1. Waitemata Bowel Screening Pilot Gaye Tozer National Bowel Screening Programme Meeting 19 August 2015

2. The screening pathway Multiple providers Equity focus Raising awareness Invitation Results reporting The primary care role Colonoscopy (CTC) Surveillance & treatment

3. Raising awareness (Health promotion and communications) the wider WDHB community the eligible population Maori, Pacific and Asian groups primary care other providers (symptomatic gastroenterology, radiology, schedulers)

4. The invitation Pre-populated register Pre-invitation – invitation/test kit Birth date driven Outsourced collation and mail out New Zealand Post Information line

5. Laboratory services Sample return processes Sample analysis and reporting Turn around time standards “Spoilt” test kits

6. Primary care role Supporting participation – dashboard/DrInfo Contacting participants with positive result Discussing implications Referring for colonoscopy Referral time standard No role in negative results management PHO liaison roles

7. Colonoscopy Dedicated service Telephone pre-assessment Wait time standard Volumes – then and now Capacity Relationship with symptomatic service Surveillance/treatment

8. Achieving equity Maori & Pacific input at all levels Equity focused reporting Maori and Pacific staff Consultation and advice Collateral design Community Health providers Active follow up

9. What have we learned? Health services are not mail houses The design of forms/letters/pamphlets matters New Zealand Post can provide a great service GPs support the programme Colonoscopy volumes can be a challenge Telephone pre-assessment works well Active follow up works GPs use dashboard and DrInfo cont…

10. …cont What have we learned? A strong quality framework plus constant audit and review is essential to the maintenance of standards Screening standards can lift the symptomatic performance Achieving equity requires focus and expertise Communicate, communicate, communicate