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Awareness and Early Diagnosis

Awareness of cancer and its symptoms is one of the keys to early diagnosis. Early diagnosis can save lives. Read here about some of the awareness and early diagnosis work taking place in Humber, Coast and Vale.

Feb 17
image saying Find the 14,000 men

Find the missing men prostate cancer awareness

By Awareness and Early Diagnosis, National Campaigns

Why we’re backing Prostate Cancer UK & NHS England’s new campaign

Prostate cancer is more common than you think. It’s the most common cancer in men. 1 in 8 men will get prostate cancer. That could be a dad, uncle, brother, partner or best friend. It’s why Prostate Cancer UK and the NHS have joined forces to launch a campaign to find the 14,000 men who have not started treatment for prostate cancer since the beginning of the pandemic.

Early diagnosis saves lives

New figures show that prostate cancer accounts for a third of those not treated for cancer compared to before the pandemic. Prostate cancer is very treatable if caught early. It’s important for men to know their risk because early prostate cancer often has no symptoms.

Joe Appiah, from Bromley, was diagnosed with prostate cancer during the pandemic. He didn’t have symptoms. “I’d seen adverts about prostate cancer, but I didn’t know how badly black men were affected, or how to get a test. I didn’t have symptoms and wasn’t aware of any family history. So until my friend told me to speak to my GP, I didn’t think about it – especially with Covid too. My friend saved my life. Thanks to him it was caught just in time.”

Check your risk and share the risk checker with loved ones

It takes 30 seconds to complete and could save lives. Access the risk checker here.

Access the campaign communications toolkit here.

Feb 14

“Cervical screening saves lives” says national campaign

By Awareness and Early Diagnosis, National Campaigns

Today the Department of Health and Social Care, together with NHS England and NHS Improvement, are launching a Help Us Help You – Cervical Screening Campaign, to highlight the benefits of cervical screening and remind people that that it can help stop cancer before it starts. The campaign encourages those eligible for screening – women and people with a cervix aged 25-64 – to respond to their cervical screening invitation letters and to book an appointment at their GP practice if they missed their last one.

A door with a letter coming through the letterbox. The text underneath the letter reads 'don't ignore your cervical screening invite'.Two women die every day from cervical cancer in England. Yet it is one of the most preventable cancers and getting screened can help stop it before it starts. Screening helps prevent cervical cancer by checking for a virus called high-risk HPV which causes nearly all cervical cancers. This is the best way to find out who is at higher risk of developing the cervical cell changes that over time could potentially lead to cervical cancer.

Any cervical cell changes can be treated, preventing cervical cancer. Don’t be alarmed if you have HPV as it does not mean you have cervical cancer – it’s a common virus that most people will get at some point in their lives.

It has been estimated that in England, cervical screening prevents 70% of cervical cancer deaths and that if everyone attended screening regularly, 83% of cervical cancer deaths could be prevented.

Women and people with a cervix aged 25-64 are eligible for screening. Those registered as female with their GP practice are invited for routine screening every three years if they are aged 25-49 and every five years if they are aged 50-64. Those registered as male will need to request an appointment from their GP or a local sexual health clinic.

The campaign provides information and tips to those who may be worried or embarrassed about cervical screening. These include:

  • For most, cervical screening tests are not painful. But if you are worried that you may find the test uncomfortable, remember you are in control and can ask to stop at any time.
  • Discuss your concerns with your nurse, you can ask for a smaller speculum or the nurse can advise you on different positions to make it more comfortable.
  • If you want to make sure a woman carries out your test, you can ask for this when you make your appointment.
  • You might want to wear a skirt or dress or a long jumper, which you can keep on during the test. If you forget to do this, don’t worry – you’ll be provided with a disposable modesty sheet to cover yourself.
  • Ask your nurse about breathing exercises, as these can help. Take a podcast or music to listen to – this may help you relax or distract you.
  • Cervical screening only lasts a few minutes, and you only have to go once every 3 or 5 years depending on your age. It’s a few minutes that could save your life.

For more information, visit www.nhs.uk/cervicalscreening

Feb 01
A man receiving a CT scan as part of the Targeted Lung Health Check Programme. A radiographer is pictured next to him, operating the CT scanner.

