AAA standards report 2023 to 2024
Published 26 September 2024
Applies to England
© Crown copyright 2024
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This publication is available at https://www.gov.uk/government/statistics/abdominal-aortic-aneurysm-screening-standards-report-2023-to-2024/aaa-standards-report-2023-to-2024--2
This report presents data against each of the 15 screening standards for screening activity related to abdominal aortic aneurysm (AAA) screening.
The data source used for this report is AAA SMaRT (screening management and referral tracking).
The NHS AAA screening programme aims to reduce aneurysm-related mortality through early detection, appropriate monitoring and treatment. The NHS AAA screening programme invites men for ultrasound screening during the year (1 April to 31 March) in which they turn 65. Men over 65, who have not previously been screened can self-refer. The programme offers annual or quarterly surveillance for all men who on initial scan are found to have a small or medium aneurysm respectively. Men found to have a large aneurysm are referred into the care of specialised vascular services for potential intervention.
National AAA standards provide a defined set of measures that providers must meet to make sure services are safe and effective. The NHS AAA screening programme published a set of revised standards in April 2020.
This report is an official statistic. Official statistics are an essential public asset. They provide a window on society, the economy, and on the work and performance of government. They are fundamental to the judgements and decisions made by the public, by government, and by a large range of other organisations.
1. AAA Standards
There are 15 national AAA standards included in this report, which are:
- AAA-S01: completeness of offer (initial screen)
- AAA-S02: completeness of offer (annual surveillance scan)
- AAA-S03: completeness of offer (quarterly surveillance scan)
- AAA-S04: coverage (initial screen)
- AAA-S05: coverage (annual surveillance scan)
- AAA-S06: coverage (quarterly surveillance scan)
- AAA-S07: coverage of the initial screen in men living in deciles 1 to 3
- AAA-S08: uptake (initial screen)
- AAA-S09: uptake (annual surveillance scan)
- AAA-S10: uptake (quarterly surveillance scan)
- AAA-S11: non-visualised screens
- AAA-S12: internal quality assurance
- AAA-S13: nurse assessments
- AAA-S14: men seen at specialist assessments within 2 weeks
- AAA-S15: men operated on within 8 weeks
Standards data are published annually. Standard AAA-S04, AAA-S05 and AAA-S06 are also key performance indicators (KPIs), which are published quarterly.
Two thresholds, the acceptable threshold and achievable threshold are specified for each standard.
Provider table
Charts in this report display the internal code used by the AAA programme. This table shows the name of the provider associated with each code.
| Code | Provider | Region |
|---|---|---|
| BBW | Bristol, Bath and Weston AAA Screening Cohort | South West |
| BCO | Black Country AAA Screening Cohort | Midlands |
| BLM | Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | East of England |
| CAM | Cambridgeshire AAA Screening Cohort | East of England |
| CHM | Cheshire and Merseyside AAA Screening Cohort | North West |
| CML | Lancashire and South Cumbria AAA Screening Cohort | North West |
| COV | Coventry and Warwick AAA Screening Cohort | Midlands |
| CYH | Central Yorkshire AAA Screening Cohort | North East and Yorkshire |
| DBY | Derbyshire AAA Screening Cohort | Midlands |
| DOW | Dorset and Wiltshire AAA Screening Cohort | South West |
| ESX | Essex AAA Screening Cohort | East of England |
| FRV | Five Rivers AAA Screening Cohort | East of England |
| GLO | Gloucester and Swindon AAA Screening Cohort | South West |
| HAM | Hampshire AAA Screening Cohort | South East |
| HFD | Hertfordshire AAA Screening Cohort | East of England |
| HOE | Central England AAA Screening Cohort | Midlands |
| HRW | Hereford and Worcester AAA Screening Cohort | Midlands |
| KEN | Kent and Medway AAA Screening Cohort | South East |
| LEI | Leicester AAA Screening Cohort | Midlands |
| LNC | Lincolnshire AAA Screening Cohort | Midlands |
| MAN | Manchester AAA Screening Cohort | North West |
| NOE | North East and North Cumbria AAA Screening Cohort | North East and Yorkshire |
| NOL | North London AAA Screening Cohort | London |
| NOR | Norfolk and Waveney AAA Screening Cohort | East of England |
| NOT | Nottinghamshire AAA Screening Cohort | Midlands |
| NRH | Northamptonshire AAA Screening Cohort | Midlands |
| NSS | North and South Staffordshire AAA Screening Cohort | Midlands |
| PEN | Peninsula AAA Screening Cohort | South West |
| SDE | South Devon AAA Screening Cohort | South West |
| SOM | Somerset and North Devon AAA Screening Cohort | South West |
| STW | Shropshire, Telford and Wrekin AAA Screening Cohort | Midlands |
| SWL | South London AAA Screening Cohort | London |
| SYB | South Yorkshire and Bassetlaw AAA Screening Cohort | North East and Yorkshire |
| THV | Thames Valley AAA Screening Cohort | South East |
| WSR | West Surrey AAA Screening Cohort | South East |
| WSU | Sussex AAA Screening Cohort | South East |
| WYO | West Yorkshire AAA Screening Cohort | North East and Yorkshire |
| YOH | North Yorkshire and Humber AAA Screening Cohort | North East and Yorkshire |
Data are presented by financial year (1 April 2023 to 31 March 2024) unless stated otherwise.
2. AAA-S01: completeness of offer (initial screen)
There were 331,219 men aged 65 eligible for AAA screening between 1 April 2023 and 31 March 2024; 99.8% of those eligible men were offered an initial screen within the screening year plus 2 months. The reasons for not being invited include:
- offered after 31 May 2024
- incorrect contact details
- deferring screening
- opting out of the screening programme
- not offered
Figure 1: percentage of eligible cohort men offered screening within the screening year plus 2 months, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 1a: percentage of eligible cohort men offered screening within the screening year plus 2 months, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 99.4% |
| Black Country AAA Screening Cohort | 99.9% |
| Bristol, Bath and Weston AAA Screening Cohort | 99.9% |
| Cambridgeshire AAA Screening Cohort | 99.5% |
| Central England AAA Screening Cohort | 100.0% |
| Central Yorkshire AAA Screening Cohort | 100.0% |
| Cheshire and Merseyside AAA Screening Cohort | 100.0% |
| Coventry and Warwick AAA Screening Cohort | 100.0% |
| Derbyshire AAA Screening Cohort | 100.0% |
| Dorset and Wiltshire AAA Screening Cohort | 99.9% |
| Essex AAA Screening Cohort | 100.0% |
| Five Rivers AAA Screening Cohort | 100.0% |
| Gloucester and Swindon AAA Screening Cohort | 100.0% |
| Hampshire AAA Screening Cohort | 99.6% |
| Hereford and Worcester AAA Screening Cohort | 99.8% |
| Hertfordshire AAA Screening Cohort | 99.4% |
| Kent and Medway AAA Screening Cohort | 99.9% |
| Lancashire and South Cumbria AAA Screening Cohort | 100.0% |
| Leicester AAA Screening Cohort | 100.0% |
| Lincolnshire AAA Screening Cohort | 99.8% |
| Manchester AAA Screening Cohort | 99.7% |
| Norfolk and Waveney AAA Screening Cohort | 99.9% |
| North East and North Cumbria AAA Screening Cohort | 99.5% |
| North London AAA Screening Cohort | 100.0% |
| North Yorkshire and Humber AAA Screening Cohort | 99.7% |
| North and South Staffordshire AAA Screening Cohort | 99.8% |
| Northamptonshire AAA Screening Cohort | 99.8% |
| Nottinghamshire AAA Screening Cohort | 99.9% |
| Peninsula AAA Screening Cohort | 100.0% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 99.9% |
| Somerset and North Devon AAA Screening Cohort | 99.9% |
| South Devon AAA Screening Cohort | 99.9% |
| South London AAA Screening Cohort | 100.0% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 100.0% |
| Sussex AAA Screening Cohort | 99.9% |
| Thames Valley AAA Screening Cohort | 99.9% |
| West Surrey AAA Screening Cohort | 96.1% |
| West Yorkshire AAA Screening Cohort | 100.0% |
The data for the report showed the following provider level information:
- All 38 screening providers met the acceptable threshold of ≥ 95.0%
- 23 out of the 38 screening providers also reached the achievable threshold of ≥ 99.9%
- 15 out of the 38 screening providers achieved 100.0% for this standard
- West Surrey AAA Screening Cohort had the lowest performance (96.1%), but still met the acceptable threshold
Figure 2: percentage of eligible cohort men offered screening according to the standard definition, by region, England, 1 April 2017 to 31 March 2024
The offer of the initial screen to men in each cohort year was stable between 2013/14 (see previous years reports for data prior to 2017/18) and 2019/20. Following the sharp drop in 2020/21 performance due to the impact of the pandemic, performance has continued to increase year on year into 2023/24, meeting the acceptable threshold and just below the achievable threshold, returning to the levels seen pre-pandemic.
