Cancer Screening in England Diane Gould July 2015

Learning Outcomes To list the cancer screening programmes in England To list the age ranges and intervals for screening To discuss the symptoms of common cancers To discuss how you could increase uptake of screening in your practice.

Quiz In groups work through the quiz questions We will feed back to the group.

Yes you can use your phones But Make sure you use reliable sites and quote them in your answers

Question 1 Breast Screening The programme is now phasing in an extension of the age range of women eligible for breast screening to those aged 47 to 73. This started in 2010 and is expected to be complete by 2016.Every 3 years Bowel screening The NHS Bowel Cancer Screening Programme offers screening every two years to all men and women aged 60 to 69. People over 70 can request a screening kit by calling the Freephone helpline 0800 707 6060. Cervical Screening Next slide

Age group (years)   Frequency of screening 25 First invitation 25 - 49 3 yearly 50 - 64 5 yearly 65+ Only screen those who have not been screened since age 50 or have had recent abnormal tests

Question 2 Two HPV types (16 and 18) cause 70% of cervical cancers and precancerous cervical lesions.

Question 3 There is also evidence linking HPV with cancers of the anus, vulva, vagina and penis. ?? Vaccine for boys and MSM.

Question 4 A lump or thickening in an area of the breast A change in the size or shape of a breast Dimpling of the skin A change in the shape of your nipple, particularly if it turns in, sinks into the breast, or has an irregular shape A blood stained discharge from the nipple A rash on a nipple or surrounding area A swelling or lump in your armpit

Men get breast cancer too.

Question 5 Bleeding from the back passage (rectum) or blood in your stools A change in normal bowel habits to diarrhoea or looser stools, lasting longer than 4 to 6 weeks A lump that your doctor can feel in your back passage or abdomen (more commonly on the right side) A feeling of needing to strain in your back passage (as if you needed to pass a bowel motion) Losing weight Pain in your abdomen or back passage

Question 6 Abnormal bleeding: during or after sexual intercourse, or between periods Post menopausal bleeding, Unusual and/or unpleasant vaginal discharge Discomfort or pain during sex Lower back pain. Sometimes no symptoms

Question 7 Having to rush to the toilet to pass urine. Passing urine more often than usual, especially at night. Difficulty passing urine, including straining to pass it or stopping and starting. A sense of not being able to completely empty the bladder. Pain when passing urine. Blood in the urine or semen.

Question 8 Persistent stomach pain Persistent bloating Finding it difficult to eat or feeling full quickly Needing to wee more often Back pain Changes in your bowel habits (diarrhoea or constipation) Feeling tired all the time

Question 9 3 months

Question 10 4 in 10 cancers could be prevented by lifestyle changes. Smoking Alcohol Obesity Sedentary lifestyle

Question 11 Your ideas

Ordering support material Remember people have worked hard to raise money – don’t order what you will not use Try and gift literature

Resources http://www.cancerscreening.nhs.uk http://www.jostrust.org.uk/ http://prostatecanceruk.org/ http://ovarian.org.uk/about-ovarian- cancer http://www.breastcanceruk.org.uk/ https://www.beatingbowelcancer.org/