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(       8  @  "8  !8  !  ! *  (@ "8@ "8@ "8@ @ "8!@ @ "8!@  (   (  ( @  (! @ #8@  ( "8@@ "8 @  (     * # # 8"@@ 8"@ 8 " @ " *0@ "0 "0 *0 *0 83ffff̙3f3fff3f3f33333f33333\` CCover`Part APart BPart C1Part C2 Part Df"Part E,   ;G   ;G   ;_   ;^   ;P8P$ 3  @@  DH FORMC COLPOSCOPY CLINICS : REFERRALS, TREATMENTS AND OUTCOMESKC 655 (1)  (2)Name of contact Telephone Telephone: 020 7972 5697 020 7972 5543 Fax : 0171 972 5662 020 7972 5662 Return to:Department of Health Room 430B Skipton HouseLondonSE1 6LHk For NHS use. Please use this space to record anything relevant to the quality or consistency of the data.eI confirm that these data are, to the best of my knowledge, an accurate representation of the resultsBobtained from the colposcopy procedures carried out at this trust.Signed DateConsultant GynaecologistPARTdWomen referred to colposcopy by result of referral smear and time from referral to first appointmentKC65(3)(4)(5)(6)(7)(8)Result of referral smear Borderline ?InvasiveOtherClinicalTotalLineMildSevere IndicationnumberNo.Time from referral to Inadequate dyskaryosis ?Glandularreferredfirst appointment neoplasia(cat. 1)0001Less than or equal to 2 weeks0002>2 weeks up to 4 weeks0003>4 weeks up to 8 weeks0004>8 weeks up to 12 weeks0005 Over 12 weeks0006(9)(10)(11)Moderatechanges(cat. 8)(cat. 3)(cat. 7)(cat. 4) carcinoma(cat. 6)(cat. 5)Clinical Indication=First attendances by type of procedure and result of referralNumber Result of Diagnosticof firstreferral smear No treatmentbiopsyAblationExcision attendances(punch) Borderline changesMild dyskaryosisModerate dyskaryosisSevere dyskaryosis?Invasive carcinoma0007? Glandular neoplasia000800090010 biopsies in Waiting Times first month of quarter Biopsy typebiopsiesOutcomein first(Histology result)month(including micro-invasive)CIN3CIN2CIN1No CIN / No HPV (normal)"Inadequate / unsatisfactory biopsyResult not known by clinicNHS Hospital/Clinic Name Non - UrgentUrgent(12)0011+Biopsy4 Cervical Biopsies by type and outcome;All attendances by type of procedure and result of referralNew Follow Up Return for Treatment AttendanceStatusAttendedCancelled by clinicof allLine noCervical Biopsies, by time from biopsy to informing patient of result in writingHPV / cervicitis only?[ note: col 8 "glandular neoplasia" includes "adenocarcinoma" ]H[ note: col 5 "moderate dyskariosis" includes "abnormal unclassifiable"]_Time from referral to first appointment = Visit date (MDS item) - Referral date sent (MDS item)in days: <=14 days>14<=28>28<=56>56<=84>84Note:}Referral date sent is date on referral letter or, where direct referral from cytology laboratory, date the smear was reportedOBased on event = 1st appointment in the quarter available for patient to attendB1st offered appointment not affected by patient cancelling or DNA gWhere 1st offered appointment cancelled by hospital - new appointment offered = 1st offered appointmentUPart A = Details of all 1st appointments offered in quarter as a response to referral7Part B = Details of ALL appointments offered in quarter AppointmentsFResult of referral smear / clinical indication - see details in part A<col (2) : no treatment = no treatment given, no biopsy takencol (3) : diagnostic biopsy = 'directed' or 'multiple directed' biopsies