Video 3 - an overview of the National Bowel Cancer Screening Program and the potential impact on a GP practice.

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[Music]
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this is the third of four short videos
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designed to provide information to GPS
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regarding bowel cancer screening in
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Australia this video will give you
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details of the National bowel cancer
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screening program and its impact on your
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practice in 2006 the federal government
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started a stage to roll out of the
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program funding has been announced to
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expand the program to progress to full
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implementation where all Australians
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aged between 50 and 74 will be offered
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free to yearly screening and that will
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happen by 2020
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currently people aged 50 55 60 65 70 and
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74 are invited to participate from 2016
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sixty four and seventy two year olds
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will also be invited and from 2017 54 58
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and sixty eight year olds the four
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remaining groups 52 56 62 and 66 year
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olds will be included from 2018 to 2020
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eligible people receive a pre invitation
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letter near their birth date and that's
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followed by an invitation pack that
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includes an immuno chemical fecal occult
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blood test kit instructions and a
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patient details and consent form which
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asks them to nominate their GP for
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management of their results we'd really
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like you to encourage those who are sent
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an invitation kids to participate in the
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program and then assess people with a
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positive fecal occult blood test result
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and discuss with them referral for
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further investigation needless to say it
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should be a routine part of regular
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clinical care of all patients over the
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age of 50 that their suitability for
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participation be assessed and discussed
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following a positive results through the
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program you're asked to confirm on the
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patient's referral that their program
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participants and to include their
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positive fobt results then you need to
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notify the national program register of
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referral or indeed non referral for
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colonoscopy using the program's GP
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assessment report
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the GP assessment report can be
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downloaded from the National bowel
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cancer screening programs website and
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it's also available as a pre-populated
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template for their medical director and
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best practice software systems which if
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you don't have it can be downloaded from
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the Victorian Department of Health's
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bowel cancer screening page it can also
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be submitted online as a PDF by fax or
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by mail and has an Associated payment of
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$7 $70 edge' Cir ensures a complete
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screening history for each patient and
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supports follow-up reminders and program
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monitoring and evaluation it's important
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to identify patients as bowel cancer
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screening program patients on referral
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forms you can also refer to other public
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hospitals or to a private specialist or
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hospital of the choice of yourself or
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your patient the cost of the private
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procedure is dependent on the patient's
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level of private health insurance please
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note that a significant number of people
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are not invited to participate in the
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National bowel cancer screening program
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but may well be suitable for or wish to
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participate in self-funded fecal occult
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blood testing this includes temporary
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visa holders and temporary residents
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there are also a number of companies who
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offer self funded screening in Australia
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an immuno fobt kit can be purchased
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online from the Cancer Council Victoria
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website from some pharmacies or from
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other third-party providers such as
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pathology providers all GPS should be
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familiar with these options until the
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program has implemented full biennial
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screening you should advise your
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patients who are participating in the
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program to undergo fo B testing before
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they receive their next kit from the
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National Programme
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the national bowel cancer screening
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program will have a profound impact on
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the health and well-being of future
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generations of Australians so it's
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important that you bear in mind that
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with an aging population the number of
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people at risk of bowel cancer is
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actually increasing every year and that
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there's a proven reduction in mortality
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from bowel cancer by participating in
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screening to yearly FOBT screening for
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bowel cancer can save up to 500 lives
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every year in Australia given that 1 in
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23 Australians will develop bowel cancer
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during their lifetime and that the
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current average mortality from bowel
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cancer is approximately 40% with a 30%
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reduction in mortality then for each
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thousand patients in your practice by
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maximizing participation in the
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screening program you can predictably
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save the lives of between six and seven
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patients there are tools available to
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support your practice to promote f we'll
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be testing to eligible patients these
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include clinical audit tools and the
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consultation flipchart
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[Music]
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for all adult patients over the age of
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50 at each general review ensure that
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you assess for any recent symptoms
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focusing on the four cardinal symptoms
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that raise suspicions of bowel cancer if
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symptoms are present then a full
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assessment and documented discussion of
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the option of colonoscopy should occur
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assess for their family history of
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cancer in general and of GI and
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associated cancers in particular
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including the age of affected relatives
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if the family history is positive then
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this should be related directly to the
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NHMRC guidelines for screening and
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definitive advice provided specialist
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referral should occur if this requires
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clarification for all patients over 50 a
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clear discussion of the role of bowel
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cancer screening should occur all
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patients categorized along the NHMRC
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guidelines and definitive advice
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provided on to yearly screening
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including participation in the national
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program patient circumstances may
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indicate screening or surveillance
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outside of the program or colonoscopy
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ongoing compliance with this plan should
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be confirmed on an annual basis with
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education provided to patients who are
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not following recommendations
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the national bowel cancer screening
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program is an important public health
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initiative in Australia to yearly
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screening for bowel cancer via fo Bri
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testing can save up to 500 lives
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annually the role of general practice is
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critical to the success of this program
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because we know that encouragement and
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endorsement by our patients GP increases
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participation in the program thanks for
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your attention
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case studies follow this video
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[Music]
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you