{"id":33237,"date":"2024-11-01T16:08:50","date_gmt":"2024-11-01T16:08:50","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=33237"},"modified":"2025-01-16T21:58:58","modified_gmt":"2025-01-16T21:58:58","slug":"increasing-awareness-training-in-and-use-of-the-left-lateral-cervical-screening-position-in-primary-care-increasing-choice-and-supporting-implementation-of-clinical-guidelines","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ur\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/increasing-awareness-training-in-and-use-of-the-left-lateral-cervical-screening-position-in-primary-care-increasing-choice-and-supporting-implementation-of-clinical-guidelines\/","title":{"rendered":"Increasing awareness, training in and use of the left lateral cervical screening position in primary care: Increasing choice and supporting implementation of clinical guidelines"},"content":{"rendered":"
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Increasing awareness, training in and use of the left lateral cervical screening position in primary care: Increasing choice and supporting implementation of clinical guidelines<\/h1>\n

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National Institute for Health and Care Research (NIHR) Research for Patient Benefit (RfPB) Ref. NIHR 204301<\/p>\n

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Will providing people eligible for screening with information about their screening choices, and supporting practices to implement the new position improve uptake and experience of cervical screening?<\/p>\n

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Cervical screening or smear tests are important to detect a virus or cell changes that may lead to cancer. People with a cervix are invited for testing from age 25-64, and later when previous abnormal results are found.<\/p>\n

Traditional testing requires the patient to lie on their back with knees bent up and apart so the clinician can take a swab sample. Some people report they find the test degrading, embarrassing, anxiety provoking and uncomfortable.<\/p>\n

Also, people who have experienced sexual trauma report the test makes them feel vulnerable, and in women who for cultural reasons have genital circumcision, exposing their body parts leads to embarrassment and anxiety. These issues contribute to the steadily reducing numbers attending screening.<\/p>\n

In 2020 national guidelines included the new left lateral test position (LLTP), and all people who attend for cervical screening should now be offered both positions.<\/p>\n

In the new position, the patient lies on their left side, similar to the \u2018recovery position\u2019 with their legs slightly apart. The LLTP is as effective, less exposing and may be more comfortable, encouraging more people to attend screening. However, our research has shown that patients are unaware of this position and clinicians are not offering it.<\/p>\n

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To investigate whether providing people eligible for screening with information about their screening choices and supporting practices to implement the new position improves uptake and experience of cervical screening.<\/p>\n

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We will evaluate how introducing the new position works in practice, asking what works, for whom, how and why?<\/p>\n

There will be three phases (P):<\/p>\n