and any other biopsy taken for diagnostic purposes onlyOcol (4) : excision = treatment by loop / laser excision, including LLETZ / NEEPNHSCSP guidelines state that all patients should have their histological diagnosis established prior to local destructive treatmentcol (7) : other = treatment by a method not described above. Only treatment relating to cervical abnormalities should be included ?Part C1 = Details of treatment at 1st attendance in the quarter@Part C2 = Details of treatment at all attendances in the quarterThis part should be completed with reference to the footnotes for part C1, but should include details of all attendances in the quarterUAll cervical biopsies, regardless of the stage of treatment at which they were taken Hand taken in the first month of the quarter should be recorded in part D6Waiting time is Date patient is informed - Visit date 9Details of non cervical biopsies should not be recorded. QWhere results have not yet been reported at the time of completion, these should be included in line 5Total Part D = Total Part EZcol (2) : diagnostic biopsy = count of all 'directed' or 'multiple directed' biopsies and Wany other biopsies taken for diagnostic purposes only in the first month of the quarterecol (3): excisional biopsy = count of all excisional biopsies taken in the first month of the quarterWHistopathology categories (lines 1-8) to be same as adopted in NHSCSP publication no.10aResult of Referral smear (MDS item) [ note : col 11 other = result unknown - Please give details]K`Adenocarcinoma in situ / CGINYNon urgent' clinical indication (col 10) = All other symptomatic referrals for colposcopyNo Biopsy takenor biopsy result not yet known{col (5) : ablation + no biopsy taken or biopsy result not yet known =no biopsy result taken or available, and treatment by Rcol (6): ablation + biopsy = biopsy result recorded prior to treatment by ablationAppointments for ColposcopyAppointment TypeR= attended (line 1) All offered app - attended and was seen (national code 5 or 6)<"Cancelled by patient - in advance"Cancelled by patient - on the dayDNA - left without being seenDNA - arrived lateDNA - no advance warning4= new (col 2) All appointments offered for 1st visitZ= return for treatment (col 3) All appointments offered for return for scheduled treatment}= cancelled by patient (line 2) All offered appointment cancelled by patient in advance of appointment date (national code 2)lx= cancelled by patient (line 3) All offered appointment cancelled by patient on the day of appointment (national code 2)gwc= cancelled by clinic (line 4) All offered appointment cancelled by clinic / hosp (national code 4)Rn= DNA (line 5) All offered appointment - patient failed to attend - no advance warning given (national code 3)]i= DNA (line 6) All offered appointment where patient arrived late and could not be seen (national code 7)Xu= DNA (line 7) All offered appointment where patient arrived on time, but could not wait to be seen (national code 3)dStatistics Division 3G Trust Code Trust NameNRegional QA Co-ordinator at Regional Quality Assurance Reference Centre (QARC)]If you have any queries regarding completion of this form, please contact your regional QARC.6Alternatively contact SD3G at the Department of HealthvThis return has been approved by the