Cervical Cytology

Cervical samples received by the laboratory are forwarded to NHS LANARKSHIRE for primary High-risk Human Papilloma Virus (hr-HPV) testing. If hr-HPV is found a sample will be prepared and screened in order to detect premalignant and malignant changes in cervical epithelial cells. This forms part of the screening service provided to women in Lothian and the Borders by the Scottish Cervical Screening Programme, based in NHS LANARKSHIRE''.

Cervical smears should be requested online using the Scottish Cervical Call Recall System (SCCRS). Paper request forms will only be accepted in exceptional circumstances. Copies of request forms can be downloaded from SCCRS.

For SCCRS assistance contact ATOS on 0845 9572700 or email smc.nhsis@atosorigin.com Do not contact the screening laboratory. For queries about the screening service please email: cervicalscreeningqueries@lanarkshire.scot.nhs.uk

For how to take and prepare a Cervical Smear refer to Appendix III.

For SCCRS access for new users/changes/leavers authorisation please contact loth.cro@nhslothian.scot.nhs.uk for an application form.

Cervical Liquid Based Cytology kits may be obtained from the Unit Distribution Centre in Lothian or Area Stores in the Borders General Hospital.

Requests

All cervical samples should be put initially in their own sample bag and then the individual sample bags collected into one clear plastic bag. An identification label with practice name and telephone number only, should then be placed on the outside of this bag prior to including in the larger blue/red lab envopac bag.

• It is essential that all sections are fully completed on SCCRS and a SCCRS label is attached to the pot.
• For paper requests - please ensure all details are accurate, particularly the spelling of the patient's name, DOB and CHI number.
• If an Urgent Report is required, this should be clearly indicated on SCCRS and also on the outside of the envelope / bag containing the pot.

Cervical LBC and 'Risk of Infection'

Specimens from known HIV, pelvic TB, or Hepatitis B/C surface antigen positive women should be clearly labelled as 'Risk of Infection' (Appendix I). These specimens must always be sent separate from other specimens.

Collection of Cervical Smears

Lothian Health Board:

• Cervical LBC specimens are transported to the laboratory by the laboratory van service from most Health Centres and Clinics. 

Borders Health Board:

• Cervical LBC specimens may be delivered to the Borders General Hospital for transport to the laboratory by van or sent direct in the Mail.