{"id":2444,"date":"2026-08-24T13:27:53","date_gmt":"2026-08-24T13:27:53","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjsrh\/?p=2444"},"modified":"2026-09-07T10:40:01","modified_gmt":"2026-09-07T10:40:01","slug":"compassionate-cervical-screening","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjsrh\/2026\/08\/24\/compassionate-cervical-screening\/","title":{"rendered":"Beyond the Invitation: Making Cervical Screening Compassionate for Women Living with the impact of Sexual Violence and Abuse"},"content":{"rendered":"<p style=\"text-align: right\"><em><b>By Ceryl Davies\u00a0<\/b>\u00a0<\/em><\/p>\n<p><span data-contrast=\"auto\">Cervical screening\u00a0remains\u00a0one of the most successful public health interventions ever introduced, preventing thousands of cases of cervical cancer through the early detection and treatment of abnormal cell changes. Yet for many women, attending a cervical screening appointment is far from straightforward. For women living with the impact of sexual violence and abuse (SV&amp;A), the screening experience can be shaped by fear, trauma, loss of control and\u00a0previous\u00a0negative healthcare encounters.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Our <a href=\"https:\/\/srh.bmj.com\/content\/early\/2026\/07\/12\/bmjsrh-2026-203225\">recently published systematic review in\u00a0<\/a><\/span><i><span data-contrast=\"auto\">BMJ Sexual &amp; Reproductive Health<\/span><\/i><span data-contrast=\"auto\">\u00a0brings together international evidence examining cervical screening care for women affected by SV&amp;A.\u00a0The review forms an important part of the wider <a href=\"https:\/\/www.bangor.ac.uk\/cheme\/we-care-womens-empowerment-cervical-screening-access-recovery-and-empathy\">WE CARE (Women&#8217;s Empowerment: Cervical Screening Access, Recovery and Empathy) research programme,<\/a><\/span><span data-contrast=\"auto\">\u00a0a five-year research project led by Bangor University that aims to improve access to compassionate cervical screening through research, co-production and health\u00a0and care\u00a0economics\u00a0evaluations.\u00a0<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">For many women affected by SV&amp;A, barriers begin long before they enter the consultation room. Anticipation of pain, anxiety about intimate examinations,\u00a0previous\u00a0traumatic experiences, fear of losing control, embarrassment and concerns about not being believed can all influence whether screening feels possible. Some women delay appointments for years, while others avoid screening altogether despite understanding its importance.\u00a0Importantly, these barriers are not simply individual choices. They reflect the way healthcare systems are designed and delivered. Standard appointment lengths, limited flexibility, inconsistent\u00a0communication\u00a0and a lack of awareness of trauma can unintentionally make screening inaccessible for some women.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">One of the strongest messages\u00a0emerging\u00a0from the review is that compassionate care should not be viewed as an optional extra. It is a fundamental\u00a0component\u00a0of high-quality healthcare.\u00a0Across the studies\u00a0reviewed, women consistently\u00a0identified\u00a0the same features of care that enabled them to feel safe enough to\u00a0participate\u00a0in cervical screening. They valued being listened to without judgement, receiving clear explanations before and throughout the examination, and knowing they could stop or pause the procedure at any point. Having genuine choice and control over the appointment, together with healthcare professionals who recognised and understood the impact of trauma, helped create an environment in which women felt respected, empowered and more able to engage with screening.\u00a0These are often relatively\u00a0small changes\u00a0in practice, yet they can make the difference between someone feeling able to attend screening or deciding never to return.\u00a0<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This\u00a0systematic review provided\u00a0the evidence base\u00a0for the\u00a0WE CARE project to\u00a0translate\u00a0this\u00a0evidence into practical change.\u00a0Working alongside women with living\u00a0experiences of SV&amp;A, healthcare professionals, specialist support\u00a0organisations\u00a0and researchers across\u00a0the UK\u00a0and internationally, WE CARE is exploring how cervical screening services can become more compassionate,\u00a0sensitive\u00a0and accessible.\u00a0Compassionate care is not only about improving experiences,\u00a0but it\u00a0also has the potential to increase screening participation, reduce\u00a0health\u00a0inequities\u00a0and prevent\u00a0cervical\u00a0cancer.\u00a0<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The findings\u00a0from this systematic review\u00a0reminds\u00a0us that there is no single &#8220;typical&#8221; screening experience. Women affected by SV&amp;A are a diverse group whose experiences are shaped by many\u00a0intersecting factors including disability, ethnicity, age, culture, sexuality,\u00a0geography\u00a0and wider social inequalities.\u00a0Improving cervical screening therefore requires more than one solution. It requires flexible services, compassionate communication, genuine partnership with women and policies that recognise equity as an essential part of quality healthcare.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The publication of our\u00a0systematic review\u00a0marks an important milestone\u00a0in the WE CARE project, but it is only the beginning.\u00a0Over the coming years, WE CARE will continue working with women,\u00a0practitioners\u00a0and international partners to co-produce practical\u00a0research and\u00a0recommendations that can support services across Wales, the UK and beyond.<\/span><span data-ccp-props=\"{&quot;335551550&quot;:6,&quot;335551620&quot;:6}\">\u00a0<\/span><\/p>\n<hr \/>\n<p><span data-olk-copy-source=\"MessageBody\">Dr Ceryl Teleri Davies is a Senior Research Fellow at the Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University, Wales. She is a HCRW and NIHR Advanced Fellow, a qualified social worker and health and social care researcher. Her work spans social care and health economics, women\u2019s health, violence against women and girls, safeguarding, compassionate care and health inequities. She leads the international WE CARE project, exploring compassionate cervical screening care for women affected by sexual violence and abuse. Ceryl is also a 2026 Churchill Fellow, examining international approaches to compassionate care. Her work brings together practice, research, health and care economics and lived experience to inform policy and health and social care practice.<\/span><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Ceryl Davies\u00a0\u00a0 Cervical screening\u00a0remains\u00a0one of the most successful public health interventions ever introduced, preventing thousands of cases of cervical cancer through the early detection and treatment of abnormal cell changes. Yet for many women, attending a cervical screening appointment is far from straightforward. For women living with the impact of sexual violence and abuse [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2026\/08\/24\/compassionate-cervical-screening\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":472,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[599],"tags":[],"class_list":["post-2444","post","type-post","status-publish","format-standard","hentry","category-screening"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Beyond the Invitation: Making Cervical Screening Compassionate for Women Living with the impact of Sexual Violence and Abuse - BMJ Sexual &amp; Reproductive Health blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2026\/08\/24\/compassionate-cervical-screening\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Beyond the Invitation: Making Cervical Screening Compassionate for Women Living with the impact of Sexual Violence and Abuse - BMJ Sexual &amp; Reproductive Health blog\" \/>\n<meta property=\"og:description\" content=\"By Ceryl Davies\u00a0\u00a0 Cervical screening\u00a0remains\u00a0one of the most successful public health interventions ever introduced, preventing thousands of cases of cervical cancer through the early detection and treatment of abnormal cell changes. 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