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Aortic Aneurysm: Screening

Volume 506: debated on Thursday 4 March 2010

To ask the Secretary of State for Health (1) how much the NHS Abdominal Aortic Screening programme has cost to date; (320049)

(2) how many phases of NHS Abdominal Aortic Screening programme there will be;

(3) which NHS trusts have submitted an application to the NHS Abdominal Aortic Screening programme to begin an ultrasound screening programme for aortic aneurysms;

(4) what the timetable is for the full implementation of the NHS Abdominal Aortic Screening programme;

(5) what estimate his Department made about the number of patients who will have been screened in each of the sites covered by phase one of the NHS Abdominal Aortic Screening programme after (a) one year and (b) five years;

(6) when ultrasound screening for aortic aneurysms will begin in each of the sites covered by phase one of the NHS Abdominal Aortic Screening programme;

(7) what steps his Department is taking to ensure that men aged 65 years old participate in an ultrasound screening programme for aortic aneurysms (a) at each of the early implementation sites and (b) when the programme is fully implemented.

The NHS Abdominal Aortic Aneurysm screening programme has cost £5,335,809.50 up to the end of March 2010. This is made up of start up and full year costs for six early implementation sites, start up costs for four phase one sites, screening equipment for 10 sites, training of technicians and information leaflets.

It is anticipated that there will be a maximum of eight phases of roll out, however the exact number is unknown as this depends on the number of applications received and geographical fit of each local screening programme.

The following national health service trusts have been successful with their applications to begin ultrasound screening for aortic aneurysms:

Phase

Screening Programme

NHS Trust

Early Implementation

Gloucestershire

Gloucestershire Hospitals NHS Foundation Trust

Early Implementation

West Sussex

Royal West Sussex NHS Trust

Early Implementation

South West London

St George's Healthcare Trust

Early Implementation

South Devon and Exeter

South Devon Healthcare NHS Foundation Trust

Early Implementation

South Manchester

Central Manchester and Manchester Children's University Hospital NHS Foundation Trust

Early Implementation

Leicestershire

University Hospitals of Leicester NHS Trust

Phase 1

Peninsula

Royal Cornwall Hospitals NHS Trust Plymouth Hospitals NHS Trust

Phase 1

Heartlands

Heart of England NHS Foundation Trust

Phase 1

South East London

Guy's and St Thomas' Hospital NHS Trust

Phase 1

North East

Gateshead Health NHS Foundation Trust

Phase 1

North Central London

The Royal Free Hampstead NHS Trust

Phase 1

North West London

Imperial Healthcare NHS Trust

Phase 1

East Yorkshire and The Humber

Hull and East Yorkshire Hospital NHS Trust

It is anticipated that full national roll out of the Abdominal Aortic Aneurysm screening programme will be completed by the end of 2012-13.

The following table details the numbers of patients screened in phase one after a) one

year and b) five years:

Screening Programme

Year One

Year Five

Peninsula

4,369

29,512

South East London

4,818

32,548

North East

11,598

78,350

Heartlands

3,364

22,721

North Central London

3,966

26,789

North West London

7,349

49,648

East Yorkshire and The Humber

4,199

28,363

All phase one sites will be screening by the end of May 2010.

The national programme team have put in place a number of measures to ensure the highest possible take up of screening once men have been identified for screening through their general practitioner. Examples include:

Involving 65 year old men when developing the initial communication materials for the screening programme to ensure that key messages were targeted at the right level;

National information leaflets have been designed for use in local programmes to ensure consistency of messages and offer informed choice;

Recruiting a Communications manager to work with local programmes ensuring that the right information is promoted to suit their local demographic; and

Commissioning an independent evaluation of all information to assess:

whether the patient information materials met the needs of men invited for screening

how well men invited for screening understand the risks they may face and;

assess how well health professionals think the information meets the needs of men invited for screening and the programme itself.

To ask the Secretary of State for Health how many patients have been screened as part of the NHS Abdominal Aortic Screening programme at each early implementation site. (320053)

The following table details the number of patients screened by each screening programme to the end of February 2010:

Screening Programme

Numbers of patients screened

Gloucestershire

4,214

Leicestershire

4,247

South West London

3,000

South Devon

2,276

South Manchester

1,878

West Sussex

3,111