Health
Cervical screening process aims to reduce patient anxiety
In a recent discussion, the BBC heard from six individuals who shared their experiences and insights about undergoing their initial cervical screening, highlighting key points they felt would have been beneficial to know prior to the procedure.
A cancer charity has warned that a lack of awareness about options for making cervical screenings more comfortable is having a significant impact on lives, with the issue being highlighted last month.

The BBC interviewed six individuals who had their first cervical screening in the past six months to gain insight into their experiences and understand what the test is like for those who are new to it.
The NHS offers cervical screenings to women and individuals with a cervix between the ages of 25 and 64, with the test checking for the presence of certain types of human papillomavirus (HPV), which is responsible for 99% of cervical cancers.
During the screening, a nurse uses a speculum to gently open the vagina and a brush to collect a sample of cells from the cervix.
The BBC spoke to six individuals about their first-time experiences with cervical screenings, gathering information on what they wished they had known beforehand.
Erica Donnelly, a 26-year-old from Sunderland, delayed booking her cervical screening appointment for about a year after receiving the initial invitation.
Erica's anxiety stemmed from her history of PTSD related to sexual trauma, which made her particularly apprehensive about the screening process.
When Erica finally underwent the test, she was accompanied by her partner, who provided emotional support and helped make the experience feel more relaxed.
Bianca Ionici, a 27-year-old from London, put off her cervical screening for at least two years due to concerns about potential pain.
However, after receiving another invitation with detailed information about the process, Bianca scheduled her screening for January.
In contrast, some individuals booked their screenings as soon as possible.

Eleanor Gratton, who had her screening at the end of last year at the age of 25, noted that her friends were initially hesitant due to concerns about discomfort, but their experiences ultimately alleviated these fears.
Jessica Tse experienced significant anxiety before her cervical screening in December, largely due to uncertainty about potential pain.
The nurse's clear explanations and distracting conversation helped Jessica feel more at ease during the procedure.
Bianca described the experience as uncomfortable but brief, stating that it was over quickly.
Bianca recalled that the sensation was unfamiliar but not excessively painful.
The screening was completed rapidly, and Bianca was relieved it was over soon.
Some individuals, such as Megan Burns, a social media content creator from Brighton, reported not experiencing any discomfort during the screening.
Megan, who had her first screening in September at the age of 25, attributed her lack of anxiety to her prior experiences giving birth.
Megan emphasized that healthcare professionals are focused on their work and are not concerned with personal aspects such as appearance.

Megan noted that some individuals feel pressured to prepare themselves in certain ways for the screening, such as shaving or wearing specific underwear, but this is unnecessary.
While most people experience only mild discomfort during the screening, some individuals may encounter more significant pain.
According to the Eve Appeal, cervical screenings should not be painful, although certain conditions such as endometriosis or vaginismus can cause discomfort.
The NHS states that patients have control over the screening process and can request the nurse to stop at any time.
Individuals can ask for adjustments to make their screening more comfortable, such as using a smaller speculum.
However, recent research by the Eve Appeal found that few people are aware of these options, with less than a quarter knowing they could request a smaller speculum and only 12% aware of the possibility of a double appointment.
Some of the individuals interviewed by the BBC were not aware that they could have requested accommodations during their screenings.
Bianca asked the nurse to use a smaller speculum after learning about it online.
Bianca believes that information about available adjustments should be more clearly communicated when booking the appointment, as some require advance planning.
Jack Latham, a 28-year-old personal trainer from Kent, received his first screening invitation at the age of 25, shortly after coming out as trans.
The NHS recommends that trans and non-binary individuals with a cervix undergo regular cervical screenings.
Jack initially postponed the appointment due to fear but eventually underwent the screening when a nurse offered it during a blood test in summer 2024.
Jack found the experience to be quicker and less significant than anticipated.

Some trans men have reported not receiving invitations for cervical screenings due to being listed as male on medical records, despite having a cervix.
The NHS aims to eliminate cervical cancer by 2040 and is encouraging more individuals to undergo screenings.
Women between the ages of 25 and 49 are advised to have a screening every three years, while those between 50 and 64 should have one every five years.
NHS England data from March 2024 showed that 44.5% of women aged 25-29 had not been screened in the last 3.5 years, and 35.3% of those aged 30-34 were also unscreened.
The proportion of younger women who have undergone screenings has been declining slightly in recent years.
Dr. Sue Mann, NHS national clinical director for women's health, acknowledged that some women find screenings worrying and uncomfortable.
Dr. Mann emphasized the importance of booking screenings, even if the invitation was received months or years ago, and highlighted the availability of adjustments to make the experience more comfortable.
In 2022, the Vagina Museum in east London hosted an exhibit where visitors were invited to share their suggestions for improving the NHS's cervical screening program by writing them down on paper slips.
Ella Clancy, the artist behind the exhibit, noted that many visitors requested more information about available accommodations, such as the use of smaller speculums, as well as clearer explanations of the screening process and greater sensitivity to trauma from medical staff.

