Innovations in Cancer Control Gants 2017 Grant Forums Q&A

Innovations in Cancer Control Gants 2017 Grant Forums Q&A Version 1.0 04 May 2017

Contents Questions to the Application Process 3 All priority areas - General Questions 5 Priority 2 - Bowel Cancer Screening: Improving access to public colonoscopy services within NSW LHDs 6 Priority 6 - Cancer Optimal Care Pathways (Lung, Bowel and Liver) 6 Priority 3 - Bowel Cancer Screening: Multicultural Community Engagement 7 Priority 10 - Multicultural Community Engagement 7 Priority 4 - BreastScreen NSW 10 Priorities 7&8 Healthy Lifestyle & Skin Cancer Prevention 11 Priority 9 - Cervical Screening 12 Priority 11 - Smoking in Pregnancy 14 Page 2 of 14

Questions to the Application Process 1. Is it possible to submit a grant proposal that goes across more than one priority area (e.g. a combined breast and cervical screening project)? o Yes. Applications that focus on more than one priority area will be evaluated on merit. The application must demonstrate how it achieves the purpose and meets the essential criteria of each priority area. It must clearly outline project methodology, engagement with target populations in the priority areas, and the available resources to justify the combined approach. Successful applications that focus on more than one priority area will be funded to the value of one grant project. 2. Can one organisation apply for more than one grant? o Yes, organisations may apply for more than one grant in the same or different priority areas. PLEASE NOTE: A separate application form and supporting letter must be submitted for each application. 3. If submitting more than one grant application, is it necessary to attach a supporting letter to each application? o Yes. For ease of coordination and distribution of documentation to evaluators in program specific evaluation teams, a separate letter should accompany each application. 4. Regarding the Project Description (application template, section 4), is each essential criteria required to be listed and detailed in this section, or is it sufficient for the essential criteria to be addressed throughout the submission? o Section 4 should be a high level description of the project, with the important aspects in a summary that is easy to read for the evaluators. It should be about the what, who, where, when, why and how, the project in a nutshell. How the proposed project will meet the essential criteria should be briefly summarised. Do not include a detailed description of how the project meets each criterion in this section. How the proposal meets the essential criteria should be addressed throughout the submission and will be assessed based on an evaluation of all elements of the application form. 5. For section 8 in the application template is it required to attach documents or is it adequate to describe the references in the text box? o In section 8 applicants must: List references in the text box Tick the relevant box/boxes below Attach references if relevant. E.g. if referring to published research, it is not necessary to attach the resource. If referring to an internal plan or lessons learnt from a previous project, it is required to attach documentation. 6. Regarding Project Scope (application template, section 9), how much detail is required for evaluation measures of high level objectives and expected outcomes? o Evaluation Measures in section 9 should outline how you plan to approach and implement evaluation on the project, for example, a list of strategies, Page 3 of 14

activities, processes or measures that will be applied to evaluate project outcomes. 7. Regarding Approval and Sign Off (application template, section 14), do partner organisations have to sign the application? o Yes, it is a requirement that partner organisations sign the application, or alternatively, provide a letter of support attached to the application. However, sign-off from partner organisations should not hold up a submission and prevent it from meeting the submission deadline. Sign-off from partner organisations may be forwarded to the Cancer Institute after the deadline, but must be provided prior to the evaluation process. o Anticipation of working with partner organisations can be stated and explained in the application and listed as a key deliverable for the project if appropriate. 8. How much detail should be included in the budget breakdown and how accurate does budget information need to be at the application stage? o The budget breakdown should be an informed estimate at this stage use whatever information you have available to you to make your estimate (E.g., regarding wages ensure you consider the payroll level, hourly rate, number of hours per week, etc.). Include some brief notes on what factors you have used to calculate your estimate in the application. o If your application is successful, you will be required to provide a detailed project management plan at the beginning of the grant period, including a more detailed and accurate budget. 9. Are incentive payments/vouchers to project participants considered to be an acceptable use of funding? What about catering, travel expenses, childcare, etc.? o Yes. However, supporting evidence to justify proposed expenses and an outline of why the expense is essential to the project s success, are required. 10. Can a non-registered organisation apply for grants by partnering or receiving support from a registered organisation? o No, the Cancer Institute cannot award grants to non-registered organisations. However, a non-registered organisation can partner with a registered organisation when the registered organisation is the grant applicant. 11. Given the number of public holidays leading up to the deadline, concern was raised over the amount of time that has been allocated to the development of grant applications. Is there any possibility of extending the closing date? o The Cancer Institute NSW (CINSW) cannot accept grant applications past the closing date of the 14 May 2017. Page 4 of 14