More than 8,000 past and current smokers are set to benefit from an NHS lung health check as the service moves to North Hull

By Awareness and Early Diagnosis

More than 8,000 people in Hull, who may be at increased risk of lung cancer, will be next to benefit from an NHS lung health check service, which is helping to improve earlier diagnosis of lung cancer and other respiratory diseases.

Since its launch, the service has welcomed over 6,000 people, helped to diagnose more than 40 cases of cancer, identified other respiratory diseases at early stages, and provided opportunities for earlier treatment that has saved people’s lives.

The lung health check service has just arrived in North Hull and will be based in the west car park at North Point Shopping Centre before moving to Tesco Hull Superstore on Hall Road. Anyone living in north Hull, who is a former or current smoker aged 55 to 74, is eligible for a lung health check and will receive an invite from their GP over the next few weeks.

Detecting lung cancer in the early stages is extremely difficult as often people don’t experience any symptoms and are not diagnosed until stage 3 or 4. A lung health check can help find any problems early, often before someone notices anything is wrong, and at a stage when treatment could be simpler and more successful.

The lung health check takes place in two stages. The first is an initial phone assessment with a specially trained respiratory nurse. If the assessment finds the person to be at high risk, they will be offered a low dose CT scan of the lungs for further investigation. The CT scanner is housed onboard a high-tech mobile screening unit that has previously visited Lidl and Castle Hill Hospital in West Hull.

The mobile unit on which CT scans are performed as part of a lung health check.

The mobile unit where some participants will receive a quick CT scan.

Head shot of Dr Stuart Baugh. He is wearing a suit and looking into the camera. It's a sunny day.

Dr Stuart Baugh, Clinical Director at Humber, Coast and Vale Cancer Alliance, said: Dr Stuart Baugh, Clinical Director at Humber, Coast and Vale Cancer Alliance, said: “The Hull lung health check programme is helping us achieve the NHS long-term plan ambition of diagnosing more cancers early by providing quick, effective and easily accessible checks in convenient community locations. We are incredibly grateful to North Point Shopping Centre and Tesco Hull Superstore for providing space in their car parks to ensure we can deliver lung health checks in North Hull.

“If you or a member of your family receive a lung health check invitation, do not delay – book your appointment as soon as you can. This free lung health check could save your life by diagnosing lung cancer or other respiratory diseases at an earlier stage, when curative treatment may be available.”

Jo Thompson, Lead Nurse for lung health checks in Hull, said: “If you are invited for a lung health check, one of our friendly specialist nurses will provide a telephone assessment that lasts around 25 minutes and, if appropriate, participants will then be invited to attend a CT scan onboard the mobile unit.

“We have received fantastic feedback from people who have already attended a lung health check in West Hull and as well as helping to diagnose respiratory diseases at an earlier stage, the service is also helping to reduce the risk of lung cancer by offering free support to those who wish to stop smoking. Many people who have been smoking for years and who have tried to quit multiple times have successfully stopped after being put in touch with free stop smoking services by a member of the lung health check team.

“There are lots of safety measures onboard to reduce any risk of Covid-19 and the team are available to answer any questions you may have either before or after your appointment.”

A man receiving a CT scan as part of the Targeted Lung Health Check Programme. A radiographer is pictured next to him, operating the CT scanner.

A participant receiving a CT scan as part of their lung health check.

Dr Masood Balouch, a local GP and NHS Hull Clinical Commissioning Group Board member, said: “As a general practitioner seeing many patients with advanced lung cancer each year, I know how vitally important it is to book your lung health check appointment when invited, even if you feel fine, as some conditions don’t display symptoms until later stages. The programme is designed to check those most at risk of developing lung cancer in order to spot signs earlier, at the stage when it’s much more treatable, ultimately saving more lives.

“We have had some great success with this programme in other areas of Hull and look forward to supporting more patients to come forward for a lung health check. If you receive an invitation, don’t ignore it – book your appointment without delay.”

For more information on the Targeted Lung Health Check programme please visit www.lunghealthcheck.org.uk

Dec 13
Front of a Boots pharmacy where Nicola, a Cancer Champion, works.

Cancer Champions: Nicola’s story

By Awareness and Early Diagnosis, Cancer Champions

In her job as a Community Pharmacist, Nicola spends her day supporting and building relationships with local people. Three months into her role, Nicola noticed something different about one of her regular customers and used her experience to help.