3. AAA-S02: completeness of offer (annual surveillance scan)
Between 1 April 2023 and 31 March 2024 there were 12,400 annual surveillance appointments due and 12,206 had an offer within 6 weeks of their due date (98.4%).
Figure 3: percentage of annual surveillance appointments due where there is an offered appointment within 6 weeks of the due date, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 3a: percentage of annual surveillance appointments due where there is an offered appointment within 6 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 99.4% |
| Black Country AAA Screening Cohort | 100.0% |
| Bristol, Bath and Weston AAA Screening Cohort | 98.6% |
| Cambridgeshire AAA Screening Cohort | 99.6% |
| Central England AAA Screening Cohort | 99.4% |
| Central Yorkshire AAA Screening Cohort | 99.1% |
| Cheshire and Merseyside AAA Screening Cohort | 98.3% |
| Coventry and Warwick AAA Screening Cohort | 99.2% |
| Derbyshire AAA Screening Cohort | 100.0% |
| Dorset and Wiltshire AAA Screening Cohort | 99.7% |
| Essex AAA Screening Cohort | 98.9% |
| Five Rivers AAA Screening Cohort | 99.3% |
| Gloucester and Swindon AAA Screening Cohort | 98.6% |
| Hampshire AAA Screening Cohort | 98.9% |
| Hereford and Worcester AAA Screening Cohort | 98.4% |
| Hertfordshire AAA Screening Cohort | 98.8% |
| Kent and Medway AAA Screening Cohort | 98.0% |
| Lancashire and South Cumbria AAA Screening Cohort | 96.5% |
| Leicester AAA Screening Cohort | 99.0% |
| Lincolnshire AAA Screening Cohort | 97.0% |
| Manchester AAA Screening Cohort | 97.4% |
| Norfolk and Waveney AAA Screening Cohort | 98.9% |
| North East and North Cumbria AAA Screening Cohort | 97.3% |
| North London AAA Screening Cohort | 97.1% |
| North Yorkshire and Humber AAA Screening Cohort | 99.0% |
| North and South Staffordshire AAA Screening Cohort | 98.8% |
| Northamptonshire AAA Screening Cohort | 98.2% |
| Nottinghamshire AAA Screening Cohort | 98.4% |
| Peninsula AAA Screening Cohort | 99.2% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 97.8% |
| Somerset and North Devon AAA Screening Cohort | 98.4% |
| South Devon AAA Screening Cohort | 97.3% |
| South London AAA Screening Cohort | 97.8% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 98.8% |
| Sussex AAA Screening Cohort | 99.1% |
| Thames Valley AAA Screening Cohort | 97.3% |
| West Surrey AAA Screening Cohort | 100.0% |
| West Yorkshire AAA Screening Cohort | 97.6% |
The data for the report showed the following provider level information:
- All 38 screening providers met the acceptable threshold of ≥ 95.0%
- 14 out of 38 screening providers also reached the achievable threshold of ≥ 99.0%
- Black Country AAA Screening Cohort, Derbyshire AAA Screening Cohort and West Surrey AAA Screening Cohort had the highest performance (100.0%)
- Lancashire and South Cumbria AAA Screening Cohort had the lowest performance (96.5%), but still met the acceptable threshold
Nationally the proportion of annual surveillance appointments due where an appointment was offered 6 weeks either side of the due date decreased by 0.7 percentage points from 2022/23 to 2023/24, at 98.4%, meeting the acceptable threshold.
4. AAA-S03: completeness of offer (quarterly surveillance scan)
Between 1 April 2023 and 31 March 2024 there were 11,495 quarterly surveillance appointments due and 11,329 had an offer within 4 weeks of their due date (98.6%).
Figure 4: percentage of quarterly surveillance appointments due where there is an offered appointment within 4 weeks of the due date, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 4a: percentage of quarterly surveillance appointments due where there is an offered appointment within 4 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 97.2% |
| Black Country AAA Screening Cohort | 98.9% |
| Bristol, Bath and Weston AAA Screening Cohort | 99.5% |
| Cambridgeshire AAA Screening Cohort | 97.1% |
| Central England AAA Screening Cohort | 96.9% |
| Central Yorkshire AAA Screening Cohort | 99.3% |
| Cheshire and Merseyside AAA Screening Cohort | 98.8% |
| Coventry and Warwick AAA Screening Cohort | 99.1% |
| Derbyshire AAA Screening Cohort | 98.3% |
| Dorset and Wiltshire AAA Screening Cohort | 99.4% |
| Essex AAA Screening Cohort | 98.9% |
| Five Rivers AAA Screening Cohort | 98.4% |
| Gloucester and Swindon AAA Screening Cohort | 99.6% |
| Hampshire AAA Screening Cohort | 99.7% |
| Hereford and Worcester AAA Screening Cohort | 98.0% |
| Hertfordshire AAA Screening Cohort | 99.1% |
| Kent and Medway AAA Screening Cohort | 94.7% |
| Lancashire and South Cumbria AAA Screening Cohort | 96.3% |
| Leicester AAA Screening Cohort | 98.6% |
| Lincolnshire AAA Screening Cohort | 98.7% |
| Manchester AAA Screening Cohort | 98.2% |
| Norfolk and Waveney AAA Screening Cohort | 98.9% |
| North East and North Cumbria AAA Screening Cohort | 99.2% |
| North London AAA Screening Cohort | 98.7% |
| North Yorkshire and Humber AAA Screening Cohort | 99.2% |
| North and South Staffordshire AAA Screening Cohort | 100.0% |
| Northamptonshire AAA Screening Cohort | 98.9% |
| Nottinghamshire AAA Screening Cohort | 99.7% |
| Peninsula AAA Screening Cohort | 99.7% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 100.0% |
| Somerset and North Devon AAA Screening Cohort | 100.0% |
| South Devon AAA Screening Cohort | 99.4% |
| South London AAA Screening Cohort | 98.4% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 99.6% |
| Sussex AAA Screening Cohort | 98.5% |
| Thames Valley AAA Screening Cohort | 95.9% |
| West Surrey AAA Screening Cohort | 98.0% |
| West Yorkshire AAA Screening Cohort | 96.1% |
The data for the report showed the following provider level information:
- 37 out of 38 screening providers met the acceptable threshold of ≥ 95.0%
- 16 out of 38 screening providers also reached the achievable threshold of ≥ 99.0%
- North and South Staffordshire AAA Screening Cohort, Shropshire, Telford and Wrekin AAA Screening Cohort, Somerset and North Devon AAA Screening Cohort had the highest performance (100.0%)
- Kent and Medway AAA Screening Cohort had the lowest performance (94.7%) and were the only service to not meet the acceptable threshold
Nationally the proportion of quarterly surveillance appointments due where an appointment was offered 4 weeks either side of the due date increased by 0.1 percentage points from 2022/23 to 2023/24, at 98.6%, meeting the acceptable threshold.
