KC65 - Colposcopy Clinics: Referrals, Treatments and Outcomes
This return is in development by the NHS Cancer Screening Programme, therefore the information should not be used.
For further information on National Cervical Screening, please see the NHS Digital website.
Part C1 - First attendances by type of procedure and result of referral
Parts C1 and C2 of the KC65 return are counts of procedures undertaken at colposcopy clinics, showing the nature of treatment by result of referral. The information is used to monitor treatment patterns to ensure that treatment guidelines, such as on the number of biopsies taken, are met.
Parts C1 and C2 are identical, except that Part C1 relates to initial treatment at first attendance, and Part C2 relates to all attendances. For part C1 data is collected on the woman's first Clinic Attendance Consultant or Clinic Attendance Nurse in the REPORTING PERIOD.
Where a woman has a smear taken during the attendance the COLPOSCOPY PRIME PROCEDURE TYPE should be recorded as classification 'No treatment; no treatment received and no biopsy taken'.
Clinic Attendance Consultant and Clinic Attendance Nurse are both a CARE CONTACT where CARE CONTACT TYPE is National Code 06 'Clinic Attendance Consultant' and 10 'Clinic Attendance Nurse' respectively.
For Clinic Attendance Consultant and Clinic Attendance Nurse, a first attendance is the first in a series of the only attendance at the clinic by a patient.
The procedures undertaken in the colposcopy clinics are Patient Procedure. Only one Patient Procedure should be counted for each woman's first attendance. If more than one procedure is carried out, the most severe should be recorded for KC65.
Patient Procedure is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 25 'Patient Procedure'.
Result of referral smear
Lines 0001 to 0008 require data on the number of women referred for colposcopy by CYTOLOGY RESULT TYPES.
Inadequate (line 0001)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Inadequate sample (cat. 1)'.
Borderline changes (line 0002)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Borderline changes (cat. 8)'.
Mild dyskaryosis (line 0003)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Mild dyskaryosis (cat. 3)'.
Moderate dyskaryosis (line 0004)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Moderate dyskaryosis (cat. 7), including abnormal, unclassifiable and ungraded smears'.
Severe dyskaryosis (line 0005)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis (cat. 4)'.
Severe dyskaryosis/invasive carcinoma (line 0006)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Severe dyskaryosis/invasive carcinoma (cat. 5)'.
Glandular neoplasia (line 0007)
A count of the number of women with a CYTOLOGY RESULT TYPE classification of 'Glandular neoplasia (cat. 6), including adenocarcinoma'.
Referral Indication - Clinical indication (lines 0008, 0009)
These columns count first attendances for women with a REFERRAL REQUEST for colposcopy with a COLPOSCOPY REFERRAL INDICATION classification of 'Clinical indication'.
Note all procedures carried out on women who have been referred to the colposcopy clinic with a REFERRAL REQUEST with a COLPOSCOPY REFERRAL INDICATION of classification Clinical indication should be recorded in this line regardless of the result of any smear taken after the referral.
Clinical Indication Urgent (line 0008)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION of classification of 'urgent'. This is restricted to cervical lesions suspicious of cancer, or post-coital bleeding of over four weeks where the patient is aged over 35.
Clinical Indication Non-Urgent (line 0009)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'non-urgent'. This includes all other symptomatic referrals for colposcopy
Other (line 0010)
A count of the number of women with a COLPOSCOPY REFERRAL INDICATION classification of 'Other'.
Entries recorded in Other (line 0010) should only occur in exceptional circumstances. NHS Cervical Screening Programme (NHSCSP) guidelines state that all smears should be identified as belonging to one of the eight recognised category classifications of CYTOLOGY RESULT TYPE. Other (line 0010) does not correspond to these recognised categories and should be used to record those rare cases in which a recognised category is not appropriate. Where an entry is present in Other (line 0010) then supporting notes should be recorded in the available box on the first page of the KC65 form.
Total (line 0011)
This is the total for all women counted in columns 2 to 8.
No treatment (column 2)
This counts the number of women who received no treatment and for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'No treatment; no treatment received and no biopsy taken'.
Procedure Type
Diagnostic biopsy (punch) (column 3)
This counts the number of women who received no treatment and for whom a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Diagnostic biopsy (punch); no treatment received and biopsy type recorded as directed biopsy or multiple directed biopsy, or any other biopsy taken for diagnostic purposes only' was recorded.
Treatment biopsy or treatment/diagnostic biopsy - Excision (column 4)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Loop/laser excision or knife cone; treatment method recorded as loop/laser excision or knife cone and biopsy type recorded as other than no biopsy. This will include LLETZ and NEEP'.
Ablation + No Biopsy taken or biopsy result not yet known (column 5)
This counts the number of women who for whom was recorded a COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, Cryotherapy, cautery and diathermy. (ii) no biopsy taken, or biopsy result not known by clinic'.
Ablation + Biopsy (column 6)
This counts the number of women for whom COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Ablation; treatment method recorded as ablation. This will include cold coagulation, Cryotherapy , cautery and diathermy. (i) biopsy result available' was recorded.
Other (column 7)
This counts the number of women for whom COLPOSCOPY PRIME PROCEDURE TYPE classification of 'Other; treatment method recorded as other and biopsy type recorded as other than no biopsy . This will include polyp avulsion and treatment with silver nitrate' was recorded. It excludes any treatment that is not related to cervical abnormalities.
Number of first attendances (column 8)
This is the total of all first attendances (see paragraph 2), subdivided by the CYTOLOGY RESULT TYPE classifications.