Respiratory health awareness campaign -
This is a great opportunity in primary care to add value and use this increased awareness to ensure that when we see people with chronic cough and breathlessness that we ask the right questions, perform a focused examination and ensure our testing is comprehensive.
A structured step by step process designed for general practice can make best use of the limited time we have with patients. For breathlessness, the Impress algorithm provides expert consensus on what to do. Locally we have developed our own guidance based on Impress and have subsequently also developed a cough assessment algorithm.
One chest X-ray is the equivalent to 3 days of natural background radiation. Advances in scanning technologies mean that detection methods such as CT scanning have improved nodule detection and reduced radiation doses.
However, radiation should always be considered when balancing risks and benefits. An urgent GP two week wait referral should be made irrespective of the chest X-ray result where there is a high clinical suspicion of lung cancer, e.
persistent haemoptysis in smokers or ex-smokers over 40 years old. It is also reasonable to offer patients an urgent GP referral while awaiting the result. If an X-ray result is normal you should still urgently refer any patient older than 40 with persistent symptoms or symptoms suggestive of malignancy.
Patients who repeatedly visit with symptoms such as a cough that does not resolve, should have their recent history of presentations checked. Even if the patient presents their symptoms as pertaining to separate episodes of illness.
View NICE guideline for suspected cancer pathway referral. The most commonly used grading scale for breathlessness severity is known as the Medical Research Council MRC dyspnoea scale. The MRC scale is widely used to describe patient cohorts and stratify them for interventions such as pulmonary rehabilitation for conditions such as COPD.
The scale comprises of five statements that describe almost the entire range of respiratory disability from none Grade 1 to almost complete incapacity Grade 5. Walks slower than most people on the level, stops after a mile or so, or stops after 15 minutes walking at own pace.
Another classification system also used for COPD is known as GOLD Global Initiative on Obstructive Lung Disease. The five categories include:. Heart failure, which is a sub-condition of heart disease and shares the symptom of breathlessness, is graded using the New York Heart Association NYHA system.
Classification of severity is based on symptoms:. You are comfortable when resting, but even limited physical activity makes you tired or short of breath. You are unable to do any physical activity without discomfort and experience some symptoms at rest. For more information read the NICE guideline for heart failure.
There is no single diagnostic test for COPD. The onset of any signs of lung disease should prompt appropriate investigations, such as spirometry, however, both patients and doctors often fail to recognise the significance of symptoms.
Other appropriate examinations include chest x-ray to exclude other diagnoses, and any abnormalities found should be followed up with a CT scan. Although recurrent respiratory infections should always be assessed in their own right and treated accordingly, the possible presence of COPD should also be considered if:.
For more information about spirometry testing, visit NHS Choices. Public Health England has run several Be Clear on Cancer campaigns since There have been a number of lung cancer campaigns, including local and regional pilots followed by three national campaigns.
Results from these activities indicate that Be Clear on Cancer is changing levels of public awareness and behaviour. There are indications that clinical outcomes are improving too. For information about the potential impact on services, please visit the impact on health services page.
For more information on the impact of this campaign on raising public awareness of lung cancer symptoms, please read the publication from the British Journal of Cancer. See the full findings. Evaluation of the second and third national lung cancer campaigns is still ongoing.
Information for these campaigns including analysis of urgent GP two week wait referrals and related diagnoses will be published in the coming months, so please keep checking back for more information.
The breathlessness campaign was piloted first at a local level and then at a regional level, with the aim of scoping whether it was possible to achieve earlier diagnosis of a range of conditions, particularly lung and heart disease but also other conditions such as anxiety.
As the breathlessness campaign has only run at a regional level to date, we do not have national level data. However, qualitative research carried out with GPs in the regional pilot area following the campaign reported that while they while they were unsure if they had seen an increase in presentations for breathlessness, when retrospectively looking at the campaign materials they could recall patients using the same language.
For more information about the breathlessness campaign, please read the NHS evaluation. Be Clear on Cancer was a cancer awareness campaign led by Public Health England, working in partnership with the Department of Health and NHS England.
This page contains links to documents that we hope you find useful. Please note however that the views or opinions expressed within those links are not necessarily those of Cancer Research UK. Skip to main content. Respiratory symptoms awareness campaign: Overview.
Contact us If you have any questions on the Be Clear on Cancer campaigns, contact us here. Email the team. Read the campaign overview briefing sheet The decision to run a campaign on respiratory symptoms is based on positive evidence from the evaluation of the previous campaigns for lung cancer and breathlessness as a symptom of chronic obstructive pulmonary disease, heart disease and a range of other conditions.
Read the campaign announcement for more information This page contains information on previous lung cancer and breathlessness campaigns, which may be helpful for those who are planning local activity, preparing for an upcoming national campaign or interested in the impact of Be Clear on Cancer campaigns on patient outcomes.
About the respiratory symptoms awareness campaign. Essential information about the campaign. What is Be Clear on Cancer? When will activity be running?
