BOWEL SCOPE SCREENING Dorset BCSP 11.1.2015 – 28.4.15 Dr Sally Parry

Benefits of bowel scope screening? Key benefit is the prevention of colorectal cancer 2 cases of colorectal cancer are prevented for every 300 people screened Reduces colorectal cancer mortality 1 colorectal cancer death is prevented for every 300 people screened

Dorset – Planning assumptions Eligible Population (aged 55) 2015 – 11,823 1% opt ins (x 4 years) – 473 Plan based on uptake of 50% 5% conversion to colonoscopy when high risk polyps are found Central team based at PHFT and 4 satellite sites (Royal Bournemouth, Dorset County and DHUFT (Wimborne and Swanage) Nurse Endoscopists will deliver lists at all sites. There are 4 Bowel Scope accredited nurse endoscopists in Dorset. There are 4 more currently in training.

ROLL OUT PLAN FOR DORSET Site Date of first list Number of lists per week (full rollout) Poole Hospital 11.3.15 6 Dorset County Hospital tbc 3 Swanage Community hospital 2.9.15 0.5 Wimborne Community Hospital 28.9.15 1 Royal Bournemouth Hospital January 2016 3.5

SUMMARY Dorset Programme : First invites 12th January 2015 , First two lists 11th March 2015 at PHFT. Dorset National Data Invited 629 100,852 Self referrals 691 (0.7%) Responded 280 48,550 Reschedule rate 28.57% 38.87% Attended 128 35,921 Dorset data taken from BCSS dashboard 28.4.15

National Data Report date range – start of programme to 31 March 2015 National Response National Uptake 52.42% 43.55% There is no published data for Dorset yet but early indications are that our uptake is around 60%

EPISODE OUTCOMES Dorset National data Cancer 43 (0.12%) High risk 259 (0.72%) Intermediate risk 1 (0.78%) 421 (1.17%) Low risk 523 (1.46%) Abnormal (not polyps) 50 (39.06%) 14,313 (39.85%) Normal 73 (57.03%) 19,568 (54.48%) Not suitable for Bowel scope 17 (0.05%) Inadequate outcomes 3 (2.34%) 777 (2.15%) Total 128 35,921 Inadequate – waiting for Histology results, referred for Colonoscopy, episode still open

PROCEDURES CARRIED OUT Dorset National data Bowel Scope 127 35,311 Colonoscopies 1 1,458 Flexible Sigmoidoscopy 54 Limited Colonoscopy 4 Total 128 36,827 Dorset National data Index colonoscopies required 3 1,562 Index colonoscopies attended 2 1,402

DIAGNOSTIC TEST RESULTS Dorset Abnormal – polyps found 21 Abnormal – Polyps & NND 5 Abnormal – NND only 28 Normal 73 Total 127 * 1 x Bowel scope procedure was attended and the scope was not inserted NND: Non neoplastic diagnosis (such as diverticular disease, Haemorrhoids, Inflammatory bowel disease, etc)

BOWEL SCOPE POLYPS Procedure Dorset With polyps 26 Polyps seen 35 Polyps resected 32 Polyps resection rate 91.43% Polyps retrieved Polyps retrieval rate 100%

Bowel scope polyp class Dorset Sessile 32 Pedunculated 3 Total 35

Bowel scope polyp location (for polyps seen) Dorset Rectum 9 Sigmoid 23 Descending 2 Transverse 1 Total 35

Blank – (waiting histology) Polyp size (endoscopic) For polyps seen Histological polyp size for polyps resected & retrieved For polyps resected and retrieved Polyp size Dorset 1-2mm 8 3-4mm 20 5-6mm 5 >10mm 2 Grand Total 35 Histological size Dorset 1-2mm 15 3-4mm 10 5-6mm 5 Blank 2 Grand Total 32 Polypectomy device For resected polyps Polyp type For polyps resected and retrieved Polyp therapy Dorset Cold biopsy forceps 1 Hot biopsy forceps 27 Hot snare 3 Cold snare Grand Total 32 Polyp type Dorset Adenoma 16 Serrated lesion 14 Blank – (waiting histology) 2 Grand Total 32