healthy communities collaborative promoting earlier presentation of cancer symptoms – lung breast...
TRANSCRIPT
Healthy Communities CollaborativePromoting Earlier Presentation of
Cancer Symptoms – Lung Breast and Bowel
Tina Davies
Senior Project Manager
Policy Drivers
• CRS (2007)• NAEDI (2008)• CRS 1 Year on (2008)• N West Cancer Plan
(2008)• MCCN Early Detection &
Prevention Strategy (2008)
Mike Richards @ HCC Workshop
HCC Celebration Event
Where & Why?• 9 spearhead PCT’s - 2 year funding DOH via IF – till June 2009.• Funding – salaries, interim events, promo materials• Liverpool has some of the highest cancer incidences and deaths in
England for breast and bowel cancers and the highest death rate for lung cancer.
• 6 Council Wards – 119,000 people - Norris Green, Clubmoor, Princes Park, Riverside, Everton and Kirkdale
• All areas low literacy, BME communities.• Volunteer Community Action in all areas. Plan Do Study Act.
(PDSA)• Professionals and Community work together.• Started July 2007 – staff and teams in post January 2008
Who?
Community Members, CHAT’S and Health Trainers
The Liverpool Teams
Who?• Mixture of local people and paid workers• Mapping local area – target groups at risk• Monthly meetings in the local area• Local & National team members sharing ideas – via
Project Manager & workshops• Training secondary care – symptoms/signs• Screening information• No team is the same• Ongoing development – further work with primary care
services, Sure Start Centre.• Get out there in local areas
Steering Group Membership
• Consultant in Public Health (Chair)
• Head of Primary Prevention (Vice-Chair)
• HCC Senior Project Manager• HCC Project Support Manager• Age Concern• Marie Curie• Merseyside & Cheshire Cancer
Network• Public Health Neighbourhood
Managers• Community Members• Public Health Cancer Lead
•Cancer Commissioning Lead•Pharmacy Commissioning Lead•Environmental Health Lead – Council•GP Cancer Lead•Improvement Foundation staff•Bowel Screening Co-ordinator•Roy Castle Foundation•Secondary Care Cancer Lead•Health Promotion Cancer Lead
Collaborative working is the key
How????We use fun and imaginative ways!!
Low Literacy issues, Audio Visual, Songs
Quizzes, Plays, Films – Simple Information
Card Games
Language Specific, BME groups
HCC Change Principles• Segment and target the population – Mapping the areas, look at
the population, who is at risk of getting cancer. Targeting this group of people for example men and older people.
• Use and develop local networks, both formal and informal – We have worked with the CHATs team, Health Trainers and local community groups when looking at informal networks. Formal networks have included the Steering Group members and other PCT departments.
• Keep the message ‘clean’ and do not confuse it with preventative behaviour change – Ensuring teams are only talking about the early signs and symptoms and not stopping smoking or diet changes. However if people request this information the teams are able to signpost people if required.
• Ensure the means of delivery is appropriate to the audience – This has involved adequate planning of communication materials and methods. It has meant taking into account equality and diversity and the needs of our local communities, eg ensuring language specific materials are made available and using different methods of communication.
Simple Community Information
Postcards – recycle information ––community ideas
Tick boxesHelp Patients& GP’s
All information verified by Secondary and Primary Care clinicians – information vetted by community
Simple Community Information
Simple Community Information
Humour – Lynn’s Bowel Cancer Campaign
So Far, So Good• Since Jan 2008 – 8,000+ people targeted• Health fayres• Respect Weeks• Post Office queues “Waiting People”• Sheltered accommodation• GP Practices• Children’s Centres• Housing events• Community groups• Pharmacies• Use learning from other Project Managers • In pubs, clubs, betting shops• Bingo Hall’s• BBC Radio Merseyside publicity• Active Age Centre events• Health Trainers across city raising awareness• Links to screening services• Use awareness months• Boots the Chemist• Post Offices• Homeless Shelters
• Excellent to inform people about signs of different types of cancer – to save their lives before complications.
• It is very useful and informative programme for community development – health promotion and awareness.
• It is important to involve local people in spreading the information in their communities and taking part in this has been very worthwhile.
• I am very proud to be part of the Collaborative. It enables people and communities to take control of their health and to deal earlier with symptoms.
• The project is active, engaging and delivering what is said it would. Keep the good work going.
• The project is worthwhile it’s working well in communities.• Health Combined with Communication and Care
Comments from Community & Steering Group Members
Data to back it up
• Data in community – Collected via PDSA• Baseline – Hospital Data verified.• GP Practice (26 practices) info collected monthly and
inputted.• Number of urgent suspected cancer referrals
(difficulty with non-coding)• Number of new cancer cases • Number of new cancer cases diagnosed via urgent
referral• Number of new cancer cases with no spread at
diagnosis
% Baseline compared with 12 months data (26 practices)
29%
40%34%
94%
78%
41%
62%
87% 80%95%
90%
40%
0%10%20%30%40%50%60%70%80%90%
100%
New BowelDiagnosisvia 2week
NewBreast
Diagnosisvia 2week
New LungDiagnosisvia 2week
Bowel Nospread
Breast Nospread
Lung Nospread
% Baseline
% 12 months
10 months data
By patients presenting earlier it is hoped they will have reduced or no spread of the disease and it will be caught earlier. We are beginning to show that.
Baseline 1 April 06 –
31March 07
Data Collected
1 Oct 2007 – 1 Oct 2008
2ww DiagnosisOutcomes
Bowel 12%, Breast 0%, Lung 28%
No Spread Outcomes
Bowel 3% , Breast 1%, Lung 2%
Future plans
• Build on lessons learnt
• Extend project
• Planning based on incidence
Any questions
Contact Details:
Tina Davies 707 1555 x 108 or Olufemi Olajide 707 1555 x 135