{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T01:49:49Z","timestamp":1791337789511,"version":"4.3.1"},"reference-count":37,"publisher":"Royal College of General Practitioners","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2026,2,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cervical screening programmes are long-established and supported by robust evidence, but participation is declining. Around a third of those eligible did not participate in England in 2023\u20132024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the feasibility and acceptability of an audit and feedback intervention to improve the uptake of cervical screening in general practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>Semi-structured interview study with general practice staff in three primary care networks (PCNs) and regional and national policy leaders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Quarterly reports were generated for 23 general practices comparing cervical screening coverage with other local practices with similar population levels of deprivation, alongside resources and practical suggestions to improve screening uptake. Reports were emailed to practice managers who were asked to share them with their teams. The authors conducted semi-structured interviews with practice staff and health service leaders to determine how the reports were received, understood, and used. Interviews were structured and analysed using Clinical Performance Feedback Intervention Theory (CP-FIT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fourteen practice staff and three service leaders were interviewed. Practice teams seldom recalled seeing the feedback reports before interview invitations but generally viewed them positively when shown at interview. Report format, length, frequency, and content were considered appropriate. Staff involved in cervical screening found the reports clear and informative, and thought that enhanced awareness and motivation could prompt positive actions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Audit and feedback cannot improve cervical cancer screening uptake if targeted recipients do not receive it. More effective methods are required to engage or circumvent practice \u2018gatekeepers\u2019 to ensure feedback reaches those it is intended for.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2025.0218","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:50:12Z","timestamp":1772214612000},"page":"BJGPO.2025.0218","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of an audit and feedback intervention to improve uptake of cervical screening"],"prefix":"10.3399","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6703-1707","authenticated-orcid":false,"given":"Erica","family":"di Martino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3211-9324","authenticated-orcid":false,"given":"Tasneem","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2038-2056","authenticated-orcid":false,"given":"Stephen H","family":"Bradley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7345-6285","authenticated-orcid":false,"given":"Tom","family":"Daniels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0605-7713","authenticated-orcid":false,"given":"Robbie","family":"Foy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5418-0495","authenticated-orcid":false,"given":"Sarah","family":"Alderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3544-2744","authenticated-orcid":false,"given":"Richard D","family":"Neal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0252-9923","authenticated-orcid":false,"given":"Thomas A","family":"Willis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"2026100617501220000_BJGPO.2025.0218v2.1","unstructured":"Cancer Research UK (2026) Cervical cancer mortality statistics. accessed. https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/cervical-cancer\/mortality#heading-Zero. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.2","unstructured":"World Health Organization (2026) Cervical cancer elimination initiative. accessed. https:\/\/www.who.int\/initiatives\/cervical-cancer-elimination-initiative. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.3","unstructured":"UK Health Security Agency (2025) Information on the HPV vaccination from September 2023. accessed. https:\/\/www.gov.uk\/government\/publications\/hpv-vaccine-vaccination-guide-leaflet\/information-on-the-hpv-vaccination-from-september-2023. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.4","unstructured":"Cancer Research UK (2026) Cervical cancer incidence statistics. accessed. https:\/\/www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/cervical-cancer\/incidence. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.07.094"},{"key":"2026100617501220000_BJGPO.2025.0218v2.6","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdt042"},{"key":"2026100617501220000_BJGPO.2025.0218v2.7","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(24)00182-8"},{"key":"2026100617501220000_BJGPO.2025.0218v2.8","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2010.010017"},{"key":"2026100617501220000_BJGPO.2025.0218v2.9","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.43582"},{"key":"2026100617501220000_BJGPO.2025.0218v2.10","unstructured":"NHS England (2024) Cervical Screening Programme, England - 2023-2024. accessed. https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/cervical-screening-annual\/england-2023-24. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.11","unstructured":"NHS Digital Cervical Screening Programme - England, 2008-2009. accessed. http:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/cervical-screening-annual\/cervical-screening-programme-england-2008-2009. 14 Sep 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.12","unstructured":"NHS England and NHS Improvement - South West (2022) A Practical Guide to Cervical Screening in Primary Care. accessed. https:\/\/www.england.nhs.uk\/south\/wp-content\/uploads\/sites\/6\/2022\/05\/NHSEI-South-West-Primary-Care-Cervical-Screening-Resource-2022.pdf. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.13","unstructured":"Torres O Lunn A Ford J (2024) What works: addressing inequalities in the uptake of cervical screening. accessed. https:\/\/www.heec.co.uk\/resource\/test-evidene-brief-resource. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.14","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdad275"},{"key":"2026100617501220000_BJGPO.2025.0218v2.15","unstructured":"NHS England (2024) Quality and Outcomes Framework guidance for 2024\/25. accessed. https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2024\/03\/PRN01104-Quality-and-outcomes-framework-guidance-for-2024-25.pdf. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m213"},{"key":"2026100617501220000_BJGPO.2025.0218v2.17","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000259.pub4"},{"key":"2026100617501220000_BJGPO.2025.0218v2.18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003796"},{"key":"2026100617501220000_BJGPO.2025.0218v2.19","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2012.04.009"},{"key":"2026100617501220000_BJGPO.2025.0218v2.20","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423623000713"},{"key":"2026100617501220000_BJGPO.2025.0218v2.21","doi-asserted-by":"publisher","DOI":"10.1177\/21501319231220994"},{"key":"2026100617501220000_BJGPO.2025.0218v2.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.12.002"},{"key":"2026100617501220000_BJGPO.2025.0218v2.23","doi-asserted-by":"publisher","DOI":"10.1089\/pop.2018.0217"},{"key":"2026100617501220000_BJGPO.2025.0218v2.24","doi-asserted-by":"publisher","DOI":"10.3747\/co.26.4829"},{"key":"2026100617501220000_BJGPO.2025.0218v2.25","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"2026100617501220000_BJGPO.2025.0218v2.26","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"2026100617501220000_BJGPO.2025.0218v2.27","doi-asserted-by":"publisher","DOI":"10.7326\/M15-2248"},{"key":"2026100617501220000_BJGPO.2025.0218v2.28","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-013-9486-6"},{"key":"2026100617501220000_BJGPO.2025.0218v2.29","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003045"},{"key":"2026100617501220000_BJGPO.2025.0218v2.30","unstructured":"NHS England (2026) Cervical screening: programme overview. accessed. https:\/\/www.gov.uk\/guidance\/cervical-screening-programme-overview. 26 Jun 2026."},{"key":"2026100617501220000_BJGPO.2025.0218v2.31","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0883-5"},{"key":"2026100617501220000_BJGPO.2025.0218v2.32","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00275-5"},{"key":"2026100617501220000_BJGPO.2025.0218v2.33","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-019-0853-y"},{"key":"2026100617501220000_BJGPO.2025.0218v2.34","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019993"},{"key":"2026100617501220000_BJGPO.2025.0218v2.35","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckae073"},{"key":"2026100617501220000_BJGPO.2025.0218v2.36","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0177949"},{"key":"2026100617501220000_BJGPO.2025.0218v2.37","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-024-01393-5"}],"container-title":["BJGP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/BJGPO.2025.0218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:50:22Z","timestamp":1791334222000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgpopen.org\/lookup\/doi\/10.3399\/BJGPO.2025.0218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":37,"alternative-id":["10.3399\/BJGPO.2025.0218"],"URL":"https:\/\/doi.org\/10.3399\/bjgpo.2025.0218","relation":{},"ISSN":["2398-3795"],"issn-type":[{"value":"2398-3795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]}}}