Skip to main content

Research Repository

Advanced Search

Using significant event analysis and individual audit and feedback to develop strategies to improve recognition and referral of lung and colorectal cancer at an individual general practice level

Jones, Daniel Joseph

Authors

Daniel Joseph Jones



Contributors

Ian Watt
Supervisor

Abstract

Introduction: The lifetime risk of developing cancer is 50%. Whilst cancer survival rates are increasing, data suggests UK survival is lower than comparable countries. There is a growing evidence base to suggest cancer survival is linked at least in part, to the early recognition and referral of symptoms in primary care. The role of primary care is vital with 85% of cancers diagnosed following presentation to primary care. Significant event analyses (SEAs) are an effective tool to learn detailed lessons about the primary care interval and SEA research completed so far highlights the importance of safety netting.

Method: The research within the thesis was informed by two theories of behaviour change, the Behaviour Change Wheel and Normalisation Process Theory. The methods were split in to three distinct sections. Firstly, a scoping review of safety netting was undertaken. Secondly, the recognition and referral of lung and colorectal cancer symptoms in primary care was investigated using SEAs. Finally, the SEA data generated was used in an audit and feedback intervention to develop a series of action plans.

Findings: The definition and content of safety netting was developed. SEAs demonstrated the importance of safety netting in improving the primary care interval, but also highlighted the role of investigations, patient factors and comorbidities. SEA data was used to develop interventions which were accepted by primary care staff. Result synthesis showed the importance of safety netting and led to the development of a model.

Discussion: The importance of safety netting has been highlighted throughout the thesis. Further research is needed to evaluate the model developed. Opportunities for improving the primary care interval were highlighted. Developing interventions through audit and feedback with SEAs is feasible, and is accepted by primary care staff. The thesis has left multiple unanswered questions and could pave the way for a larger, more robust study based on the methods and techniques demonstrated.

Citation

Jones, D. J. (2019). Using significant event analysis and individual audit and feedback to develop strategies to improve recognition and referral of lung and colorectal cancer at an individual general practice level. (Thesis). Hull York Medical School, the University of Hull and the University of York. Retrieved from https://hull-repository.worktribe.com/output/4221510

Thesis Type Thesis
Deposit Date Apr 29, 2019
Publicly Available Date Feb 23, 2023
Keywords Medicine
Public URL https://hull-repository.worktribe.com/output/4221510
Additional Information Hull York Medical School, The University of Hull and The University of York
Award Date Feb 1, 2019

Files

Thesis (3.9 Mb)
PDF

Copyright Statement
© 2019 Jones, Daniel Joseph. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright holder.




You might also like



Downloadable Citations