How this fits in

Women aged ≥65 years are at a disproportionately higher risk of cervical cancer and dying from it if they are underscreened. Speculum use is a major barrier to cervical screening and can become more uncomfortable with ageing and the menopause. Although self-sampling has been hailed as a game-changer for cervical screening, it does not appeal to all women. This study showed that offering a choice of non-speculum clinician-taken sampling or self-sampling substantially increased cervical screening uptake in older lapsed attendees across all ethnicities, an approach that could be easily implemented into existing practice in primary care.