The Community-led Cancer Screening Project (CLCSP) is a three-year project (to November 2020), being led by North Western Melbourne Primary Health Network (NWMPHN) and funded by Victorian Department Health and Human Services (DHHS).

The goal of the project is;

Equitable participation in cancer screening programs for the Aboriginal community in Wyndham and for low socio-economic and culturally and linguistically diverse communities in Brimbank.

There are four key principles that will drive the project outcomes;

• Equity;
• Locally driven initiatives;
• Partnerships; and,
• Sustainability.

The project is using two main strategies or workstreams. Workstream 1 will focus on strengthening systems and knowledge within general practice to support under-screened communities to participate in cancer screening programs. General practices in Brimbank and Wyndham LGA’s will be targeted.

For Workstream One, a quality improvement toolkit including education resources, data management, processes, setting baselines and goals, recalls and reminders, patient centred, and culturally sensitive initiatives will be developed or procured between the three PHNs who are leads on the CLCSP. The toolkit will form the basis of quality improvement work in general practices in the Wyndham and Brimbank LGAs.

Workstream Two will target two local government areas within NWMPHN. A place-based approach in Wyndham will be the focus for Aboriginal communities and in Brimbank for low SES and CALD communities. Local communities will be engaged to identify barriers to screening and prioritise and co-design intensive community-based activities to improve cancer-screening rates.

Short-term

• Improved understanding of selected general practices on the issues of under-screening for target populations and of their practice baseline data
• Improved capacity for selected general practices to provide appropriate support for under-screened patients to participate in screening programs
• Increased awareness of screening environment challenges for NWMPHN and to make workplans agile and reflective of local challenges
• Increased opportunities for local community members to participate in project governance
• Increased opportunities for local experts to be involved in governance and planning processes
• Opportunity for local under-screened community to identify relevant barriers to screening and prioritise potential solutions and have meaningful ownership of solutions to cancer-screening issues
• Increased commitment and capability of NWMPHN to engage with under-screened communities
• Stronger intersectoral partnerships created with organisations in NWMPHN catchment working with under-screened communities

Medium-term

• Improved identification, recording and reporting of under-screened communities at participating general practices
• Increased awareness among under-screened communities of the importance, cancer risks, and availability of screening programs
• Opportunity for under-screened community members to lead in developing appropriate solutions and develop new skills and empowerment in determining appropriate solutions
• Increased access to screening and follow-up assessment for under-screened communities in Brimbank and Wyndham

Long-term

• Embedded cancer screening systems and processes at participating primary care practices in Brimbank and Wyndham
• Increased engagement with cancer screening programs for patients at participating primary care practices
• Documented and evidenced approach to CLCS that can be replicated or modified to wider areas
• Sustainable intersectoral partnerships created with organisations in NWMPHN catchment working with under-screened communities
• Improved local community and stakeholder commitment, capacity and capability to support cancer screening among under-screened populations
• Accessible, culturally safe cancer screening services in Brimbank and Wyndham
• Increased participation by under-screened communities in screening for cervical, breast and bowel cancer