Question reference: S6W-00734
- Asked by: Liam McArthur, MSP for Orkney Islands, Scottish Liberal Democrats
- Date lodged: 15 June 2021
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Current status: Answered by Maree Todd on 2 July 2021
Question
To ask the Scottish Government on what basis it took the decision to stop women aged 70 and over from self-referring for breast cancer screening.
Answer
Following the pause of the breast screening programme in March 2020, there was a staged restart. This was based on expert clinical advice and the recommendations of the Scottish Screening Committee, and was agreed with Health Board Chief Executives as part of the planned remobilisation of the NHS. The breast screening programme resumed on 3 August 2020, initially prioritising those whose appointments were cancelled or delayed due to the pause. The programme is now at the stage of offering routine appointments for eligible women aged between 50 and 70.
The recovery of the breast screening programme, including reviewing the pause to self-referrals for the over 70s is monitored by the Breast Screening Programme Board, the National Screening Oversight Board and the Scottish Screening Committee. It should be noted that the risks and benefits of breast screening for people over the age of 70 have not been clearly established. Covid-19 and the measures to control its spread, such as physical distancing and the use of PPE, also continue to pose challenges to capacity in the screening programme. The decision to maintain the pause on self-referrals for the over 70s, though difficult, was therefore taken to allow the service to prioritise those who require to be offered appointments and for whom screening has clear benefits.