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PREPARED BY
National Bowel Screening Programme Meeting
19 August 2015
Why are you all here?
Provide information and set scene for regional meetings:
• What might a national bowel screening programme look like?
• Equity
• Waitemata DHB Pilot learnings
• Workforce implications
• National screening framework
Where have we come from
• 1998 - Population Screening for Colorectal Screening, NHC
• 2005 - Report of the Colorectal Screening Advisory Group
• 2008 – Next Steps Towards a Feasibility Study for Colorectal Screening
• 2010 – Pilot approach announced
• October 2011 – Pilot commences
• May 2015 – 2 year extension to the Pilot
• July 2015 – Minister of Health announces that he will report to Cabinet by December 2015 on a potential national bowel screening programme
PREPARED BY
Laying the foundationWhat it might look like
Mhairi PorteousManager, Bowel and Prostate
Cancer ProgrammesAugust 2015
Work in progress
• NZ Familial Gastrointestinal Service
• Bowel Screening Pilot since October 2011
• Colonoscopy wait time indicators for DHBs
• National Endoscopy Quality Improvement Programme
Waitemata Bowel Screening Pilot (BSP)
• Four year Pilot - 2012 to 2015 two screening rounds plus two year extension until end of 2017
• Age range 50-74, men and women (approximately 136,000 eligible people)
• Screening test - Faecal immunochemical test for Haemoglobin (iFOBT)
- Every two years
Acknowledge the hard work, commitment and willingness of the Waitemata Team.
Equity is Essential
Participation in the BSP Round 1 and the first year of Round 2
Participation in the BSP by ethnicityRound 1 and the first year of Round 2
Participation in the BSP by deprivation groupRound 1 and the first year of Round 2
NHI database extract
BSP register
Pre invitation letter
Invitation letter, test kit , consent form
Sample returned to laboratory
Result to register and GP
10 days
GP/Endo nurse refers to
Colonoscopy
55 days
Result letter to participant
Recall to screening in
2 years
Colonoscopy
Recall to screening in 5 yearsSurveillance
Opt off
Treatment
Opt off
NegativePositive
Quality is Critical
Across all elements of the programme
National endoscopy quality improvement programme
Some questions to consider
• What do we need to do to ensure equity of service delivery and outcomes across New Zealand and between different groups?
• How can primary care best support a national bowel screening programme?
• How might we ensure district health boards are ready to begin providing a bowel screening programme in their area?
• How could colonoscopy services best be organised?
• What do we need to consider in planning for additional colonoscopy volumes?
Some questions to consider continued
• How can private providers best support a national bowel screening programme?
• What issues do we need to consider around:• CTC• polyp and cancer histology services • surgical services• oncology services?
• What do we need to consider in planning for additional volumes in these services?
Contact us