1. Cervical Screening: A Team Approach to Engaging Women September 2015

2. 1.Agree opportunities and processes for building a positive relationship and encouraging participation in cervical screening 2.Understand the role and responsibilities in encouraging cervical screening. 2 Purpose

3. Overview: What is working well? What does the data show? What are some different approaches that can improve access for priority women? A team approach to developing and reviewing new ideas 3

4. What does the data show? Within your practice, what is the profile of “Priority Women?” How does that compare with the Auckland-wide profile? Which groups are reaching 80% coverage and getting the health gain? 4

5. 5 What does the data show?

6. What Choices do Women Have:  Within your service?  Other services? 6

7. I know the people who work at my doctor’s. I don’t want to go there I like seeing my family doctor. 7

8. What are NCSP “Priority Groups” Women who are due for their cervical smear, are under screened or unscreened and are: aged 20-69 and are Maori, Pacific or Asian OR Any other woman between the age of 30-69 who have never had a smear or are >5rs overdue (from date of previous smear) 8

9. “Hard to Reach” Women never or under-screened (> 5 years overdue) or have had an abnormal smear, and are overdue, or women who are overdue for their second smear (12 months after first) AND are consistently hard to reach for invitation and recall, or experience barriers that make it difficult to have a smear, even though they would choose to have one. 9

10. What are some different approaches that can improve access for priority women? How do we contact women? What response rate do we get from each type of contact? If we were to try something new, how would we know how well it worked? 10

11. What are some different approaches that can improve access for priority women? (con) Is there anything in the language we are using that could be changed to be more positive? What can be changed to avoid the perceptions of guilt or blame? Do our methods of contact meet language and cultural needs? 11

12. A team approach to developing and reviewing new ideas Improving engagement and communication Using opportunistic conversations and smears 12

13. Opportunities for Contact 13 Contact Points What is already working well What we can tryWho will lead Invitation and Recall At Reception Opportunistic Conversations Other

14. Plan Do Study Act Template 14

15. Resources The following resources have been developed for health teams working in primary care, and health promotion and support workers in primary care and community agencies: Tips and Hints Frequently Asked Questions Printed invitation slips Useful examples of letters/texts/phone conversations Planning and Review Template Plan Do Study Act template Translated print resources (on website) Section 1 How To Guide “Engagement” (on website) 15

16. Auckland Regional Cervical Screening Coordination Project Website http://nationalwomenshealth.adhb.govt.nz/health-professionals