In 2021, Suffolk GP Federation launched a cervical screening outreach programme to improve uptake across Suffolk. Initially a proof of concept, the initiative secured annual funding and expanded into North East Essex, aligning with the Integrated Care Board (ICB) boundary.

The project began by building relationships with primary care through an educational package delivered to clinical and non-clinical staff. Training focused on health inequalities and practical strategies to improve screening uptake. Strong partnerships were also formed with the Voluntary, Community, Social, Faith, and Enterprise (VCSFE) sector, ensuring a visible presence in local communities. The team now regularly attends events across Suffolk and North East Essex to educate and empower underserved populations.

Led by nurses, the project delivers accurate, safe, and current information about cervical screening and reasonable adjustments. To support busy practices, the service offers to run clinics for practices under screened population. The team take full responsibility for booking in overdue patients to this specific clinic, and provides a nurse to run the clinic. Outcomes are shared with the practice, and appointments can also be offered via Suffolk GP Federation’s extended access service.

To improve accessibility, an online booking request form was introduced and is accessible via our website. We aim to call individuals back within 48 hours and we offer appointments through extended access, though this service is currently limited to Suffolk-registered patients.

The project also provides personalised one-to-one support for individuals facing barriers to screening. Support is flexible and delivered in safe environments, with no time limits. Patients are guided through the process and may be accompanied by a nurse to their screening appointment acting as a chaperone and advocate. This approach has enabled many to access screening who otherwise would not have. The team also supports patients in understanding results and navigating follow-up care.

Education is a core focus. Literature reviewed for an RCNi article highlighted gaps in sex and relationships education, especially for LGBTQ+ youth. In response, the team delivers tailored sessions in schools, colleges, and universities, equipping young people with knowledge about HPV and screening to support informed health decisions.

 Collaboration with secondary care, particularly the Learning Disability (LD) team at Ipswich Hospital, has strengthened the project. Referrals are received for one-to-one support, and insights from East Suffolk and North Essex NHS Foundation Trust (ESNEFT) informed the creation of a Learning Disability pack. This resource supports informed decision-making and includes information on declining screening, respecting bodily autonomy while keeping the door open for future engagement.

Inclusivity is central to the project’s branding. A yellow theme ensures gender neutrality and visual accessibility, and all materials use clear, digestible language. Social media is used to extend reach, combat misinformation, and share engaging content, including TikTok videos.

The project has received regional and national recognition, including media coverage, awards, and Nursing Times nominations. While extended screening intervals make measuring long-term impact challenging, qualitative feedback highlights the project’s value. Despite funding uncertainties, the scalable model offers potential for replication, and the team remains committed to empowering informed health choices.