5. AAA-S04: coverage (initial screen)
Of the 331,219 men aged 65 eligible for AAA screening between 1 April 2023 and 31 March 2024; 81.9% of those eligible men were conclusively tested within the screening year plus 2 months.
Figure 5: coverage - percentage of eligible cohort men conclusively tested within the screening year plus 2 months, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 5a: coverage - percentage of eligible cohort men conclusively tested within the screening year plus 2 months, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 83.0% |
| Black Country AAA Screening Cohort | 81.4% |
| Bristol, Bath and Weston AAA Screening Cohort | 82.3% |
| Cambridgeshire AAA Screening Cohort | 83.4% |
| Central England AAA Screening Cohort | 75.4% |
| Central Yorkshire AAA Screening Cohort | 83.2% |
| Cheshire and Merseyside AAA Screening Cohort | 78.7% |
| Coventry and Warwick AAA Screening Cohort | 84.1% |
| Derbyshire AAA Screening Cohort | 87.4% |
| Dorset and Wiltshire AAA Screening Cohort | 87.6% |
| Essex AAA Screening Cohort | 83.5% |
| Five Rivers AAA Screening Cohort | 87.0% |
| Gloucester and Swindon AAA Screening Cohort | 85.0% |
| Hampshire AAA Screening Cohort | 84.2% |
| Hereford and Worcester AAA Screening Cohort | 86.2% |
| Hertfordshire AAA Screening Cohort | 83.2% |
| Kent and Medway AAA Screening Cohort | 85.5% |
| Lancashire and South Cumbria AAA Screening Cohort | 78.7% |
| Leicester AAA Screening Cohort | 85.1% |
| Lincolnshire AAA Screening Cohort | 86.6% |
| Manchester AAA Screening Cohort | 78.5% |
| Norfolk and Waveney AAA Screening Cohort | 84.4% |
| North East and North Cumbria AAA Screening Cohort | 83.0% |
| North London AAA Screening Cohort | 75.6% |
| North Yorkshire and Humber AAA Screening Cohort | 78.5% |
| North and South Staffordshire AAA Screening Cohort | 84.4% |
| Northamptonshire AAA Screening Cohort | 85.7% |
| Nottinghamshire AAA Screening Cohort | 86.8% |
| Peninsula AAA Screening Cohort | 87.6% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 87.8% |
| Somerset and North Devon AAA Screening Cohort | 88.0% |
| South Devon AAA Screening Cohort | 89.4% |
| South London AAA Screening Cohort | 75.4% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 82.7% |
| Sussex AAA Screening Cohort | 82.2% |
| Thames Valley AAA Screening Cohort | 83.6% |
| West Surrey AAA Screening Cohort | 76.8% |
| West Yorkshire AAA Screening Cohort | 81.9% |
The data for the report showed the following provider level information:
- 38 out of 38 screening providers met the acceptable threshold of ≥ 75.0%
- 14 out of 38 screening providers also reached the achievable threshold of ≥ 85.0%
- South Devon AAA Screening Cohort had the highest performance (89.4%)
- South London AAA Screening Cohort had the lowest performance (75.4%), but still met the acceptable threshold
Figure 6: coverage - percentage of eligible cohort men conclusively tested according to the standard definition, by region, England, 1 April 2017 to 31 March 2024
Following the decrease in performance in 2020/21, due to the impact of the pandemic, performance has continued to increase year on year 2023/24, meeting the acceptable threshold and returning to the levels seen pre-pandemic.
6. AAA-S05: coverage (annual surveillance scan)
Of the 12,399 annual surveillance appointments due between 1 April 2023 to 31 March 2024, 91.6% had a conclusive test within 6 weeks of the due date.
Figure 7: coverage - percentage of annual surveillance appointments due where there is a conclusive test within 6 weeks of the due date, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 7a: coverage - percentage of annual surveillance appointments due where there is a conclusive test within 6 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 93.3% |
| Black Country AAA Screening Cohort | 96.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 92.8% |
| Cambridgeshire AAA Screening Cohort | 92.2% |
| Central England AAA Screening Cohort | 91.3% |
| Central Yorkshire AAA Screening Cohort | 90.2% |
| Cheshire and Merseyside AAA Screening Cohort | 90.8% |
| Coventry and Warwick AAA Screening Cohort | 95.0% |
| Derbyshire AAA Screening Cohort | 92.5% |
| Dorset and Wiltshire AAA Screening Cohort | 94.5% |
| Essex AAA Screening Cohort | 90.4% |
| Five Rivers AAA Screening Cohort | 93.8% |
| Gloucester and Swindon AAA Screening Cohort | 93.6% |
| Hampshire AAA Screening Cohort | 90.7% |
| Hereford and Worcester AAA Screening Cohort | 92.4% |
| Hertfordshire AAA Screening Cohort | 91.9% |
| Kent and Medway AAA Screening Cohort | 89.7% |
| Lancashire and South Cumbria AAA Screening Cohort | 88.0% |
| Leicester AAA Screening Cohort | 94.7% |
| Lincolnshire AAA Screening Cohort | 94.3% |
| Manchester AAA Screening Cohort | 90.3% |
| Norfolk and Waveney AAA Screening Cohort | 94.7% |
| North East and North Cumbria AAA Screening Cohort | 90.7% |
| North London AAA Screening Cohort | 86.2% |
| North Yorkshire and Humber AAA Screening Cohort | 92.5% |
| North and South Staffordshire AAA Screening Cohort | 93.9% |
| Northamptonshire AAA Screening Cohort | 91.1% |
| Nottinghamshire AAA Screening Cohort | 92.1% |
| Peninsula AAA Screening Cohort | 94.9% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 92.3% |
| Somerset and North Devon AAA Screening Cohort | 93.4% |
| South Devon AAA Screening Cohort | 89.3% |
| South London AAA Screening Cohort | 88.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 94.9% |
| Sussex AAA Screening Cohort | 90.5% |
| Thames Valley AAA Screening Cohort | 86.5% |
| West Surrey AAA Screening Cohort | 93.6% |
| West Yorkshire AAA Screening Cohort | 91.8% |
The data for the report showed the following provider level information:
- 38 out of 38 screening providers met the acceptable threshold of ≥ 85.0%
- 2 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
- Black Country AAA Screening Cohort had the highest performance (96.5%)
- North London AAA Screening Cohort had the lowest performance (86.2%), but still met the acceptable threshold
Nationally the proportion of annual surveillance appointments due that had a conclusive test 6 weeks either side of the due date increased by 0.7 percentage points from 2022/23 to 2023/24, at 91.6%, meeting the acceptable threshold.
