There will be a ‘major overhaul’ of NHS cancer screening, officials said today after an admin error meant thousands of women didn’t get cervical screening invites.
A top-to-bottom review of screening programmes will be headed up by the Department of Health’s former cancer director, Professor Sir Mike Richards.
Sir Mike will lead an investigation to advise NHS England and Public Health England on how they can improve cancer screening programmes and ‘save more lives’.
The announcement came this morning after it was yesterday revealed that nearly 50,000 women did not receive their cervical cancer screening invites or test results.
Doctors warned ‘lives are at risk’ because of the blunder, pointing the finger at private firm Capita and calling for the NHS to cut ties with the company.
Capita, paid £330million to provide admin services for the NHS, has been called ‘shambolic’ and blamed human error for failing to send out thousands of letters.
And it was revealed today people in the company knew about the failure for two months before it told the NHS.
More than 4,500 of the letters were about women’s screening results and around 180 of them had potential signs of cancer and had to be contacted by GPs.
Professor Sir Mike Richards, the former chief inspector of hospitals for the Care Quality Commission, will lead a ‘major overhaul’ of the NHS’s cervical, breast and bowel cancer screening services which have been blighted by controversy over the past year
Sir Mike, who is also the former chief inspector of hospitals for the Care Quality Commission, said: ‘There is no doubt that the screening programmes in England save thousands of lives every year.
‘However, as part of implementing the NHS’s long-term plan, we want to make certain they are as effective as possible.
‘This review provides the opportunity to look at recent advances in technology and innovative approaches to selecting people for screening, ensuring the NHS screening programme can go from strength to strength and save more lives.’
Sir Mike’s review is expected to be complete by summer 2019 and may recommend ‘changes to currently outsourced provision’.
This suggests the health service might be urged to take its work out of the hands of some private companies.
The review will look at the provision of cervical, breast and bowel screening, which are all given regularly in the UK.
After yesterday’s bombshell the NHS revealed it had known for a month about the blunder which saw almost 50,000 women miss out on smear test invites and results.
NHS England said it kept quiet while contacting those affected by the error, which dates back to August and was made by private firm Capita.
It was revealed today that people working at Capita knew about the mistake for two months before they told the NHS, GP magazine Pulse reported.
The company has admitted it knew about the error since August but didn’t tell the health service until October.
And the public only found out yesterday after the British Medical Association wrote to the head of NHS England calling for Capita to be stripped of its contract.
Doctors warned ‘lives are at risk’ because of the failure by the company, which has been branded ‘shambolic’ and ‘incompetent’.
It blamed human error for the failure and said disciplinary measures would be taken.
Around 43,200 women did not receive either an invitation or a reminder letter to attend their screening appointment between January and June this year.
A further 4,500 were not sent the results of the smear tests they had attended between January and October.
It comes months after it emerged 450,000 women were not invited for breast cancer screening, with dozens believed to have died as a result.
The BMA, the GPs’ trade union, wrote to NHS England about its ‘extreme concern’ that so many women did not get the letters because of the ‘gross’ error by Capita.
‘This is an incredibly serious situation,’ said the BMA’s Dr Richard Vautrey. He added it was ‘appalling that patients may now be at risk’ of cervical cancer and said hundreds of women are likely to be ‘extremely anxious’ over the news.
Capita apologised for the blunder, saying the correct process ‘was not properly followed’ and implying it may sack the people responsible.
It is currently unclear how the administrative error occurred. The firm, based in London, has only said the correct process for uploading, organising and checking datafiles was not properly followed.
The firm added that the individuals responsible did not immediately escalate the issue to senior management upon discovery of the problem – details today emerged the problem was kept under wraps at the company for two months.
The NHS sends women letters every three years after they turn 25 inviting them for a cervical screening test.
Some 48,500 women in England did not receive letters inviting them or reminding them to attend cervical screening tests, which can pick up on early warnings of cancer (stock image)
This falls to every five years for women aged 50 to 64. Those over 65 are only offered a test if they have recently had abnormal test results.
Around five million women in the UK are invited for smear tests every year. Around 850 die each year from cervical cancer in the UK.
Around one in 20 women who have a smear test have an abnormal result, but only one in 2,000 have cervical cancer, according to The British Society for Colposcopy and Cervical Pathology.
‘It took me three weeks to find out I was okay’
Kelly Swingler is one of the thousands of women who didn’t receive their NHS cervical screening results
Kelly Swingler is one of the thousands of women who didn’t receive their NHS cervical screening results.
The mother-of-two diligently attends cervical smears once every two years and regularly encourages her sister and friends to have them as well.
But when Miss Swingler, from Peterborough, did not receive her results after her most recent test in May, she became concerned.
She said: ‘The results normally come back in three to five days. It took me three weeks to get through to my doctor who said everything was okay.’
Mrs Swingler has had smear tests come back with abnormal results before, so she believes it is essential to keep up to date with screenings.
The 38-year-old businesswoman added: ‘I go every time I am reminded to.
‘Because the results are usually so quick to come back, I did start to get concerned. There are many women that are not going to their screenings. But the ones that do go don’t hear anything – that is something you just don’t need.’
