National Bowel Cancer Screening Program Participant’s Screening Pathway

Participant’s Screening Pathway

Page last updated: 15 September 2019 (this page is generated automatically and reflects updates to other content within the website)

1. National Bowel Cancer Screening Program Register identifies target population turning 50-74 years old (from Medicare/DVA data).

2. Register invites target population to screen, sends pre-invitation letter followed by invitation pack including iFOBT kit. Participant is advised to see GP if they have or develop symptoms, have a significant family history, or have other health problems that might make screening inappropriate.

3. If People from the Target Population want they can opt off either permanently or for a period of time.

4. If the GP assesses patient as high risk, they are managed according to clinical guidelines.

5. If no response is received for the invitation sent, Register sends a reminder in 8 weeks.

Program will invite to screen at next age eligible birthday.

6. Participant completes FOBT, sends directly to pathology laboratory.

7. Pathology laboratory sends results of iFOBT to:

  • Participant
  • GP (if nominated)
  • Register
If inadequate sample or indeterminate result, Register invites to repeat the test.

8. In case of Negative iFOBT result, the Program will invite to screen at next age eligible birthday.

9. In case of Positive iFOBT result, participant advised to see GP preferably within 2 weeks.

10. GP recommends no further follow up
  • 2017 NHMRC-endorsed guidelines recommend screening with iFOBT every 2 years from age 50 to 74 or as advised by GP.

11. Participant visits GP. Then GP does the following
  • Identifies symptoms
  • Takes family history
  • Decides clinical management
  • Notifies Register
  • Refers participant for diagnostic assessment (eg colonoscopy)

When Colonoscopy or other tests are performed.

If it is a Positive colonoscopy (adenoma or cancer).
  • Colonoscopist notifies Register.
  • Follow up by GP/specialist as per clinical guidelines.
If it is a Negative colonoscopy
  • Colonoscopist notifies Register.
  • Program will invite to screen with iFOBT at next age eligible birthday.

11. If no GP visit in 2 months, then Register Follow-ups by sending a letter to participant and GP (if nominated).

12. If no activity in 3 months, then Participant Follow-up officer gives a phone call to participant and/or GP (if nominated).

13. If no activity at 6 months, then Register Follow-ups by sending a registered letter to participant and GP (if nominated).

14. If no activity in 7 months, then Participant Follow-up officer gives a phone call to participant and/or GP (if nominated).

15. If Participant visits GP but no colonoscopy is recorded at 4 months from date of FOBT result, then Register Follow-ups by sending a letter to participant and GP.

16. If no activity in 5 months then Participant Follow-up officer gives a phone call to participant and/or GP (if nominated).

17. If Participant visits GP but no colonoscopy recorded at 6 months from date of FOBT result, then Register Follow-ups by sending a letter to participant and GP.

18. If no activity in 7 months, then Participant Follow-up officer gives a phone call to participant and/or GP (if nominated).

*Target population age groups from 2018
2018: 50, 54, 58, 60, 62, 64, 66, 68, 70, 72, 74
2019: 50, 52, 54, 56, 58, 60, 52, 64, 66, 68, 70, 72, 74

For More Information Please Contact:

National Bowel Cancer Screening Program

Information Line: 1800 118 868

Website: cancerscreening website

This publication is correct as at July 2018