Operational Plan 2021 - National Screening Service
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Operational Plan 2021 National Screening Service
1 OPERATIONAL PLAN 2021 – National Screening Service
Operational Plan
The operational plan sets out the NSS Purpose
high level aims for the National
The National Screening Service delivers four national
Screening Service (NSS) for the next population-based screening programmes, for cervical, breast
year. It encompasses both tactical and bowel cancer, and for detecting threatening retinopathy
and operational objectives to achieve in people with diabetes. These programmes aim to reduce
morbidity and mortality in the population through early
the interim goals set for 2021.
detection of disease and treatment.
It will also assist in the creation of a
detailed project to develop an NSS
NSS Interim Goals
strategy which will establish the
The three interim goals set out below are the central themes
strategic direction for the next 3-5
which will guide the delivery of the NSS and support
years. It is anticipated that this project decision making throughout 2021. We recognise that trust
will begin in quarter 3, 2021. and confidence is critical to ensure continued update and
engagement of participants and to reassure the public of the
Included in this plan are the interim high quality and standards of the National Screening Service.
goals that will guide the delivery of We recognise the benefits of having a wide involvement of
the NSS in 2021 and the objectives stakeholders; we welcome their advice and support e.g.
communications. Governance underpins trust in the NSS.
we have set out to achieve. The
We recognise that having the right systems in place are key
commitments made through the to providing reassurance. We also recognise that providing a
National Service Plan are outlined in supportive working environment by enabling staff to work to
appendix 1. their full capabilities and supporting their wellbeing is essential
for both staff morale and patient outcomes across the NSS.
Trust Involvement Governance
Proactive Meaningful Processes
Communication involvement of Performance
stakeholders Structures
Openness &
Transparency External input – Staff development,
support & challenge training, ownership
Delivery against
objectivesOPERATIONAL PLAN 2021 – National Screening Service 2
Objectives to Achieve
the Interim Goals
Trust
Interval Cancer Report Communications: a bright Colposcopy Services
Implementation new future for screening Progress the assessment and
Plan for and commence Implement a communications planning work undertaken in
initial implementation of the strategy, in conjunction with 2019 which demonstrated a
Expert Reference Group’s HSE national communications, notable increase in colposcopy
recommendations from the to ensure continued support, referrals expected to arise as
interval cancer audits. education and information a result of the introduction of
BC CC BS C PH SBP
for the public on screening human papilloma virus (HPV)
programmes. testing and provide additional
staffing, augmented with
Delivery of the 2021 C PH
consultant sessions, to maximise
National Service Plan the use of colposcopy services
Delivery of the objectives Additional BreastCheck and enable a more efficient
outlined in the 2021 National Units throughput of service users.
Service Plan for the National Develop and open semi-
CC F
Screening Service (appendix 1). permanent BreastCheck units
in two locations to increase
Replacement of National
BC CC BS DRS C PH CS
capacity and access to support
a two-year BreastCheck Breast Screening
National Cervical screening round. Programme (NBSP)
Screening Laboratory System
(NCSL) BC F HR
Develop and implement an
Continue to develop the National upgrade to the Radiology
Cervical Screening Laboratory BowelScreen Expansion Information System (RIS),
at the Coombe Women and Identify additional capacity to ensure the uninterrupted
Infants University Hospital, within existing endoscopy operation and continuity of the
including commencement of its units and develop new units to RIS for the clinical, operational
construction, provision of key expand the age range of the and administrative day-to-day
equipment and the recruitment BowelScreen programme. delivery of the BreastCheck
of any outstanding positions. BS F service.
CC SBP BC F ICT SBP
Diabetic Retina Screening
New Pathway
Implement a new two-yearly
screening pathway for people
who have not had an outcome of
retinopathy in the past two-years.
DRS3 OPERATIONAL PLAN 2021 – National Screening Service
Objectives to Achieve
the Interim Goals
Involvement
Patient Public Partnership Scoping Inquiry into the NSS Strategy
(PPP) CervicalCheck Screening Development
Implementation of the public Programme The development of an NSS
and patient engagement plan Implement the remaining strategy which will establish the
to enhance public input to recommendations contained strategic direction for the next
screening programmes. The in the Scoping Inquiry into three to five years. Although
NSS aims to widen patient the CervicalCheck Screening the NSS planned to begin this
involvement in all key areas of Programme (Scally Report) project in Q4 2020, due to the
the services we are delivering. as well as those contained impact of COVID-19 this has
PH
in the Independent Rapid been delayed until Q3 2021 as
Review of Specific Issues in the NSS recognise the priority
the CervicalCheck Screening is to return to screening and
Programme. strengthen governance (in
advance of commencing strategy
The priority work for 2021
development).
in this area will include
the implementation of the SBP
Interval Cancer Report (ICR)
recommendations which will
involve stakeholders and the
public.
CC C PHOPERATIONAL PLAN 2021 – National Screening Service 4
Objectives to Achieve
the Interim Goals
Governance
Information Governance Single Register Client Management
A co-ordinated approach to Explore the merging of the System
ensure that leadership and population registers for the Continue to enhance client
governance is strengthened so Breast, Cervical, Bowel and services to ensure patients and
that the information management Diabetic Retina Screening families have access to records
in all programmes is enhanced. programmes, using a single for all screening programmes by
PH
screening identifier. developing a dedicated Client
PH QS ICT
Management System.
