Central Return Form Guidance

KC62: Adult Screening Programmes - Breast Screening

    Table E: Self/GP referrals of women not screened previously

    This table reports women with a REFERRAL FOR SCREENING TEST with SCREENING REFERRAL SOURCE of Self-referral or GMP with no previous SCREENING TEST. These women have been referred directly for a SCREENING TEST rather than as an invitation as part of a SCREENING PROGRAMME.

    Part E1: Invitations and Outcomes
  1. This is a summary of the outcomes of screening and assessment of all women invited and/or screened.

  2. Age at first offered appointment (first column)
  3. This is derived from the BIRTH DATE of the PERSON. Line 01 includes all women who were aged 44 or less at the time of the date of their first offered appointment for screening in the period covered by the return. Lines 02 to 09 include women in specified age groups. Line 10 includes all women who were aged 75 or over. Line 11 gives the total of all women in lines 03 to 08, giving a summary of the women in the NHS Breast Screening Programme target age range of 50 to 70 - the SCREENING POPULATION. Line 12 gives the total of all women in lines 01 to 10 regardless of age.

  4. Lines 13 - 24 in Part E2 Assessment and lines 25 - 36 in Part E2 Cancers diagnosed follow the pattern described above.

  5. Number of women invited (column 1)
  6. Count of REFERRALS FOR SCREENING TEST where the FIRST TEST DATE OFFERED is in the period covered by the return.

  7. Lost to follow-up after technically inadequate screening mammogram (column 2)
  8. Count of women whose SCREENING TEST RESULT classification was Inadequate test, and for whom no REFERRAL FOR BREAST ASSESSMENT was made.

  9. Number screened (technically adequate) (column 3)
  10. Count of women with a SCREENING TEST DATE in the period covered by the return whose SCREENING TEST RESULT classification was not Inadequate test.

  11. Outcome of initial screen : Not known (column 4)
  12. Count of women with a valid SCREENING TEST DATE but where no BREAST CANCER SCREENING TEST OUTCOME has been recorded.

  13. Outcome of initial screen: Routine recall (column 5)
  14. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Routine recall.

  15. Outcome of initial screen: Early recall (column 6)
  16. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Early recall but without a REFERRAL FOR BREAST ASSESSMENT.

  17. Outcome of initial screen: Referred for assessment (column 7)
  18. Count of women with a REFERRAL FOR BREAST ASSESSMENT. This covers all the women reported in columns 8 to 12.

  19. Final outcome of assessment: Failed to attend for assessment (column 8)
  20. Count of women with a REFERRAL FOR BREAST ASSESSMENT who failed to attend for all required assessment appointments and for whom there is no BREAST ASSESSMENT FINAL OUTCOME.

  21. Final outcome of assessment: Outcome of assessment not known (column 9)
  22. Count of women with a BREAST ASSESSMENT DATE but where no BREAST ASSESSMENT FINAL OUTCOME has been recorded.

  23. Final outcome of assessment: Routine recall (column 10)
  24. Count of women with a BREAST ASSESSMENT DATE and a BREAST ASSESSMENT FINAL OUTCOME classification of Routine recall.

  25. Final outcome of assessment: Early recall (column 11)
  26. Count of women with a BREAST ASSESSMENT DATE and a BREAST ASSESSMENT FINAL OUTCOME classification of Early recall.

  27. Final outcome of assessment: Cancer (column 12)
  28. Count of women with a BREAST ASSESSMENT DATE and a BREAST ASSESSMENT FINAL OUTCOME classification of Cancer diagnosed. The total recorded in this column will equal the total recorded in columns 13, 18 and 24.

  29. Part E2: Assessment
  30. This part breaks down the outcomes of assessment by the procedures involved for all women assessed as a result of screening.

  31. Cancer diagnosed without cytology or histology (column 13)
  32. Count of women with a BREAST ASSESSMENT DATE whose BREAST ASSESSMENT FINAL OUTCOME classification was Cancer diagnosed, but who had no REFERRAL FOR BIOPSY or a REFERRAL FOR BIOPSY where the PATHOLOGY INVESTIGATION TYPE classification was not Cytology and the BIOPSY REFERRAL OUTCOME classification was inconclusive.

  33. Referred for cytology and/or core biopsy (column 14)
  34. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Referred for assessment and a subsequent REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Cytology or Core biopsy.

  35. Not referred for open biopsy: No result recorded/inadequate result (column 15)
  36. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Referred for assessment and a subsequent REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). These women did not complete any or all procedures within 6 months of the date of the screen or had no BREAST ASSESSMENT FINAL OUTCOME recorded.

  37. Not referred for open biopsy: Routine recall (column 16)
  38. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Referred for assessment, a subsequent REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). These women have a BREAST ASSESSMENT FINAL OUTCOME classification of Routine recall.

  39. Not referred for open biopsy: Early recall (column 17)
  40. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Referred for assessment, a subsequent REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). These women have a BREAST ASSESSMENT FINAL OUTCOME classification of Early recall.

  41. Not referred for open biopsy: Cancer (column 18)
  42. Count of women with a BREAST CANCER SCREENING TEST OUTCOME classification of Referred for assessment, a subsequent REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). These women have a BREAST ASSESSMENT FINAL OUTCOME classification of Cancer diagnosed.

  43. Referred for open biopsy (column 19)
  44. Count of women with a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Cytology or Core biopsy followed by a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy).

  45. Total referred for open biopsy (column 20)
  46. Total count of women with a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy).

  47. Up to and including open biopsy: No result/inadequate result (column 21)
  48. Count of women with a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). These women have a BIOPSY REFERRAL OUTCOME classification of Inconclusive or Biopsy not done or result not yet known or did not attend for the biopsy within 6 months of the date of the SCREENING TEST having no recorded DATE BIOPSY TAKEN.

  49. Up to and including open biopsy: Result: Benign/normal: Routine recall (column 22)
  50. Count of women with a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). The BIOPSY REFERRAL OUTCOME classification is Benign or negative. The BREAST ASSESSMENT FINAL OUTCOME classification for these women is Routine recall.

  51. Up to and including open biopsy: Result: Benign/normal: Early recall (column 23)
  52. Count of women with a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). The BIOPSY REFERRAL OUTCOME classification is Benign or negative. The BREAST ASSESSMENT FINAL OUTCOME classification for these women is Early recall.

  53. Up to and including open biopsy: Cancer (column 24)
  54. Count of women with a REFERRAL FOR BIOPSY with a PATHOLOGY INVESTIGATION TYPE classification of Histology (open biopsy). The BIOPSY REFERRAL OUTCOME classification is Positive; i.e. cancer diagnosed. The BREAST ASSESSMENT FINAL OUTCOME classification for these women is Cancer diagnosed.