• St Mark's BCSC

Coronavirus (Covid-19)

Main symptoms

The main symptoms of coronavirus are:

• High temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature), but if you have this facilty >37.8

• New, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)

• Loss or change to your sense of smell or taste – this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal

Most people with coronavirus have at least one of these symptoms.



NHS Bowel Cancer Screening Programme (NHSBCSP) at St Marks Screening Centre

The Bowel Cancer Screening Centre (BCSC) at St Mark’s is now a dedicated ‘COVID-19 minimised’ unit to enable all elective outpatient work to be performed in a safe, COVID negative environment.


Bowel Scope (Flexible Sigmoidoscopy) - This service remains suspended. All appointments have been cancelled and participants informed.

• There are no current plans to resume bowel scope invitations.

• The national screening team have been reviewing the bowel scope screening service; and we are aware that they have made a recommendation to the national screening committee NOT to resume this service. Whilst this maybe disappointing, we hope this will be the catalyst to lower the age we offer screening using a home testing kit as a replacement for bowel scope screening in the future. The home testing kit detects traces of blood in bowel motions and currently is only available to people aged 60 and over.

FIT Screening - This service is operating as normal within the bowel cancer screening centre.

We are offering virtual video consultations. If video consultation is not available/ appropriate then the participant will be called to clinic (face to face).

All those attending for face to face outpatient clinic appointments:

  • The participant will be greeted by a member of staff wearing appropriate PPE (surgical face mask). The participant will be asked to apply alcohol gel to their hands and wear a surgical face mask. Each participant will have their temperature and symptoms checked on arrival.

  • We advise that at this time we cannot have family members/friends attend the appointment with patients (exceptional need discussed case by case). If carers/ relatives are required for additional patient need then they will need to follow the same testing & processes as the patient.

  • Patients are advised to avoid public transport and use private vehicles

Colonoscopy

  • All patients will be screened for symptoms and tested (swabbed) for COVID-19, approx. 3 days prior to their lower GI procedure.

  • We advise that at this time we cannot have family members/friends attend the appointment with patients (exceptional need discussed case by case). If carers/ relatives are required for additional patient need then they will be need to follow the same testing & processes as the patient.

  • Patients are advised to avoid public transport and use private vehicles

  • Patients are called at 7 and 14 days post discharge to check they are well and did not develop COVID-19 symptoms or complications post-procedure.

Radiology

  • CTVC will be undertaken at CMH as an interim measure to minimise exposure to COVID-19 and ensure patients and staff are as safe as possible in terms of risk.

  • All CTVC diagnostic tests will continue to be reported and authorised by St Mark’s Radiologists/ Consultant Radiographer as per current BCS practices.

Interpreters

  • All interpreters will only be booked for telephone interpreting currently.

  • Only in exceptional cases (ie: if patient is hard of hearing, needs BSL etc), can we book a face to face interpreter.

  • Interpreters can be invited and attend the Attend Anywhere video consultation.

  • Attempts will be made to match the language of the patient and a staff member where possible

  • A non-verbal communication sheet is also available in the endoscopy procedure room

Surveillance

· This service is operating as normal within the bowel cancer screening centre.

Call & re-call

  • We are currently sending out FIT invitations. Any queries should be directed to 0800 707 60 60

Staff testing:

  • ALL staff take responsibility for signs & symptoms of COVID-19 and are fully aware not to come to work if they are displaying any new symptoms. Each morning on arrival to work each staff member undertakes temperature/ symptoms screening.

I hope this clarifies the position of St. Mark’s Bowel Cancer Screening Centre currently.

If there is anything which is unclear and needs clarification please do email the team via lnwh-tr.bcsccontact@nhs.net or 0208 869 3543

For further information please visit:

https://www.nhs.uk/conditions/coronavirus-covid-19/

Do

  • Try to stay at least 2 metres (3 steps) away from anyone you do not live with

  • If you meet people outdoors, only meet in groups of up to 6 people and try to stay at least 2 metres away from each other

  • If you meet people indoors (including in your home), only meet 1 other household at a time and try to stay at least 2 metres away from each other

  • Wash your hands with soap and water often – do this for at least 20 seconds

  • Use hand sanitiser gel if soap and water are not available

  • Wash your hands as soon as you get home

  • Wear something that covers your nose and mouth in places where it's hard to stay away from other people, such as on public transport, in shops and in hospitals

Don’t

  • Do not touch your eyes, nose or mouth if your hands are not clean

  • Do not share or pass things to people you do not live with, including food and drinks

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Telephone 

National Bowel Screening Hub Helpline: 0800 707 6060 to order a home-test kit, book an appointment, and general inquiries about bowel screening. Open 9am to 5pm.

St. Mark's Bowel Screening Health Promotion: 020 8869 3376 to speak to the Health Promotion team to arrange a talk, training session or raise awareness
 

St Mark's Hospital website

www.stmarkshospital.nhs.uk

Address

St Mark’s Hospital
Watford Road
Harrow HA1 3UJ

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