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Fix the images in the new Explore team post (#74)
* rename folder * fix a link at the foot of the page
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app/images/explore-team/2025/03/2025-03-12-what-we-learned-about-sharing-breast-and-bowel-results-with-gps/normal-results-letters-vs-electronic-bowel.png renamed to app/images/explore-team/2025/03/what-we-learned-about-sharing-breast-and-bowel-results-with-gps/normal-results-letters-vs-electronic-bowel.png

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app/posts/explore-team/2025/03/2025-03-12-what-we-learned-about-sharing-breast-and-bowel-results-with-gps.md

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@@ -56,13 +56,13 @@ We know that almost:
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The technology used for this electronic messaging (‘ecomms’) is EDIFACT Laboratory Service Report, variant NHS004 of MEDRPT.
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EDIFACT technology is [marked for deprecation](https://digital.nhs.uk/developer/api-catalogue/pathology-messaging-edifact), it is inflexible and difficult to update.
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EDIFACT technology is [marked for deprecation](https://digital.nhs.uk/developer/api-catalogue/pathology-messaging-edifact), it is inflexible and difficult to update.
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We know that some of our colleagues in Digital Services for Integrated Care (DSIC) are working on a more modern technology (FHIR R4) and cervical and bowel results are in their release 2.
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However, when we spoke to the head of estates responsible for 5 GP practices in one PCN, they said that the bowel pathology route was broadly working for them.
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However, when we spoke to the head of estates responsible for 5 GP practices in one PCN, they said that the bowel pathology route was broadly working for them.
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It’s important to consider the impact of any changes on GPs to make sure we do not make the experience worse or more burdensome for them.
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It’s important to consider the impact of any changes on GPs to make sure we do not make the experience worse or more burdensome for them.
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![A pie chart showing that 98.8% of results in bowel are sent electronically](normal-results-letters-vs-electronic-bowel.png "The proportion of normal letters that are sent electronically and as letters each year in bowel screening")
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* [Bowel cancer screening figures from 2021-2022](https://www.gov.uk/government/publications/bowel-cancer-screening-annual-report-2021-to-2022/bowel-cancer-screening-annual-report-2021-to-2022)
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### Economic benefit of a potential solution
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For the 6 BSOs we spoke to, a move to electronic patient invites and GP reports is estimated to save £500k annually.
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One primary care network (PCN) told us that they employ 7 clinical coders who work 176 hours a week earning £12.30 per hour processing results and letters (yes, that's right - this is 7 people employed across 5 sites just to process paperwork) across their 5 GP sites.
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One primary care network (PCN) told us that they employ 7 clinical coders who work 176 hours a week earning £12.30 per hour processing results and letters (yes, that's right - this is 7 people employed across 5 sites just to process paperwork) across their 5 GP sites.
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From this PCN’s perspective, if breast screening results were automated:
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2. Automatic store: Normal and abnormal beast screening results are automatically stored in the patient GP record
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3. Market incentive: Incentives are provided to the market to find its own solution ('carrot'), along with a policy mandating the storage of screening results by GPs ('stick')
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These options are not mutually-exclusive and for now, they are ideas that we use to stimulate discussion and improve our understanding of the range of solutions.
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These options are not mutually-exclusive and for now, they are ideas that we use to stimulate discussion and improve our understanding of the range of solutions.
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## Outstanding questions
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* learn more about how results originate in NBSS and how different BSOs process them based on the method or the outsourcing company they use
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* learn more about GP practice experience
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* refine our options based on the high-level internal feedback and then refine them again based on GP practice insight
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* conduct quantitative analysis of the economic benefits
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* conduct quantitative analysis of the economic benefits
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## Previous notes on this topic
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* [what we set out to do and how we kicked this project off] (/explore-team/2025/01/sharing-screening-results-with-gps/)
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* [what we set out to do and how we kicked this project off](/explore-team/2025/01/sharing-screening-results-with-gps/)

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