Just three months into her new job at a Boots Pharmacy in Hull, Nicola knew many of her regular customers well. She noticed that one gentleman, who was known to pick up his medication order like clockwork, had not been in for a while. He was a particularly sociable man who liked a laugh and a giggle with the staff, always had a smile for everyone, and was totally committed to caring for his disabled wife.

Front of a Boots pharmacy where Nicola, a Cancer Champion, works.

Nicola was just three months into her job at Boots when she noticed something off about the man.

He was always keen to chat, especially about his family and their mini-breaks away. His absence was unusual, but what was more unusual was his behaviour when he came in the following month. Nicola knew he must have been unwell, and this was confirmed when finally returned to the pharmacy to collect his usual prescription as well as some antibiotics.

Nicola straightaway noticed a change in his demeanour. He was less talkative and chose to sit and wait on the chairs away from the counter, rather than stand and chat with her as was usual. She also noticed he had lost a significant amount of weight, was coughing almost constantly, and his skin was yellow.

After Nicola asked if the man was okay, he responded that he thought he may have a chest infection. Nicola felt there was more to this and invited the gentleman into their meeting room for a chat. With further conversation, he admitted to Nicola that he was experiencing a significant change with his bowel movements and had noticed blood in his stools. While the man was talking, Nicola looked at his skin and the whites of eyes – they appeared ‘banana’ yellow. He told her he had a blood test booked for a weeks’ time, but Nicola was seriously concerned.

She reported the situation to her manager who agreed that a further conversation was needed with the GP surgery, which was attached to the pharmacy. Nicola spoke with the lead receptionist and explained some of the man’s symptoms. As a result, the gentleman was invited for a blood test there and then. Later the same day, he was called back into the surgery as the GP said something serious had been picked up on his blood test. Along with his notes, he was sent straight to the local hospital to see a specialist who confirmed that he had metastatic cancer which was treatable, but not curable.

The following morning, the gentleman and his wife brought in a huge bunch of flowers to thank Nicola for her care and support. Receiving the diagnosis of cancer may not have been able to save his life, but it meant a great deal to the couple that it would lead to treatment that could manage his symptoms and extend the time he would have with his family. It also gave them chance to make alternative arrangements for his wife’s care.

Nicola believes she was ready to ask the right questions and take the necessary steps because, at that time, her father was being treated for lung cancer and her brother for Hodgkin lymphoma. Her lived experience and the relationships she had built with her regular customers meant she was aware of certain signs and had the confidence to take the necessary steps to help someone. She’s now asking other pharmacy staff to take the Cancer Champion Training to equip them with the same tools.

”“I was able to use my own experiences with cancer to help a patient. Since then, I’ve taken part in the Cancer Champion training, and I think it’s a great way to give pharmacy staff everywhere the same knowledge, understanding, and skills required to support their customers in the same way.”

Nicola, Cancer Champion

After his diagnosis, the gentleman was given an estimated three months to live. He died 18 months later. While Nicola still feels the emotions of that time deeply, she is proud of her actions and the opportunity to positively support another family affected by cancer.

Cancer Champion Awareness Sessions are available to schools and colleges, businesses, community groups, and the public. The team hold virtual or face to face sessions, as well as bespoke sessions that focus on a particular cancer or topic.

To get involved, email [email protected] or visit www.hcvcanceralliance.org.uk/CancerChampions

Dec 01
Image of a large mobile unit which is parked in a car park. A man is walking down some steps away from the unit.

Thousands of people set to benefit as NHS lung health checks confirmed for North Lincolnshire and North East Lincolnshire

By Awareness and Early Diagnosis

Past and current smokers in North Lincolnshire and North East Lincolnshire will be invited to a NHS lung health check service in a drive to improve earlier diagnosis of lung cancer and save more lives.

NHS England and NHS Improvement has confirmed that North Lincolnshire and North East Lincolnshire will be two of 43 places across the country to run the NHS Targeted Lung Health Check programme.

The initiative means approximately 45,000 past and current smokers, aged 55 to less than 75, in North Lincolnshire and North East Lincolnshire will be invited to a lung health check by their GP. This will identify an estimated 440 cases of lung cancer earlier than otherwise would have been. It is expected to start in North East Lincolnshire in February 2023.

Those invited will have an initial phone assessment with a specially trained health care professional. If the assessment finds the person to be at high risk, they will be offered a low dose CT scan of the lungs for further investigation.