7. AAA-S06: coverage (quarterly surveillance scan)
Of the 11,495 quarterly surveillance appointments due between 1 April 2023 to 31 March 2024, 92.8% had a conclusive test within 4 weeks of the due date.
Figure 8: coverage- percentage of quarterly surveillance appointments due where there is a conclusive test within 4 weeks of the due date, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 8a: coverage - percentage of quarterly surveillance appointments due where there is a conclusive test within 4 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 88.6% |
| Black Country AAA Screening Cohort | 94.8% |
| Bristol, Bath and Weston AAA Screening Cohort | 93.7% |
| Cambridgeshire AAA Screening Cohort | 92.6% |
| Central England AAA Screening Cohort | 87.2% |
| Central Yorkshire AAA Screening Cohort | 97.1% |
| Cheshire and Merseyside AAA Screening Cohort | 91.7% |
| Coventry and Warwick AAA Screening Cohort | 96.5% |
| Derbyshire AAA Screening Cohort | 92.3% |
| Dorset and Wiltshire AAA Screening Cohort | 93.6% |
| Essex AAA Screening Cohort | 94.4% |
| Five Rivers AAA Screening Cohort | 96.9% |
| Gloucester and Swindon AAA Screening Cohort | 94.3% |
| Hampshire AAA Screening Cohort | 95.1% |
| Hereford and Worcester AAA Screening Cohort | 91.7% |
| Hertfordshire AAA Screening Cohort | 94.1% |
| Kent and Medway AAA Screening Cohort | 89.1% |
| Lancashire and South Cumbria AAA Screening Cohort | 88.9% |
| Leicester AAA Screening Cohort | 93.8% |
| Lincolnshire AAA Screening Cohort | 96.4% |
| Manchester AAA Screening Cohort | 91.5% |
| Norfolk and Waveney AAA Screening Cohort | 95.1% |
| North East and North Cumbria AAA Screening Cohort | 92.9% |
| North London AAA Screening Cohort | 92.6% |
| North Yorkshire and Humber AAA Screening Cohort | 91.6% |
| North and South Staffordshire AAA Screening Cohort | 95.2% |
| Northamptonshire AAA Screening Cohort | 92.0% |
| Nottinghamshire AAA Screening Cohort | 95.4% |
| Peninsula AAA Screening Cohort | 97.3% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 97.6% |
| Somerset and North Devon AAA Screening Cohort | 92.1% |
| South Devon AAA Screening Cohort | 95.8% |
| South London AAA Screening Cohort | 84.9% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 98.2% |
| Sussex AAA Screening Cohort | 91.9% |
| Thames Valley AAA Screening Cohort | 86.7% |
| West Surrey AAA Screening Cohort | 90.5% |
| West Yorkshire AAA Screening Cohort | 92.1% |
The data for the report showed the following provider level information:
- 32 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 12 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
- South Yorkshire and Bassetlaw AAA Screening Cohort had the highest performance (98.2%)
- South London AAA Screening Cohort had the lowest performance (84.9%)
The following providers did not meet the acceptable threshold:
- South London AAA Screening Cohort
- Thames Valley AAA Screening Cohort
- Central England AAA Screening Cohort
- Beds Luton & MK AAA Screening Cohort
- Lancashire & S.Cumbria AAA Screening Cohort
- Kent & Medway AAA Screening Cohort
Nationally the proportion of quarterly surveillance appointments due that had a conclusive test within 4 weeks of the due date increased by 0.4 percentage points from 2022/23 to 2023/24, at 92.8%, meeting the acceptable threshold.
8. AAA-S07: coverage of the initial screen in men living in deciles 1 to 3
Nationally for 2023/24, 74.2% of men in the eligible cohort who were tested and lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019. This contrasts with 81.9% for the overall cohort.
Figure 9: coverage - percentage of men in the eligible cohort who were tested and who lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 9a: coverage - percentage of men in the eligible cohort who were tested and who lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 72.9% |
| Black Country AAA Screening Cohort | 76.6% |
| Bristol, Bath and Weston AAA Screening Cohort | 74.7% |
| Cambridgeshire AAA Screening Cohort | 74.7% |
| Central England AAA Screening Cohort | 68.2% |
| Central Yorkshire AAA Screening Cohort | 77.0% |
| Cheshire and Merseyside AAA Screening Cohort | 72.5% |
| Coventry and Warwick AAA Screening Cohort | 74.7% |
| Derbyshire AAA Screening Cohort | 80.4% |
| Dorset and Wiltshire AAA Screening Cohort | 78.5% |
| Essex AAA Screening Cohort | 75.9% |
| Five Rivers AAA Screening Cohort | 78.8% |
| Gloucester and Swindon AAA Screening Cohort | 76.1% |
| Hampshire AAA Screening Cohort | 73.3% |
| Hereford and Worcester AAA Screening Cohort | 79.0% |
| Hertfordshire AAA Screening Cohort | 76.8% |
| Kent and Medway AAA Screening Cohort | 80.4% |
| Lancashire and South Cumbria AAA Screening Cohort | 69.9% |
| Leicester AAA Screening Cohort | 74.9% |
| Lincolnshire AAA Screening Cohort | 82.6% |
| Manchester AAA Screening Cohort | 71.9% |
| Norfolk and Waveney AAA Screening Cohort | 75.9% |
| North East and North Cumbria AAA Screening Cohort | 77.5% |
| North London AAA Screening Cohort | 71.6% |
| North Yorkshire and Humber AAA Screening Cohort | 66.8% |
| North and South Staffordshire AAA Screening Cohort | 77.3% |
| Northamptonshire AAA Screening Cohort | 78.7% |
| Nottinghamshire AAA Screening Cohort | 81.4% |
| Peninsula AAA Screening Cohort | 82.7% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 78.5% |
| Somerset and North Devon AAA Screening Cohort | 81.9% |
| South Devon AAA Screening Cohort | 83.4% |
| South London AAA Screening Cohort | 66.4% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 77.3% |
| Sussex AAA Screening Cohort | 72.5% |
| Thames Valley AAA Screening Cohort | 69.1% |
| West Surrey AAA Screening Cohort | 71.5% |
| West Yorkshire AAA Screening Cohort | 74.9% |
The data for the report showed the following provider level information:
- 21 out of 38 screening providers met the acceptable threshold of ≥ 75.0%
- None of the 38 screening providers reached the achievable threshold of ≥ 85.0%
- South Devon AAA Screening Cohort had the highest performance (83.4%)
- South London AAA Screening Cohort had the lowest performance (66.4%)
Figure 10: coverage - percentage of men in the eligible cohort who were tested and who lived in a lower super output area (LSOA) classed as decile 1 to 3 in the English indices of deprivation (IoD) 2019, England, 1 April 2020 to 31 March 2024
Men living in more deprived areas are less likely to attend for screening but are more likely to have an aneurysm. It is important for providers to engage with men living in more deprived areas to make sure they can make a personal informed choice.
This standard is now in the fourth year of being reported and should be reviewed alongside standard 4. It was first introduced in April 2020, however performance during 2020/2021 was impacted by the COVID-19 pandemic. Performance has increased year on year, and although it remains below both the acceptable and achievable thresholds it just now just 0.8% off meeting the acceptable threshold.
9. AAA-S08: uptake (initial screen)
There were 330,473 men offered AAA screening between 1 April 2023 and 31 March 2024; 82.1% of those men offered an initial screen were conclusively tested within the screening year plus 2 months.
