1. Cancer Screening in England
Diane Gould July 2015

2. 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.

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

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

5. 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
Cervical Screening
Next slide

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

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

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

9. 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

10. Men get breast cancer too.

11. 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

12. 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

13. 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.

14. 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

15. Question 9
3 months

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

17. Question 11
Your ideas

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

19. Resources http://www.cancerscreening.nhs.uk
cancer