Image of a patient receiving a CT scan as part of a lung health check. The radiographer is wearing a face visor, apron and gloves.

The scanner will be housed in a mobile unit and taken to convenient locations, such as supermarket or sport venue car parks, across North and North East Lincolnshire. Stop smoking advice will also be offered to support current smokers wanting to quit.

Image of a large mobile unit which is parked in a car park. A man is walking down some steps away from the unit.

Lung health check mobile units will be placed in convenient locations

Lung cancer can often be caught too late as there are rarely symptoms at the earlier stages. The programme is designed to check those most at risk of developing lung cancer in order to spot signs earlier, at the stage when it’s much more treatable, ultimately saving more lives.

In January 2020, Hull became one of 10 initial lung health check pilot sites and has since welcomed over 5,000 participants to the service, with more than 2,500 of those receiving a CT scan. The service has helped to identify cancer at an early stage and provided opportunities for earlier treatment, which is helping to save people’s lives.

Dr Satpal Shekhawat, Medical Director at NHS North Lincolnshire CCG, said:

“Unfortunately, due to there being few to no symptoms at an early stage, lung cancer is regularly diagnosed late and currently causes more deaths than any other cancer within North and North East Lincolnshire, but if caught early, it’s much more treatable and the survival rate is much higher.

“Being able to offer lung health checks to those at higher risk of lung cancer, will provide an opportunity for more and earlier interventions, including curative surgery. The service will also help to improve our populations health by offering free stop smoking advice and support to current smokers.”

Dr Stuart Baugh, Clinical Director at Humber, Coast and Vale Cancer Alliance, said:

“Humber, Coast and Vale Cancer Alliance is pleased to have secured funding for the further roll out of Targeted Lung Health Checks across our region.

“The extension of lung health checks will play a key part in helping to deliver the NHS Long Term Plan ambition of diagnosing three out of four people with cancer at an early stage by 2028.

“We have already seen the positive impacts this service has for patients, since the first pilot site was launched in Hull in January 2020, and we look forward to working with our partners to extend the reach of this service in other parts of our region.”

For more information on the Targeted Lung Health Check programme please visit www.lunghealthcheck.org.uk

Image of Dr Stuart Baugh standing in front of a brick wall. Stuart is wearing a suit and is looking at the camera smiling.

Dr Stuart Baugh, Clinical Director for Humber, Coast and Vale Cancer Alliance

Oct 07
Headshot of Graham, a Lung Health Check participant. He's wearing a white t shirt and glasses.

Lung Health Checks: Graham’s story

By Awareness and Early Diagnosis

“I first became aware of the Lung Health Check service in March 2020, when me and my wife were invited to attend an appointment at Lidl car park. I wasn’t worried about my health at the time but there was a history of lung cancer in my family, so I thought there’s no harm in getting checked.

“The appointment was booked for the 30th of March, but like a lot of things impacted by Covid-19 I got a phone call to say it would need to be postponed because of lockdown. As soon as the service restarted, we were booked in to speak with someone who asked a few questions about our family and smoking history.

Headshot of Graham, a Lung Health Check participant. He's wearing a white t shirt and glasses.

Graham was surprised at the impact the appointment has had on his life.

“This time we were given an appointment to have a CT scan in Castle Hill Hospital car park. It was easy to attend because a free parking space had been reserved for us and being able to book a similar appointment time as my wife was also a big help. The staff onboard the unit talked us through what to expect and we both had a scan, which was quick and painless. I never thought that appointment would have such a big impact on my life, but a week later I was sat in front of a consultant being told they had found something on my lung. We started to discuss treatment options and I was given the name of a Macmillan nurse who would later be in touch.

“Was I worried? Yes. Did I wish I hadn’t of known? No. I felt incredibly lucky to be receiving help and with the support of my family and friends, I made the decision to have part of my left lung removed. The operation took place in June 2021, and I have since received confirmation that it was cancer.

“The last few months have been a lot to take in and although I’m pleased not to need chemotherapy or radiotherapy, I’m still receiving ongoing care and help with my breathing. I also have weekly calls with the SmokeFree team, who have helped me stop vaping, and the Macmillan nurse has provided fantastic support throughout.

