hand-written forms.

Once the HMR101 request form is complete, please ensure you print the A4 PDF version directly from Open Exeter.

1.Enter patient’s NHS number:

 

2. On top left hand corner click on HMR101 editable form:

 

3. Type sample taker PIN code and enter clinical details:

 

4. Select A4 PDF:

5. Click Open and a PDF version of the pre-populated request form with typed sample taker PIN code and clinical history will open.

6. Click print from the Open Exeter form menu

 

 

There will be no changes to sample taker PIN ID’s – please continue to use existing PINs when requested cervical screening tests.

Please obtain new PIN IDs from your usual source.

 


CELLULAR PATHOLOGY USER SURVEY 2019

January 10th, 2020

Many thanks to those of you who took the time to complete the Cellular Pathology user survey in 2019

Overall Cellular Pathology service:

87.5% of responders would rate The Cellular Pathology Service either Good or Excellent

You said
Always approachable and helpful.
• Feel that the department is under a lot of pressure, but works hard to get our results out quickly and accurately. In house HER2 would be awesome!
• Out of hours pathology for oncologic emergencies not available. No ability to incorporate genomic data in the pathology.
• Fabulous one stop clinic help from Cytology.
We said
• HER2 is centrally funded and therefore currently cannot be carried out on this site.
• Unfortunately the Cell Path team are not responsible for reporting genomic results and so we have no control over the way genomic data is reported.
• Many thanks – We always aim to provide an excellent ROSE service for all of our users.

Turnaround Times:
You said
• Sometimes turnaround times for Histology are reasonable for H&E 3-5 days, but often not.
We said
• We are working on recruiting more Pathologists to improve our turnaround times

Quality and clinical relevance of reports:
You said
• When slides go off to backlogs the reports are of varying quality and there is often an unacceptable delay in getting slides back.
We said
• We are working on recruiting more Pathologists to avoid sending slides away.

 

CERVICAL CYTOLOGY USER SURVEY 2019

Many thanks to those of you who took the time to complete the Cervical Cytology user survey in 2019.

94% of responders would rate The Cervical Cytology Service either Good or Excellent.

You Said
Website
Have just had a look and added to my favourites – it looks good.
• Very clear always found all the info I needed.
• Just found it and accessed it without difficulty, very informative.

Availability and quality of technical and clinical advice
The advice and assistance I have received has been very helpful.
• Not accessed it yet.
• Rang the lab a few times and have always found them to be very helpful and efficient.
• Always willing to answer queries in a timely fashion, really helpful.

Quality of sample taker training
I visited as part of my training. Extremely helpful staff and made to feel very welcome.

We said:
• Many thanks for your comments – they are appreciated.

Transport of samples:
You said:
As a Practice of 15,500 pts we only get a 1x daily courier collection. A further pm collection would be desirable.
We said:
• As the laboratory turnaround times are within the 14 days, it is not considered essential to increase the number of collections at this time.
You said:
Slight confusion since the addition of the orange bags – it’s a lot of plastic – can more than one sample go into an orange bag at a time, and is anyone looking at more eco-friendly options?
We said:
• We will investigate the use of biodegradable bags as an alternative to plastic.

 

 


UPDATE TO CERVICAL CYTOLOGY SERVICES – HPV PRIMARY SCREENING ROLL OUT FOR NORTH, EAST AND MID DEVON REGIONS

May 20th, 2019

** HPV Primary Screening Roll Out Update for North, East and Mid Devon Regions **

Early implementation of HPV Primary Screening for North, East and Mid Devon Regions will be commencing in the laboratory from 13th May 2019 (this will involve all tests dated 10th May 2019).  This primary HPV testing will be carried out at the Exeter Cytology Laboratory.

For more information please see ‘HPV Primary Screening Roll Out for North, East and Mid Devon Regions‘


CELLULAR PATHOLOGY USER SURVEY FEEDBACK 2018

February 27th, 2019

Many thanks to those of you who took the time to complete the Cellular Pathology user survey in 2018

You said
• More pathologists so more prompt results

• They appear to be under the greatest pressure in terms of staffing

• Consider using non paper forms to help reduce errors

• I would like to be able to access results via SystmOne for the RD&E

• Takes up to 3 weeks to give us a prostate biopsy result. This creates huge problems with our cancer pathway

• The number of patients for MDT discussion are capped. 30 patients only. This causes a delay in patient pathway.