Review of Central Returns Steering Committee - ROCR. Reference ROCR/OR/0064/001Quarter ending(Version 2.0 with effect from April 2003 Page 1 of 7 Page 2 of 7 Page 3 of 7 Page 4 of 7 Page 5 of 7 Page 6 of 7 Page 7 of 7 dyskaryosis/ Non-UrgentCervical Cancerecol (4): other biopsy = count of all other cervical biopsies taken in the first month of the quarter, including cervical polypectomyQPart D = details of all cervical biopsies taken in the first month of the quarterQPart E = details of all cervical biopsies taken in the first month of the quarterIablation , including cold coagulation, cryotherapy, cautery and diathermyUrgent' Clinical indication (Col 9) = Lesion suspicious of cancer on cervix or postcoital bleeding age >35 persistent for > 4 weeks ONLYd= follow up (col 4) All appointments offered for follow up post treatment or continuing surveillance# v$%?e&'Un''*(e((4])).v**D++Z,, - . 0 35'a8 :D <[y>?,@ @ HIR9[]  dMbP?_*+%MHP LaserJet 5000 Series PCL 6? dXXL.HP LaserJet 5000 Series PCL 62yxUAr0{JFMbL.(H`#Rќr#92L[\;νxN : @W{'UĻ B Zk݉.T^> S|HR l&%4N!ipAr9J.\r*fN:j.of%;+r+4>t!4[] z lvv]Ee T Vyu%$I:ݮ(lƶ{Ҭb oLujyFDD-&,;:ry .,˾1I'D;@K.m6wX4~ok" @XX??U} } }  } $ } $ } HJ ,; ,H@,,,, , , ; ; ;,,,,,,,,,,,,,,,,,,  & '  "&&& " "& &   &  &&& ~  @u@      "&(&&& & -  * (       " &&&&&& " &&&&&&& & -x    " &&&&&&&&&&&& " &&&&&&&&&&&& "&&&&&&&&&&&&& "&&&&&&&&&&&&& "&&&&&&&&&&&& "&&&&&&&&&&&&& "&&&&&&&& &    & "&&&&&&&&&&& "&&&&&&&&&&& "&)&&&&&&& "& & )++++ "& & ) ++++ "& & & - ) &  & & Dl\&&&Z:d&&&N&&&&&&&<&&&&<&<&.H* ,!,",#,$,%,&,',(,),*,+,,; -,.,/,0,1,2,3,4,5,6,7,8,9,:; ;,<;=,>,?; &  !& !) !!  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Reference ROCR/OR/0064/001  &=5  &&&Quarter ending~  @u@   (1)   "&(&&& &- Trust Name  * Trust Code (      (2)   " &&&&&& " &&&&&&& & -NHS Hospital/Clinic Name     " &&&&&&&&&&&& " &&&&&&&&&&&& "&&&&&&&&&&&&& "&&&&&&&&&&&&& "&&&&&&&&&&&& "&&&&&&&&&&&&& "&&&&&&&& &     & "&&&&&&&&&&& "&&&&&&&&&&& "&)&&&&&&& "& &)Name of contact++++ "& &) Telephone++++ "& & &- Return to:V)NRegional QA Co-ordinator at Regional Quality Assurance Reference Centre (QARC) &  & & D l&&&mq&&&d&&&&&&&;&&&&I&C&.* ,!,",#,$,%,&,',(,),*,+,,; -,.,/,0,1,2,3,4,5,6,7,8,9,:; ;,<;=,>,?; &  !&e!)]If you have any queries regarding completion of this form, please contact your regional QARC. !!  "&" >#6Alternatively contact SD3G at the Department of Health## $&$  $  %&%- Telephone:% 020 7972 5697%%Department of Health%  %  &&& 020 7972 5543&&Statistics Division 3G&  &  '&' Room 430B'  '  (&(( Fax : 0171 972 5662( 020 7972 5662 (( Skipton House(  (  )&)London)  )  *&&*SE1 6LH* & +&&+  ",&&&&&&&&&&&&&& -&s-k For NHS use. Please use this space to record anything relevant to the quality or consistency of the data.- ".& "/& "0& "1& "2& "3& "4& "5& "6& "7& "8& "9& ":& ! ";& "<&" "=& ">& ?&m?#eI confirm that these data are, to the best of my knowledge, an accurate representation of the results? DT l*.j(pCB7$&&&&&&&&&&&&&&&&&&@;A,B;C,D;E,F,G@&J@#Bobtained from the colposcopy procedures carried out at this trust.@ "A& B&B"Signed B$$$$%&B" DateB $$$ "C&& D& D"Consultant GynaecologistD "E& F 0G(Version 2.0 with effect from April 2003G Page 1 of 7z&_&R& ]N  ` 3 Text 1.]N @  3 Text 2.]N   3 Text 3.=d#8X> " ! 