Cervical Screenings: Your views and experiences

Healthwatch Hertfordshire was commissioned by the local ICB to undertake research into people’s experiences of and barriers to cervical screening.  They undertook a sur vey to which 233 people responded.

Overall, respondents shared some very positive experiences when having a cervical screening, commenting that clinicians were kind, reassuring and professional. The survey also highlighted a good level of confidence in women attending their appointment, and there was a high level of importance placed on having cervical screenings. Though, it is important to recognise that confidence levels were lower amongst some demographic groups, including Black respondents and those with less disposable income.

 Some women told powerful stories about the negative experiences they have had, which could have been improved by increased compassion and understanding from the clinician conducting the screening. Pain was dismissed at times, needs were not accommodated for, and not everyone felt comfortable to raise issues or concerns during their appointment – and these experiences were more common amongst older women and Black and Asian respondents. 

The findings also highlighted how having a poor experience can prevent women from attending again. Given that cervical screenings are such an intimate procedure, with many women feeling anxious and/or embarrassed ahead of their appointment, it is imperative that clinicians are sensitive to each individual’s needs and feelings. 

A large number of respondents also faced barriers to attending cervical screenings. For most, these were practical barriers such as work and/or caring responsibilities, lack of available appointments and difficulties getting through to their GP practice to book the screening. Other barriers included pain, anxiety, previous poor experiences, and personal trauma. Some demographic groups were more likely to have faced barriers, particularly younger women, those with less disposable income, and Black and Asian respondents.

 To conclude, it is important that the experiences and challenges conveyed within this report are assessed and addressed to help people feel able to attend either their first or next cervical screening with confidence and reassurance. Particular attention and further engagement should be given to typically underrepresented groups, as this survey has shown they are more likely to face barriers to attending.

The report contains eight recommendations about information, access to appointments and training.