Ms Fiona Murphy:

On service expansion, we have completed the breast test expansion part of the strategy. We have completed the move to HPV. We have started the expansion of bowel tests. We have more to do there. We lost a few years with Covid and our ambition is to get the age down to 55 years and get it up to 74 at the other end. As Dr. Henry says, having follow-up available is important. One area we have focused on for the women who come for cervical screening is how quickly they get to colposcopy services. Great work has been done by colposcopy units, with good investment from previous bids. Anyone urgent is seen within two weeks. People with high-grade disease are seen within four weeks and people with low-grade disease are seen within eight weeks.

Most of the units meet that most of the time. Sometimes there might be a unit that is under particular pressure and we then refer to another nearby unit and ask the woman whether she would be prepared to go somewhere else. We try to build that flexibility into all the services so if there is a service that is under pressure we can quickly move from that. That is probably it.