Figure 11: uptake - percentage of eligible men offered screening who are conclusively tested within the screening year plus 2 months, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 11a: uptake - percentage of eligible men offered screening who are conclusively tested within the screening year plus 2 months, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 83.6% |
| Black Country AAA Screening Cohort | 81.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 82.4% |
| Cambridgeshire AAA Screening Cohort | 83.8% |
| Central England AAA Screening Cohort | 75.4% |
| Central Yorkshire AAA Screening Cohort | 83.2% |
| Cheshire and Merseyside AAA Screening Cohort | 78.7% |
| Coventry and Warwick AAA Screening Cohort | 84.1% |
| Derbyshire AAA Screening Cohort | 87.4% |
| Dorset and Wiltshire AAA Screening Cohort | 87.7% |
| Essex AAA Screening Cohort | 83.5% |
| Five Rivers AAA Screening Cohort | 87.0% |
| Gloucester and Swindon AAA Screening Cohort | 85.1% |
| Hampshire AAA Screening Cohort | 84.6% |
| Hereford and Worcester AAA Screening Cohort | 86.4% |
| Hertfordshire AAA Screening Cohort | 83.6% |
| Kent and Medway AAA Screening Cohort | 85.5% |
| Lancashire and South Cumbria AAA Screening Cohort | 78.7% |
| Leicester AAA Screening Cohort | 85.1% |
| Lincolnshire AAA Screening Cohort | 86.8% |
| Manchester AAA Screening Cohort | 78.7% |
| Norfolk and Waveney AAA Screening Cohort | 84.5% |
| North East and North Cumbria AAA Screening Cohort | 83.4% |
| North London AAA Screening Cohort | 75.6% |
| North Yorkshire and Humber AAA Screening Cohort | 78.8% |
| North and South Staffordshire AAA Screening Cohort | 84.6% |
| Northamptonshire AAA Screening Cohort | 85.8% |
| Nottinghamshire AAA Screening Cohort | 86.8% |
| Peninsula AAA Screening Cohort | 87.6% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 87.9% |
| Somerset and North Devon AAA Screening Cohort | 88.0% |
| South Devon AAA Screening Cohort | 89.5% |
| South London AAA Screening Cohort | 75.4% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 82.8% |
| Sussex AAA Screening Cohort | 82.2% |
| Thames Valley AAA Screening Cohort | 83.7% |
| West Surrey AAA Screening Cohort | 79.9% |
| West Yorkshire AAA Screening Cohort | 81.9% |
The data for the report showed the following provider level information:
- 38 out of 38 screening providers met the acceptable threshold of ≥ 75.0%
- 14 out of 38 screening providers also reached the achievable threshold of ≥ 85.0%
- South Devon AAA Screening Cohort had the highest performance (89.5%)
- South London AAA Screening Cohort had the lowest performance (75.4%), but still met the acceptable threshold
Figure 12: uptake - percentage of men offered screening who are conclusively tested within the initial screening year plus 2 months, by region, England, 1 April 2017 to 31 March 2024
The percentage of men offered screening who were conclusively tested has remained relatively stable, even throughout the pandemic, and has seen an increase of 1.6 percentage points from 2022/23 to 2023/24, to 82.1%, meeting the acceptable threshold.
10. AAA-S09: uptake (annual surveillance scan)
Of the 12,206 annual surveillance appointments that were offered within 6 weeks of the due date, 93.0% had a conclusive test within the 6 weeks between 1 April 2023 to 31 March 2024.
Figure 13: uptake - percentage of annual surveillance appointments offered where there is a conclusive test within 6 weeks of the due date, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 13a: uptake - percentage of annual surveillance appointments offered where there is a conclusive test within 6 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 93.9% |
| Black Country AAA Screening Cohort | 96.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 94.2% |
| Cambridgeshire AAA Screening Cohort | 92.5% |
| Central England AAA Screening Cohort | 91.8% |
| Central Yorkshire AAA Screening Cohort | 91.1% |
| Cheshire and Merseyside AAA Screening Cohort | 92.4% |
| Coventry and Warwick AAA Screening Cohort | 95.8% |
| Derbyshire AAA Screening Cohort | 92.5% |
| Dorset and Wiltshire AAA Screening Cohort | 94.8% |
| Essex AAA Screening Cohort | 91.4% |
| Five Rivers AAA Screening Cohort | 94.4% |
| Gloucester and Swindon AAA Screening Cohort | 95.0% |
| Hampshire AAA Screening Cohort | 91.7% |
| Hereford and Worcester AAA Screening Cohort | 93.9% |
| Hertfordshire AAA Screening Cohort | 93.0% |
| Kent and Medway AAA Screening Cohort | 91.5% |
| Lancashire and South Cumbria AAA Screening Cohort | 91.3% |
| Leicester AAA Screening Cohort | 95.7% |
| Lincolnshire AAA Screening Cohort | 96.9% |
| Manchester AAA Screening Cohort | 92.7% |
| Norfolk and Waveney AAA Screening Cohort | 95.8% |
| North East and North Cumbria AAA Screening Cohort | 93.3% |
| North London AAA Screening Cohort | 88.7% |
| North Yorkshire and Humber AAA Screening Cohort | 93.5% |
| North and South Staffordshire AAA Screening Cohort | 95.0% |
| Northamptonshire AAA Screening Cohort | 92.8% |
| Nottinghamshire AAA Screening Cohort | 93.6% |
| Peninsula AAA Screening Cohort | 95.7% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 94.4% |
| Somerset and North Devon AAA Screening Cohort | 94.9% |
| South Devon AAA Screening Cohort | 91.7% |
| South London AAA Screening Cohort | 90.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 96.0% |
| Sussex AAA Screening Cohort | 91.3% |
| Thames Valley AAA Screening Cohort | 88.9% |
| West Surrey AAA Screening Cohort | 93.6% |
| West Yorkshire AAA Screening Cohort | 94.1% |
The data for the report showed the following provider level information:
- 36 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 7 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
- Lincolnshire AAA Screening Cohort had the highest performance (96.9%)
- North London AAA Screening Cohort had the lowest performance (88.7%)
The following providers did not meet the acceptable threshold:
- North London AAA Screening Cohort
- Thames Valley AAA Screening Cohort
Nationally the proportion of annual surveillance appointments offered where there was a conclusive test within 6 weeks of the due date decreased by 0.1 percentage points from 2022/23 to 2023/24, at 93.0%, but still continuing to meet the acceptable threshold.
11. AAA-S10: uptake (quarterly surveillance scan)
Of the 11,329 quarterly surveillance appointments offered within 4 weeks of the due date, 94.2% had a conclusive test within 4 weeks between 1 April 2023 to 31 March 2024.