All priority areas - General Questions 1. How can information about the population groups in different areas be accessed? o A data request can be submitted to the Cancer Institute NSW in order to inform research into the population groups in different areas. Please see https://www.cancerinstitute.org.au/data-research/access-our-data/requestcustomised-data for more information about submitting a request for specific data. o You can also send a data request to data@cancerinstitute.org.au o Please be aware that while we endeavour to respond to data requests promptly, depending on the type of request and resource capacity, it is recommended to allow a couple of weeks for your request to be processed. Page 5 of 14

Priority 2 - Bowel Cancer Screening: Improving access to public colonoscopy services within NSW LHDs 1. Summary of discussions - Priority Area 2 A brief summary of the National Bowel Screening Program including the ifobt - home testing kit and the pathway for participants was provided. CINSW has current strategies working with Primary Care aimed at improving participation in bowel cancer screening and referring patients for diagnostic follow-up after a positive ifobt result. Previous and current grant projects aimed at improving access times to colonoscopy have focused on direct access models of colonoscopy improving the timeliness of diagnosis; the goal of screening is early detection and diagnosis. The project should consider what the current system or process is for people accessing colonoscopy, what the bottlenecks are and how this can be improved. The main priority of the project should be to reduce the time from GP referral to colonoscopy, perhaps through focused clinics reducing specialist wait times. Priority 6 - Cancer Optimal Care Pathways (Lung, Bowel and Liver) 1. Summary of discussions - Priority Area 6 o The focus of the grants is to ensure that local service delivery is aligned with the referral and diagnosis component of the Optimal Care Pathways (OCPs) developed by the Cancer Council Victoria. o The three cancer types selected reflect the priority cancers highlighted in the NSW Cancer Plan. o The Mapping and Dissemination Toolkit: Cancer care pathways for the diagnosis and referral of specific cancer types has been developed to guide the alignment process. It outlines a clear methodology which can be used for the grant project. The toolkit is available on our website. Note: The toolkit is not to be submitted in the grant application. o The promotion and education of the OCPs should be incorporated into the scope of the grant project. o For the primary liver cancer specifically, the grant is focused on already established (or moving towards) specialist liver services. For more information please see Priority 6 in the Expression of Interest Guidelines document. Page 6 of 14

Priority 3 - Bowel Cancer Screening: Multicultural Community Engagement Priority 10 - Multicultural Community Engagement 1. Are Priority 10 (Multicultural Community Engagement) grants exclusively for projects that address cancer services for people post-diagnosis? o The prioritised actions of the NSW Cancer Plan span across the entire cancer pathway, including: Prevention Screening Early detection and diagnosis Treatment Survivorship (recovery and end of life) o Given that there are other categories within this round of grants focusing specifically on cancer prevention and screening initiatives (e.g. Priorities 3, 4 and 9) Priority 10 grant applications must be for projects that aim to improve cancer outcomes for members of CALD communities affected by cancer and their carers. o This includes initiatives that address patients practical support needs during their cancer journey from early detection and diagnosis, through to treatment and survivorship. o If you think your project covers more than one of the above prioritised actions of the Cancer Plan or you are not sure which grant category is suitable for your project, you can send an email to Innovation@cancerinstitute.org.au seeking clarification. 2. Is it possible to target more than one cultural group? o Yes. In either grant category (3 or 10), you may target either a single culturally and linguistically diverse (CALD) group (e.g. Arabic speakers) or a number of groups (e.g. Arabic, Chinese and Italian speakers). o If one group is selected, consider including detail of the translatability of the initiative to other groups (E.g. to support the sustainability of the project - Priority 10). o For Priority 3, it is recommended that you identify specific cultural or language groups rather than targeting CALD communities in general (note this is not applicable to Priority 10). 3. Is it acceptable to focus on more than one cancer type? o For Priority 10 grants, you may focus on a single or on multiple cancer types. The three focus cancers of the current NSW Cancer Plan are lung, bowel and primary liver cancers. However, as long as the initiative aligns with the NSW Cancer Plan prioritised actions, any cancer type can be the focus. o For Priority 3 grants, you should focus on bowel cancer only. 4. Is it acceptable to focus on more than one objective of the NSW Cancer Plan? o For Priority 10 grants, you may focus on either a single or on multiple Cancer Plan objectives. Page 7 of 14

