Cervical Screening in Lancashire

Healthwatch Lancashire presents findings from engagement with 245 people across Lancashire to understand women’s views, experiences, and barriers to attending cervical screening. 

Overall, the report finds that most women recognise the importance of cervical screening, with 70% stating it is very important, mainly because it helps with prevention and early diagnosis of cancer. 
Awareness of the purpose and availability of screening is high, as 98% understood its purpose and 85% knew how often they should be invited. 

In terms of experience, attendance rates were relatively high, with 88% reporting they had attended screening. 

Most women described their experience as acceptable or necessary, although reactions to invitations were mixed, with some feeling reassured and others reporting anxiety or negativity. 
While 76% said nothing about their experience would stop them attending again, a minority reported negative experiences linked to pain, discomfort, lack of privacy, or poor staff interactions. 

The report identifies several key barriers to attendance. The most significant barriers are fear, embarrassment, and anticipated pain, cited by around half of respondents. 

Practical challenges such as difficulty booking appointments and fitting them around work also contributed, alongside misconceptions, cultural attitudes, and a belief among some women that screening is not necessary for them. 

Finally, the report outlines recommendations to increase uptake. Most women (82%) believed more could be done, suggesting improvements such as greater public awareness campaigns, better education (especially for younger women), more flexible appointment times, and clearer communication about the procedure. 

Other suggestions included offering female practitioners, allowing support from companions, improving appointment systems, and exploring less invasive screening methods.