1. Healthy Communities Collaborative Promoting Earlier Presentation of Cancer Symptoms – Lung Breast and Bowel Tina Davies Senior Project Manager

2. Where & Why? 9 spearhead PCT’s - 2 year funding DOH via IF – till June 2009. Included in Cancer Reform Strategy Funding – salaries, interim events, promo materials Liverpool has some of the highest cancer incidences in England for breast and bowel cancers and the highest rate for lung cancer. 6 Council Wards – 119,000 people All areas low literacy, BME communities. Volunteer Community Action in all areas. Plan Do Study Act. (PDSA) Professionals and Community work together.

3. Who? Community Members, CHAT’S and Health Trainers The Liverpool Teams

4. Who? Mixture of local people and paid workers Mapping local area – target groups at risk Monthly meetings in the local area Local & National team members sharing ideas – via Project Manager & workshops Training secondary care – symptoms/signs Screening information No team is the same Ongoing development – further work with primary care services Get out there in local areas

5. Steering Group Membership Consultant in Public Health (Chair) Head of Primary Prevention (Vice-Chair) HCC Senior Project Manager HCC Project Support Manager Age Concern Marie Curie Merseyside & Cheshire Cancer Network Public Health Neighbourhood Managers Community Members Public Health Cancer Lead Cancer Commissioning Lead Pharmacy Commissioning Lead Environmental Health Lead – Council GP Cancer Lead Improvement Foundation staff Bowel Screening Co-ordinator Roy Castle Foundation Secondary Care Cancer Lead Health Promotion Cancer Lead Collaborative working is the key

6. How???? We use fun and imaginative ways!! Low Literacy issues, Audio Visual, Songs Quizzes, Plays, Films – Simple Information Card Games Language Specific, BME groups

7. Localised Simple Information Postcards – recycle information –– community ideas Tick boxes All information verified by Secondary and Primary Care clinicians – information vetted by community

8. Localised Simple Information

10. So Far, So Good Since Jan 2008 – 6,000+ people targeted Health fayres Respect Weeks Post Office queues “Waiting People” Sheltered accommodation GP Practices Children’s Centres Housing events Community groups Pharmacies Use learning from other Project Managers In pubs, clubs, betting shops Bingo Hall’s BBC Radio Merseyside publicity Active Age Centre events Health Trainers across city raising awareness Links to screening services Use awareness months Boots the Chemist Post Offices Homeless Shelters

11. Data to back it up Data in community – Collected via PDSA Baseline – Hospital Data verified. GP Practice (26 practices) info collected monthly and inputted. Number of urgent suspected cancer referrals (difficulty with non-coding) Number of new cancer cases Number of new cancer cases diagnosed via urgent referral Number of new cancer cases with no spread at diagnosis

12. Data so far By patients presenting earlier it is hoped they will have reduced or no spread of the disease and it will be caught earlier. Baseline 1 April 06 – 31March 07 Data Collected 1 Oct 2007 – 31 July 08 Outcomes Bowel up by 4%, Breast 9% decrease Lung 20% increase Poss Breast Screening

13. Contact Details: Tina Davies 707 1555 x 108 or Olufemi Olajide 707 1555 x 135 tina.davies@liverpoolpct.nhs.uk olufemi.olajide@liverpoolpct.nhs.uk