Scottish Breast Screening Programme: major review

Major review of the Scottish Breast Screening Programme.


1. Public Health Scotland: Scottish Breast Screening Programme Statistics 2018/19 Annual update to 31 March 2019

2. Public Health Scotland: Scottish Breast Screening Programme Statistics 2018/19 Annual update to 31 March 2019

3. Diab SG, Elledge RM, Clark GM. Tumor characteristics and clinical outcome of elderly women with breast cancer. J Natl Cancer Inst 2000;92:550–6.

4. Bell RJ, Burton RC. Do the benefits of screening mammography outweigh the harms of overdiagnosis and unnecessary treatment? no. Med J Aust 2012;196:17.

5. Evans A and Whelehan P. 2011. Breast screening policy: Are we heading in the right direction? Clinical Radiology 66: 915e919.

6. Walter LC and Schonberg MA. 2014 Screening Mammography in Older Women: A Review JAMA. 311(13): 1336–1347. doi:10.1001/jama.2014.2834.

7. Rafia R, Brennan A, Madan J et al. Modeling the Cost-Effectiveness of Alternative Upper Age Limits for Breast Cancer Screening in England and Wales. Value in Health 19: 404 – 4 1 2

8. Breast Test Wales (2018). Service evaluation of screening over-70s.

9. Degeling C, Barratt A, Aranda S et al. Should women aged 70–74 be invited to participate in screening mammography? A report on two Australian community juries. BMJ Open: 8:e021174. doi:10.1136/ bmjopen-2017-021174.

10. AgeX Trial Overview.

11. Full policy can be found:

12. Breast cancer surveillance protocols including the length of time women are in mammographic follow-up vary considerably across Scotland, however for this analysis we used a five-year period. A further 3,604 women with existing breast cancer matched onto the review data extract outside of the five-year period, going back to 8 years prior to first offered screening appointment.


14. NHS public health functions agreement 2019-20, Service specification No. 24 NHS Breast Screening Programme

15. NHS Breast Screening Programme Guidance for breast screening mammographers Third edition December 2017



18. SCoR (Society & College of Radiographers), 2017, Consultant Radiographer – Guidance for the Support of New and Established Roles. LONDON Society of Radiographers

19. Scottish Screening Committee - Review of Screening Report. Dr Hilary Dobson and Dr Sue Payne

20. 23rd November 2018


22. Healthcare Improvement Scotland – Evidence Note Number 76 April 2018

23. Healthcare Improvement Scotland - Evidence Note Number 77 April 2018

24. Survey of mammography equipment - Screening X-Ray Equipment. Medical Physics. Health Facilities Scotland

25. Guidance notes on mammographic x-ray equipment selection; maintenance; suspension from use; replacement. NHSBSP Publication number 32. January 1995

26. Further information also at:





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