1. BOWEL SCOPE SCREENING Dorset BCSP–
Dr Sally Parry

2. 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

3. 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.

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

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

6. 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%

7. 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

8. 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

9. 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)

10. 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%

11. Bowel scope polyp class
Dorset
Sessile 32
Pedunculated 3
Total 35

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

13. 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