Presentation on theme: "Bowel Cancer screening programme 2006. The Facts Third most common Cancer in the UK. The Second most common cause of cancer deaths in the UK (approx 16,100."— Presentation transcript:
Bowel Cancer screening programme 2006
The Facts Third most common Cancer in the UK. The Second most common cause of cancer deaths in the UK (approx 16,100 deaths per annum). Approximately 34,900 new cases are diagnosed each year. The Lifetime risk of developing Bowel Cancer in the UK is 1:18 for men and 1:20 for women. 80% of people diagnosed with bowel cancer are 60 years of age or older. If Bowel cancer is diagnosed Dukes stage A, then 85-95% of patients live for more than five years after treatment. NHSBCSP 2006
The Bowel Cancer Screening Programme Eligible Population are; men and women aged 60-69, people over 70 can self refer. Initial screening is via a Faecal Occult Blood Test (FOBt), completed at home. Screening is offered every 2 years. Those with abnormal FOBt result will be offered Colonoscopy (or imaging if they are unsuitable for Colonoscopy).
Screening could reduce the number of Bowel Cancer deaths in year olds by 16%. The National Programme will be rolled out over a three year period commencing in NHSBCSP 2006
Programme Structure There will be five Regional Hub Centres, and they will coordinate up to 20 screening centres. The Hub Centres will manage call and recall services, process FOBt and arrange Screening Nurse Clinic appointments. Screening Centres will provide the Screening Nurse Clinics and Endoscopy Services. NHSBCSP 2006
Faecal Occult Blood Tests The FOBt kit is completed by participants in their own homes. Six tiny samples from three separate bowel motions are collected. Bowel Motions must be caught before they have reached the toilet bowl, suggestions on how this is achieved are sent out with the pack.
Samples are smeared onto the kit using the cardboard sticks supplied. Kits must be received by the Hub centre for testing within 14 days of the 1 st sample being taken. NHSBCSP 2006
FOBt Results Normal Result ; 0 out of 6 positive samples. Unclear Result; 1-4 out of 6 positive samples. Abnormal Result; 5 or 6 out of 6 positive samples. Technical Failure; unable to analyse the kit because of a problem in the Laboratory.
Spoilt Kit; Laboratory unable to analyse the kit because of an error by the participant when completing the test. Patients are notified in writing of the results within two weeks of the kit being processed. GP’s are notified in writing of all results. Unclear or Abnormal Results may be caused by conditions other than Cancer (e.g.; Haemorrhoids).
Further Investigations following Abnormal FOBt Result Initial appointment with Screening Nurse will be offered by the Local screening Centre. Detailed explanation will be given of the Colonoscopy procedure and its implications, Heavy Bleeding around 1;150 Perforation; around 1: 1500 Death; around 1: 10,000
Fitness for Colonoscopy will be assessed at the Screening Nurse Clinic. Participants for whom Colonoscopy is inappropriate may be offered an alternative investigation (imaging). NHSBCSP 2006
Conclusion Bowel Cancer is the 2 nd most common cause of Cancer deaths in the UK. Taking part in the Screening Programme reduces chances of dying from Bowel Cancer. Bowel Cancer Screening can also detect polyps that may develop into cancer over time.
Polyp Removal during Colonoscopy can reduce the chances of developing Bowel Cancer in the future. There is a chance that a Cancer can be missed if it was not bleeding when the screening test was taken. An Abnormal test result means that further investigations will be offered.
Most people who have a Colonoscopy will not have Cancer. Although rare there are risks associated with having a Colonoscopy. Not all Bowel Cancers detected by screening can be successfully treated. Although some people may find completing the FOBt kit unpleasant it can be done in the participants own home.
More Information and Useful Websites Free phone (programme Hub). Cancer Screening website at NHS Direct website at Cancer backup website at or call
Cancer help website at Bowel cancer UK website at or call Beating Bowel Cancer website at or call
All facts obtained from the National Bowel Cancer Screening Programme Debbie Winder Screening Manager December 2006