RM
ICT Infrastructure CS
Development Performance & Data
Development of the ICT Provision
infrastructure to support the Reassess and plan for enhanced
NSS. Review the immediate performance and data provision
ICT needs of programmes as across the NSS.
a foundation for developing an PEU
ICT strategy.
Strengthen the cervical screening
ICT
programme by enhancing data
analytics and reporting.
PEU CC5 OPERATIONAL PLAN 2021 – National Screening Service
Appendix 1
National Service Plan 2021 CervicalCheck
National Screening Service • Stabilise and strengthen the cervical screening
programme in line with the Scoping Inquiry into
The National Screening Service delivers four
the CervicalCheck Screening Programme (Scally
national population-based screening programmes,
Report) by enhancing the programme clinical
for cervical, breast and bowel cancer, and for
standards, and data analytics and reporting CC PEU
detecting threatening retinopathy in people with
diabetes. These programmes aim to reduce morbidity • Progress the assessment and planning work
and mortality in the population through early undertaken in 2019 which demonstrated a notable
detection of disease and treatment. increase in colposcopy referrals expected to arise
as a result of the introduction of human papilloma
virus (HPV) testing and provide additional staffing,
Priority Areas for Action 2021 augmented with consultant sessions, to maximise
National Screening Programme the use of colposcopy services and enable a more
• Implement the remaining recommendations efficient throughput of service users CC PEU
contained in the Scoping Inquiry into the
• Continue to develop the National Cervical
CervicalCheck Screening Programme (Scally
Screening Laboratory at the Coombe Women
Report) as well as those contained in the
and Infants University Hospital, including
Independent Rapid Review of Specific Issues
commencement of its construction, provision of key
in the CervicalCheck Screening Programme CC
equipment and the recruitment of any outstanding
• Plan for and commence initial implementation of positions CC SBP
the Expert Reference Group’s recommendations
• Enhance the quality, completeness and timeliness
from the interval cancer audits BC CC BS C PH SBP
of histology data received from all histology units
• Implement strengthened organisational and providing CervicalCheck services CC PEU
governance arrangements in line with the reviews
• Enhance training for all healthcare professionals
undertaken of screening services including
providing CervicalCheck services CC PH
the implementation of the public and patient
engagement plan to enhance public input to • Implement a HPV communications campaign to
screening programmes QS
RM
PH
encourage younger women to participate in the
programme, working closely with the surveillance
• Implement a communications strategy, in
team to align HPV messages CC C
conjunction with national communications,
to ensure continued support, education and
information for the public on screening
programmes C PH
• Continue to enhance client services to ensure
patients and families have access to records for
all screening programmes by developing a
dedicated Client Management System CSOPERATIONAL PLAN 2021 – National Screening Service 6
BreastCheck Diabetic RetinaScreen
• Continue to implement the age-extension of • Continue the roll-out of a digital surveillance
the BreastCheck Programme by rolling out screening programme and model of care that will
the programme to the remaining cohort of 69 improve timeframes for the treatment of diabetic
year olds in line with the agreed programme retinopathy for a further 5,000 patients in 2021 DRS
of implementation (subject to the limitations of
COVID-19) BC • Maximise uptake through targeted communication
and promotion amongst the eligible population
• Develop and implement an upgrade to the aged 12 years and over DRS C
Radiology Information System (RIS) to ensure
the uninterrupted operation and continuity of the • Following the approval from the National Screening
RIS for the clinical, operational and administrative Advisory Committee, implement biennial screening
day-to-day delivery of the BreastCheck service for people who have no diabetic retinopathy within
BC SBP F ICT the past two years DRS
• Develop and open semi-permanent BreastCheck
units in two locations to increase capacity and Programme/Department Lead Key
access to support a two-year BreastCheck
screening round BC F HR
BC
BreastCheck
CC
CervicalCheck
• Continue to implement a proactive plan to future-
proof radiological resources in order to deliver BS
BowelScreen
and optimise capacity, recruit two consultant DRS
Diabetic RetinaScreen
radiologists in 2021 and continue to implement the
PH
Public Health
plan for the recruitment of radiographers BC HR
CS
Client Services
HR
Human Resources
BowelScreen
PEU
Programme Evaluation Unit
• Maximise uptake through targeted communication
and promotion amongst eligible men and women C
Communications
aged 60-69 years BS C
SBP
Strategy, Business & Projects
• Develop a capacity plan that meets the current F
Finance
endoscopy demand for the screening population ICT
Information and Communication Technologies
and plan to ensure the roll-out of sufficient capacity
within the wider endoscopy service to support
QS
RM Quality, Safety and Risk Management
extension of the BowelScreen Programme as
outlined in the National Cancer Strategy
2017-2026 BS PEU F
• Increase the number of BowelScreen units which
provide colonoscopies BS
• Use additional resources to prepare for the
commencement of the phased age extension for
BowelScreen BS FNSS/PUB/COM-4 Rev0
National Screening Service
King’s Inns House,
200 Parnell Street, Dublin 1, D01 A3Y8.
Tel: 01 865 9300
Email: info@screeningservice.ie
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