HPV Sentinel Sites Implementation Project

Experience gained from the HPV triage pilots has enabled the programme to move forward with HPV triage of borderline changes and mild dyskaryosis and testing will now be introduced to the programme. Data from the original pilots indicated a large initial increase in the number of referrals to colposcopy followed by a reduction in referrals, which might be particularly apparent where current practice is to refer on the second occurrence of mild dyskaryosis. Therefore, the introduction of HPV triage, initially in a small number of centres is being carefully managed.

This means that any women (where HPV triage is implemented) who have a cervical screening test result of borderline changes or mild dyskaryosis will automatically have an HPV test performed on their sample. If HPV is found they will be referred for colposcopy and if HPV is not found they will be returned to routine screening every 3 or 5 years depending on age.

In addition to HPV triage, an HPV 'Test of Cure' is being introduced for women who have undergone treatment for CIN. This means that HPV tests will be carried out on samples from women who have a normal screening test result after having treatment for CIN. If HPV is not found then the women will not be recalled for screening for a further three years. If, however, HPV is found or the screening test does show an abnormality the women will be referred again to colposcopy.

HPV Triage & Test Flowchart (PDF 417Kb)

Fact sheets: HPV testing Information for Women

This fact sheet is designed to be given to women upon invitation for screening (including early repeat testing) and to women who have undergone treatment for CIN.

Further information about the HPV virus