NHS England — East of England

The forms below are directed at health professionals delivering the screening services that we commission. Please be advised that forms are often updated and any printed copies may become out of date.

Screening incident assessment form: Providers of local NHS screening services should use this form to collect information on the suspected incident to determine its severity. Using the information provided, NHS England’s screening quality assurance service (SQAS) and Public Health Commissioning teams (PHCTs) agree a classification and provide timely recommendations on how it should be managed.

Screening – cease or opt-out request for patients: This online form should be completed by a patient that wishes opt-out of the NHS cervical screening programme.

Screening – cease/opt out request submitted by GP Practice or colposcopy clinics: This form should be used by a member of staff working at a GP practice or colposcopy clinic, wishing to cease or opt-out a patient from the service, and is submitted to the NHS cervical screening service.

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