The Shared Safety Net Action Plan (SSNAP): a co-designed intervention to reduce delays in cancer diagnosis
- PMID: 35379601
- PMCID: PMC8999718
- DOI: 10.3399/BJGP.2021.0476
The Shared Safety Net Action Plan (SSNAP): a co-designed intervention to reduce delays in cancer diagnosis
Abstract
Background: Safety netting in primary care may help diagnose cancer earlier, but it is unclear what the format and content of an acceptable safety-netting intervention would be. This project aimed to co-design a safety-netting intervention with and for primary care patients and staff.
Aim: This work sought to address how a safety-netting intervention would be implemented in practice; and, if and how a safety-netting intervention would be acceptable to all stakeholders.
Design and setting: Patient representatives, GPs, and nurse practitioners were invited to a series of co-design workshops. Patients who had and had not received a diagnosis of cancer and primary care practices took part in separate focus groups.
Method: Three workshops using creative co-design processes developed the format and content of the intervention prototype. The COM-B Framework underpinned five focus groups to establish views on capability, opportunity, and motivation to use the intervention to assist with prototype refinement.
Results: Workshops and focus groups suggested the intervention format and content should incorporate visual and written communication specifying clear timelines for monitoring symptoms and when to present back; be available in paper and electronic forms linked to existing computer systems; and be able to be delivered within a 10-minute consultation. Intervention use themes included 'building confidence through partnership', 'using familiar and current procedures and systems', and 'seeing value'.
Conclusion: The Shared Safety Net Action Plan (SSNAP) - a safety-netting intervention to assist the timely diagnosis of cancer in primary care, was successfully co-designed with and for patients and primary care staff.
Keywords: cancer; co-design; diagnosis; focus groups; primary health care; safety-netting.
© The Authors.
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References
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- National Patient Safety Agency Delayed diagnosis of cancer: thematic review. 2010 https://webarchive.nationalarchives.gov.uk/ukgwa/20171030124204/http://w... (accessed 22 Mar 2022).
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- Mitchell E, Rubin G, Macleod U. Improving diagnosis of cancer A toolkit for General Practice. 2012 https://www.bradfordvts.co.uk/wp-content/onlineresources/clinical-knowle... (accessed 22 Mar 2022).
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