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Total   HLine 8 5 Borderline 5Mild 5Moderate Severe v dyskaryosis/  ?Glandular  Indication  Indication Other . number   HNo. Time from referral to * 5 Inadequate 5changes 5 dyskaryosis 5 dyskaryosis dyskaryosis v ?Invasive  neoplasia  {. referred  Hfirst appointment*8888}  v carcinoma    Urgent Non-Urgent {.{ H5(cat. 1)5(cat. 8)5(cat. 3)5(cat. 7) (cat. 4) v(cat. 5) (cat. 6)   {. $9      } | $;}8??????}? 1  60001%>Less than or equal to 2 weeksK??????}? 1 $?LMAAAAAA}A E $;<J=??????}? 1  60002>>2 weeks up to 4 weeksK??????}? 1 $ALMAAAAAA}A E $;<J=??????}? 1  60003>>4 weeks up to 8 weeksK??????}? 1 $?LMAAAAAA}A E $;<J=??????}? 1  60004>>8 weeks up to 12 weeksK??????}? 1 $?LM??????}? 1 $JJJ} ~  v0005* Over 12 weeks*}}} { $}  DlFFFFFFFF FFFF|FF|FF}FFs ; !,",#; $,%,&,',(,),*+,-./0123456789:;<=>?$ }***}}}}}}}}}} }}} $!~~~~~~~~}~ !~~ !" "0006" "*Total"{{{{{{{}{ "{{ "$#} # #$$} $ $$%} % %$&} & &$'} ' '$(} ( ($)} ) )*]*UPart A = Details of all 1st appointments offered in quarter as a response to referral *} * *$+} + +,n,aResult of Referral smear (MDS item) [ note : col 11 other = result unknown - Please give details]K` ,} , ,-P-H[ note: col 5 "moderate dyskariosis" includes "abnormal unclassifiable"] -} - -.G.?[ note: col 8 "glandular neoplasia" includes "adenocarcinoma" ] .} . .$/} / /00Urgent' Clinical indication (Col 9) = Lesion suspicious of cancer on cervix or postcoital bleeding age >35 persistent for > 4 weeks ONLY 0} 0 01a1YNon urgent' clinical indication (col 10) = All other symptomatic referrals for colposcopy 1} 1 1$2} 2 23W3OBased on event = 1st appointment in the quarter available for patient to attend 3} 3 34o4gWhere 1st offered appointment cancelled by hospital - new appointment offered = 1st offered appointment 4} 4 45J5B1st offered appointment not affected by patient cancelling or DNA "5&6&78g8_Time from referral to first appointment = Visit date (MDS item) - Referral date sent (MDS item)"8&9 ::in days:: <=14 days: ;;>14<=28; <<>28<=56< ==>56<=84= > >>84>??DlFFsFFFFFFFFFF~***YEEC?@A,C,D,E,F,GIJKMNP Q S U V X Y [ ] _  @ @Note:@}Referral date sent is date on referral letter or, where direct referral from cytology laboratory, date the smear was reported@ AA CC&D)&E&FG I J K M N P Q S U V X Y [ ] _ 000*** ` a c d f g i k l m n p@qstuvwxyz{|}~` a c d f g i k l m n p Page 2 of 7*pq s t u v w x y z { | } ~  8G E                                                                 Dl                                                                 Dl                                                                 Dl                                                                 Dl                                                                           Dl   ! 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"0008" "Total"" ## $$ %% && '' (( )) ?*7Part B = Details of ALL appointments offered in quarter*}}* +}}+ ,,- Appointments<,4= new (col 2) All appointments offered for 1st visit,,  -b-Z= return for treatment (col 3) All appointments offered for return for scheduled treatment--  .l.d= follow up (col 4) All appointments offered for follow up post treatment or continuing surveillance.. /) Attendance/}/ ]0R= attended (line 1) All offered app - attended and was seen (national code 5 or 6)<0 00 1}= cancelled by patient (line 2) All offered appointment cancelled by patient in