Table 1.
Activities undertaken within primary care and the impact on primary care staff.
Points where primary care is involved in screening activities | Activities undertaken within primary care process | Potential impact on primary care staff |
Point A | ||
Lists of potential participants (prior-notification lists) sent to general practices | Checking of prior notification lists for accuracy and completeness and the exclusion of patients for whom invitation for faecal occult blood tests would be clinically inappropriate | Increase in workload for one or more type of practice staff (for example, practice managers and GPs) |
Point B | ||
Invitations and faecal occult blood test kits sent out | Providing information on the test and screening programme | Increase in workload for receptionists (handling calls), and GPs and nurses (responding to enquiries). There may be a need for increased training |
Point C | ||
Results have been processed and associated correspondence sent | Filing of positive faecal occult blood tests | Increase in workload for administrative staff |
Providing information to people on the meaning of their test result | Increase in consultations and or consultation time for GPs and/or nurses | |
Providing counselling, advice, and support to people referred for further investigations | Increase in consultations and/or consultation time for GPs and/or nurses | |
Point D | ||
Ongoing treatment and surveillance | Filing of results/letters | Increase in workload for administrative staff |
Providing ongoing support and counselling to people undergoing treatment | Increase in consultations for GPs |