Prevention / Early Detection

Be Clear on Cancer (BCOC)
The Department of Health started the awareness raising Be Clear on Cancer campaigns in 2010.  Today, the activities are led by Public Health England but delivered in partnership with NHS England, the Department of Health and Cancer Research UK.  The aim of the work is to increase levels of general awareness of recognising warning signs and symptoms to encourage people to access their GP sooner, leading to successful earlier diagnosis, which in turn leads to improved survival rates for those diagnosed with cancer.  Current campaigns: There will be two regional pilots early in 2017; one will be focused on raising awareness of bowel cancer and the other will focus on abdominal symptoms.

Teachable Moments
The principle of 'teachable moments' is to target people who have not been diagnosed ("non-converting") following a suspected urgent cancer referral to hospital ("2 week wait referral").  This is the case for around 90% of all suspected urgent referrals but there is currently no way to 'catch' this population and intervene with appropriate education materials and advice for those people who have shown at least one risk factor for cancer, which led to the initial referral.  Method of delivery: A training working / presentation has been developed, which could be used to train staff 'train the trainer', leading to a wider population with early detection and awareness of signs and symptoms skillset. 

Macmillan GPs
Macmillan Cancer Support has funded GP positions from the early 1990's, following the success of supporting the development of specialist palliative medicine in the UK.  Macmillan recognised there was a need to support the medical care of patients based at home who were being cared for by GPs and primary care teams.  The GP programme was developed from an initiative by Macmillan and the Royal College of General Practitioners (RCGP) and piloted the concept of GP facilitators in palliative care.  Primary care based 'cancer lead' positions were subsequently developed across the UK by Macmillan and this was followed by a joint partnership with the Department of Health to develop a dedicated cancer lead role in every primary care trust in England (the Primary Care Cancer Leads [PCCL] programme).  These posts were funded by the NHS but supported in their development by Macmillan.  Today, all GP posts supported or developed by Macmillan are referred to as Macmillan GPs.