Figure 14: uptake - percentage of quarterly surveillance appointments offered where there is a conclusive test within 4 weeks of the due date, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 14a: uptake - percentage of quarterly surveillance appointments offered where there is a conclusive test within 4 weeks of the due date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 91.2% |
| Black Country AAA Screening Cohort | 95.9% |
| Bristol, Bath and Weston AAA Screening Cohort | 94.1% |
| Cambridgeshire AAA Screening Cohort | 95.5% |
| Central England AAA Screening Cohort | 90.0% |
| Central Yorkshire AAA Screening Cohort | 97.8% |
| Cheshire and Merseyside AAA Screening Cohort | 92.8% |
| Coventry and Warwick AAA Screening Cohort | 97.4% |
| Derbyshire AAA Screening Cohort | 94.0% |
| Dorset and Wiltshire AAA Screening Cohort | 94.2% |
| Essex AAA Screening Cohort | 95.4% |
| Five Rivers AAA Screening Cohort | 98.4% |
| Gloucester and Swindon AAA Screening Cohort | 94.7% |
| Hampshire AAA Screening Cohort | 95.4% |
| Hereford and Worcester AAA Screening Cohort | 93.5% |
| Hertfordshire AAA Screening Cohort | 94.9% |
| Kent and Medway AAA Screening Cohort | 94.1% |
| Lancashire and South Cumbria AAA Screening Cohort | 92.3% |
| Leicester AAA Screening Cohort | 95.1% |
| Lincolnshire AAA Screening Cohort | 97.7% |
| Manchester AAA Screening Cohort | 93.2% |
| Norfolk and Waveney AAA Screening Cohort | 96.2% |
| North East and North Cumbria AAA Screening Cohort | 93.7% |
| North London AAA Screening Cohort | 93.8% |
| North Yorkshire and Humber AAA Screening Cohort | 92.3% |
| North and South Staffordshire AAA Screening Cohort | 95.2% |
| Northamptonshire AAA Screening Cohort | 93.0% |
| Nottinghamshire AAA Screening Cohort | 95.7% |
| Peninsula AAA Screening Cohort | 97.6% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 97.6% |
| Somerset and North Devon AAA Screening Cohort | 92.1% |
| South Devon AAA Screening Cohort | 96.3% |
| South London AAA Screening Cohort | 86.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 98.6% |
| Sussex AAA Screening Cohort | 93.2% |
| Thames Valley AAA Screening Cohort | 90.4% |
| West Surrey AAA Screening Cohort | 92.3% |
| West Yorkshire AAA Screening Cohort | 95.9% |
The data for the report showed the following provider level information:
- 37 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 17 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
- South Yorkshire and Bassetlaw AAA Screening Cohort had the highest performance (98.6%)
- South London AAA Screening Cohort had the lowest performance (86.3%)
Nationally the proportion quarterly surveillance appointments offered where there was a conclusive test within 4 weeks of the due date increased by 0.4 percentage points from 2022/23 to 2023/24, at 94.2%, continuing to meet the acceptable threshold.
12. AAA-S11: non-visualised screens
Screening providers should aim to minimise the percentage of screens that cannot be visualised. Therefore, the lower the value the better for this standard. Nationally 1.0% of cohort screens were non-visualised in 2023/24.
Figure 15: test - percentage of screening encounters where aorta could not be visualised, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 15a: test - percentage of screening encounters where aorta could not be visualised, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 1.3% |
| Black Country AAA Screening Cohort | 0.7% |
| Bristol, Bath and Weston AAA Screening Cohort | 1.2% |
| Cambridgeshire AAA Screening Cohort | 1.3% |
| Central England AAA Screening Cohort | 0.5% |
| Central Yorkshire AAA Screening Cohort | 0.5% |
| Cheshire and Merseyside AAA Screening Cohort | 1.8% |
| Coventry and Warwick AAA Screening Cohort | 1.2% |
| Derbyshire AAA Screening Cohort | 0.4% |
| Dorset and Wiltshire AAA Screening Cohort | 1.0% |
| Essex AAA Screening Cohort | 3.1% |
| Five Rivers AAA Screening Cohort | 0.4% |
| Gloucester and Swindon AAA Screening Cohort | 0.7% |
| Hampshire AAA Screening Cohort | 1.0% |
| Hereford and Worcester AAA Screening Cohort | 2.2% |
| Hertfordshire AAA Screening Cohort | 0.9% |
| Kent and Medway AAA Screening Cohort | 0.4% |
| Lancashire and South Cumbria AAA Screening Cohort | 0.7% |
| Leicester AAA Screening Cohort | 0.3% |
| Lincolnshire AAA Screening Cohort | 2.2% |
| Manchester AAA Screening Cohort | 4.1% |
| Norfolk and Waveney AAA Screening Cohort | 0.4% |
| North East and North Cumbria AAA Screening Cohort | 0.1% |
| North London AAA Screening Cohort | 0.6% |
| North Yorkshire and Humber AAA Screening Cohort | 0.8% |
| North and South Staffordshire AAA Screening Cohort | 0.1% |
| Northamptonshire AAA Screening Cohort | 0.6% |
| Nottinghamshire AAA Screening Cohort | 1.2% |
| Peninsula AAA Screening Cohort | 0.7% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 2.1% |
| Somerset and North Devon AAA Screening Cohort | 0.5% |
| South Devon AAA Screening Cohort | 1.2% |
| South London AAA Screening Cohort | 0.9% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 0.3% |
| Sussex AAA Screening Cohort | 1.2% |
| Thames Valley AAA Screening Cohort | 0.4% |
| West Surrey AAA Screening Cohort | 1.2% |
| West Yorkshire AAA Screening Cohort | 2.2% |
The data for the report showed the following provider level information:
- 36 out of 38 screening providers met the acceptable threshold of ≤ 3.0%
- 22 out of 38 screening providers also reached the achievable threshold of ≤ 1.0%
- North East and North Cumbria AAA Screening Cohort had the lowest performance (0.1%) (lower the value the better)
- Manchester AAA Screening Cohort had the highest performance (4.1%) (lower the value the better)
The following providers did not meet the acceptable threshold:
- Manchester AAA Screening Cohort
- Essex AAA Screening Cohort
Figure 16: test - percentage of screening encounters where aorta could not be visualised, by region, England, 1 April 2017 to 31 March 2023
The percentage of non-visualised screens is stable across England over the series. For 2023/24, performance remained at 1.0%, and met the achievable threshold.