We said
• We are in the process of implementing a new IT system which will improve the reporting process and build efficiencies into our laboratory systems. Results will be produced electronically. We are also installing a ordering communication system for GPs so that tests can be requested and reports received electronically.

• We are working on expanding our team in order to continue to meet the requirements of our service users.

You said
• Already very good (response to how might services be improved)

• Excellent service, but under-resourced, hence a long turnaround time for biopsies, which impacts on patient care

• Histopathology are working extremely effectively for the lung MDT a really outstanding service. Not only speed but excellent considered opinions.

• Speedy turnaround time. An excellent service

• The RDE Labs provide an excellent service on the whole & are always very polite & helpful when Clinicians ring for advice or email

We said
• We are delighted that our users are positive about our service. We will continue to act on your feedback to ensure our service is continuously improved.


Update to Cervical Cytology Services – HPV Primary Screening Roll Out for Cornwall and Torbay Areas

October 1st, 2018

** HPV Primary Screening Roll Out Update for Cornwall and Torbay Areas **

A recent communication from NHS England on 19th September 2018 announced the early implementation of HPV Primary Screening for Cornwall and Torbay areas from mid-November 2018. This primary HPV testing will be carried out at the Exeter Cytology Laboratory.

For more information please see ‘HPV Primary Screening Roll Out for Cornwall and Torbay Areas


PVSA Request Form *UPDATE*

April 24th, 2018

Please use updated PVSA request form for all future PVSA requests.


Cellular Pathology User Survey Feedback 2017

February 2nd, 2018

Many thanks to those of you who took the time to complete the Cellular Pathology user survey in 2017

You said
The secretaries are always very helpful and reports easily accessible.
• The Team are always extremely helpful with any queries I have and do their best every time.
• Can we track where you are with reporting results via this system? It would save us having to keep calling to chase results etc.
We said
• We are pleased that our team are always helpful. Results are available electronically within the hospital. For any queries regarding reports, please e-mail
rde-tr.Exeterhistology@nhs.net or contact the Secretaries directly on 01392 402942.

 

You said
The turnaround does appear to be quite outdated – not with the processes of the diagnostics but the admin processes to get the reports ready but the Laboratory staff use the tools they are provided with to the best of their ability.
• Often waiting for results
• With regards to the overall service of reporting histology / cytology I feel better technology could be used to speed up the process and help alleviate the workload on the Admin Team.
We said
• We are currently in the process of investigating alternative IT systems to improve the reporting process.

 

You said
New appointments over the last 8 years have really helped.
We said
• We are expanding our team in order to continue to meet the requirements of our service users.


Cytology User Survey Feedback 2017

January 31st, 2018

Many thanks for those of you who took the time to complete our user Cytology survey in 2017

You said
If a colposcopy clinic referral is indicated from result it would be better if there is a choice for the woman – our surgery comes under the NDDH ‘umbrella’ but for a lot of our patients Exeter is far more convenient and given a choice that would be their preference.
We said
• Women are referred to a colposcopy unit according to their GP surgery location. However the GP surgery can change their preferred referral pathway to any colposcopy unit they wish. Women also have an independent choice and can choose where they attend. Please contact the laboratory for further information.

 

You said
Teach smear takers to take smears in left lateral position – so much more comfortable for the patient and easier to get good visualisation of cervix. Many of my patients have asked me to put this idea forward so that it is offered in other practices.
We said
• This idea has been forwarded to Mary White for discussion at the Sample Taker Training Updates. We are sorry but the laboratory cannot deal with this directly.

 

You said
Open Exeter could be easier to use and e-mails more helpful when queries are sent in.
• The Open Exeter website is clunky and difficult to use and required very frequent changes of password, as an occasional (GP) user this is frustrating. I would prefer a link to the clinical system which can then print the form.
We said
• Unfortunately the laboratory is not in control of the Open Exeter IT system. Please can you send your feedback regarding the Open Exeter System to:

NHS Digital
Helpdesk: 0300 303 4034
Email: exeter.helpdesk@nhs.net
Website: http://digital.nhs.uk/


PVSA Request Form

January 31st, 2018

Please note – the PVSA request form has been updated in accordance with the current guidelines (Laboratory Guidelines for Post Vasectomy Semen Analysis: Association of Biomedical Andrologists, the British Andrology Society and the British association of Urological Surgeons 2016).

The updated request form can be found on the Post Vasectomy Semen Analysis Service page.