NHS Bowel Cancer Screening Programme. Lorraine Morris BCSP Community & GP Engagement Officer

Transcription

1 NHS Bowel Cancer Screening Programme Lorraine Morris BCSP Community & GP Engagement Officer

2 Bowel Cancer Screening Programme Background 2008 NHS England BwD CVS & NHS Blackpool Teaching Hospital Blackburn with Darwen, East & Central Lancashire, Fylde & Wyre, Blackpool & Morecambe Bay CCG area s CFAKC Raise Awareness

3 Fact Bowel cancer is the fourth most common cancer in the UK, after breast, prostate and lung cancers. Over 41,200 people are diagnosed with bowel cancer every year in the UK. Around 268,000 people living in the UK today have been diagnosed with bowel cancer. Bowel cancer is treatable and curable, especially if it s diagnosed early More than nine out of ten people diagnosed with stage 1 bowel cancer survive five years or more after diagnosis However this drops significantly as the disease develops

4 UK Cancer Survival Rates? Worst in Europe 10,000 per year, every year 1,700 avoidable Bowel Cancer deaths per year Equates approximately to 1 death per GP Practice across the UK

5 What Causes Bowel Cancer? Diet Smoking Alcohol Genetics

6 NHS Bowel Cancer Work Streams National Bowel Cancer symptomatic campaign/neadi campaign

7 NHS Bowel Cancer Screening Treatment for Bowel Cancers is more likely to be effective if Bowel Cancer is detected early. The test kit/invitation is sent to all people in the UK registered with a GP aged A Faecal Occult Blood Test kit (hidden blood) Aims to detect Bowel Cancer at an early stage (in people with no symptoms).

8 Bowel Cancer Screening Kit Process People complete the test kit at home and return the kit to the sender The kit is tested for blood (in the motion) if positive then the person is called to a local clinic to see a Specialist Screening Practioner They are offered a colonoscopy If test negative recalled in 2 years People aged 75+ can request a test kit by ringing free

9 Lancashire Bowel Cancer Screening Programme Facts: Covers a population of 1.3 million to date Since April 2008 May 2017: 795,600 kits been completed across Lancashire 8808 patients seen in clinics 8611 patients had a colonoscopy 784 bowel cancer's diagnosed who had no signs and symptoms at all 1009 patients identified with high risk polyps

10 Lancashire Bowel Cancer Screening Programme 2011 to 2016 Uptake CCG 11/12 12/13 13/14 14/15 15/16 Blackburn with Darwen 47.06% 50.57% 48.65% 52.28% 49.19% Blackpool 51.53% 55.29% 48.17% 53.58% 49.46% Chorley & South Ribble 56.49% 58.91% 54.58% 60.26% 56.06% East Lancashire Greater Preston Lancashire North West Lancashire 52.70% 56.44% 53.92% 58.46% 55.72% 53.46% 59.62% 53.54% 60.26% 54.71% 57.49% 60.98% 56.71% 65.14% 63.53% 53.44% 58.28% 52.66% 58.40% 54.16% Fylde & Wyre 59.89% 63.21% 57.25% 63.00% 58.57%

11 Lancashire Bowel Cancer Screening Programme 2015 to 2016 Uptake & Positivity CCG Invited Screened Uptake Positivity Blackburn with Darwen 10,028 4, % 1.80% Blackpool 15,364 7, % 2.07% Chorley & South Ribble 15,932 8, % 1.33% East Lancashire 26,762 14, % 1.94% Greater Preston 15,085 8, % 1.70% Lancashire North 1,997 1, % 1.10% West Lancashire 9,900 5, % 1.58% Fylde & Wyre 15,801 9, % 1.74%

12 Uptake by Blackpool GP Patients 2015/2016

13 Uptake by Fylde & Wyre Patients 2015/2016

14 Overall Data Shows: Low uptake rates within specific GP Practices/wards in Lancashire Low uptake amongst deprived communities, men, BME & LD communities Individuals unaware of kit/how to complete Scared to complete due to fatalistic attitudes People need encouragement to complete the kits

15 Increasing the uptake of the BCSP in Lancashire by: 8 BCSP training packages (specific Language's/LD) Multi-lingual resources Toilet door sticker campaign 8 CCG Big Bowel Road shows 2 week CCG low uptake ward campaigns Mela/Festival stalls Barbers project West Lanc s BCSP project LD/MH BCSP project Pharmacy campaign TV & Radio/NP campaigns GP - laminated kits campaign Flu & Poo campaigns Pennine GP BCSP project Call for a Kit Clinics

16 How GP Practices can improve uptake of the BCSP in Lancashire Annual Flu and Poo Campaigns Display poster s and information stands in practices Hold a BCSP frontline training session Have laminated kits in each consultation room GP BCSP pack - top tips to improve BCSP rates- tag, txt or write to non responders Hold a Call for a Kit Clinic (CFAKC)

17 Call for a Kit Clinic (CFAKC) Community/GP Engagement Officers make contact with GP Practice Community/GP Engagement Officers invite non responders to a 15 min appointment at their GP Practice At the CFAKC - Non responders shown kit, DVD and kit ordered on their behalf from the HUB 6 weeks later OBIEE checked for results Non responders get a phone call to ask if kit arrived ( Nudge) 10 weeks later OBIEE checked again for final patient result At each stage GP Practice receives summary, at the end a final report

18 Future Plans Call for a Kit Clinic s in over 40 low uptake GP practices across 8 CCGs Train Practice Cancer Champions to run CFAKCs in their practices Formal academic evaluation of CFAKC s Sharing CFAKC project locally & regionally All the Health Promotion events to continue with partners esp CRUK Develop new projects based on local evidence

19 YOU VE GOT TO LAUGH

20 Thank you for listening Any Questions?