advance of appointment date (national code 2)l1 11 2x= cancelled by patient (line 3) All offered appointment cancelled by patient on the day of appointment (national code 2)gw2 22 n3c= cancelled by clinic (line 4) All offered appointment cancelled by clinic / hosp (national code 4)R3 33 y4n= DNA (line 5) All offered appointment - patient failed to attend - no advance warning given (national code 3)]4 t5i= DNA (line 6) All offered appointment where patient arrived late and could not be seen (national code 7)X5 6u= DNA (line 7) All offered appointment where patient arrived on time, but could not wait to be seen (national code 3)d6 7 2 ,Q,,,,,,*m,BG G Page 3 of 7G 5]b f hText 1i B =d#8X> " 8 ! `3x  dMbP?_*+%,MNHP LaserJet 5000 Series PCL 6? dXXxt 1i B it to L.HP LaserJet 5000 Series PCL 62yxUAr0{JFMbL.(H`#Rќr#92L[\;νxN : @W{'UĻ B Zk݉.T^> S|HR l&%4N!ipAr9J.\r*fN:j.of%;+r+4>t!4[] z lvv]Ee T Vyu%$I:ݮ(lƶ{Ҭb oLujyFDD-&,;:ry .,˾1I'D;@K.m6wX4~ok" 1XX??CoverPart B Part C2Part EU} $} $} } $}  `  ;  J  , , ;  , ;  , , , , , , , J  ;  , , J  ; , J  ; , J  ; , J  ; , J  ;&&&&&&&&&&&& &DH FORM& PARTE=First attendances by type of procedure and result of referral&&&&&   'KC65 &&   &     &&&  &   &   & &&&&&& && &JJJJJJJJ& & .(1) .(2) .(3) .(4) .(5) .(6) (7)   (8) &/0N/ &7 3  O  &7I Ablation Ablation 3  7Number  & 7Line I Result of   Diagnostic  + + I  7of first  & 7No. Ireferral smear  No treatment biopsy Excision No Biopsy taken Biopsy IOther  7 attendances  &11 (punch) { or biopsy result  {7  &11{  not yet known 7 &EE!: & &<t======/ & s0001v Inadequate8888881 &Bu(cat. 1)888888: &;t======@ & 60002v Borderline changes8888881 &Au(cat. 8)888888: &;t======@ & 60003vMild dyskaryosis88????1 &Au(cat. 3)CAAAAA: &;t=;;;;;@ & 60004vModerate dyskaryosis8?????1 &Au(cat. 7)CAAAAA: &;t=;;;;;@ & 60005vSevere dyskaryosis8?????1 &Au(cat. 4)CAAAAA: &;tSevere dyskaryosis;;;;;;@ D l"w""""7h`C"""L>"U>"R>"V>"T> ,! J " ,# ,$ J % J & ;' ;( J ) ;* ;+ J , J - ,. ,/ J 0 ; 1 ,2 ,3 J 4 ;5 ;6 ;7 ;8 ;9 ;: ,; h< h= h> h? h & 60006 v?Invasive carcinoma ??????1 !&A!u(cat. 5)!AAAAAA@ "&;t;;;;;;~ #& #60007#v? Glandular neoplasia#??????{ $&$u(cat. 6)$}| %}} &&?&vClinical Indication&??????z '& 'x0008'.Urgent'?????? (&u| )&6)vClinical Indication)??????z *& *x0009*. Non - Urgent*?????? +&u| ,}} -&?v??????~ .& .x0010 ..Other.??????{ /&AuAAAAAA| 0& 1&D/PQPQQQ/ 2& 2w0011 27Total2K4K4441 3&RS 3U 3STSSS: 4&******* 5&******* 6&******* 7&******* 8&******* 9&******* :& ;G;?Part C1 = Details of treatment at 1st attendance in the quarter;&&&&&&&& <=,N=FResult of referral smear / clinical indication - see details in part A=,&&&&&&&& >&&&&&&&& ?D?<col (2) : no treatment = no treatment given, no biopsy taken?&&&&&&&& D4 lU>"W>"IH"IN"""G"""G7"""""""o x @ hA hB hC hD hE hF hG ,I ,_@@col (3) : diagnostic biopsy = 'directed' or 'multiple directed' biopsies and any other biopsy taken for diagnostic purposes only@@&&&&&&& AWAOcol (4) : excision = treatment by loop / laser excision, including LLETZ / NEEPAA&&&&&&& BB{col (5) : ablation + no biopsy taken or biopsy result not yet known =no biopsy result taken or available, and treatment by BB&&&&&&& CQCIablation , including cold coagulation, cryotherapy, cautery and diathermyC&&&&&&& DDNHSCSP guidelines state that all patients should have their histological diagnosis established prior to local destructive treatmentD&&&&&&& EZERcol (6): ablation + biopsy = biopsy result recorded prior to treatment by ablationEE&&&&&&& FFcol (7) : other = treatment by a method not described above. Only treatment relating to cervical abnormalities should be included F&&&&&&&& G&)&&&&&&&& I&&&&&&&&&&& _ Page 4 of 7{ "]b@ qqText 1 C 1 =d#8X> "  ! _T  dMbP?