Mrs Swingler said of Capita, the contract company responsible for the blunder: ‘They have a duty of care and responsibility. If that were any other company, if that were my company, we wouldn’t still be in business. They are being paid a lot of money.’
The tests pick up on abnormal cells on the cervix which, if caught early, can be removed in order to try and prevent cervical cancer.
Around 43,200 women who were due to receive invitation or reminder letters between January and June this year weren’t sent them. And 4,508 women missed letters about the results of their screenings.
Around 180 of which are thought to have shown abnormal findings, meaning those women may have been at risk of cancer.
Of those women, 90 have already been contacted and the NHS is tracking down the rest over the next 10 days, NHS England says.
However, sources close to Capita deny the women faced any risk of cervical cancer because they would have been told the results by their GP.
Smear tests pick up on abnormal cells on the cervix which, if caught early, can be removed in order to try and prevent cervical cancer (stock)
The BMA’s Dr Vautrey added: ‘This is an incredibly serious situation, and it is frankly appalling that patients may now be at risk because of this gross error on the part of Capita.
‘Some women will now be left extremely anxious because they have not received important correspondence, particularly letters about abnormal smear test results that need urgent follow up. This has been caused solely by Capita’s incompetence.’
The Royal College of General Practitioners (RCGP) has said women shouldn’t panic but the NHS must answer for its failings.
The body has urged the health service to ‘seriously review’ its contract with Capita, suggesting pressure will grow on NHS bosses to cut ties with the company.
Professor Helen Stokes-Lampard, RCGP chair, said: ‘This error has put patients at risk, and it will undoubtedly cause women more anxiety.
‘It is vital everything is done as a matter of urgency to rectify the situation, and ensure all affected women are informed – particularly those who have not received their test results.
‘We urge women not to panic and to await further information – we understand that NHS England are already working to contact anyone who has been affected.’
This is not the first time Capita has made an error while working for the NHS this year.
The company won a seven-year contract in 2015 to run a £330million back-office services contract for the NHS, in which it was required to crack down on ‘ghost patients’.
These are patients who don’t exist in reality but are registered at GP surgeries and, since Capita took over, the number of them has risen from three million to 3.6million.
Health leaders are furious with the company’s failure to meet the high standard expected.
‘Since it took responsibility for GP back room functions three years ago, Capita‘s running of these services has been nothing short of shambolic,’ added Dr Vautrey.
‘And after repeated warnings from the BMA and government, this is now clear evidence that its failings have put patient safety – and possibly lives – at risk.
Capita, whose chairman is Sir Ian Powell (pictured), had nearly £1billion wiped off its value in January as shares plummeted to a 15-year low
‘It is ultimately NHS England that bears overall responsibility and it must now take this service back in-house.
‘As the body which commissioned Capita to take on this work, despite clear warning signs that it was not up to the job, NHS England must shoulder the blame for this dreadful situation; you cannot outsource responsibility.’
Dr Stokes-Lampard added: ‘This is the second blunder of its kind this year, and we all need answers about why this has happened and assurance that it will not happen again.
‘We will be asking NHS England to urgently and seriously review its contract with Capita – this is the latest in a long line of serious errors made by the company, and it is clear to us that they have not properly understood the scope or complexity of the work they have bid to do to support primary care.’
An NHS England spokesperson said: ‘Every woman’s case is being reviewed, but there is no current evidence that this incident has led to harm to the women involved, and our priority now is to ensure that anyone affected by this incident is contacted, and knows how to get checked if they are due a cervical screen.’
Capita has blamed human error for the failing and are taking ‘disciplinary action’ against the people responsible for covering it up, the company said.
It said an auditing team has been appointed to investigate the incident and more stringent checks put in place to try and stop it happening again.
It comes after the NHS was engulfed in a similar scandal in May, which saw 450,000 women denied life-saving breast cancer screening scans because of a ‘colossal’ IT failure
In a statement, Capita said: ‘We have investigated the precise circumstances around this incident, and it is clear that the correct process for uploading, organising and checking datafiles was not properly followed.
‘When the problem was discovered, it was not immediately escalated to senior leadership, or NHS England, by the individuals responsible.
‘Capita is investigating the managerial handling of the matter and taking appropriate disciplinary action.
‘Additionally, a senior executive responsible for this contract has already left Capita.
‘The risk to women of this incident is low and there is no current evidence of harm, but Capita nevertheless apologises to both the NHS and to the women whose correspondence was delayed.’
It comes after the NHS was engulfed in a similar scandal in May, which saw 450,000 women miss life-saving breast cancer screening scans because of a ‘colossal’ IT failure.
The women, aged between 68 and 71, were never sent letters offering them routine breast screening because of an IT error lasting from 2005 to 2018.
And then-Health Secretary, Jeremy Hunt, said up to 270 of them developed breast cancer which shortened their lives.
The chief of Breast Cancer Now, Baroness Delyth Morgan said at the time: ‘It is beyond belief that this major mistake has been sustained for more than a decade.’
The glitch wasn’t even discovered until Oxford University researchers were setting up breast screenings as part of a study and found some women’s were automatically cancelled because of their age.
Mr Hunt first blamed a ‘computer algorithm failure’ but apologised, saying: ‘For many years oversight of our screening programme has not been good enough.’
Women are invited for routine breast screening on the NHS every three years between the ages of 50 and 70.