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Organisation of a national screening programme.

J Austoker1

  • 1University of Oxford, Department of Public Health and Primary Care, UK.

British Medical Bulletin
|April 1, 1991
PubMed
Summary

The UK National Health Service Breast Screening Programme (NHSBSP) aims to reduce breast cancer mortality by up to one-third in women aged 50 and over. Implementing this program requires adherence to 7 essential quality and success criteria.

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Area of Science:

  • Public Health
  • Oncology
  • Radiology

Background:

  • The UK initiated the National Health Service Breast Screening Programme (NHSBSP) in March 1988.
  • The program aligns with recommendations from the Forrest Report, which reviewed international evidence on screening efficacy.
  • The Forrest Report indicated that breast cancer screening can decrease mortality by up to 33% in women aged 50+.

Purpose of the Study:

  • To implement the National Health Service Breast Screening Programme (NHSBSP) based on the Forrest Report's findings.
  • To identify and detail essential requirements for ensuring the high quality and success of the breast screening program.

Main Methods:

  • Phased implementation of the NHSBSP by UK Health Authorities and Health Boards since March 1988.
  • Review of international evidence on the value of breast cancer screening.
  • Development of a second document outlining 7 essential requirements for program quality and success.

Main Results:

  • The NHSBSP has been progressively introduced across the United Kingdom.
  • Evidence supports that screening women aged 50 and over can significantly reduce breast cancer mortality.
  • A set of 7 critical requirements has been identified as essential for program quality and success.

Conclusions:

  • The NHSBSP is a key initiative to reduce breast cancer mortality in the UK.
  • Adherence to the 7 identified requirements is crucial for the program's high quality and ultimate success.
  • Continued evaluation and refinement of screening programs are vital for public health outcomes.

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