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

Bowelcancerteam@moh.govt.nz