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NHS Screening Programmes in Cheshire & Merseyside. Fiona Johnstone ChaMPs Lead Director of Public Health for Screening October 14 th 2010. Today’s Objectives. To raise awareness of NHS Screening Programmes To review the current picture in C&M
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NHS Screening Programmes in Cheshire & Merseyside Fiona Johnstone ChaMPs Lead Director of Public Health for Screening October 14th 2010
Today’s Objectives • To raise awareness of NHS Screening Programmes • To review the current picture in C&M • To discuss key issues and actions related to commissioning and provision • To share good practice and effective interventions • To define the next steps and way forward
What is Screening? • Screening is a method of testing apparently healthy people • It can identify who does or does not have an increased chance of having a particular condition • However screening does not guarantee a person will get the condition; that the condition will be found; or that the condition can be treated • Although not infallible, screening can be very effective at preventing disease or diagnosing at an early stage
Screening in Cheshire & Merseyside The 1st screening programmes (breast & cervical) arrived in C&M approx 20 years ago Since then several other adult, newborn and children’s screening programmes have been implemented Currently the 8 PCTs in C&M work collaboratively and/or independently to commission and manage screening programmes locally
Local Issues • Issues identified in 2009 Review of Screening Programmes in C&M undertaken by John Moores University included: • Complex commissioning processes with lots of duplication • Leadership, accountability and clarity of role issues between public health and commissioning teams • A lack of robust data collection and reporting mechanisms • A need for increased public health involvement in Antenatal & Newborn screening programmes
How we Addressed the Issues • Key developments in screening over the last 18 months: • Established Screening Lead’s Forum • Facilitated a series of Antenatal & Newborn presentation workshops • Developed key performance indicators for all programmes • Produced a Commissioning Framework • Developed a proposal for implementation of AAA screening across all PCTs • Agreed a plan to modernise the current commissioning arrangements across all PCTs
Future Developments • Screening plans for 2010/2011 onwards include: • Utilisation of screening data to inform planning • Improvement in uptake rates • Implementation of AAA screening • Greater collaboration between public health, commissioning and provider teams • Implementation of new model of commissioning