_*+%,MNHP LaserJet 5000 Series PCL 6? dXXxt 1 C 1 o cervL.HP LaserJet 5000 Series PCL 62yxUAr0{JFMbL.(H`#Rќr#92L[\;νxN : @W{'UĻ B Zk݉.T^> S|HR l&%4N!ipAr9J.\r*fN:j.of%;+r+4>t!4[] z lvv]Ee T Vyu%$I:ݮ(lƶ{Ҭb oLujyFDD-&,;:ry .,˾1I'D;@K.m6wX4~ok" 3XX??CoverPart B Part C1Part EU} $} $} } $}  _  ;  J  , , ;  , ;  , , , , , , J  ; ;  , , J  ; , J  ; , J  ; , J  ; , J  ;&&&&&&&&&&& &DH FORM& PARTC;All attendances by type of procedure and result of referral&&&&&   'KC65 &&   &     &&&  &   &   & &&&&&& && &JJJJJJJJ& & .(1) .(2) .(3) .(4) .(5) .(6) (7)   (8) &/0N/ &7AblationAblation 3  O  &7I + + 3  7Number  & 7Line I Result of   Diagnostic  No Biopsy taken Biopsy I  7of all  & 7No. Ireferral smear  No treatment biopsy Excision or biopsy result   IOther  7 attendances  &11 (punch)   not yet known 7  &EE!: &}}}}}}}} &} &<t======/ & s0001v Inadequate8888881 &Bu(cat. 1)888888: &;t======@ & 60002v Borderline changes8888881 &Au(cat. 8)888888: &;t======@ & 60003vMild dyskaryosis88????1 &Au(cat. 3)CAAAAA: &;t=;;;;;@ & 60004vModerate dyskaryosis8?????1 &Au(cat. 7)CAAAAA: &;t=;;;;;@ & 60005vSevere dyskaryosis8?????1 &Au(cat. 4)CAAAAA: &;tSevere dyskaryosis;;;;;;@ D l"w""""[Z\""""L>"U>"R>"V>"T> ,! J " ,# ,$ J % J & ;' ;( <@ ) ;* ;+ i@ , J - ,. ,/ J 0 ; 1 ,2 ,3 J 4 ;5 ;6 ;7 ;8 ;9 ;: ,; ,< h= h> h? , & 60006 v?Invasive carcinoma ??????1 !&A!u(cat. 5)!AAAAAA@ "&;t;;;;;;~ #& #60007#v? Glandular neoplasia#??????{ $&$u(cat. 6)$}| %}} &&?&vClinical Indication&??????z '& 'x0008'.Urgent'?????? (&u| )&6)vClinical Indication)??????z *& *x0009*. Non - Urgent*?????? +&u| ,}} -&?v??????~ .& .x0010 ..Other.??????{ /&AuAAAAAA| 0& 1&D/PQPQQQ/ 2& 2w0011 27Total2K4K4441 3&RS 3U 3STSSS: 4&******* 5&******* 6&******* 7&******* 8&******* 9&******* :& ;& <&H<@Part C2 = Details of treatment at all attendances in the quarter< =&&&&&&&&& >,>This part should be completed with reference to the footnotes for part C1, but should include details of all attendances in the quarter>,&&&&&&&&& ?,&&&&&&&&& DJ lU>"W>"IH"IN"""G"""G7""""""""t"A ,B ,C ,D ,E ,F ,G ,H ,^A&&&&&&&&& B&&&&&&&&& C&&&&&&&&& D&&&&&&&&& E&&&&&&&&& F&&&&&&&&&& G&)&&&&&&&&& H&&&&&&&&&&& ^^ Page 5 of 7""""""""]b@ qqText 1 C 2 %=d#8X> "  ! ?  dMbP?_*+%,MNHP LaserJet 5000 Series PCL 6? dXXxt 1 C 2 %includL.HP LaserJet 5000 Series PCL 62yxUAr0{JFMbL.(H`#Rќr#92L[\;νxN : @W{'UĻ B Zk݉.T^> S|HR l&%4N!ipAr9J.\r*fN:j.of%;+r+4>t!4[] z lvv]Ee T Vyu%$I:ݮ(lƶ{Ҭb oLujyFDD-&,;:ry .,˾1I'D;@K.m6wX4~ok" KXX??CoverPart B Part C1 Part C2Part EU}  } } } I}  ?  ;  J  , , ;  , , ;  , , , , , J  ;  , , J  ; , J  ; , J  ; , J  ; , J  J  ;&&&&&&&&&&DH FORM#Cervical Biopsies, by time  &  'KC65 &&& &&!from biopsy to informing  &  &  &&$}patient of result in writing&&JJ}& .(1)  .(2) // 7H 7Total  & 7Line H 7 biopsies in  & 7No. 2 Waiting Times 3 7 first month  &1 7 of quarter  &E !:&&;<=/& 60001%>Less than or equal to 2 weeksK1&ALM:&;VW@& 60002>>2 weeks up to 4 weeksK1&ALM:&;VK@& 60003>>4 weeks up to 8 weeksK1ALM:;VK@ 60004>>8 weeks up to 12 weeksK1ALM:;VK@ 60005> Over 12 weeksK1ABX:}}zDl{_LH5Qg:YRRSI ,! J " ,# ,$ ,% ,& ,' ,( ,) ,* ,+ ,, ,- ,. ,/ ,0 ,1 ,2 ,3 ,> @  0006 y Total {!