1. Skin cancer prevention: information, resources and environmental changes Implementing NICE guidance 2011 NICE public health guidance 32

2. What this presentation covers Background Scope Recommendations Costs and savings Discussion Find out more

3. Background Exposure to UV radiation is the leading cause of skin cancer Non-melanoma skin cancer is estimated to account for around a third of all cancers detected in the UK The incidence of malignant melanoma has more than tripled in Great Britain since the 1970s

4. Scope The guidance: Covers the first occurrence of skin cancer caused by overexposure to natural and artificial UV Aims to raise awareness and increase knowledge of the risks of UV exposure, influence attitudes and prompt behaviour change

5. Recommendations The guidance makes six recommendations on: information provision protecting children, young people and outdoor workers providing shade

6. Continue to raise awareness of the risk of UV exposure and how to protect against it via: - national mass-media campaigns - local, low cost information-related activities Ensure national and local messages are regularly repeated and revised Information provision: delivery

7. Identify groups, behaviours or activities which need to be targeted Ensure activities are evidence-based Establish clear, measurable objectives Develop and pilot national campaigns (where feasible, run pilots for local activities) Information provision: developing national and local activities

8. Include a simple explanation of how UV exposure can damage the skin Explain how someone can assess their own risk Give a balanced picture of the risks and benefits of being out in the sun Offer a range of options to help protect the skin against UV damage Information provision: message content

9. Messages should: be simple, succinct and tailored for the target group address the social and practical barriers to using sun protection enhance peoples belief in their ability to change be positive rather than negative Information provision: tailoring the message

10. Assess if there is a risk of harmful exposure to the sun Aim to prevent children and young people from getting sunburnt Encourage outdoor workers to wear protection to avoid getting sunburnt Assess the training needs of staff Protecting children, young people and outdoor workers

11. Consider providing areas of shade when designing and constructing new buildings For all new developments, ensure there is adequate access to areas of shade for people with a disability Check whether it is feasible to provide areas of shade when developing or redeveloping communal outdoor areas Providing shade

12. Costs and savings The guidance is unlikely to result in a significant change in resource use. However, recommendations in the following areas may result in additional costs, depending on local circumstances: information provision protecting children, young people and outdoor workers Savings are expected in the longer term

13. Discussion How can we ensure local campaigns support national messages? Which local groups should we target? How will we know whether the messages have been received and acted upon? How can we work with employers to implement this guidance?

14. Find out more Visit www.nice.org.uk/guidance/PH32 for the: guidance quick reference guide costing statement

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