1. 1.46 million women eligible for screening. 380,000 samples reported annually. East of England Region Cluster map: NHS East of England East of England Cancer Screening QA Cervical Data Management24 Nov 2011

2. 12 cytology labs. - all Thinprep - 1 HPV Sentinel site 18 Colposcopy units. 3 Call/Recall offices. East of England Region Cluster map: NHS East of England The aim of a slide is to get a message across.. Usually only one – remove everything that is not relevant and if you do want a tag text put it in the slide master and make it feint so that it does not move from slide to slide. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

3. Past times: Data in the East of England Cytology laboratories use multiple systems – e.g. Cerner, Masterlab, Meditech Majority of Colposcopy clinics use CIMs Infoflex Data submitted to QARC on paper forms. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

4. First steps: Cyres Cytology 2005 Local installation only. Trialled at Norwich laboratory, then rolled out across region. Takes extract from local system. Allows drill down to individual patients. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

5. Cyres Cytology screens – KC61

6. Who are these women?

7. Cyres Cytology screens – KC61

8. First steps: Cyres Colposcopy 2006 As cytology, local installation only. Trialled at Peterborough Hospital. Takes extract from local system, allows drill down to individual patients. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

9. Cyres Colposcopy screens – KC65

10. Next steps: Cyres Integration 2008 Cytology & Colposcopy upload a copy of their local databases to a server at QARC. Transfer across N3. Double protection (encrypted by Cyres + SSL certificate on server). Trailed initially with Peterborough Hospital. Allows linking of cytology and colposcopy data. East of England Cancer Screening QA Cervical Data Management24 th Nov 2011

11. Integrated Cyres data view Notes: Abnormal screening sample Leading to Colposcopy referral First appointment in under 4weeks Attended their 2 nd appointment, had punch biopsy Cancelled twice more Attended for LLETZ, Histology = CIN 2 Follow –up screening <8 months

12. Next steps: Cyres QA Dataset 2009 Allows trusts to submit datasets online. While the dataset launches in the browser, Cyres populates data items automatically. Trust staff fill in text items and attach supporting documents. Dataset submitted to QA, it is delivered to the our server. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

13. Dataset screens

14. There is a movie clip showing Dataset in the presentation folder.

15. Next steps: CSS Enquiry 2009 Cervical Screening Statistical enquiry using Open Exeter. QA can define and run CSSE jobs on local Call/Recall systems. Files of data sent to generic nhs.net address. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

16. Open Exeter CSS Enquiry

17. Define date range

18. CSS Enquiry fields for 14 day TAT PCO CODE5PT SCREENING PCOSU NAT PRACTICE CODED83020 SENDER CODE034D SOURCE TYPE1 NHS NUMBER123 456 7890 AGE61 POST CODEIP1 2AB DATE REGISTERED05.06.2000 DATE OF TEST21.10.2011 NAT LAB CODE60580 SLIDE NUMBER11012345 RESULT CODE2 TEST INPUT DATE26.10.2011 DATE LETTER PRINTED26.10.2011 ANTICIPATED DELIVERY DATE27.10.2011 PCT / CALL&RECALL GP / SAMPLE TAKER PI / DATE OF TEST LAB / SAMPLE RESULT CALL&RECALL DATES

19. CSS Enquiry fields for 14 day TAT PCO CODE5PT SCREENING PCOSU NAT PRACTICE CODED83020 SENDER CODE034D SOURCE TYPE1 NHS NUMBER123 456 7890 AGE61 POST CODEIP1 2AB DATE REGISTERED05.06.2000 DATE OF TEST21.10.2011 NAT LAB CODE60580 SLIDE NUMBER11012345 RESULT CODE2 TEST INPUT DATE26.10.2011 DATE LETTER PRINTED26.10.2011 ANTICIPATED DELIVERY DATE27.10.2011 PCT / CALL&RECALL GP / SAMPLE TAKER PI / DATE OF TEST LAB / SAMPLE RESULT CALL&RECALL DATES MATCH WITH CYRES

20. NHS NUMBER123 456 7890 AGE61 DATE WOMAN REGISTERED05.06.2000 DATE OF TEST21.10.2011 LABORATORYIPSWICH SLIDE NUMBER11012345 RESULT CODE2 DATE SAMPLE RECEIVED AT LAB22.10.2011 DATE RESULT AUTHORISED25.10.2011 TEST INPUT DATE26.10.2011 DATE LETTER PRINTED26.10.2011 ANTICIPATED DELIVERY DATE27.10.2011 Mixed fields for 14 day TAT

21. Next steps: CSS Enquiry output Skyline plots Source: CSSE vs. Cyres data for samples from October 2011 East of England Cancer Screening QA Cervical Data Management24 Nov 2011

22. Next steps: CSS Enquiry output Other reports Large database of Cyres & CSSE data from mid-2009 Allows multiple ad-hoc queries to be run. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

24. Cyres Cinergy: KC Automation 2011 Rebuild of Cyres to optimize it for remote working. Allows submission of KC returns online. Includes data and performance checks as part of the return. Clinical leads use a password to submit to QA. East of England Cancer Screening QA Cervical Data Management24 Nov 2011

25. Cyres Cinergy: QARC view www.cyres.co.uk/cinergykc65submission

26. Cyres Cinergy: QARC view There are two movie clip showing Cinergy in the presentation folder. One shows how QA can approve a submitted return and the other shows how QA can run the report.