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Waitemata Bowel Screening Pilot Gaye Tozer National Bowel Screening Programme Meeting 19 August...
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Transcript of Waitemata Bowel Screening Pilot Gaye Tozer National Bowel Screening Programme Meeting 19 August...
Waitemata Bowel Screening Pilot
Gaye Tozer
National Bowel Screening Programme Meeting
19 August 2015
The screening pathway
• Multiple providers• Equity focus• Raising awareness• Invitation• Results reporting• The primary care role• Colonoscopy (CTC)• Surveillance & treatment
Raising awareness(Health promotion and communications)
• the wider WDHB community• the eligible population• Maori, Pacific and Asian groups• primary care• other providers (symptomatic gastroenterology,
radiology, schedulers)
The invitation
• Pre-populated register• Pre-invitation – invitation/test kit• Birth date driven• Outsourced collation and mail out• New Zealand Post• Information line
Laboratory services
• Sample return processes• Sample analysis and reporting• Turn around time standards• “Spoilt” test kits
Primary care role
• Supporting participation – dashboard/DrInfo• Contacting participants with positive result• Discussing implications• Referring for colonoscopy• Referral time standard• No role in negative results management• PHO liaison roles
Colonoscopy
• Dedicated service• Telephone pre-assessment• Wait time standard• Volumes – then and now• Capacity• Relationship with symptomatic
service• Surveillance/treatment
Achieving equity
• Maori & Pacific input at all levels• Equity focused reporting• Maori and Pacific staff• Consultation and advice• Collateral design• Community Health providers• Active follow up
What have we learned?
• Health services are not mail houses• The design of forms/letters/pamphlets matters• New Zealand Post can provide a great service• GPs support the programme• Colonoscopy volumes can be a challenge• Telephone pre-assessment works well• Active follow up works• GPs use dashboard and DrInfo cont…
…cont What have we learned?
• A strong quality framework plus constant audit and review is essential to the maintenance of standards
• Screening standards can lift the symptomatic performance
• Achieving equity requires focus and expertise• Communicate, communicate, communicate