prepared by national bowel screening programme meeting 19 august 2015
TRANSCRIPT
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?