13. AAA-S12: internal quality assurance
Of the 2,298 men with a small or medium size aneurysm (aorta ≥ 3.0 to < 5.5cm), 87.8% had their screens reviewed within 21 days of the scan taking place, in 2023/24
Figure 17: test - percentage of abnormal screens (aorta ≥ 3.0 to < 5.5cm) reviewed within 21 calendar days of the initial screen date, by provider, England, 1 April 2023 to 31 March 2024
Figure 17a: test - percentage of abnormal screens (aorta ≥ 3.0 to < 5.5cm) reviewed within 21 calendar days of the initial screen date, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 86.8% |
| Black Country AAA Screening Cohort | 62.5% |
| Bristol, Bath and Weston AAA Screening Cohort | 80.8% |
| Cambridgeshire AAA Screening Cohort | 87.1% |
| Central England AAA Screening Cohort | 57.6% |
| Central Yorkshire AAA Screening Cohort | 96.2% |
| Cheshire and Merseyside AAA Screening Cohort | 99.2% |
| Coventry and Warwick AAA Screening Cohort | 97.4% |
| Derbyshire AAA Screening Cohort | 90.0% |
| Dorset and Wiltshire AAA Screening Cohort | 41.4% |
| Essex AAA Screening Cohort | 31.6% |
| Five Rivers AAA Screening Cohort | 77.6% |
| Gloucester and Swindon AAA Screening Cohort | 100.0% |
| Hampshire AAA Screening Cohort | 90.5% |
| Hereford and Worcester AAA Screening Cohort | 90.3% |
| Hertfordshire AAA Screening Cohort | 100.0% |
| Kent and Medway AAA Screening Cohort | 89.7% |
| Lancashire and South Cumbria AAA Screening Cohort | 100.0% |
| Leicester AAA Screening Cohort | 97.4% |
| Lincolnshire AAA Screening Cohort | 88.4% |
| Manchester AAA Screening Cohort | 90.3% |
| Norfolk and Waveney AAA Screening Cohort | 100.0% |
| North East and North Cumbria AAA Screening Cohort | 65.8% |
| North London AAA Screening Cohort | 93.4% |
| North Yorkshire and Humber AAA Screening Cohort | 100.0% |
| North and South Staffordshire AAA Screening Cohort | 89.2% |
| Northamptonshire AAA Screening Cohort | 88.6% |
| Nottinghamshire AAA Screening Cohort | 97.8% |
| Peninsula AAA Screening Cohort | 95.7% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 47.9% |
| Somerset and North Devon AAA Screening Cohort | 88.1% |
| South Devon AAA Screening Cohort | 100.0% |
| South London AAA Screening Cohort | 97.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 100.0% |
| Sussex AAA Screening Cohort | 97.2% |
| Thames Valley AAA Screening Cohort | 100.0% |
| West Surrey AAA Screening Cohort | 100.0% |
| West Yorkshire AAA Screening Cohort | 100.0% |
The data for the report showed the following provider level information:
- 34 out of 38 screening providers met the acceptable threshold of ≥ 60.0%
- 18 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following providers had the highest performance (100.0%):
- Gloucester and Swindon AAA Screening Cohort
- Hertfordshire AAA Screening Cohort
- Lancashire and South Cumbria AAA Screening Cohort
- Norfolk and Waveney AAA Screening Cohort
- North Yorkshire and Humber AAA Screening Cohort
- South Devon AAA Screening Cohort
- South Yorkshire and Bassetlaw AAA Screening Cohort
- Thames Valley AAA Screening Cohort
- West Surrey AAA Screening Cohort
- West Yorkshire AAA Screening Cohort
- Essex AAA Screening Cohort had the lowest performance (31.6%)
The following providers did not meet the acceptable threshold:
- Essex AAA Screening Cohort
- Dorset and Wiltshire AAA Screening Cohort
- Shropshire, Telford and Wrekin AAA Screening Cohort
- Central England AAA Screening Cohort
Nationally the proportion men with a small or medium size aneurysm (aorta ≥ 3.0 to < 5.5cm) that had their screens reviewed within 21 days of the scan taking place increased by 2.9 percentage points from 2022/23 to 2023/24, at 87.8%, continuing to meet the acceptable threshold.
14. AAA-S13: nurse assessments
Of the 2,995 men who had a small or medium aneurysm detected (aorta ≥ 3.0 to < 5.5cm) at initial screen and the number of men who had a medium aneurysm detected (aorta ≥ 4.5 to < 5.5cm) at the annual surveillance scan, 69.9% had a nurse assessment within 12 weeks of their conclusive scan.
Figure 18: test - percentage of men who had a small or medium aneurysm detected (aorta ≥ 3.0 to < 5.5cm) at initial screen and the number of men who had a medium aneurysm detected (≥ 4.5 to < 5.5cm) at the annual surveillance scan who had a nurse assessment ≤ 12 weeks of their conclusive scan, by provider, England, 1 April 2023 to 31 March 2024
Figure 18a: test - percentage of men who had a small or medium aneurysm detected (aorta ≥ 3.0 to < 5.5cm) at initial screen and the number of men who had a medium aneurysm detected (≥ 4.5 to < 5.5cm) at the annual surveillance scan who had a nurse assessment ≤ 12 weeks of their conclusive scan, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 73.6% |
| Black Country AAA Screening Cohort | 73.0% |
| Bristol, Bath and Weston AAA Screening Cohort | 61.5% |
| Cambridgeshire AAA Screening Cohort | 48.6% |
| Central England AAA Screening Cohort | 70.3% |
| Central Yorkshire AAA Screening Cohort | 62.6% |
| Cheshire and Merseyside AAA Screening Cohort | 77.2% |
| Coventry and Warwick AAA Screening Cohort | 93.1% |
| Derbyshire AAA Screening Cohort | 80.3% |
| Dorset and Wiltshire AAA Screening Cohort | 51.2% |
| Essex AAA Screening Cohort | 76.8% |
| Five Rivers AAA Screening Cohort | 68.6% |
| Gloucester and Swindon AAA Screening Cohort | 85.5% |
| Hampshire AAA Screening Cohort | 50.5% |
| Hereford and Worcester AAA Screening Cohort | 66.7% |
| Hertfordshire AAA Screening Cohort | 55.0% |
| Kent and Medway AAA Screening Cohort | 75.7% |
| Lancashire and South Cumbria AAA Screening Cohort | 76.4% |
| Leicester AAA Screening Cohort | 88.1% |
| Lincolnshire AAA Screening Cohort | 69.8% |
| Manchester AAA Screening Cohort | 61.7% |
| Norfolk and Waveney AAA Screening Cohort | 80.9% |
| North East and North Cumbria AAA Screening Cohort | 94.5% |
| North London AAA Screening Cohort | 70.2% |
| North Yorkshire and Humber AAA Screening Cohort | 61.5% |
| North and South Staffordshire AAA Screening Cohort | 68.7% |
| Northamptonshire AAA Screening Cohort | 50.0% |
| Nottinghamshire AAA Screening Cohort | 80.3% |
| Peninsula AAA Screening Cohort | 61.5% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 50.0% |
| Somerset and North Devon AAA Screening Cohort | 76.1% |
| South Devon AAA Screening Cohort | 86.2% |
| South London AAA Screening Cohort | 64.8% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 80.8% |
| Sussex AAA Screening Cohort | 45.5% |
| Thames Valley AAA Screening Cohort | 56.0% |
| West Surrey AAA Screening Cohort | 74.5% |
| West Yorkshire AAA Screening Cohort | 92.1% |
The data for the report showed the following provider level information:
- 36 out of 38 screening providers met the acceptable threshold of ≥ 50.0%
- 10 out of 38 screening providers also reached the achievable threshold of ≥ 80.0%
- North East and North Cumbria AAA Screening Cohort had the highest performance (94.5%)
- Sussex AAA Screening Cohort had the lowest performance (45.5%)
The following providers did not meet the acceptable threshold:
- Sussex AAA Screening Cohort
- Cambridgeshire AAA Screening Cohort
Nationally the proportion of men eligible for a nurse assessment who attended an appointment increased by 1.9 percentage points from 2022/23 to 2023/24, to 69.9%, which met the acceptable threshold.
15. AAA-S14: men seen at specialist assessments within 2 weeks
Of the 985 men with an aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, 922 (93.6%) were seen by a vascular specialist within 2 weeks of their last conclusive scan.
