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BloomShield Programme Portfolio · Volume 2

ScreenAccess™

Removing barriers. Expanding access. Enabling earlier diagnosis.

ScreenAccess™ works with communities, healthcare providers, commissioners and local partners to identify and remove the barriers that prevent people from participating in cancer screening and early diagnosis pathways.

Awareness becomes impact only when access becomes participation.

01Practical support
02Equitable participation
03Community reach
04Pathway improvement

Programme overview

Availability is not the same as access.

Screening programmes may exist, but participation is not always equitable. Transport, geography, deprivation, disability, language, digital exclusion, low health literacy, cultural concerns, fear, fragmented services and inflexible appointments can all stand between an invitation and successful participation.

ScreenAccess™ helps partners identify where people are being lost from the pathway and develop practical, community-centred interventions that improve participation.

Screening cannot reduce inequalities if the people at greatest risk cannot access it.

Why ScreenAccess™ exists

Making the difference between a service being available and genuinely accessible.

Barriers are shaped by systems and circumstances. Understanding them respectfully is the first step towards practical change.

  • Geographical distance
  • Transport difficulties
  • Inconvenient appointment times
  • Deprivation and financial pressures
  • Disability and accessibility needs
  • Language and communication barriers
  • Digital exclusion
  • Low health literacy
  • Cultural concerns
  • Fear or mistrust
  • Previous negative healthcare experiences
  • Fragmented referral pathways
  • Workforce and service capacity constraints

Vision

Equitable access for every eligible person.

To ensure that every eligible person has equitable access to evidence-based cancer screening regardless of geography, socioeconomic circumstances, ethnicity, disability, digital literacy or other barriers.

Mission

Remove barriers through partnership.

To work with communities, healthcare providers, commissioners, employers and policymakers to identify, understand and remove barriers that prevent people from participating in life-saving screening programmes.

Programme objectives

From participation to sustainable system change.

  1. 01

    Improve screening uptake in underserved communities.

  2. 02

    Reduce inequalities in cancer screening participation.

  3. 03

    Support earlier cancer diagnosis.

  4. 04

    Improve navigation through screening pathways.

  5. 05

    Help commissioners achieve population health objectives.

  6. 06

    Reduce avoidable late-stage presentations.

  7. 07

    Develop sustainable community screening access models.

Strategic pillars

Five connected capabilities for equitable access.

Each pillar can be adapted to local priorities while retaining a consistent implementation structure.

01

Access Assessment

Understanding where and why people are unable to participate.

Community needs assessmentsStakeholder engagementService mappingPopulation segmentationAccess auditsPathway gap analysis
02

Community Outreach

Taking information, engagement and services closer to communities.

Faith organisationsEmployersPharmaciesLibrariesSchoolsCommunity centresVoluntary organisationsLocal events
03

Navigation Support

Helping individuals complete the full screening journey.

Appointment bookingRemindersTransport solutionsTranslation and interpretationDigital supportReasonable adjustmentsFollow-up coordination
04

Service Innovation

Supporting partners to redesign how screening is accessed.

Mobile screening servicesCommunity-based clinicsEvening appointmentsWeekend appointmentsWorkplace screeningOutreach clinicsIntegrated referral pathwaysFlexible booking systems
05

Equity Intelligence

Using data and local insight to identify and reduce inequalities.

Screening uptake analysisPostcode mappingDemographic analysisInequality dashboardsPathway completion analysisQuality improvement cycles

CCPE implementation pathway

Understand → Validate → Implement → Evaluate → Scale

ScreenAccess™ operates through BloomShield’s Cancer Care Partnership Ecosystem implementation framework.

  1. 1

    Understand

    Identify barriers, underserved populations and pathway gaps.

  2. 2

    Validate

    Confirm needs through evidence, data, community engagement and stakeholder insight.

  3. 3

    Implement

    Deliver practical access interventions with local partners.

  4. 4

    Evaluate

    Measure participation, pathway completion, experience, equity and outcomes.

  5. 5

    Scale

    Expand successful models through commissioning, partnerships and shared learning.

Target populations

Locally defined, evidence-led and co-designed.

ScreenAccess™ may support populations experiencing unequal access. Populations and interventions will always be defined through local evidence, community engagement and co-design—not assumptions.

Communities with low screening uptakeEthnic minority populationsRural and coastal communitiesPeople experiencing homelessnessRefugees and asylum seekersPeople with disabilitiesPeople with learning disabilitiesPeople living with severe mental illnessDigitally excluded populationsOlder adultsOccupational groups with limited access to routine servicesCommunities affected by deprivation

Example programme activities

Practical interventions shaped around local need.

The following are examples of potential activity, not claims that every service is currently operational.

Community screening access campaigns
GP practice engagement
Employer partnerships
Faith-based initiatives
Mobile screening events
Transport support schemes
Community navigator programmes
Screening literacy workshops
Digital inclusion support
Behavioural insight projects
Appointment support
Outreach pathway pilots

Partnership model

Improving what exists through collaborative implementation.

Explore a ScreenAccess™ Collaboration

ScreenAccess™ is designed as a collaborative implementation programme. BloomShield does not seek to duplicate existing screening services. It works with local partners to improve reach, access, participation and pathway completion.

  • NHS organisations
  • Integrated Care Boards
  • Cancer Alliances
  • Local authorities
  • Primary Care Networks
  • GP practices
  • Community pharmacies
  • Employers
  • Voluntary and community organisations
  • Faith organisations
  • Universities
  • Research institutions
  • Public health teams
  • Screening providers

Expected outcomes

Aims for health, services and systems.

ScreenAccess™ aims to support these outcomes; results will depend on context, delivery partners and the interventions agreed.

Health outcomes

  • Increased screening participation
  • Improved early diagnosis
  • Reduced inequalities
  • Fewer avoidable late presentations

Service outcomes

  • Improved pathway completion
  • Reduced missed appointments
  • Stronger community engagement
  • Improved participant experience
  • More responsive service design

System outcomes

  • Improved use of screening capacity
  • Stronger community partnerships
  • Better evidence for commissioning
  • More efficient access pathways
  • Scalable models for reducing inequalities

Monitoring and evaluation

Measures agreed with delivery and commissioning partners.

A proportionate evaluation plan will connect implementation learning with participation, experience and equity.

Screening uptake
First-time participation
Non-attendance rates
Referral completion
Pathway completion
Time to follow-up
Participant experience
Community engagement
Equity gap reduction
Cost per additional participant reached or screened

Programme portfolio

An integrated pathway from awareness to coordinated care.

ScreenConnect™

Supports navigation, coordination, follow-up and continuity of care.

Together, the three programmes provide an integrated pathway from awareness to access to coordinated care.

Programme development

Flexible by design, rigorous in development.

ScreenAccess™ is being developed as a flexible implementation programme that can be adapted to local screening priorities, populations and service environments.

  • Community co-design
  • Local access audits
  • Implementation pilots
  • Mobile and outreach models
  • Digital inclusion initiatives
  • Navigation support
  • Evaluation partnerships
  • Commissioning models

BloomShield Programme Portfolio · Volume 2

ScreenAccess™ Programme Overview

A concise introduction to the programme's purpose, model, implementation approach and intended outcomes.

Download Programme Overview

PDF · 7 pages · 45.09 MB · opens in a new tab

Equity in action

Let’s make screening genuinely accessible.

BloomShield works with health systems, commissioners, community organisations, employers and research partners to design practical approaches that reduce barriers and improve participation.