Cancer awareness and information vehicle

Sandra RowlandsCancer Awareness Services Manager

Paul MackenzieHealth Inequalities Manager

Background

• Macmillan Information bus visited the network for 13 days in 2008

– Macmillan target is 6000 contacts per year

– MCCN had 1815 contacts in less than 2 weeks

• Need identified for similar service

– Obvious demand

– High Incidence and mortality rates

– Early Detection and Prevention strategy

Types of venues and groups visited

• Shopping centres/supermarkets

• Mosque• Chinese community

centre• Construction sites• Work places• Town centres• Mathew Street Music

Festival

• Chester Liverpool Bike Ride

• The seaside West Kirby and Llandudno

• Chester Zoo• Conferences• Deaf centre

Levels of intervention

Number of Enquiries for Skin Related Visits for level 2, 3 and 4 intervention

Visitors by Gender Breakdown for Skin for Levels 2, 3, & 4

Age Range of Visitors for Skin Related Enquiries

If you had not visited iVan how likely would it have been for you to visit your GP or go to another service?

Economic evaluation

iVan service costs £150,000 pa

Sample 10 cases from each cancer

Map CISSU data against PbR and

other costs

Validate typical pathway with

clinicians

For each part of the pathway calculate the range and cost median

Compound sampling until data saturation

across each part of the pathway

Compare costs at different stages of

presentation

CASE STUDY…

Conclusions

The iVan service• Provides assessment/advice at the different

intervention levels depending upon client need• Is highly rated by professionals and clients• Appeals to different groups in society• Can target specific areas• Is identifying cancers and non cancer pathology• Is likely to be very cost effective• Provides prompts to clients to attend their GP • Reinforces the message to check things out with

their doctor if they are worried about symptoms