CANCER SCREENING AND DIAGNOSIS D R M A T T N O R M A N G P P A - - PowerPoint PPT Presentation

CANCER SCREENING AND DIAGNOSIS

D R M A T T N O R M A N G P P A R T N E R , T H E B E L L S U R G E R Y P R A C T I C E C A N C E R C H A M P I O N

Patient Participation Group Presentation 21 September 2020

Exist istin ing g cance cer r screen reening ing

• Cervical
• Breast
• Bowel

Futur ture change anges Cancer ncer det etect ection, ion, NG1 G12 2 guid idelin elines Cancer ncer work/me rk/meetin ings gs at the e Bell l Surg rgery: y:

• Palliative care meetings
• New cancer diagnosis

meetings

• Screening in hard to

reach groups

TODAY’S TALK

CANCER SCREENING

“Sc

Screeni eening ng is a way of iden enti tifyin fying g apparent rently ly healt lthy people le who may have e an incre creased sed risk k of a particular ticular condition”

CERVICAL SCREENING

“the smear test” or “the pap smear”, named after George rge Pa Papanicola nicolaou

• u

Became ame gold d stan andar dard d test st in 1940 940s USA Remai mained ed standar ndard d screening eening test st until il 2019 High gh-ris risk k HPV V test sting g – more e sensitiv sitive, e, less ss specif ific ic Centr tral al invit itat ations ions Every y 3 y years s 25-49, every y 5 y years s 50-64 64

BREAST SCREENING

Mammogr mogram am Betw etween een ages s 50 and 70, every y 3 y years Benef efits its Risks sks Positi sitive e result? ult? Und Under er 50 o

• r over

r 70

BOWEL SCREENING

Introdu

• duce

ced d in UK 2006 Faecal al Occult t Bloo

• od

d Test sting ing (FOBT) OBT) Faecal al Immu munochemic nochemical al Test sting ing (FIT) IT) 60 60-75, every y 2 y years One ne-of

• ff sigmoidoscop

gmoidoscopy Non resp sponders

• nders

NATIONAL, LOCAL AND BELL SURGERY SCREENING RATES

Breas ast t scree eenin ning: g:

• Bell 73%
• Oxfordshire 74%
• England 72%

Cervic vical al screen eening: ing:

• Bell 74%
• Oxfordshire 72%
• England 73%

Bowel el scree eenin ning

• Bell 63%
• Oxfordshire 62%
• England 61%

WHAT IF YOUR GP THINKS YOU MAY HAVE CANCER

Two week wait it referral erral Threshold eshold for two week wait it referrals errals % of cancers s diagnos gnosed ed by two

• week wait

t referral: erral:

• The Bell 61%
• Oxfordshire 64%
• England 53%

NHS S Long g Term rm Plan n for cancer

WHAT IS THE FUTURE FOR CANCER SCREENING?

Prost

• stat

ate e cancer Ovaria rian n cancer Oesoph

• phageal

ageal cancer Geneti tic screening eening

NG12 GUIDELINES

86 page document ment outlining lining all the cancer r guidelines delines

WORK AT THE BELL SURGERY

Month thly ly palliat liativ ive e care meeti tings gs Quarterly erly new cancer r diagnosis nosis meeti etings gs Weekly ly referral erral audit it Hard d to reach h groups ups

• Targeting Learning disability

KEY TAKE HOME POINTS

1.

• 1. Everyone

ne has been touche hed d by cancer r in some e way 2.

• 2. If you have a q

quest stion, n, just st ask 3.

• 3. Atten

end cancer er screen ening ing

REFERENCES

https://ww s://www.n .nhs hs.u .uk/c k/condi

• ndition

ions/nhs s/nhs-sc screen enin ing/ g/ https://ww s://www.n .ncbi.nlm bi.nlm.n .nih ih.go .gov/p /pmc/a mc/articles/P icles/PMC4613 13936 36/ https://w s://weba ebarchiv ive.nation e.nationalar alarchiv ives es.g .gov.u .uk/2 k/2018 18032 32813 13363 632/h 2/htt ttp://digita ://digital.n l.nhs hs.u .uk/c k/cat atalogue/P alogue/PUB2 B22414 https://ww s://www.go .gov.u .uk/go /gover ernment/pu ment/publi blicat ation ions/c s/cer ervical ical-sc screen ening ing-prim imar ary-hpv hpv-sc scree eening ing-im imple lementat mentation ion/c /cer ervical ical- scre reenin ing-im implem lementation ion-gu guid ide-for

• r-pr

prim imar ary-hpv pv-sc screenin ing# g#sc screenin ing-test sts https://c s://cks.ni ks.nice.o e.org.u g.uk/c /cer ervical ical-sc scree eening ing https://gpn s://gpnot

• teb

ebook

• ok.c

.com

• m/sim

/simplepa lepage.c ge.cfm?ID= ID=-65 6508 0838 38014 https://ww s://www.c .can ancerr erres esea earchu huk.org/ab .org/abou

• ut-can

ancer/br er/brea east st-can ancer/get er/gettin ting-diagn diagnose

• sed/t

/tes ests-dia diagn gnose

• se/m

/mam ammo mogr gram am https:/ s://www /www.natu .nature.c re.com/a m/article icles/ s/nrc2287 https://ww s://www.n .nice ice.org.u .org.uk/gui k/guida dance/c e/cg4 g41/do /documents/f ments/fami mili lial-br breast ast-can ancer er-upda date-full ll-gu guid idelin eline2 https://ww s://www.n .ncbi.nlm bi.nlm.n .nih ih.go .gov/p /pmc/a mc/articles/P icles/PMC5720 2003 037/ https://ww s://www.engl .englan and.n d.nhs.u s.uk/wp k/wp-con

• nten

ent/up t/uploa loads ds/2 /2019/02 /02/r /rep epor

• rt-of
• f-th

the-ind independent ependent-revie iew-of

• f-adu

dult lt-sc screen ening ing- progr gramm amme-in in-en englan gland.p d.pdf df https://ww s://www.lon .longt gtermp ermplan lan.n .nhs hs.uk/areas k/areas-of

• f-work/c

k/can ancer/ er/

www.th .theb ebellsurge ellsurgery.co.uk .co.uk The e Bell l Surger urgery @TheBellSurg heBellSurger ery @th theb ebellsurge ellsurgery