Is AAA screening offered outside England?
AAA screening programmes have been set up in Northern Ireland, Scotland and Wales.
For more information, see:
What happens if I'm a man over 65 and have not been screened?
If you're a man over 65 and you have not been screened before, you can contact your local screening service to ask for a scan without going through your GP.
Can women and men under 65 be screened?
AAA screening is not routinely offered to women and men under 65 because most burst AAAs occur in men over 65. Men are 6 times more likely to have an AAA than women.
There's not enough evidence to suggest that screening women and younger men would deliver major benefits.
But if you think you might be at an increased risk of AAA – for example, because a close family member has had one – talk to your GP about the possibility of having a scan to check for an AAA.
If your GP feels you might benefit from having a scan, this will usually be done when you're 5 years younger than the age at which your relative was found to have an AAA.
If you have a family history of AAA, you should take the usual health precautions of not smoking, eating healthily, and exercising regularly. Read more about how to reduce your risk of an AAA.
Can I drive if I have an AAA?
You may need to tell the Driver and Vehicle Licensing Agency (DVLA) if you have an AAA. You may need to stop driving if it's large.
The DVLA say:
- car and motorcycle drivers must tell the DVLA if their AAA measures more than 6cm and stop driving if it reaches 6.5cm
- bus, coach and lorry drivers must tell the DVLA if they have an AAA of any size and stop driving if it reaches 5.5cm
You can usually drive again once your AAA has been treated. The GOV.UK website has more on how to tell the DVLA about an AAA.
Ask your GP if you're not sure whether you need to inform the DVLA about your AAA or temporarily stop driving.
Having an AAA should not affect your car insurance premium.
Can I fly if I have an AAA?
It's safe to travel by plane if you have an AAA. They're no more likely to burst at a high altitude than on the ground.
The Association of British Insurers (ABI) has been advised of this and it's not aware of any airlines that refuse people with an AAA.
Can I get travel insurance if I have an AAA?
The ABI is unaware of any travel insurance policies that specifically exclude AAAs as part of their standard wording.
They suggest that anyone with an AAA should declare it during the application process (or when it's diagnosed, if you already have a travel insurance policy).
If you declare an AAA, you may be asked if you:
- have had surgery (and if so, when you had it)
- are on a waiting list for surgery
- have any other related health conditions
You may be charged an additional premium or have the condition excluded from your cover.
When looking for cover, a broker can help. The British Insurance Brokers Association (BIBA) operates a find a broker service that can help – they can be contacted on 0370 950 1790.
What permission do I need to give to be screened?
At the screening clinic, you'll be asked to give permission:
- for the programme to store information about you and your visit on the national AAA screening IT system, and to use this information to help offer safe and effective screening
- for the programme to screen you for an AAA (which involves a scan of your tummy) and to tell you the result
- if you're found to have an AAA, to share your personal information with a vascular surgeon through the National Vascular Registry
You'll only be screened if you give consent to all 3 points.
You'll also be asked if the screening programme can use your information to contact you in the future about research that's going on in the programme. You do not have to give permission for this to be screened.
Why do I need to give permission for the programme to keep my personal information if I want to be screened?
Screening is a diagnostic procedure that requires the person's consent.
Why does my data need to be recorded?
There's a duty of care to record what's been done and what's been found during screening and to share this with appropriate healthcare providers, so any findings can be followed up.
Recording data enables the programme to ensure that you're screened, assessed and treated in an effective and timely way.
The abdominal scan is only one part of a systematic pathway of care. It would be irresponsible and potentially negligent to offer a scan without ensuring that the safeguards offered by an assured national system are in place.
The screening programme needs to retain personal data so it knows if and when a man has been scanned and if he has declined screening.
Recording data also enables local programmes to keep track of who has been invited for screening and deal with follow-up enquiries.
How is my personal information stored?
The programme controls and processes personal information for the purposes of providing the screening service in a way that's compatible with the Data Protection Act (the data controller). The programme uses a 3rd party (Northgate Public Services) to process and manage this personal information in a secure database.
Although the database is a national system, strict data governance means your personal details can only be accessed by healthcare professionals involved directly in your screening or any subsequent assessment or treatment.
If you're screened and found to have an aneurysm, this information will need to be shared with a vascular unit so you can get further tests and potentially surgery.
Can I opt out of the screening process?
You may decide, after you've been invited or have attended screening, that you do not want the NHS AAA Screening Programme to contact you again or provide any ongoing care – either directly, or through any other healthcare professional.
If you ask to be removed from the screening invitation or recall process you'll be given information about the risks of your decision. Requests for removal must be made to your local screening unit. If you change your mind, you can ask to be invited for screening again at any time.
What happens if I give permission to be contacted about research in the NHS AAA Screening Programme?
The NHS AAA Screening Programme works closely with medical researchers to improve screening and the care of men being screened for AAA and men with AAAs.
If you give permission for the programme to contact you about research, you may be sent information about ongoing research and how to get involved. All involvement in research in the NHS is entirely optional. The decision to take part or not does not affect the care you receive from the NHS.
You can decide whether to participate on a project-by-project basis.
The programme does not pass any personal information on to medical researchers directly. All research projects must first be approved by the NHS AAA Screening Programme Research Committee.
Does the programme do anything else with the personal information it keeps?
The programme has an obligation to monitor its own performance and determine if it can be improved. This ensures the service is of good quality and achieving its main aim of preventing men dying from the complications of having an aneurysm.
One of the ways the programme measures performance is by monitoring what happens to men who have been invited for screening. It does this by obtaining information for men invited for screening. This information is either held by NHS Digital directly (data on hospital admissions, which is collected from all NHS hospitals) or obtained from other government organisations (data on deaths are held by the Office for National Statistics).
In order to ensure confidentiality, the programme anonymises the data by removing information such as names and dates of birth. It only passes men's NHS numbers on to NHS Digital, which it uses to link to health records. NHS Digital matches the information provided with the information it holds and, again, removes all identifiable information including NHS numbers.
Anonymous data from the programme and NHS Digital is then passed to the University of Leicester, the programme's current academic partner. The University of Leicester analyses this information and provides the programme with a report on its performance. At no point will an individual man's identity be known to the analysis team at the University of Leicester. All data is held securely at the University of Leicester and is not made available to any other parties at any time.
The data resulting from this process will be held for a maximum of 20 years. This is because aneurysms develop very slowly and it takes a long time to properly assess the full benefits of the screening programme.
If you do not want your anonymised healthcare data used in this way then please contact your local screening programme.
Could I find out about other health problems as a result of AAA screening?
No. During the screening scan the technician only looks at your aorta to check if you have an AAA. They do not check for any other health conditions.
If you have any concerns about your health, speak to your GP.