Eleanor emphasized the need for better education about human papillomavirus (HPV), pointing out that while students are typically vaccinated against HPV between years eight and 10, the purpose of the vaccine was not clearly explained at the time.
Jessica suggested that doctors should use simpler language when explaining test results, citing her own experience of having to contact her GP for clarification after receiving a results letter that she found unclear.
For some individuals, the option to conduct medical tests at home is preferable. In some countries, self-administered cervical tests are available, and in 2021, researchers at King's College London conducted a trial of such tests in London, yielding positive results. The tests involve taking a vaginal swab, which is then sent to a laboratory for analysis.
The NHS announced last year that it was evaluating the possibility of expanding the self-administered test program.
Eleanor expressed feeling more at ease knowing that a healthcare professional had performed her initial screening, but stated that she would be willing to try a self-administered test for subsequent screenings if the option were available.
Jack, however, expressed some reservations, stating that while he would appreciate the convenience and flexibility of an at-home test kit, he would be uncertain about whether he had performed the test correctly.
Health
Study Explores if Brain Stimulation Can Reduce Selfish Behavior
Researchers have found a way to temporarily and marginally decrease self-centered behavior in individuals by activating two specific regions of the brain.
Researchers have made a groundbreaking discovery, finding that temporary reductions in selfish behavior can be achieved by stimulating specific areas of the brain.

A recent study conducted at the University of Zurich involved 44 participants who were tasked with dividing a sum of money between themselves and an anonymous partner, allowing scientists to observe their decision-making processes.
The experiment utilized electrical current to stimulate the frontal and parietal regions of the brain, located at the front and rear of the skull, respectively. When these areas were stimulated simultaneously, participants exhibited a greater willingness to share their funds.
According to Prof Christian Ruff, a lead author of the study, the observed effects were consistent, albeit modest in scale.
Statistical analysis revealed a notable increase in participants' willingness to allocate funds to others, indicating a shift in their behavior.
The findings not only provide insight into the neural mechanisms underlying fundamental human behavior but may also have implications for the treatment of certain brain disorders characterized by impaired social behavior.
Prof Ruff noted that some individuals struggle with profound social difficulties due to an inability to consider others' perspectives, leading to consistently selfish behavior, and suggested that this discovery could potentially be used to address such issues.
However, the effects of the brain stimulation were found to be short-lived, suggesting that repeated application may be necessary to achieve lasting changes.
Prof Ruff likened the potential effects of repeated stimulation to the benefits of regular exercise, stating that consistent application over a prolonged period could lead to significant changes in behavior, much like the physical adaptations that occur with regular gym attendance.
This latest discovery builds upon a previous study in which researchers monitored brain activity while participants engaged in a similar money-sharing game, providing a foundation for the current findings.

The earlier study identified two brain regions that appeared to be synchronized, with neural activity occurring at the same frequency, when participants made more generous decisions.
These brain areas are known to play a crucial role in decision-making and empathy, enabling individuals to distinguish between their own feelings and those of others.
When participants made selfless decisions, the regions responsible for empathy and decision-making were found to be communicating with each other.
The researchers sought to investigate whether electrical stimulation could be used to influence this communication and promote more selfless decision-making.
One participant who underwent the brain stimulation test described the experience as a gentle, soothing sensation, comparable to a warm shower or light rain on the scalp.
The participant reported making decisions while receiving the stimulation without feeling any external influence on their choices.
The discovery of a consistent neural pattern associated with selfless decision-making across multiple individuals suggests that altruism may be an innate, evolutionarily conserved trait that enables humans to care for one another.
Prof Ruff emphasized the clinical significance of this finding, highlighting the potential to modify and influence this neural mechanism.
Dr Jie Hu, a co-author of the study, noted that the research provides evidence of a causal relationship between brain activity and decision-making, demonstrating that targeted stimulation can alter an individual's sharing behavior.
By manipulating communication within a specific brain network using non-invasive stimulation, the researchers observed a shift in participants' decisions, influencing the balance between self-interest and altruism.
Addressing concerns about the potential implications of this research, Prof Ruff assured that the experiment was conducted with strict adherence to medical regulations and ethical guidelines, ensuring the well-being and informed consent of all participants.
The neuroscientist drew a distinction between the controlled, medically regulated nature of the experiment and the often-subliminal influences of social media and advertising, which can affect behavior without explicit consent.
Prof Ruff suggested that, in contrast to the experiment, the impacts of social media and advertising on brain function and behavior are often unforeseen and uncontrolled, highlighting the importance of careful consideration and regulation in such contexts.
Health
NHS Workers to Receive 3.3% Pay Increase
Labor unions have expressed displeasure, yet the government maintains that its actions showcase a dedication to its workforce.
The government has confirmed that NHS staff in England will receive a 3.3% pay increase in the upcoming financial year.

