NHS public health functions agreement 2017-18 NHS public health functions agreement 2017-18 Service...

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  • NHS public health functions agreement 2017-18 Service specification No. 26A NHS bowel scope screening programme

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    NHS public health functions agreement 2017-18

    Service specification No. 26A NHS bowel scope screening programme Version number: 1.0 First published: April 2017 NHS England Gateway Number: 06740 Prepared by: Public Health England with NHS England Public Health Commissioning Classification: OFFICIAL

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    This information can be made available in alternative formats, such as easy read or large print, and may be available in alternative languages, upon request. Please contact 0300 311 22 33 or email [email protected] stating that this document is owned by Public Health Commissioning Central Team, Medical Directorate.

    Promoting equality and addressing health inequalities are at the heart of NHS Englands values. Throughout the development of the policies and processes cited in this document, we have:

    Given due regard to the need to eliminate discrimination, harassment and victimisation,

    to advance equality of opportunity, and to foster good relations between people who

    share a relevant protected characteristic (as cited under the Equality Act 2010) and

    those who do not share it; and

    Given regard to the need to reduce inequalities between patients in access to, and

    outcomes from healthcare services and to ensure services are provided in an integrated

    way where this might reduce health inequalities

    mailto:[email protected]

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    1 Contents

    1 Service specification No.26A ............................................................................... 6

    2 Population Needs ................................................................................................ 7

    2.1 National and local context and evidence base .................................................................. 7 2.1.1 Background ................................................................................................................ 7 2.1.2 Definition Bowel Scope Screening .......................................................................... 7

    3 Outcomes ............................................................................................................ 8

    3.1 NHS Outcomes Framework Domains & Indicators ........................................................... 8 3.2 Local defined outcomes .................................................................................................... 8

    4 Scope .................................................................................................................. 9

    4.1 Aims and objectives of service .......................................................................................... 9 4.2 Equality and Heath Inequalities ........................................................................................ 9 4.3 Service description/care pathway ................................................................................... 10

    4.3.1 The invitation process .............................................................................................. 10 4.3.2 Demand and Capacity .............................................................................................. 10 4.3.3 Generation of invites ................................................................................................ 10 4.3.4 The Role of Hubs ..................................................................................................... 10 4.3.5 Self-referrals ............................................................................................................. 10 4.3.6 Invitation ................................................................................................................... 11 4.3.7 Appointments & re-booking ...................................................................................... 11 4.3.8 Suitability .................................................................................................................. 11 4.3.9 Reminders ................................................................................................................ 11 4.3.10 Manage bowel scope screening lists .................................................................... 11 4.3.11 Confirmation of lists .............................................................................................. 11 4.3.12 Text message services ............................................Error! Bookmark not defined. 4.3.13 Screening Centre attendance ............................................................................... 12 4.3.14 Participant Comfort ............................................................................................... 13 4.3.15 Histology sampling ................................................................................................ 13 4.3.16 Participant discharge ............................................................................................ 13 4.3.17 Data collection (bowel scope screening pathway) ................................................ 14 4.3.18 Equipment provision ............................................................................................. 14 4.3.19 Bowel scope screening outcomes and follow-up pathways .................................. 14 4.3.20 Normal result at bowel scope screening: .............................................................. 14 4.3.21 Abnormal result at bowel scope screening ........................................................... 14 4.3.22 High risk polyp identification at bowel scope screening: ....................................... 14 4.3.23 Intermediate risk polyp identification at bowel scope screening: ........................... 15 4.3.24 Low risk polyp identification at bowel scope screening: ........................................ 15 4.3.25 Cancer or suspected cancer detection: ................................................................. 15 4.3.26 Quality Assurance ................................................................................................. 15

    4.4 Workforce ....................................................................................................................... 17 4.4.1 Programme Manager ............................................................................................... 17 4.4.2 Administration staff ................................................................................................... 17 4.4.3 Endoscopy unit workforce ........................................................................................ 17 4.4.4 Bowel scope screening endoscopists....................................................................... 17 4.4.5 Specialist Screening Practitioners ............................................................................ 18 4.4.6 Other departments ................................................................................................... 18

    4.5 IT Systems ...................................................................................................................... 19 4.6 Population covered ......................................................................................................... 19

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    4.7 Any acceptance and exclusion criteria and thresholds ................................................... 19 4.8 Interdependence with other services/providers ............................................................... 19

    5 Applicable Service Standards ............................................................................ 21

    5.1 Applicable national standards (eg NICE) ........................................................................ 21 5.1.1 Criteria for bowel scope screening ........................................................................... 21

    5.2 Applicable standards set out in Guidance and/or issued by a competent body (eg Royal Colleges) .................................................................................................................................. 23

    6 Applicable quality requirements and CQUIN goals ............................................ 23

    6.1 Applicable Quality Requirements .................................................................................... 23 7 Location of Provider Premises ........................................................................... 23

    APPENDIX 1 ............................................................................................................. 24

    APPENDIX 2 ............................................................................................................. 26

    APPENDIX 3 ............................................................................................................. 30

    APPENDIX 4 ............................................................................................................. 31

    APPENDIX 5 ............................................................................................................. 32

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    1 Service specification No.26A This is a service specification to accompany the NHS public health functions agreement 2017-18 (the 2017-18 agreement). This service specification is to be applied by NHS England in accordance with the 2017-18 agreement. This service specification is not intended to replicate, duplicate or supersede any other legislative provisions that may apply. Where a specification refers to any other published document or standard, it refers to the document or standard as it existed at the date when the 2017-18 agreement was made between the Secretary of State and NHS England Board, unless otherwise specified. Any changes in o