prevention and screening programs in practice Flashcards
what is screening
dividing population into high and low risk groups. high risk then undergo further testing for that disease.
why do we screen
to reduce the risk and impact of the disease and to allow earlier treatment for those who are affected
who decides what were screened for
NSC (national screening committee) they review, advise and make recommendations about all aspect s of screening
on what basis do they decide what we are screened for
the condition, the test, the intervention, the screening programme and the implementation criteria
who makes screening happen
NCS recommend it and then the department of health part of NHS England make a decision about implantation and they they do a pilot phase or roll full phase out
what screening programs do we currently have
cancer for breast, cervical and bowel, adult for diabetic eye, antenatal e.g sickle cell and feral anatomy screening and new born e.g blood spot or new-born hearing
why do we have screening for bowel cancer
its a large cause of death which can be prevented if treated early. also the test is acceptable and the screening is effective
who is screened for bowel cancer
everyone from age 60 get bowel screening to 74. if positive get colonoscopy. its done via a test kit sent to peoples homes where they send back a stool sample. BUT only about 60% of people respond
factors affecting uptake
more lily to respond if woman, non-smoker, if feeling unwell and if already done the test. less likely to respond if heavy drinker, dint speak English as first language, have warning difficulty
how to improve uptake
better info,, less unpleasant process and change the test ( are doing this they are changing it where different type of sample taken where only 1 sample needs to be taken rather than over 3)
what is the problem with an increased uptake
more people needing a colonoscopy but don’t have money or resources for ti
what is the plan for the future of bowel cancer screening
screen everyone from age 50, use combo of bowel scope (flexible sigmoidoscopy) and FIT (quicker test) testing
what happens when there is greater uptake
there is also greater benefit produced by the programme
what are the aims of screening services
people have enough info for informed decisions about screening and remove bargees for people wanting to access screening services
