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08/01/26

The effect of different combinations of open invitations and timed appointments on breast screening attendance: service evaluation of invitation strategies in the NHS Breast Screening Programme.

Li, Shuping J; Brentnall, Adam R; Cookson, Jacqui; Hudson, Sue; Quaife, Samantha L; Webb, Sharon; O'Sullivan, Emma; Jenkins, Jacquie; Waller, Jo; Duffy, Stephen W; Offman, Judith. Br J Cancer.

Collection Topics
Big Three Conditions Communication Culture, Work System, and Implementation Equity, Access, and Timeliness Patients and Families as Partners Tests, Screening, and Laboratory Processes
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Summary

Small changes in how diagnostic screening appointments are offered may affect participation and diagnostic timeliness. This UK NHS service evaluation quasi-randomized 17,965 women to different combinations of open and timed invitations. Attendance was highest with timed appointments, with substantial increases among women in the most deprived areas. The findings demonstrate how health-system design can influence access to diagnostic prevention and potentially address participation disparities.
Read the paper
Li SJ, Brentnall AR, Cookson J, et al. The effect of different combinations of open invitations and timed appointments on breast screening attendance: service evaluation of invitation strategies in the NHS Breast Screening Programme. Br J Cancer. 2026;135(4):630-640.