Step 5: Incorporate cancer screening into health assessment and GPMP templates

steps This section covers the following steps:

Step 5.1 Update your health assessment and GPMP templates to incorporate bowel, breast and cervical cancer screening

Aboriginal and Torres Strait Islander people are at increased risk of non-participation in cancer screening, and of dying from cancer.11 

Breast and bowel cancer share several risk factors (such as smoking, obesity, alcohol consumption and age) with chronic diseases, such as diabetes, heart disease and stroke.12

The cancer screening recall and reminder workflow incorporates cancer screening into existing preventative practices for Aboriginal and Torres Strait Islander people, and those with (or at risk of) chronic disease. This is an excellent way to:

  • provide integrated person-centred care 
  • lift cancer screening participation rates among people who may have an increased risk of cancer due to age and/or lifestyle risk factors. 

The cancer screening workflow search functions provide information on how to identify patients who are due for cancer screening and who are also eligible for one or more of the following:

  • Aboriginal and Torres Strait Islander health assessments (MBS item 715)
  • 45 to 49-year-old health assessments
  • GP Management Plans (GPMPs) and GPMP reviews

Step 5.1 Update your health assessment and GPMP templates to incorporate bowel, breast and cervical cancer screening 

A simple way to update your templates is by attaching or incorporating the ‘Cancer Screening Checklist’ into the templates.

The table below can be inserted into your practice’s GPMP and health assessment templates. It is important to discuss any template changes with your clinical team.

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Patient problems/needs/relevant conditions

Goals (changes to be achieved)

Required treatments and services, including patient actions

Arrangements for treatments/services (when, who, and contact details)

Bowel cancer screening 

 

Patient completes iFOBT received in mail close to even birthdays from age 50–74.

OR

The patient has increased familial or clinical risk and is screening as per clinical guidelines.

 

Date of last bowel screening result: _________________

Date of next screening (bowel cancer screening kits are posted on even numbered birthdays from age 50–74): ______________________

GP to:

  • confirm screening eligibility
  • review family history
  • discuss screening benefits (if under-screened)
  • discuss bowel cancer lifestyle risk factors

Patient to ensure their address is up-to-date with Medicare (so that they receive their bowel cancer screening kit) by:

  • logging into their MyGov account OR
  • by calling Medicare on 132 011 OR
  • by visiting a service centre.

Patient to complete iFOBT kit received in mail, as per enclosed instructions.

Patient to make an appointment with GP if any support is required to complete the kit.

GP to set a screening reminder (if appropriate).

 

 

 

Breast cancer screening 

 

Patient understands the benefits of breast cancer screening.

Patient attends BreastScreen NSW every two years from ages 50–74.

OR

The patient has increased familial or clinical risk and is screening as per clinical guidelines.

Date of last breast screening result: _________________

Date of next screening ______________________

GP to:

  • confirm screening eligibility
  • review family history
  • discuss screening benefits (if under-screened)
  • discuss breast cancer lifestyle risk factors
  • set a screening reminder (if appropriate)

GP or patient to book a free mammogram by:

  • calling 13 20 50

OR

GP to set a screening reminder (if appropriate).

Cervical screening

Patient understands the benefits of cervical screening.

Patient completes cervical screening as per recommended intervals.

Date of last Pap or Cervical Screening Test: _________________

Date of next screening ______________________

GP to:

  • confirm screening eligibility
  • discuss screening benefits (if under-screened)
  • provide  cervical screening
  • set a screening reminder (if appropriate)

GP or practice nurse to provide cervical screening.

GP to set a screening reminder (if appropriate).

 

Software provider

How to adjust GPMP and health assessment templates

Best Practice

Create an EPC care plan template

Genie

Select GP Management Plans from the ‘Tools’ menu

Medical Director

Creating and editing letters