1. Bowel Cancer Screening ProgrammeCheshire and Merseyside NHS North West Invitations to Bowel Screening sent to 60 - 69 year olds. 70 plus must self refer to the free phone number 0800-707-6060

2. Who is at risk of developing bowel cancer? (continued) • Life time risk of developing Bowel Cancer in the UK is about 1:18 for men and 1:20 for women • The risk of developing bowel cancer increases with age. • About 80% of people who get Bowel cancer are aged 60 and over

3. Faecal Occult Blood Testing(FOBT) - Guaiac Testing The participant is instructed to smear the stool onto the spots from 2 separate parts of the specimen on three separate days

4. Solution Added To Process Kit

5. Normal result

6. Abnormal Result

7. Results • Negative result • Unclear Result (1-4 of the squares are positive) • Spoilt Kit • Technical Failure • Positive Result

8. Screening journey (Continued) • Referred to screening provider unit for colonoscopy • Follow-up dependant on procedure results • Normal, sent a BCSP kit in 2 years • Polyps, surveillance by BCSP • Cancer detected cases referred to local Multi Disciplinary Team (local Cancer Team)

9. Contact Details • Maureen Sayer Health Improvement Practitioner maureen.sayer@aintree.nhs.uk