1. Local Assessment Centres Hayley Heard Head of Programme

2. Local Assessment Centres Specialist Screening Practitioner Assessment Colonoscopy Radiological investigations Histopathology

3. Local Assessment Centre locations

4. Local Assessment Centre locations (1) ABM –Princess of Wales Hospital, Bridgend –Singleton Hospital, Swansea Cardiff and Vale –Llandough Hospital Cwm Taf –Prince Charles Hospital, Merthyr –Royal Glamorgan Hospital, Llantrisant Gwent –Caerphilly Miners Hospital

5. Local Assessment Centre locations (2) Hywel Dda –Bronglais Hospital, Aberystwyth –West Wales General Hospital, Carmarthen –Withybush Hospital, Haverfordwest North Wales –Wrexham Maelor Hospital –Ysbyty Glan Clwyd North West Wales –Ysbyty Gwynedd

6. Border Trusts Chester Shrewsbury and Telford Hereford

7. The future More Local Assessment Centres? Location of Local Assessment Centres

8. Suitability criteria Robust and challenging criteria Service requirements Departmental multi disciplinary meetings Complies with BSW assessment model for screening colonoscopists Adequate number of staff System for monitoring and reviewing unpredicted incidents and near misses Environmental Based in an acute hospital with cardiac arrest team on site Complies with BSG Standard for decontamination of equipment and participates in all Wales audit Private rooms for discussion / admission/ SAN phone calls

9. Suitability criteria Equipment Number of scopes recommended by the BSG guidelines Modern video endoscopes <8 years old Piped oxygen to colonoscopy rooms and recovery rooms Training Offer access to and agree to attend BSW training programme Sustainable delivery plan for training programme Work force development plans e.g. nurse colonoscopists

10. Trust visits Nov/Dec 2007 Meet implementation teams Baseline review questionnaire findings March 2008 Development of local assessment centre screening plans September 2008 Assessment of suitability for screening

11. Progress - ABM Single Implementation Team Two lists per week Decontamination equipment for Singleton Three Screening colonoscopists approved Two specialist screening practitioners

12. Progress – Cardiff & Vale Two lists per week New endoscopy unit being built Four Screening Colonoscopists approved Two specialist screening practitioners

13. Progress – Cwm Taf Single Implementation Team One list per week on alternating sites One colonoscopist approved Two specialist screening practitioners

14. Progress - Gwent Two lists per week Second endoscopy room is to be developed One colonoscopist approved Two specialist screening practitioners

15. Progress – Hywel Dda Two lists per week New endoscopy unit being developed in Bronglais Two Screening Colonoscopists approved Three specialist screening practitioners

16. Progress – North Wales Working towards a single implementation team Two lists per week Four colonoscopists assessed Four specialist screening practitioners

17. Progress – North West Wales One list per week Private admission room and SSP room being developed New decontamination equipment installed Two colonoscopists nominated Two specialist screening practitioners

18. Border Trusts and Powys Bowel screening has not been rolled out in the English border Trusts Border Trusts are able to accept referrals for Welsh residents SSP arrangements being discussed

19. Conclusions Recruitment, training and assessment of 15 Screening Colonoscopists rising to at least 20 by the end of November Recruitment and training of 17 specialist screening practitioners Development of Local Assessment Centre Screening plans Ready for launch