1. 1 Community Champions (cancer awareness) NHS Doncaster Early Cancer initiative Dr Rupert Suckling/Louise Robson NHS Doncaster Fiona Lemmon – Community Champion 5th December 2011

2. 2 Cancer Survival –is poor

3. 3 1 year Survival rates in Doncaster are lower than UK and Europe 1 year survival is linked to late presentation Early diagnosis improves chances of survival If 34 deaths were avoided every year then Doncaster would be at the national average Survival Rates – can be improved

4. 4 National funding secured in 2010 Expands Cough, Cough Campaign (2007-09) to breast bowel and lung cancer Push/pull approach – emphasis on community push this time Project plan and steering group established Primary research conducted by company called Solutions Background

5. 5 Improve the one year survival rates of the three main causes of cancer mortality in Doncaster – lung, breast and bowel Increase awareness of signs and symptoms and remove barriers Increase early diagnosis and screening uptake Aim of the Project

6. 6 For breast, increase 1 year survival rate from 94% to 95% For lung, increase 1 year survival rate from 28% to 30% For bowel, increase 1 year survival rate from 67.8% to 70% The Challenge

7. 7 Profile summary of Doncaster population (300,000) Identified areas with highest cancer mortality rates for each tumour site and interviewed a selection of local people Lung – highest mortality rates in Denaby, Edlington and Stainforth Breast – no community significantly worse than Doncaster average Bowel – Communities with highest levels from a mix of most and least deprived Interviews to check out reactions to ‘Cough, Cough’ campaign vs ‘Cancer Chancer’ campaign (Manchester) vs ‘Be clear on cancer’ (National) Community Research

8. 8 Engagement Engagement with health professionals Awareness briefings at community forums Mail outs to GPs and Pharmacies 500 Street surveys in towns across Doncaster in March/April 2011 Materials Use local materials based on Cough Cough campaign Used more direct messages about cancer signs and symptoms including national materials ‘Be Clear on cancer’ People Invest in local people i.e champions to spread the messages – snowball effect 2011 Approach

9. 9 Recruited through our partner (the Hub) and word of mouth/PR 15-20 active champions (differing levels of activity): some cascading via their organisations and some volunteers Recruited from those areas with highest mortality rates for all tumours Used local media to promote Launch on 26 th May 2011 in Frenchgate centre Evaluation undertaken in July 2011 Our Community Champions

10. 10 Training day at Danum Hotel Peer learning from North East Lincolnshire Second wave training - 15 th November 2011 Training and Resources

11. 11 Be clear on cancer quiz – pilot phase Staged approach - start small and speak to families and friends and then move onto events and groups Local events: LINK / Get Life wise (partnership with Fire and police ) / Doncaster Rovers and local supermarkets/local galas Face book page created by local champion Community forum newsletters and groups Cascading through organisations e.g M25/Outwood Academy Bowel cancer screening event – July 2011 Champions evaluation/feedback – end July 2011 Brief interventions

12. 12 22 champions recruited initially by Hub in May 2011 15-20 champions still active in Doncaster and still recruiting Delivery of 3 training sessions (20 participants) and more planned Champions: mix of male/female/ all ages; 3 cancer survivors and some with close family history of cancer Mixed methods of approach: friends and family; group presentations; Face book ; local events; community forums and newsletters; pharmacies; sports clubs Partnership events – Link; Get Life wise; Doncaster Rovers Key Achievements

13. 13 1320 face to face contacts up to July 2011 4380 leaflets, posters and quizzes distributed up to July 2011 Media exposure valued at £5k+ – press releases; radio interviews and calendar ITV feature (October 2011) 434 Face book hits (up to July 2011) Distribution of 3890 brief intervention booklets (minimum of 1320 conversations in communities that are known) Success of initiative and current champion referrals/events has brought new recruits Pharmacy campaigns – mail out to 76 pharmacies Key Achievements -2

14. 14 Support structure for local champions On-going evaluation Continuation of campaigns into 2012 Mainstream in planning of public health services/strategic context Links to Local authority and third sector Next Steps

15. 15 A Personal perspective – Fiona Lemmon