|"&&&&&&#&Y#QPart D = details of all cervical biopsies taken in the first month of the quarter#&&&$&&&&%]%,UAll cervical biopsies, regardless of the stage of treatment at which they were taken %,&&&&&P&&Hand taken in the first month of the quarter should be recorded in part D&&& '&&'&& (>(6Waiting time is Date patient is informed - Visit date (& ))& **in days:* <=14 days*& ++)>14<=28+& ,,)>28<=56,& --)>56<=84-& . .)>84.&/)&Y0QWhere results have not yet been reported at the time of completion, these should 0&&&11be included in line 51&&&&2&&&A39Details of non cervical biopsies should not be recorded. > Page 6 of 7>.It$f"K7773uCE]b4 qqText 1nPART*]` M qqText 2n D=d#8X> " ! Q(M)  dMbP?_*+%,MNHP LaserJet 5000 Series PCL 6? dXXxt 2n DincludL.HP LaserJet 5000 Series PCL 62yxUAr0{JFMbL.(H`#Rќr#92L[\;νxN : @W{'UĻ B Zk݉.T^> S|HR l&%4N!ipAr9J.\r*fN:j.of%;+r+4>t!4[] z lvv]Ee T Vyu%$I:ݮ(lƶ{Ҭb oLujyFDD-&,;:ry .,˾1I'D;@K.m6wX4~ok" ;XX??CoverPart B Part C1 Part C2U} ,}  } } I  Q  ;  J  , ;  , , ;  , , ;  , , , ;  , , , , , , , , , , , , , , , , , ,YYYYYYYYY& Y ZPART<Z4 Cervical Biopsies by type and outcomeYYYY [KC65 Y& YYYYYYYYY& YYYYYYYYY& Y\\]]]]]Y& Y^^YYYYYY& Y ^(1) ^  j(2) j(3) (4)Y (5) Y& Y_Y_Y& Y` Biopsy type Y `Total Y&  Y`Y bbiopsies Y&  Y bLine `Outcome Y bin first Y&  Y bNo. b(Histology result) b Diagnostic Excision Other Y bmonth Y& Yaa b(punch) Y b of quarter Y&  YccdYcY& YZZYYYYYY& YefCervical CancerggYhY& Y i0001"j(including micro-invasive)kkYlY& YmnmqYmY& YeokkYlY& Y i0002%jAdenocarcinoma in situ / CGINkkYlY& YmnmqYmY& YeokkYlY& Y i0003 jCIN3kkYlY& YmnmqYmY& YeokkYlY& Y i0004 jCIN2kkYlY& YmnmqYmY& YepkkYlY& Y i0005 jCIN1kkYlY& YmqmqYmY& YepkkYlY& Y i0006jHPV / cervicitis onlykkYlY& D lzV:aWAX[BBB ,! ," ,# ,$ ,% ,& ,' ,( ,) ,* ; + ,, ,- ; . ,/ ,0 h1 h2 h3 h4 h5 h6 h7 h8 h9 h: , YmqmqYmY& !YepkkYlY& "Y "i0007 "jNo CIN / No HPV (normal)"kkYlY& #YmqmqYmY& $YepkkYlY& %Y %i0008*%j"Inadequate / unsatisfactory biopsy%kkYlY& &YmqmqYmY& 'YepkkYlY& (Y (i0009(jResult not known(kkYlY& )Ym)r by clinic)mqYmY& *YYY& +YY& ,Y ,0010 ,Total,kY& -YY& .YY& /ZZZ&&&&&&& 0ZY0QPart E = details of all cervical biopsies taken in the first month of the quarter0&&&&&&1Y#1Total Part D = Total Part E1&&&&&&2Z&&&&&&3Yb3Zcol (2) : diagnostic biopsy = count of all 'directed' or 'multiple directed' biopsies and 3&&&&&& 4Z_4Wany other biopsies taken for diagnostic purposes only in the first month of the quarter4&&&&&&m5ecol (3): excisional biopsy = count of all excisional biopsies taken in the first month of the quarter5&&&&&&m6ecol (4): other biopsy = count of all other cervical biopsies taken in the first month of the quarter,6&&&&&&7'7 including cervical polypectomy7&&&&&& 8Z8&&&&&&& 9ZZ_9WHistopathology categories (lines 1-8) to be same as adopted in NHSCSP publication no.10 :ZZZ:V`N;CIK&qP @P Page 7 of 7PE]`p>3 qqText 1SES "=d#8X> "  Oh+'0HP`x OISIII David ManionfMicrosoft Excel@x@Y> k@ ՜.+,08@ `h p Department of Healthe CoverPart APart BPart C1Part C2Part DPart E  Worksheets  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./012456789:<=>?@ABGRoot EntryFBook *Workbook<9SummaryInformation(3DocumentSummaryInformation8;