“Although my wife and her two brothers, who also took part in the lung health check service, have had very different experiences to me, I truly believe they are all equally as positive. My wife is now receiving support for slight COPD and her brothers were quickly reassured that their lungs are healthy.

“My friend has recently been invited to take part in a lung health check and I’m now urging him and others to go. He said he’s really sorry for what I’ve been through and is scared about what the service might find, but I’ve told him not to be sorry or scared. That lung health check saved my life.”

Oct 07
Headshot of Catherine, a lung health check participant. She has long black hair and is smiling.

Lung Health Checks: Catherine’s story

By Awareness and Early Diagnosis

As a Hull resident, who is aged 58 and a current smoker, Catherine was invited to attend a lung health check in July 2021. Here Catherine tells us what happened next and why she is now encouraging others to take part.

Headshot of Catherine, a lung health check participant. She has long black hair and is smiling.

Catherine has cut down on smoking since her appointment.

“After speaking with a lung health check nurse on the phone, I was invited to Castle Hill hospital for a CT scan. The scanner was on board a mobile unit in the hospital car park and although going through the tunnel was a bit scary, the staff were really friendly, and it was fine.

“Two weeks after attending Castle Hill Hospital, I was diagnosed with emphysema. I felt surprised and gutted. I’ve been a smoker for 45 years and although my GP had previously advised me to stop, being told I had emphysema hit me for six. I knew I needed to make a change and thought of my daughter and granddaughter.”

“This wasn’t my first attempt at stopping smoking. I had managed to cut down to five cigarettes a day before covid, but I struggled to smoke less during the pandemic and decided to take up the offer of help from SmokeFree Hull.

“They’ve been a great support so far and I receive weekly phone calls to check how I’m getting on. Being able to trial the use of patches and vapes has helped me to cut down and in the last two weeks, I’ve only smoked six cigarettes.

“It hasn’t been easy but I’m already starting to notice some small differences. When I bike to work, the Anlaby Road flyover feels like less of a hill to climb and I’ve been able to do some extra exercise on the rowing machine at home.

“It’s been just over a month since my lung health check and finding out I have emphysema has been really hard, especially as my partner lost someone to this previously. For that reason, I feel extremely lucky to have caught it early and to be getting help and support from my family and the NHS.

“Having that check has made a big difference to my life and I’ve already encouraged my friend to take up her appointment.”

To read the experiences of other patients of the lung health check programme, please click here.

Sep 07
Picture shows a group of people sat round tables holding red flags.

Cancer ‘Red Flag’ roadshows for people with Learning Disabilities

By Awareness and Early Diagnosis

Over the next few months, People First Merseyside will be delivering peer led training for people with learning disabilities (and their families and carers) across the Humber, Coast and Vale region. The free training sessions, which have been co-produced by people with Learning Disabilities, are designed to raise awareness of how to have good lung health and teach the signs and symptoms of cancer within a fun and interactive environment.

Scarborough
Monday 13th September, 1pm – 3pm at Community Centre (The Street), 12 Lower Clark Street, Scarborough, YO12 7PW

Selby
Friday 17th September 2021, 1.30pm – 3.30pm Portholme Church, Portholme Road, Selby, YO8 4QH

Harrogate
Thursday 16th September 2021, 1pm—3pm at Follifoot Village Hall, Tofts Lane, Harrogate, HG3 1DY

York
Friday 17th September 2021 9.30am — 11.30am Priory Street Centre, Main Hall, 15 Priory Street, York YO1 6ET

Richmond / Northallerton
Tuesday 14th September, 9.30am -11.30am at Northallerton Town Hall, High Street, Northallerton, DL7 8QR

To book your place, please contact 07864968132 / [email protected]

Thirsk
Tuesday 14th September, 1pm – 3pm at Wellburn Village Hall, Church Lane, Wellburn, YO60 7EG

To book your place, please contact Julie Butterworth: 07427 991 920 / [email protected]

Hull
Wednesday 3rd November, 1pm – 3pm
 Thursday 4th November 2021, 10am – 12pm / 1pm – 3pm
CASE Training, 60 Charles Street, Hull, HU2 8DQ

To book your place, please contact Mark Cooke: 01482 320 200 / [email protected]

Picture shows a group of people sat round tables holding red flags.
Jun 24
Image shows two people and text that says Spot the Difference? Lung Cancer doesn't discriminate. Nor do we. We're here to spot the difference. Roy Castle Lung Cancer Foundation

Spot the Difference and take action

By Awareness and Early Diagnosis, Cancer Champions

Early symptoms of lung cancer can be subtle and easy to ignore. A bit of breathlessness is put down to being a bit out of shape. Lack of energy can be caused by anything from poor diet to low mood. And a persistent cough? Well, we all know what springs to mind when we hear a cough nowadays.