This pay award applies to approximately 1.4 million health workers, including nurses, midwives, physiotherapists, and porters, but excludes doctors, dentists, and senior management.
Although the Department of Health and Social Care initially proposed a lower figure, it has accepted the recommendation of the independent pay review body to demonstrate its commitment to NHS staff, resulting in a higher pay rise than initially suggested.
However, several health unions have expressed disappointment with the announced pay award.
Prof Nicola Ranger, general secretary of the Royal College of Nursing (RCN), noted that the 3.3% increase falls short of the current consumer price index (CPI) inflation rate of 3.4%, which measures the rise in prices over the past year.
Prof Ranger stated, "A pay award that is lower than the current inflation rate is unacceptable, and unless inflation decreases, the government will be imposing a real pay cut on NHS workers."
She criticized the government's approach, saying, "This strategy of making last-minute decisions is not an appropriate way to treat individuals who are essential to a system in crisis."
Prof Ranger indicated that she would wait to see the pay awards for the rest of the public sector and doctors before deciding on a course of action.
The RCN had previously reacted strongly to the 5.4% pay increase received by resident doctors last year, compared to the 3.6% increase received by nurses, which they described as "grotesque".
Prof Ranger emphasized, "Nursing staff will not accept being treated with disrespect, as has happened in the past when they were given lower pay awards than other groups."
Helga Pile, head of health at Unison, the largest health union, commented, "NHS staff who are already under financial pressure will be outraged by another pay award that fails to keep up with inflation."
"Once again, they are expected to deliver more while their pay effectively decreases, as it falls behind the rising cost of living," she added.
In response, the government argued that the pay award is actually above the forecasted inflation rate for the coming year, which is around 2%.
A spokesperson for the Department of Health and Social Care stated, "This government greatly values the outstanding work of NHS staff and is committed to supporting them."
The pay increase is expected to be implemented by the start of April.
However, the government did not provide a timeline for the announcement on doctors' pay, as the pay review body responsible for making recommendations on their pay has yet to submit its report to ministers.
The government is currently engaged in negotiations with the British Medical Association regarding the pay of resident doctors, previously known as junior doctors.
Members of the BMA recently voted in favor of strike action, granting them a six-month mandate for walkouts, and there have been 14 strikes so far in the ongoing dispute.
Health
NHS Waiting List Hits Three-Year Low
In England, the backlog has fallen below 7.3 million for the first time since 2023, yet worries persist regarding prolonged waiting times in accident and emergency departments.
England's hospital waiting list has reached its lowest point in almost three years, marking a significant milestone in the country's healthcare system.

As of December 2025, the number of patients awaiting treatment, including knee and hip operations, stood at 7.29 million, the lowest figure recorded since February 2023.
However, the latest monthly update from NHS England reveals that long wait times persist in Accident and Emergency departments, with a record number of patients experiencing 12-hour trolley waits.
In January 2026, over 71,500 patients spent more than 12 hours waiting for a hospital bed after being assessed by A&E staff, the highest number tracked since 2010.
This translates to nearly one in five patients admitted after visiting A&E waiting for an extended period.
According to Health Secretary Wes Streeting, while progress has been made, significant challenges still need to be addressed.
Streeting acknowledged that "there is much more to do" and emphasized the need to accelerate progress, but expressed optimism that the NHS is on the path to recovery.
Dr. Vicky Price, representing the Society for Acute Medicine, noted that hospitals are operating beyond safe capacity in terms of emergency care.
Dr. Price highlighted the vulnerability of patients who require admission, often elderly and frail individuals with complex needs, who are at greater risk of harm when care is delivered in corridors and hospitals exceed safe limits.
Duncan Burton, Chief Nursing Officer for England, commended the progress made in reducing wait times, achieved despite the challenges posed by strikes by resident doctors.
Burton attributed this progress to the hard work and dedication of NHS staff, describing it as a "triumph".
Although the waiting list decreased, performance against the 18-week target slightly declined, with 61.5% of patients waiting less than 18 weeks, compared to 61.8% in November, and still short of the 92% target set to be met by 2029.
Rory Deighton of the NHS Confederation, which represents hospitals, welcomed the progress but cautioned that it obscures significant regional variations.
A recent BBC report revealed that nearly a quarter of hospital trusts experienced worsening wait times over the past year.
Deighton emphasized that the NHS is composed of numerous separate organizations, each with unique financial and operational challenges, making it more difficult to address care backlogs in some areas.
According to Deighton, this means that tackling care backlogs will be more challenging in certain parts of the country due to these distinct regional challenges.
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