Events on 28 September 2023

Perspectives on the Borderline Endocervical Cell Classification

Benign glandular histology as potential for BLEC

Update on endocervical adencarcinomas

The management of low grade smear abnormalities has posed problems for over 30 years and these will be described in some detail leading on to the most recent difficulty caused by the HPV Triage Pathway in the Cervical Screening Programme. The concept of HPV Entrapment Syndrome will be introduced and management strategies to deal with this difficult problem will be discussed. As well as explaining what HPV Entrapment means, there will be a detailed case presentation of a typical patient followed by a review of some of the numerous smear abnormalities that prevented her from leaving the Triage Programme.

Role of MDT – Clinical Perspective; Colposcopy for patients with learning difficulties

From earlier work that I had done in a sexual health setting, I identified that there were barriers for women with a learning disability attending for cervical screening. I was invited to talk to a group of women about cervical screening as part of an initiative called 'The Josephine Project'. Josephine is an anatomically correct cloth doll which is used for health promotion purposes - she has body parts which can be detached and has a 'space' in her head where women can put ideas on paper. Within a mock up clinic, Josephine, along with her friends (the women in the group), attended the sexual health clinic to have a cervical sample taken. This work was very successful and led to several women taking up the offer of screening.

Myself and Jilly realised that as Nurse Colposcopists this work could be translated into a secondary care setting and so Josephine was invited to the colposcopy clinic following an abnormal cervical screening result. This presentation discusses some of the barriers for the women with a learning disability and how 'Josephine' came to life to help and support some of those women.

How to report staining intensity for flow cytometry EQA exercises

Global travel and migration trends have meant a huge increase in the numbers of people exposed to tropical parasitic diseases. Thus, there is an increasing need for robust, reproducible and reliable screening as well as diagnostic techniques. These existing and emerging technologies all currently co-exist; each with their own specific and general pitfalls and limitations.

Thus, the need for fit-for-purpose qualitative EQAs or Proficiency Testing schemes for these parasite diagnostics remains pivotal and very timely. My talk at this congress will present findings and recommendations from Parasitology EQA schemes offered by UK NEQAS and will highlight the importance of quality management in the field.

Promoting and supporting training and education is an integral part of the work of UK NEQAS. As such the online Digital Morphology for CPD scheme (DM) was introduced some years ago as a companion to our glass-slide blood films for morphology (BF) EQA scheme. DM has been very successful and registration currently stands at just over 4,000 participants. DM recently underwent a major change when it was moved to a new platform and is now hosted on the UK NEQAS Haematology EQATE system.

The new EQATE platform offers significant flexibility over the old and allows for the development of additional modules, for example the recently introduced Haemosiderin cytochemistry EQA. Other new modules and features are proposed with some actively under design and testing. This presentation will look at how Digital Morphology and the EQATE platform have evolved, where we are with regards to the currently available modules, some of the challenges we face and a look at some future developments.

Digital Morphology for CPD. What can we learn about morphology reporting from the past 15 years?