With letters already going out to those affected by the failure, three leading organisations urge the Government to deliver on its pledge to expand screening workforce.

Tuesday 15 May 2018      Health information

The breast screening workforce does not have the capacity to absorb the thousands of catch-up mammograms required following the serious failure in the Breast Screening Programme, three leading organisations have warned amid calls for long-term reinforcements.

Following an IT error that saw around 450,000 women aged between 68-71 miss their final invitation to routine screening between 2009-2018, the Health and Social Care Secretary Jeremy Hunt promised that all women affected under the age of 72 would be offered a catch-up screening appointment within six months.

But in a letter to The Daily Telegraph, The Royal College of Radiologists, the Society of Radiographers and leading charity Breast Cancer Now have today warned that the screening workforce is already ‘stretched beyond the limit’ and does not have capacity to cope with the extra workload of catch-up screening on top of the maintaining routine screening for those aged 50-70.

The organisations have urged the Government to deliver on its pledge to take ‘major steps’ to expand the Screening Programme’s capacity, to ensure those affected can be assessed without a disruption to routine screening, or to the two-week wait for those referred urgently with suspected breast cancer.

The letter co-signed by Dr Nicola Strickland (President of The Royal College of Radiologists), Baroness Delyth Morgan (Chief Executive at Breast Cancer Now) and Mr Gareth Thomas (President of the Society and College of Radiographers) reads:

Dear Sir,

Following the serious failure that saw hundreds of thousands of women miss their final breast screening invites, it is right that the Health and Social Care Secretary has promised those affected aged up to 72 a catch-up appointment within six months. 

But, while he also vowed there will be no disruption to routine screening, we are extremely concerned that the breast screening workforce does not have the capacity to absorb such a crisis. Upholding this commitment will require extra evening and weekend clinics across the country, run by screening staff already stretched beyond the limit. 

There simply aren’t enough available staff to cope with this extra workload on ‘overtime’ alone. While the number of women attending screening in England increased by 13% from 2012-2016, the breast radiologist workforce grew by just 6%. 

A 2017 Public Health England survey found the screening service to be 215 radiographers and mammography staff short – a 20% shortfall based on uptake – with just 18% of units having enough staff to cope with existing demand.

The Screening Programme remains critical to early detection in England, preventing around 1,300 deaths from breast cancer each year. With letters already going out to those affected by the failure, we urgently need the Government to deliver on its pledge to take ‘major steps’ to expand the programme’s capacity.

We need a robust, realistic and fully-resourced workforce plan to deliver the necessary catch-up screening and ensure the future of this world-leading service.

Yours Faithfully,

Dr Nicola Strickland, President of The Royal College of Radiologists
Baroness Delyth Morgan, Chief Executive at Breast Cancer Now
Mr Gareth Thomas, President of the Society and College of Radiographers
 

Baroness Delyth Morgan, Chief Executive at Breast Cancer Now, added:

“We cannot ignore that the catch-up appointments needed to correct this colossal failure risk pushing an overstretched screening workforce to breaking point. 

“Unless these staff shortages are addressed, it is inevitable that some women will experience delays in receiving a breast cancer diagnosis, or peace of mind, which would be extremely distressing. This is completely unacceptable and we need the Government to heed these wake-up calls and deliver on its promise to expand the screening workforce as soon as possible. 

“Thousands of women are rightly being offered catch-up screening, but it will fall on the same workforce responsible for performing mammograms for those referred urgently with symptoms of breast cancer to pick up the strain – and it’s vital we ensure women do not pay the price.

“Early diagnosis is absolutely essential in giving patients the best chance of surviving their breast cancer. While there are some risks as well as benefits, comprehensive evidence has shown that routine screening prevents deaths from breast cancer – and we’d encourage all women to attend their appointments.”

Dr Caroline Rubin, Vice-President, Clinical Radiology, The Royal College of Radiologists (RCR) and a practising breast radiologist, said:

“While it is absolutely right that all women affected by this IT failure are offered catch-up appointments, breast screening units across the country will struggle to cope with the thousands of additional appointments. 

“These units, and in particular the imaging doctors (radiologists) who staff them, are already stretched to the limit. The Government must immediately agree to fund many more training posts for radiologists to ensure the screening programme – and the NHS as a whole – has the imaging doctors it needs to keep up with the ever increasing demand for radiology services.”

Mr Gareth Thomas, President of the Society and College of Radiographers, said:

“All the screening workforce work hard to deliver the best possible services for patients. The radiography workforce has shown in the past, by innovative use of skills mix and role development, that increases in services can be managed however funding for training, including for additional staff where necessary, and new roles is essential.”