Dr Richard Baxter

GP Clinical Lead, Cancer

Hounslow Clinical Commissioning Group

• Prevention. Reducing the likelihood of cancer occurring in individuals without this.

• Screening. Identifying individuals with cancer very early before they have any

symptoms.

• Early presentation. Raising awareness of which are the key symptoms and ensuring

people attend with these.

• Prompt referral to treatment. Raising awareness amongst GPs of who should be

referred and ensuring urgent referral pathways work well.

• Primary treatment.

• Survivorship.

• End of life

Cancer Screening and Cancer in Hounslow

• Living a healthy lifestyle can help prevent some types of cancer

• Key actions to take:

– Not smoking

– Eat healthily (at least ‘5 a Day’ of fruit and vegetables)

– Take enough exercise: at least 150 minutes of moderate aerobic

activity such as cycling or fast walking every week, and strength

exercises on two or more days a week that work all the major

muscles (legs, hips, back, abdomen, chest, shoulders and arms).

– Drinking alcohol in moderation or not drinking alcohol

Early preventable cancer deaths in Hounslow

reducing and more can be prevented

Breast Cancer: ‘Breast awareness Five-Point Code’

• Know what is normal for you

• Look and feel

• Know what changes to look for

• Report any changes without delay

• Attend for breast screening if aged 50 or over

Changes to look out for

• Appearance. Any change in the outline or shape of the breast, especially those caused by arm movements, or by lifting the breasts. Any puckering or dimpling of the skin.

• Feelings. Discomfort or pain in one breast that is different from normal, particularly if new and persistent.

• Lumps. Any lumps, thickening or bumpy areas in one breast or armpit which seem to be different from the same part of the other breast and armpit. This is very important if new.

• Nipple change. Nipple discharge, new for you and not milky. Bleeding or moist reddish areas which don’t heal easily. Any change in nipple position –pulled in or pointing differently. A nipple rash on or around the nipple.

Breast screening service

• All women aged 50 to 70 are invited for breast screening every 3 years.

• Screening saves lives from breast cancer: Lives are saved because cancers are diagnosed and treated earlier than they would have been without screening.

• Screening finds breast cancers that would never have caused a woman harm

• What is breast screening? Breast screening uses an X-ray test called a mammogram to check the breast for signs of cancer. It can spot cancers that are too small to see or feel.

• Results: You will receive a letter with your breast screening results within 2 weeks of your appointment. The results will also be sent to your GP.

• For more information about breast screening visit: www.nhs.uk/conditions/breast-cancer-screening

Breast screening coverage in Hounslow

2010-2016

Cervical Cancer

• What is cervical

cancer?

• What causes cervical

cancer?

Cervical Cancer Screening

• NHS cervical screening helps

prevent cervical cancer: It

saves as many as 5,000 lives

from cervical cancer each year

in the UK

• Who is invited? The NHS

offers cervical screening to all

women aged 25 to 49 every 3

years and to all women aged

50 to 64 every 5 years

Cervical Screening:

• Usually carried

by female doctor

or nurse

• Should receive

results in two

weeks

Cervical screening levels in Hounslow 2010-2016

Bowel Cancer Screening: Purpose

• Bowel cancer screening aims to detect

bowel cancer at an early stage (in

people with no symptoms), when

treatment is more likely to be effective.

• Bowel cancer screening can also detect

polyps. These are not cancers, but may

develop into cancers over time. They

can easily be removed, reducing the risk

of bowel cancer developing.

Who is at risk of developing bowel cancer?

• Both men and women are at risk of developing bowel cancer.

• Your risk of developing bowel cancer increases with age. Eight

out of 10 people who are diagnosed with bowel cancer are over

60.

• People with a family history of bowel cancer have an increased

risk of developing the disease.

• People who take little exercise, people who are overweight, and

people who have a diet high in red meat and low in vegetables,

fruits and fibre are all thought to have an increased risk of

developing bowel cancer.

The bowel cancer screening test

• The screening test detects tiny amounts of blood,

which you cannot normally see, in your bowel motions

(poo)

• It is called the Faecal Occult Blood (FOB) test (‘occult

blood’ means hidden blood).

• You carry out the FOB test in the privacy of your own

home. The screening kit provides a simple way for you

to collect small samples of your bowel motions.

• You wipe the samples on a special card, which you

then send in a hygienically sealed Freepost envelope

to a laboratory for testing.

Bowel screening: summary of screening results

Bowel cancer screening uptake in Hounslow

2015-2016

Any questions?