Download Tackling Inequalities in Screening

Tackling Inequalities in Screening
Sarah Manson
National Screening Programmes – Policy Lead
Scottish Snapshot
International Cancer Benchmarking Project: 5 year
colorectal % cancer survival rates (similar findings for
other cancer types)
AUS
CAN
SWE
NOR
DEN
70
65
60
55
50
45
1995-99
2000-02
2005-07
Cancer Incidence (2009-2013) and Mortality (2010-2014) by deprivation
quintile in Scotland. Age-standardised rates. (EASR: European Age
Standardised Rate – using ESP2013)
UK
Detect Cancer Early
Bowel Screening
Males
Females
Programme target 60%
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
5 least deprived
4
3
2
1 most deprived
Breast screening
Cervical Screening
Cervical Screening
Screening Inequalities Fund
Supporting screening services to accelerate development, testing and spread of ideas and innovation in
population based cancer screening
Overall aim
Intervention factors
Primary
contributing
factors
Required change
At local level
Strong engagement
with PC
Screening is
involved in local
strategic planning
Improving
Population Health
People can access
screening services at
the right time through
effective, sustainable
screening programmes
improving our ability
to detect cancer at an
early stage.
Our experience as
participants in
screening is
enhanced
People are better
informed and
empowered to
participate in
screening
V.1
ScreeningVi
sion
Screening
Outcome
Promote an Improvement based
Approach
Communication and Engagement
Increased use of
Technology to
inform and
empower people
Change is informed
by local data and
variation in
outcomes and
practice
E-Health
Facilitate a climate for change in
Screening
Theme 2: Cognitive Barriers
Screening better
addresses Health
Inequalities
Realistic
Med
Theme 1: Emotional Barriers
Screening services
meet peoples needs
Screening
Workforce are
improvers and
innovators
Screening services
manage Risk Better
Key
Increased
participation in
screening from hard
to reach groups
SG Implementation
activity factors
Enable Development and testing of
effective new screening interventions
through CS
Increased awareness
and understanding
of screening,
Screening
evidences reduced
variation, harm
and waste
Screening services
better contribute to
Improving
Population Health
Test of Change
Supported by CS
Our Screening
Infrastructure –
physical and digital
is improved
Accelerate spread through shared
learning and networking
Theme 3: Practical Barriers
Draw together learning and integrate
with other Screening Programmes
(other appropriate activities)
SSC/ Screening Programmes
Primary Care
Community
Screening Inequalities Network
DCE
Screening Inequalities Programme 6.3.17
Screening Inequalities Fund
Supporting screening services to accelerate development, testing and spread of ideas and innovation in
population based cancer screening
Increased
participation in
screening from
hard to reach
groups
Increased
awareness and
understanding of
screening,
Change is
informed by local
data and variation
in outcomes and
practice
Screening
services meet
peoples needs
Our Screening
Infrastructure –
physical and
digital is
improved
Increased use of
Technology to
inform and
empower people
Screening
Workforce are
improvers and
innovators
Theme 1:
Emotional Barriers
Theme 2:
Cognitive Barriers
Theme 3: Practical
Barriers
Supporting Workstream
Scottish
Government
Scottish
Screening
Committee
Screening
Inequalities
Network
Operational
group
Local
Boards/Projects
Thank you!
Sarah Manson
[email protected]