Who is the campaign targeting? Finding it early makes it more treatable. If you get out of breath doing things you used to be able to do, it could be a sign of lung or heart disease, or even cancer. Why do we need a respiratory symptoms awareness campaign?
References Mitchell et al, Risk factors for emergency presentation with lung and colorectal cancers: a systematic review BMJ Open ;5:e doi Key facts about lung and heart disease. In addition to lung cancer, figures for chronic obstructive pulmonary disease COPD show: An estimated one million people in England are diagnosed with COPD, however it is estimated that a further one million people are living with undiagnosed COPD[5] 24, people die of COPD in England each year approximately half men and half women [6] Heart disease statistics in England show: Around 1.
Cancer survival by stage at diagnosis for England experimental statistics. However these estimates have considerable margin of error and given this uncertainty the gap between the number of people on disease registers and predicted numbers could be as high as 1 million.
pdf Quality and Outcomes Framework QOF for April - March , England. Why are you focusing on the symptoms of cough and breathlessness? References Source: Beckles M A et al; Initial Evaluation of the Patient with Lung Cancer; Chest.
aspx Brindle L, Pope C, Corner J, Leydon G, Banerjee A Eliciting symptoms interpreted as normal by patients with early-stage lung cancer: could GP elicitation of normalised symptoms reduce delay in diagnosis?
Cross-sectional interview study. BMJ Open 2 : e Forbes LJ, Simon AE, Warburton F, Boniface D, Brain KE, Dessaix A, …, Wardle J International Cancer Benchmarking Partnership Module 2 Working Group Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and the UK the International Cancer Benchmarking Partnership : do they contribute to differences in cancer survival?
Br J Cancer — Lyratzopoulos G, Abel GA, McPhail S, Neal RD, Rubin GP Measures of promptness of cancer diagnosis in primary care: secondary analysis of national audit data on patients with 18 common and rarer cancers. Br J Cancer : — Torring et al, Evidence of increasing mortality with longer diagnostic intervals for five common cancers: a cohort study in primary care.
Eur J Cancer. doi: The breathlessness campaign was piloted first at a local level and then at a regional level, with the aim of scoping whether it was possible to achieve earlier diagnosis of a range of conditions, particularly lung and heart disease but also other conditions such as anxiety.
As the breathlessness campaign has only run at a regional level to date, we do not have national level data. However, qualitative research carried out with GPs in the regional pilot area following the campaign reported that while they while they were unsure if they had seen an increase in presentations for breathlessness, when retrospectively looking at the campaign materials they could recall patients using the same language.
For more information about the breathlessness campaign, please read the NHS evaluation. Be Clear on Cancer was a cancer awareness campaign led by Public Health England, working in partnership with the Department of Health and NHS England. This page contains links to documents that we hope you find useful.
Please note however that the views or opinions expressed within those links are not necessarily those of Cancer Research UK. Skip to main content. Respiratory symptoms awareness campaign.
Contact us If you have any questions on the Be Clear on Cancer campaigns, contact us here. Email the team. Resources and Campaign materials. Below are a few examples: Campaign overview briefing sheet Patient facing leaflet Easy read version of the patient facing leaflet Hear an audio version of the campaign leaflet.
Information about the campaigns. Finding it early makes it more treatable. If you get out of breath doing things you used to be able to do, it could be a sign of lung or heart disease, or even cancer.
Have you read our whitepaper, Helping Mindfulness techniques for blood pressure control Missing Respiratory health awareness campaign Our initial findings show RRespiratory more awzreness around chronic obstructive pulmonary disease Hhealthincluding its risk factors and symptoms, is a gap Prediabetes lifestyle changes urgently needs to be filled. The final outcomes of Helping the Missing Millionawarenes Wild salmon fishing regulations a national campaugn provincial scorecard, will allow the Lung Health Foundation to better shape an environment that will support improved diagnosis and treatment for those living with COPD. Help us light a fire under policy makers to ensure that lung health is made a top priority and given the funding it deserves. By signing petitions, emailing your MP, or attending events, you can help blow away the obstacles that stand in the way of better breathing. Our narrowed focus is on filling the gaps around COPD, Lung Cancer, and Asthma. Working hand in hand with healthcare professionals we have developed a plethora of resources to help Canadians breathe easier. Two major public health campaigns focusing Leafy green wholesalers raising Diabetic testing strips of Wild salmon fishing regulations symptoms of lung disease are being launched this week. Aaareness aim is to camaign earlier diagnosis campiagn heart and lung Respiratort, including cancer and COPD. The Wild salmon fishing regulations, which will run until October, will target men and Wild salmon fishing regulations aged 50 and over, people from lower socio-economic groups and influencers, such as friends and family. Further information and resources related to the campaign can be found HERE. The BLF, in conjunction with PCRS-UK Executive Chair Elect, Noel Baxter has developed a quick online test that asks ten easy questions based around the MRC breathlessness scale which will help people to decide whether they need to see a GP. The aim is to reassure people who don't have a problem and guide only those with significant breathlessness to make an appointment with their GP. The breath test is available HERE.
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