The Scotsman

Ministers warned about potential screening glitches two years ago

- By TOM PETERKIN tom.peterkin@scotsman.com

Scottish ministers were warned two years ago that breast screening IT systems should be monitored to prevent women missing their appointmen­ts, it has emerged.

Yesterday the Scottish Conservati­ves highlighte­d a 2016 report by Healthcare Improvemen­t Scotland (HIS) saying that computer systems needed “ongoing monitoring” to ensure no mistakes were made.

The warning came almost two years before last week’s admission by ministers that IT problems had caused almost 1,800 women to miss the crucial screening appointmen­ts over the past three years.

Last week it emerged that a glitch in the NHS’S IT system that sends letters to patients inviting them to be screened meant that the women were accidental­ly ignored.

The issue, resulted in 1,761 women aged over 70 failing to be offered their final appointmen­ts.

The 2016 report was ordered after it was disclosed doctors had failed to issue screening invitation­s to 3,831 women and made a series of recommenda­tions, including clearer leadership on the issue.

It also said a new IT system had been launched which should stop the problem happening again – but warned that it should be closely observed in case any similar issues emerged.

“The IT system has taken several years to develop and fully implement,” the HIS report stated.

“It will require ongoing monitoring to ensure any initial software problems are appropriat­ely resolved and any future risks identified

0 Nicola Sturgeon was questioned over the missing breast screening invitation­s at Holyrood yesterday

are appropriat­ely dealt with.” The report was brought up at Holyrood by Tory MSP Jamie Greene who questioned if the IT system responsibl­e for breast cancer screening was “fit for purpose”.

Mr Greene said the fresh issues discovered last week may have been “predictabl­e”, asking Nicola Sturgeon why the recommenda­tion on IT hadapparen­tlybeen“ignored”

Mr Greene said: “In 2016 a review by Healthcare Improvemen­t Scotland found nearly 4,000 women had not JAMIE GREENE Conservati­ve MSP

been sent screening invitation­s. So can I ask why was the 2016 recommenda­tion ignored? And what reassuranc­es can she give today that the screening programme IT system is fit for purpose?”

Ms Sturgeon replied: “In relation to the 2016 issue, my understand­ing is that this is a separate issue and therefore I’m not sure it is accurate to say that this was – to use the word that was used – predictabl­e.”

Later a Scottish Government spokesman said: “The recent incident was due to a separate issue concerning the age cohort for breast screening.

“We are working to develop an IT solution to the underlying issue and in the meantime manual checks are in place within local breast screening centres to ensure no more women are missed for this reason.

The spokesman added: “These checks will continue until the Health Secretary is assured that the current issue is resolved.”

“What reassuranc­es can she give today that the screening programme IT system is fit for purpose?”

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