Abdominal Aortic Aneurysm Screening Coverage - WMCA

The proportion of men eligible for Abdominal Aortic Aneurysm screening who are conclusively tested. ## Rationale Abdominal aortic aneurysm (AAA) screening aims to reduce AAA-related mortality among men aged 65 to 74. This indicator provides an opportunity to incentivise screening promotion and other local initiatives to increase coverage of AAA screening. Improvements in coverage would mean more AAAs are detected in a timely manner. ## Definition of numerator Number of men eligible for the initial screen who have had a conclusive scan result within the screening year plus an additional 3 months (in the event of non-attendance and cancellations at the end of the year, this allows men to be reinvited and screened). A conclusive test is one where the aorta could be visualised such that measurements in both the transverse and longitudinal planes can be taken. ## Definition of denominator Number of eligible men in their 65th year to whom the screening programme propose that a screening encounter during the reporting period should be offered. When calculated annually, this indicator must report all eligible men in their 65th year, excluding any who die or move out of the area of responsibility for the local screening service before screening can be offered. ## Caveats Data for ICBs are estimated from local authority data. In most cases, ICBs are coterminous with local authorities, so the ICB figures are precise. In cases where local authorities cross ICB boundaries, the local authority data are proportionally split between ICBs, based on population located in each ICB. The affected ICBs are: * Bath and North East Somerset, Swindon and Wiltshire * Bedfordshire, Luton and Milton Keynes * Buckinghamshire, Oxfordshire and Berkshire West * Cambridgeshire and Peterborough * Frimley * Hampshire and Isle of Wight * Hertfordshire and West Essex * Humber and North Yorkshire * Lancashire and South Cumbria * Norfolk and Waveney * North East and North Cumbria * Suffolk and North East Essex * Surrey Heartlands * Sussex * West Yorkshire Please be aware that the April 2019 to March 2020, April 2020 to March 2021, and April 2021 to March 2022 data covers the time period affected by the COVID-19 pandemic and therefore data for this period should be interpreted with caution. [https://www.gov.uk/government/collections/nhs-population-screening-programmes-kpi-reports] Men resident in Wales but registered with a GP in England will be screened by the relevant local screening programme but will not be included in the residency figures. The London region has undergone reprocurement of the AAA service providers in April 2017 to March 2018. North Central London, North East London, and North West London ceased screening on 26 March 2018 and so had a reduced period of time to screen the cohort men compared to other service providers. The new North London provider started on 1 April 2018 and continued to invite and screen the outstanding April 2017 to March 2018 cohort men. The South East London programme ceased screening cohort men in November 2017 and this has had a significant impact on screening of the April 2017 to March 2018 cohort.