Improving the early presentation of cancer symptoms in disadvantaged communities: putting local people in control.
OBJECTIVE
Premature deaths from cancer affect deprived communities disproportionately. The Department of Health has funded a programme in 19 Spearhead PCTs, delivered by the Improvement Foundation, to promote the early presentation and diagnosis of breast, bowel and lung cancers, with the ultimate intention of improving outcomes.


METHODS
The programme uses improvement methodology and is a unique approach involving local people working in partnership in their communities to raise awareness of cancer symptoms and promote early presentation. The teams work with primary care, other statutory organisations and with the voluntary sector. The specific contribution of the local people has been in the identification of hard-to-reach groups and the tailoring of effective health messages.


RESULTS
Interim results show an increase in the number of urgent 2-week referrals and the proportion of new cancer cases diagnosed through the urgent 2-week referral route (from 43% to 51%) for all three cancers. These results were statistically significant for the bowel cancer and lung cancer pathways. There was also an increase in the proportion with no spread at the time of diagnosis for bowel cancer (38-43%) and breast cancer (41-44.5%), but these results did not reach statistical significance.


CONCLUSIONS
This programme, helping community volunteers to lead work on raising awareness and promotion of earlier presentation of cancer symptoms in partnership with primary care and other professionals, is delivering positive early results.
Lyon
D
D
The Improvement Foundation, 57 Spring Gardens, Manchester, UK. david.lyon@nhs.net
Knowles
J
J
Slater
B
B
Kennedy
R
R
D055088:Early Detection of Cancer; D006801:Humans; D012017:Referral and Consultation; D035862:Vulnerable Populations