The UK National Screening Committee co-ordinates the screening of people for medical conditions within the United Kingdom. The committee advises ministers and the National Health Service in all four countries of the UK, and is accountable to the four Chief Medical Officers. [1]
The committee was established in 1996, with Sir Kenneth Calman (Chief Medical Officer for England 1991–1998) as its first chairman. Professor Sir Mike Richards (an oncologist, formerly National Cancer Director and Chief Inspector of Hospitals) has held the post since April 2022. [2]
The committee maintains a list of policies in relation to various types of screening, and attempts to balance the risks against the benefits in each case. Some policies say that screening should be provided for everyone or some people, others that screening is not recommended. Each year it publishes a report reviewing its work. [3]
In November 2013, the committee were involved in the testing of a new non-invasive prenatal blood test for Down Syndrome at Great Ormond Street Hospital for Children. According to the BioEdge website: "Invasive screening methods, either amniocentesis or chorionic villus sampling, result in a miscarriage in 1 out of every 100 tests. An estimated 90% of women who learn that their child has Down's syndrome choose to have an abortion. The outcome of the test will not be healthier children with the syndrome, but fewer." [4]
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental public body, in England, of the Department of Health and Social Care, that publishes guidelines in four areas:
In the United Kingdom, a Chief Medical Officer (CMO) is the most senior government advisor on matter relating to health. There are four CMOs in the United Kingdom who are appointed to advise their respective governments:
Sir Kenneth Charles Calman, HonFAcadMEd is a Scottish doctor and academic who formerly worked as a surgeon, oncologist and cancer researcher and held the position of Chief Medical Officer of Scotland, and then England. He was Warden and Vice-Chancellor of Durham University from 1998 to 2006 before becoming Chancellor of the University of Glasgow. He held the position of Chair of the National Cancer Research Institute from 2008 until 2011. From 2008 to 2009, he was convener of the Calman Commission on Scottish devolution.
Dame Sally Claire Davies is a British physician. She was the Chief Medical Officer from 2010 to 2019 and Chief Scientific Adviser at the Department of Health from 2004 to 2016. She worked as a clinician specialising in the treatment of diseases of the blood and bone marrow. She is now Master of Trinity College, Cambridge, appointed on 8 February 2019, with effect from 8 October 2019. She is one of the founders of the National Institute for Health and Care Research.
Professor Sir Michael Adrian Richards, CBE, MD, DSc (Hon), FRCP is a British oncologist. From 1999 to 2013 he was the National Cancer Director in the UK Government's Department of Health. He was Chief Inspector of Hospitals in the Care Quality Commission from May 2013 until July 2017, and was said by the Health Service Journal to be the third most powerful person in the English NHS in December 2013.
Public Health England (PHE) was an executive agency of the Department of Health and Social Care in England which began operating on 1 April 2013 to protect and improve health and wellbeing and reduce health inequalities. Its formation came as a result of the reorganisation of the National Health Service (NHS) in England outlined in the Health and Social Care Act 2012. It took on the role of the Health Protection Agency, the National Treatment Agency for Substance Misuse and a number of other health bodies. It was an executive agency of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy.
Sir Paul Anthony Cosford was a British emeritus medical director at Public Health England (PHE), the UK's public health agency, later replaced by the UK Health Security Agency. He had executive roles from 2010 at PHE's predecessor, the Health Protection Agency. From April 2013 to 2019 he was PHE's Medical Director and Director for Health Protection, making him responsible for advising on services to prevent and control infectious diseases and for preparations and responses to public health emergencies. He led the MMR vaccine catch-up campaign in response to the resurgence of measles following the MMR Scare, and contributed to the response to the 2014 Ebola outbreak, the Grenfell disaster in 2017, and the 2018 Novichok poisonings in Salisbury and Amesbury. Over the course of his career in public health he led programmes to reduce hospital-acquired infections and tuberculosis, and oversaw ways of dealing with health inequalities, tobacco, obesity, and responses to pandemic flu.
Alison Tedstone MBE RNutr FAfN is Chief Nutritionist at Public Health England (PHE).
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Sharon Jayne Peacock is a British microbiologist who is Professor of Public Health and Microbiology in the Department of Medicine at the University of Cambridge. Peacock also sits on Cambridge University Council.
Anne Mackie is the Director of Programmes for the UK National Screening Committee, which sets health screening policy throughout the UK by advising ministers and the NHS in the four UK countries about all aspects of screening, and supports implementation of screening programmes.
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Dame Jennifer Margaret "Jenny" Harries is a British public health physician who has been the chief executive of the UK Health Security Agency (UKHSA) and head of NHS Test and Trace since May 2021. She was previously a regional director at Public Health England, and then Deputy Chief Medical Officer for England from June 2019 until her UKHSA appointment in 2021.
The Scientific Advisory Group for Emergencies (SAGE) is a British Government body that advises central government in emergencies. It is usually chaired by the United Kingdom's Chief Scientific Adviser. Specialists from academia and industry, along with experts from within government, make up the participation, which will vary depending on the emergency. SAGE gained public prominence for its role in the 2020 COVID-19 pandemic in the United Kingdom.
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Gabriel John Scally FFPHM is an Irish public health physician and a former regional director of public health (RDPH) for the south west of England. He is a visiting professor of public health at the University of Bristol and is a member of the Independent SAGE group, formed during the COVID-19 pandemic in 2020. He has also been chair of the trustees of the Soil Association. Previously he was professor of public health and planning, and director of the World Health Organization (WHO) Collaborating Centre for Healthy Urban Environments, both at the University of the West of England (UWE). He was president of the Section of Epidemiology and Public Health of the Royal Society of Medicine, a position he took in 2017.
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