A new awareness campaign from Roy Castle Lung Cancer Foundation aims to help people ‘spot the difference’ in their health, identifying symptoms which are unusual for them and encourage and reassure them to take action.

Spot the Difference highlights many of different lung cancer symptoms including a persistent cough, breathlessness, weight loss and fatigue and how they can masquerade in every day activities. It also features a variety of patients who spotted differences in their health, were diagnosed early and went on to have curative intent treatment.

To find out more about the campaign and potential symptoms, visit roycastle.org/ spotthedifference

Jun 18
An image of Katy Connolly. She has long brown hair and is smiling at the camera.

Finding HPV during a cervical screening: Katy’s story

By Awareness and Early Diagnosis, Cancer Champions

After a routine cervical screening test, Katy received a letter saying she had abnormal cells. As a Cancer Champion, Katy is now sharing her experience to help tackle the fears some women and people with a cervix may be experiencing about cervical screening.

An image of Katy Connolly. She has long brown hair and is smiling at the camera.

After a routine cervical screening, Katy received a letter saying she had abnormal cells and HPV.

“Following a routine cervical screening test, I was shocked to receive a feedback letter saying I had abnormal cells and HPV virus. It seemed very sinister and I was worried; how had I got HPV?!

I was then asked to go to Hull Royal for a colposcopy, which made me feel very nervous, as I wasn’t sure what to expect. When I arrived, however, the whole team made me feel at ease as soon as I walked in.

Before the colposcopy examination, I spoke with a consultant who explained more about the HPV virus… that it was very normal, and that I had most likely had it for years. By keeping a close eye on the cells and removing tiny amounts of them if required, it can ultimately stop the development of cancerous cells. There was no suggestion to say that I would develop cancerous cells if the HPV was left untreated – but it was a great way to prevent it from happening.

An illustration of a woman attending a colposcopy appointment. She is on a hospital bed with legs in supports while a health professional assess her cervix through a colposcope which connects to a screen showing the cervix.

By keeping a close eye on the cells and removing tiny amounts of them if required, a colposcopy can ultimately stop the development of cancerous cells. [Image from Jo’s Trust]

The colposcopy was just like a cervical screening test, conducted by a specialist who viewed the cervix and took a tiny biopsy of the cells (which didn’t hurt at all) which were then sent off for analysis. I received a letter a few weeks later to say the abnormal cells had been examined and were not cancerous, so I would continue to have yearly smears to keep an eye on things.

The following year, when I returned for a smear test, I was referred for another colposcopy. This time, the consultant advised that they would remove some of the cells there and then – which was good because I didn’t have time to overthink it! Again, it was painless – just a little uncomfortable for a matter of seconds. The procedure was very quick. After using a local anaesthetic on the cervix (which also didn’t hurt) he used a device with a heated thin wire loop, which quickly removed a tiny amount of the abnormal cells.

Before I knew it, I was sat in a comfy chair, drinking a cup of tea, and eating a biscuit! I didn’t experience any pain when the anaesthetic wore off. I just had to avoid exercise for 3-4 weeks (other than walking).

I’ve just had another smear, and the HPV virus is still present, but there are no abnormal cells, so I’m being referred for a colposcopy again.

I’m very grateful for the cervical screening system – it is empowering to know that by attending the routine smear tests and colposcopies, I’m doing everything I can to monitor my health, which benefits both me and my family.”

What is cervical screening?

Cervical screening (previously known as a smear test) is a test to check the health of your cervix, which is the opening to your womb from your vagina. It’s not a test for cancer; it’s a test to help prevent cancer.

In England, all women and people with a cervix aged 25 to 64 should be invited to regular appointments by letter. During each appointment, a small sample of cells will be taken from your cervix to check for human papillomavirus (HPV) that can cause changes to the cells of your cervix.

To find out more about the cervical screening programme and how attending your appointment can help prevent cancer, visit www.jostrust.org.uk

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