Experiences of cervical screening in West Essex

Healthwatch Essex were approached by Hertfordshire and West Essex ICB to undertake a series of projects focussing on the lived experiences of people in the area.  This report focusses on people’s experiences of accessing and using the cervical screening programme across West Essex.  They heard from 59 people via a survey and interviews.

Almost 85% of the survey respondents attended their cervical screening appointment. This is very positive considering the general feeling is that the process is necessary but still an unpleasant and difficult experience for many.

There was a wide range of feedback from the participants. The first step of making an appointment was difficult for many, as the time taken just to get through to the surgery was an issue and then trying to get an appointment which suited them was also a challenge. People who work full time or had caring responsibilities found it difficult or impossible to make an appointment that they could attend. Many people stated that being able to book this type of appointment online would make the process much easier. Pressure to attend appointments was also a factor in making respondents reluctant to attend.

Many talked about historical experiences which were at times very traumatic and had an impact on their screening experiences and for some of them it led to delaying or not attending future invitations. Examples included, male doctors carrying out the procedure, not explaining the procedure/process, health professionals not listening to their patient especially when stating they were in pain, being left on an examination couch while in a venerable position etc. These were all examples of poor practise/experiences which had an impact on the patient.

Trauma awareness must be recognised and be part of the cervical screening process to enable women who are survivors to access the same service as others. Language used by the health professional has to be appropriate in all situations, but especially around trauma.

A number of respondents stated that when they told the health professional that what they were doing was hurting, they were told it wasn’t or to stop being silly and just relax. Many respondents however did have positive experiences and recognised the kindness, respect and professionalism shown to them by health professionals.

The report Includes five recommendations about booking appointments, trauma awareness training, the environment, the appointment and communication.