Manage a patient

Visit https://cervicalscreening.nhs.uk and log in to CSMS with your Care Identity credentials (smartcard or Authenticator app). See guidance on accessing CSMS if you are having problems logging in, or are logging in for the first time.

The Patient Search page is the first page displayed after logging in to CSMS. To return to the search options from any other page in CSMS, click on the Patient tab.

You will only be able to view patients who are registered with the GP practice you have selected when logging in to CSMS.

You can search for a patient using:

You will only be able to search and view patients who are registered with the GP practice you have selected when logging into CSMS.

All records are searched, both active and inactive.

If you cannot find a patient in CSMS, it may be because:

• you entered an incorrect NHS number or demographic details
• the patient has transferred out of the GP practice you logged in with
• the patient is not registered as female in PDS (see below for transgender men and non-binary people)

Contact the Cervical Screening Administration Service (CSAS) using their general enquiry form to ask for help locating a patient in CSMS if you think they should be on your GP practice’s list but cannot find them.

Transgender and non-binary people who have a cervix are still eligible for cervical screening but may not be sent routine invitations.  They can ‘opt in’ to receive cervical screening invitations routinely.

Complete and submit the gender opt-in form on the CSAS support page for transgender and non-binary patients who would like to receive cervical screening invitations.

The form includes information for patients that you can print out and provide.

Select the required record by clicking on the patient’s name underlined in blue.

The Patient Summary screen for that patient will then be displayed.

You will see the following information within the patient summary tab:

• first name, name and any previous names
• next test due date
• recall status
• address
• non responder count

This section displays existing HPV vaccination records for the patient.

You can view all previous cervical screening test results here, including:

• test date
• cytology result
• HPV infection code
• action
• repeat months
• slide number
• laboratory details
• sender details

Reasons to defer a patient in CSMS:

• pregnancy
• recent test
• under care of colposcopy
• under treatment relevant to screening
• patient wishes to defer

Reasons to cease a patient in CSMS:

• age (over 65 with no recent abnormal test result)
• radiotherapy (to the pelvic area which affects the cervix)
• no cervix (congenital absence, total hysterectomy or trachelectomy)
• informed consent for withdrawal from the NHS Cervical Screening Programme
• Mental Capacity Act (MCA)

To cease or defer a patient, first check to see if they appear on the Patients due to be invited or Patients who have not responded lists in the Notifications tab.

If they appear there, cease or defer them from within CSMS.

If they do not appear on either list, complete and submit the appropriate cease or defer form on the CSAS support page.

When a patient is ceased, they will still appear in CSMS search results with an 'inactive' status.

Reasons to reinstate a patient back into the NHS Cervical Screening Programme:

• they were ceased in error
• they have requested to be added back into the Cervical Screening Programme

You cannot reinstate a patient from within CSMS.

In both cases you need to complete and submit a reinstate request on the CSAS support page.