Figure 19: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, seen by vascular specialist within 2 weeks, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 19a: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, seen by vascular specialist within 2 weeks, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 68.4% |
| Black Country AAA Screening Cohort | 100.0% |
| Bristol, Bath and Weston AAA Screening Cohort | 87.5% |
| Cambridgeshire AAA Screening Cohort | 100.0% |
| Central England AAA Screening Cohort | 87.9% |
| Central Yorkshire AAA Screening Cohort | 100.0% |
| Cheshire and Merseyside AAA Screening Cohort | 100.0% |
| Coventry and Warwick AAA Screening Cohort | 100.0% |
| Derbyshire AAA Screening Cohort | 96.3% |
| Dorset and Wiltshire AAA Screening Cohort | 96.8% |
| Essex AAA Screening Cohort | 93.8% |
| Five Rivers AAA Screening Cohort | 100.0% |
| Gloucester and Swindon AAA Screening Cohort | 96.7% |
| Hampshire AAA Screening Cohort | 90.3% |
| Hereford and Worcester AAA Screening Cohort | 86.7% |
| Hertfordshire AAA Screening Cohort | 90.0% |
| Kent and Medway AAA Screening Cohort | 91.7% |
| Lancashire and South Cumbria AAA Screening Cohort | 96.9% |
| Leicester AAA Screening Cohort | 85.0% |
| Lincolnshire AAA Screening Cohort | 100.0% |
| Manchester AAA Screening Cohort | 93.5% |
| Norfolk and Waveney AAA Screening Cohort | 81.8% |
| North East and North Cumbria AAA Screening Cohort | 96.4% |
| North London AAA Screening Cohort | 93.3% |
| North Yorkshire and Humber AAA Screening Cohort | 89.7% |
| North and South Staffordshire AAA Screening Cohort | 95.0% |
| Northamptonshire AAA Screening Cohort | 93.3% |
| Nottinghamshire AAA Screening Cohort | 84.0% |
| Peninsula AAA Screening Cohort | 96.0% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 91.7% |
| Somerset and North Devon AAA Screening Cohort | 97.2% |
| South Devon AAA Screening Cohort | 100.0% |
| South London AAA Screening Cohort | 75.0% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 100.0% |
| Sussex AAA Screening Cohort | 100.0% |
| Thames Valley AAA Screening Cohort | 97.1% |
| West Surrey AAA Screening Cohort | 100.0% |
| West Yorkshire AAA Screening Cohort | 100.0% |
The data for the report showed the following provider level information:
- 29 out of 38 screening providers met the acceptable threshold of ≥ 90.0%
- 21 out of 38 screening providers also reached the achievable threshold of ≥ 95.0%
The following providers had the highest performance (100.0%):
- Black Country AAA Screening Cohort
- Cambridgeshire AAA Screening Cohort
- Central Yorkshire AAA Screening Cohort
- Cheshire and Merseyside AAA Screening Cohort
- Coventry and Warwick AAA Screening Cohort
- Five Rivers AAA Screening Cohort
- Lincolnshire AAA Screening Cohort
- South Devon AAA Screening Cohort
- South Yorkshire and Bassetlaw AAA Screening Cohort
- Sussex AAA Screening Cohort
- West Surrey AAA Screening Cohort
- West Yorkshire AAA Screening Cohort
- Bedfordshire, Luton and Milton Keynes AAA Screening Cohort had the lowest performance (68.4%)
The following providers did not meet the acceptable threshold:
- Bedfordshire, Luton and Milton Keynes AAA Screening Cohort
- South London AAA Screening Cohort
- Norfolk and Waveney AAA Screening Cohort
- Nottinghamshire AAA Screening Cohort
- Leicester AAA Screening Cohort
- Hereford and Worcester AAA Screening Cohort
- Bristol, Bath and Weston AAA Screening Cohort
- Central England AAA Screening Cohort
- North Yorkshire and Humber AAA Screening Cohort
Nationally the percentage of men seen for a specialist assessment within 2 weeks of their last conclusive scan increased by 0.5 percentage points from 2022/23 to 2023/24, to 93.6%, continuing to meet the acceptable threshold.
16. AAA-S15: men operated on within 8 weeks
Of the 810 men with an aorta of ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining 31.6% were operated on by a vascular specialist within 8 weeks.
Figure 20: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining, operated on by a vascular specialist within 8 weeks, by screening provider, England, 1 April 2023 to 31 March 2024
Figure 20a: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining, operated on by a vascular specialist within 8 weeks, in alphabetical order of provider name
| Organisation | Performance |
|---|---|
| Bedfordshire, Luton and Milton Keynes AAA Screening Cohort | 25.0% |
| Black Country AAA Screening Cohort | 85.7% |
| Bristol, Bath and Weston AAA Screening Cohort | 0.0% |
| Cambridgeshire AAA Screening Cohort | 42.9% |
| Central England AAA Screening Cohort | 12.0% |
| Central Yorkshire AAA Screening Cohort | 29.4% |
| Cheshire and Merseyside AAA Screening Cohort | 31.6% |
| Coventry and Warwick AAA Screening Cohort | 58.3% |
| Derbyshire AAA Screening Cohort | 33.3% |
| Dorset and Wiltshire AAA Screening Cohort | 7.4% |
| Essex AAA Screening Cohort | 13.3% |
| Five Rivers AAA Screening Cohort | 0.0% |
| Gloucester and Swindon AAA Screening Cohort | 22.2% |
| Hampshire AAA Screening Cohort | 75.0% |
| Hereford and Worcester AAA Screening Cohort | 25.0% |
| Hertfordshire AAA Screening Cohort | 26.3% |
| Kent and Medway AAA Screening Cohort | 15.6% |
| Lancashire and South Cumbria AAA Screening Cohort | 35.7% |
| Leicester AAA Screening Cohort | 20.0% |
| Lincolnshire AAA Screening Cohort | 18.2% |
| Manchester AAA Screening Cohort | 25.0% |
| Norfolk and Waveney AAA Screening Cohort | 37.0% |
| North East and North Cumbria AAA Screening Cohort | 49.0% |
| North London AAA Screening Cohort | 25.0% |
| North Yorkshire and Humber AAA Screening Cohort | 40.9% |
| North and South Staffordshire AAA Screening Cohort | 21.1% |
| Northamptonshire AAA Screening Cohort | 0.0% |
| Nottinghamshire AAA Screening Cohort | 15.0% |
| Peninsula AAA Screening Cohort | 52.6% |
| Shropshire, Telford and Wrekin AAA Screening Cohort | 20.0% |
| Somerset and North Devon AAA Screening Cohort | 55.6% |
| South Devon AAA Screening Cohort | 82.4% |
| South London AAA Screening Cohort | 27.3% |
| South Yorkshire and Bassetlaw AAA Screening Cohort | 15.0% |
| Sussex AAA Screening Cohort | 12.1% |
| Thames Valley AAA Screening Cohort | 45.8% |
| West Surrey AAA Screening Cohort | 62.5% |
| West Yorkshire AAA Screening Cohort | 64.7% |
The data for the report showed the following provider level information:
- 5 out of 38 screening providers met the acceptable threshold of ≥ 60.0%
- 2 out of 38 screening providers also reached the achievable threshold of ≥ 80.0%
- Black Country AAA Screening Cohort had the highest performance (85.7%)
- Bristol, Bath and Weston AAA Screening Cohort, Five Rivers AAA Screening Cohort and Northamptonshire AAA Screening Cohort had the lowest performance (0.0%)
Figure 21: referral - percentage of men with aorta ≥ 5.5cm or men with an aorta ≥ 4.0cm that has grown ≥ 1cm in one year, deemed fit for intervention and not declining, operated on by a vascular specialist within 8 weeks, by region, England, 1 April 2017 to 31 March 2024
The percentage of men operated on within 8 weeks continues to gradually increase nationally, post pandemic. For 2023/24, performance has improved 1.5 percentage points from 2022/23, but it is still considerably less than the acceptable threshold.
17. Outcomes
There were 41 AAA ruptures during the screening year, 35 of which were fatal. 20 of the deaths were in men on surveillance (3.6% of the deaths in surveillance) and 15 had been referred for surgery. For the men referred to surgery, 6 had been turned down or had declined the operation and 9 died while waiting for surgery. Of the 9, 6 died after waiting more than 8 weeks for surgery. In 2022/23, 8 men died while waiting for surgery, 5 of which died after waiting more than 8 weeks from their referral.