1. Cancer awareness and information vehicle Sandra Rowlands Cancer Awareness Services Manager Paul Mackenzie Health Inequalities Manager

2. Background Macmillan Information bus visited the network for 13 days in 2008 –Macmillan target is 6000 contacts per year –MCCN had 1815 contacts in less than 2 weeks Need identified for similar service –Obvious demand –High Incidence and mortality rates –Early Detection and Prevention strategy

7. Types of venues and groups visited Shopping centres/supermarkets Mosque Chinese community centre Construction sites Work places Town centres Mathew Street Music Festival Chester Liverpool Bike Ride The seaside West Kirby and Llandudno Chester Zoo Conferences Deaf centre

8. Levels of intervention

10. Number of Enquiries for Skin Related Visits for level 2, 3 and 4 intervention

11. Visitors by Gender Breakdown for Skin for Levels 2, 3, & 4

12. Age Range of Visitors for Skin Related Enquiries

14. If you had not visited iVan how likely would it have been for you to visit your GP or go to another service?

18. Economic evaluation iVan service costs £150,000 pa Sample 10 cases from each cancer Map CISSU data against PbR and other costs Validate typical pathway with clinicians For each part of the pathway calculate the range and cost median Compound sampling until data saturation across each part of the pathway Compare costs at different stages of presentation

19. CASE STUDY…

20. Conclusions The iVan service Provides assessment/advice at the different intervention levels depending upon client need Is highly rated by professionals and clients Appeals to different groups in society Can target specific areas Is identifying cancers and non cancer pathology Is likely to be very cost effective Provides prompts to clients to attend their GP Reinforces the message to check things out with their doctor if they are worried about symptoms