Steve Jones Cancer Research UK Hayley Taylor-Cox Public Health SMBC PRACTICE CANCER CHAMPIONS National Pilot Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

100% 8% 95% 7% Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

Hayley Taylor-Cox, Public Health Adviser, Cancer, Screening & Awareness Preventable cases of lung cancer, UK

You can make a difference We can give you the: * Tools * Training * Knowledge Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

Benefits to you * More knowledge about screening and cancer * Training and support * Personal and professional development * Make a difference * Gatekeeping Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

Benefits to Practice * Improved screening rates, particularly cervical screening * Improved efficiency in management process and systems * Improved safety netting of patients, including more efficient management of DNA’s * One named person to do cancer campaigns * Free cancer resources and advice * Additional knowledge in-Practice around current cancer programs Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

Benefits to patients Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

How to get involved in this national pilot! Hayley Taylor-Cox, Public Health - Cancer, Screening & Awareness

CANCER SCREENING PROGRAMMES CERI EAMES 2015

CANCER SCREENING PROGRAMMES BOWEL SCREENING Men and women aged 60 to 74 invites up to 75 Testing kit received in the post 6 stool samples needed BREAST SCREENING Women aged 50 to 70 Women over 70 can request screening Mammography CERVICAL SCREENING Women aged 25 to 64 in England Every 3 years up to age 49, then every 5 years Cytology National target 80% National target 60% National target 80% NHS Stockport CCG uptake 56% NHS Stockport CCG uptake 73.4% NHS Stockport CCG uptake 77.6%

Bowel screening 13

14 Patients are unsure about who to call to arrange bowel screening Patients procrastinating when the FOB test /appointment letter comes through There are cultural barriers Patient reports difficulty in completing the FOB test Patient is unable to catch sample Low perceived risk of getting bowel cancer Patients are worried about finding cancer Patients don’t understand the test Practice staff are unsure about who isn't completing the FOB test Obstacles in Bowel screening

Bowel screening 15

ADD TITLE (IN CAPITAL LETTERS!) Click to add subtitle Breast Screening

What are the pros and cons of breast screening? + SAVES LIVES. – Breast screening is estimated to save around 1,300 lives a year from breast cancer in the UK - LEADS TO OVERDIAGNOSIS AND UNNECESSARY TREATMENT – Around 4,000 women a year will be diagnosed with a cancer that would never have become life-threatening, and they will be treated unnecessarily 17

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How can practice staff help women understand the benefit and risk? USE THE NEW NHS SCREENING LEAFLETS AS A GUIDE – Acknowledge that these are difficult issues, so it’s normal to feel confused or uncertain. Patients can talk to their GP or Practice Nurse for more inforamtion. EXPLAIN CLEARLY – The concept of overdiagnosis is difficult! Explain that these cancers didn’t need to be picked up, and some women will have chemotherapy/radiotherapy /surgery they didn’t need. DON’T PUSH THEM TO TAKE UP SCREENING – Whether to have breast screening is an individual choice and there is no right or wrong answer. 20

Patients that DNA 21 DNA letter sent to lady 3-4 days after appointment missed and GP copied in. 2 nd breast screening appointment sent out approx 4 months later. If 2 nd appointment missed the lady can contact NLBSS to request a breast screening appointment.

What are we doing now? What works well? What doesn’t work so well and why?

ADD TITLE (IN CAPITAL LETTERS!) Click to add subtitle Cervical screening

WHAT CAN YOU DO IN YOUR PRACTICES? Click to add subtitle

WHY IS SCREENING IMPORTANT?

Ceri Eames 2015 THANK YOU

27 Scotland (50-74) Wales (60-74) You can’t opt in if over the age Northern Ireland (60-74) You can’t opt in if over the age Ireland (60-69, to be extended) Bowel screening