o For Priority 3 grants, you should focus on objectives relating to goal 2 - Increase the survival of people with cancer. 5. Is bowel cancer screening participation data available? o Participation in the National Bowel Cancer Screening Program by language spoken at home is currently not available. o Participation data is available by Primary Health Network (PHN) region: http://www.aihw.gov.au/cancer-data/cancer-screening/ (Select indicator 1: Participation) 6. Are bowel cancer screening kits (and associated letter and instructions) always sent out in English? o Yes. At present it is challenging to identify people who speak a language other than English at home via the National Cancer Screening Register, particularly in the case of new screeners. o People are instructed to call translation and interpreter services if they have difficulty reading English, and will be directed to instructions in their language if required and available. 7. What bowel cancer resources are currently available and is it possible to access the video files in an offline format? o All existing resources belong to the National Bowel Cancer Screening Program. If required, CINSW can request the videos in an offline format (for successful applicants). o The resources available depend on the language selected. The National Bowel Cancer Screening Program provides a web-based fact sheet, information booklet and screening test kit instruction pamphlet in 20 languages and additionally, printed A Gift for Living campaign resources (brochure, poster and video) in 6 languages. - View all resources here: http://www.health.gov.au/internet/screening/publishing.nsf/content/inyour-language - Order printed copies here: http://www.health.gov.au/internet/screening/publishing.nsf/content/resou rces-menu-bowel 8. Is Priority 3 considered a research project? o No, it is not considered a research project but rather a community consultation and engagement project. You may collate data or other evidence; however such activities are not considered research activity. You will not require an ethics application and the findings will not be published. 9. Notes to Priority 3 -Considerations for applicants: o It is recommended to budget for recording/transcribing, translations and/or transcripts. o Bowel cancer screening kits are not available for distribution outside of the usual program distribution to eligible people by the mailing house. The Cancer Page 8 of 14

Institute is unable to provide a supply of kits to general practices or other organisations. However, we may be able to provide successful applicants with a few kits to be used for demonstrations (organisations should ensure the kits can be re-used). Page 9 of 14

Priority 4 - BreastScreen NSW 1. How can population data about groups in different areas be accessed? o For all queries pertaining to breast screening data please refer to https://www.cancerinstitute.org.au/data-research/data-held-bycinsw/breastscreen-nsw o A data request can be submitted to the Cancer Institute NSW in order to inform research into the population groups in different areas. Please see https://www.cancerinstitute.org.au/data-research/access-our-data/requestcustomised-data for more information about submitting a request for specific data. 2. How are rural and remote areas defined? o The ABS Australian Statistical Geography Standard Remoteness Area classification or ASGS RA (ABS 2011) is a classification that allocates one of five remoteness categories to areas. Areas are classified as Major cities, Inner regional, Outer regional, Remote or Very remote. The calculation of this measure will produce five results for the five different remoteness areas. o For more information, please see the BreastScreen Australia Data Dictionary version 1.1 (1 June 2015 edition), Appendix 2. 3. How are areas of high social disadvantage defined? o The Index of Relative Socio-economic Disadvantage (IRSD) is one of four SEIFAs (socio-economic indexes for area) developed by the Australian Bureau of Statistics (ABS 2011c). This index is based on factors such as average household income, education levels and unemployment rates. Rather than being a person-based measure, the IRSD is an area-based measure of socioeconomic status in which small areas of Australia are classified on a continuum from disadvantaged to affluent. This information is used as a proxy for the socio-economic status of people living in those areas and may not be correct for each person in that area. The calculation of this measure will produce five results (low to high socioeconomic status) across the five quintiles. o For more information, please see the BreastScreen Australia Data Dictionary version 1.1 (1 June 2015 edition), Appendix 2. Page 10 of 14

