Cervical screening performance in general practice. An evaluation in a single health district.

This paper describes a study of cervical screening in 50 general practices in the East Berkshire Health District over a period of 2 1/2 years. Six practices organized their own practice based screening scheme. Thirty-nine participated in a district organized scheme and five did not actively participate in any scheme. The proportion of women screened was highest among the practices which organized their own scheme. These practices were large, in non-urban locations and employed a practice nurse. In contrast, practices which had a poor record of screening were small, single handed, in an urban location and were unwilling to participate in a district call scheme or organize their own scheme. It is recommended that the practices which are prepared to organize their own screening programmes should be encouraged to do so. The resources which are saved could then be more usefully spent on providing assistance to the practices which do not offer a cervical screening service to women on their practice lists.