Priorities 7&8 Healthy Lifestyle & Skin Cancer Prevention 1. Is there an updated NSW Skin Cancer Prevention Strategy, and which version of the new strategy should be used for referencing and linking in the project submission? o A new strategy has been developed and is due to be launched soon following Ministerial approval. The most up to date version of the draft NSW Skin Cancer Prevention Strategy 2016-2018 will be provided to applicants upon request. 2. Are capital works projects to be considered in the lifestyle or skin grant areas? o Capital works projects cannot be funded through these grants; however you may consider joint projects. For example, the grant funded project may audit shade availability and/or standards in the local council area, while the budget for shade structure or other capital works would come from the local council. o Another example may be that the grant proposal is to utilise the funding to employ a team to develop a shade access strategy for the local area, to map and develop access to both built and natural shade. Page 11 of 14

Priority 9 - Cervical Screening 1. For this priority area, which groups or communities should be targeted? o For the NSW Cervical Screening Program, target populations have participation rates which are significantly lower than average, and include but are not limited to: o Women from culturally and linguistically diverse (CALD) communities o Aboriginal women o Young women (25-34 years) o Women living in remote and very remote areas o Women living in areas of high social disadvantage o Women with physical or intellectual disabilities o Women who have experienced sexual abuse or domestic violence o Women from refugee communities o Lesbian, bisexual, transgender and intersex (LBTI) people o Projects currently underway focus on the following groups. Preference will be given to projects that work with other priority populations. o Nepali and Bangladeshi women o LBTI people o Women with intellectual disabilities 2. For CALD populations in particular, is it better to target one specific community or group? o The Cancer Institute has no preference; it is dependent upon the approach and engagement. You may like to engage with people from several different backgrounds in a defined geographical area, within a particular service, or with people from one background in a broader region. Provided the approach is clearly outlined and justified, it is up to the submitting organisation (and their partnering organisations) to identify and choose the target population(s). 3. Can the application focus on more than one priority group? o Yes, it can. If a project is implemented in a particular region and expected to reach women who fit into more than one priority group, this is possible. Please address the needs of each priority group that your proposed project will reach. 4. What Program resources will be available for women from Chinese or Arabic backgrounds? o The NSW Cervical Screening Program (NSW CSP) will update the website for publication from 1 December 2017 to coincide with the Renewal of the national program. The website will include information in Arabic, Mandarin and Vietnamese. Brochures and other resources developed by the national program will be translated into a number of languages, to be confirmed later. Page 12 of 14

5. Do projects need to use information resources developed by the national or NSW program? o No, it is not necessary, although the essential criteria state that grant recipients must work with the NSW Cervical Screening Program to ensure that messaging aligns with national policies. 6. When will updated resources be available? o Updated resources will be available for download from the website from 1 December. However they may be available in hard copy form prior to that date. 7. Can drafts of the updated resources be accessed prior to publication? o Relevant resources developed by the NSW CSP or the National Cervical Screening Program (NCSP) can be shared in-confidence with grant recipients as they become available prior to 1 December. 8. In the renewed Program, will nurses be able to perform the HPV DNA test (Cervical Screening Test)? o Yes, the HPV DNA test will become the primary screening tool from 1 December. Nurses who have been performing Pap tests will be able to perform the Cervical Screening test. 9. How are rural and remote areas defined? o See question 2, Priority area 4, page 10 in this document, for definition. 10. How are areas of high social disadvantage defined? o See question 3, Priority area 4, page 10 in this document, for definition. Page 13 of 14

Priority 11 - Smoking in Pregnancy 1. There is a lack of data on Aboriginal women and smoking at a Local Government Area (LGA) level. Can this disadvantage applicants? o No, this will not disadvantage applicants. While there is data available for Local Health District (LHD) and Primary Health Network (PHN) catchment areas, obtained through Population Health surveys, the Cancer Institute is aware of the challenges of collating LGA data. Page 14 of 14