
Community Cancer Champions’ Project: Learning From the Design and Implementation of an Integrated Health and Voluntary and Community Sector (VCS) Asset-Based Community Development Project – A Case Study From Plymouth, England
References
- Sung H, Ferlay J, Siegel R, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians. 2021;71(3):209–249. DOI: 10.3322/caac.21660
- World Health Organization. Global cancer burden growing, amidst mounting need for services. [webpage on the internet]. [cited 2024 November 19]. Available from:
https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services#:~:text=Over%2035%20million%20new%20cancer%20cases%20are%20predicted,several%20of%20which%20are%20associated%20with%20socioeconomic%20development . - Islami F, Guerra C, Minihan A, Yabroff K, Fedewa S, Sloan K, Wiedt T, Thomson B, Siegel R, Nargis N, Winn R, Lacasse L, Makaroff L, Daniels E, Patel A, Cance W, Jemal A. American Cancer Society’s report on the status of cancer disparities in the United States. CA: A Cancer Journal for Clinicians. 2022;72(2):112–143. DOI: 10.3322/caac.21703
- Rachet B, Ellis L, Maringe C, Chu t, Nur U, Quaresma M, Shah A, Walters S, Woods L, Forman D, Coleman M. Socioeconomic inequalities in cancer survival in England after the NHS cancer plan. British Journal of Cancer. 2010;103(4):446–453. DOI: 10.1038/sj.bjc.6605752
- Cancer Research UK. (2025).
Cancer inequalities in the UK (Report No. RG_0054) . Cancer Research UK. [webpage on the internet]. [cited 2025 June 06]. Available from:https://www.cancerresearchuk.org/sites/default/files/rg_0054_cancer_inequalities_in_the_uk_r5_acc.pdf - O’Connor J, Sedghi T, Dhodapkar M, Kane M, Gross, C. Factors Associated With Cancer Disparities Among Low-, Medium-, and High-Income US Counties. JAMA Network Open Oncology. 2018;1(6):
e183146 . DOI: 10.1001/jamanetworkopen.2018.3146 - Forbes L, Warburton F, Richards M, Ramirez A. Risk factors for delay in symptomatic presentation: a survey of cancer patients. British Journal of Cancer. 2014;581–588. DOI: 10.1038/bjc.2014.304
- Sheaff R, Ellis Paine A, Exworthy M, Gibson A, Stuart J, Jochum V, Allen P, Clark J, Mannion R, Asthana S. Consequences of how third sector organisations are commissioned in the NHS and local authorities in England: a mixed-methods study. Health and Social Care Delivery Research. 2024;12(39). DOI: 10.3310/NTDT7965
- Baker C, Mansfield Z. Cancer statistics for England. London: House of Commons Library; 2023 February. [cited 2024 16 November]. Available from:
https://commonslibrary.parliament.uk/research-briefings/sn06887/ . - Office for Health Improvement and Disparities.
Public health profiles . Public Health England. [webpage on the internet]. [cited 2024 November 20]. Available from:https://fingertips.phe.org.uk/search/cancer%20mortality#page/4/gid/1/pat/159/par/K02000001/ati/15/are/E92000001/iid/40501/age/163/sex/4/cat/-1/ctp/-1/yrr/3/cid/4/tbm/1 . - Abraham S, Foreman N, Sidat Z, Sandhu P, Marrone D, Headley C, Akroyd C, Nicholson S, Brown K, Thomas A, Howells L, Walter, H. Inequalities in cancer screening, prevention and service engagement between UK ethnic minority groups. British Journal of Nursing. 2022;31(10):S14–S24. DOI: 10.12968/bjon.2022.31.10.S14
- Davies E, Renshaw C, Dixon S, Møller H, Coupland, V.
Socioeconomic and ethnic inequalities in screen-detected breast cancer in London . Journal of Public Health (United Kingdom). 2013.35(4):607–615. DOI: 10.1093/pubmed/fdt002 - Woof V, Ruane H, Ulph F, French D, Qureshi N, Khan N, Evans D, Donnelly L. Engagement barriers and service inequities in the NHS Breast Screening Programme: Views from British-Pakistani women. Journal of Medical Screening. 2019;27(3):130–137. DOI: 10.1177/0969141319887405
- Jackowska M, von Wagner C, Wardle J, Juszczyk D, Luszczynska A, Waller J. Cervical screening among migrant women: A qualitative study of Polish, Slovak and Romanian women in London, UK. Journal of Family Planning and Reproductive Health Care. 2012;38(4):229–238. DOI: 10.1136/jfprhc-2011-100144
- McCutchan G, Wood F, Edwards A, Richards R, Brain K. Influences of cancer symptom knowledge, beliefs and barriers on cancer symptom presentation in relation to socioeconomic deprivation: A systematic review. BMC Cancer. 2015;15(1). DOI: 10.1186/s12885-015-1972-8
- McCutchan G, Wood F, Smits S, Edwards A, Brain K. Barriers to cancer symptom presentation among people from low socioeconomic groups: a qualitative study. BMC Public Health. 2016;16(1):1–10. DOI: 10.1186/s12889-016-3733-2
- Logan L, McIlfatrick S. Exploring women’s knowledge, experiences and perceptions of cervical cancer screening in an area of social deprivation. European Journal of Cancer Care. 2011;20(6):720–727. DOI: 10.1111/j.1365-2354.2011.01254.x
- Ingleby F, Woods L, Atherton I, Baker M, Elliss-Brookes L, Belot A. An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales. BMC Public Health. 2022;22(90). DOI: 10.1186/s12889-022-12525-1
- McCowan C, McSkimming P, Papworth R, Kotzur M, McConnachie A, Macdonald S, Wyke S, Crighton E, Campbel C, Weller D, Steele R, Robb K. Comparing uptake across breast, cervical and bowel screening at an individual level: a retrospective cohort study. British Journal of Cancer. 2019;121(8):710–714. DOI: 10.1038/s41416-019-0564-9
- Young B, Bedford L, Kendrick D, Vedhara K, Robertson J, das Nair R.
Factors influencing the decision to attend screening for cancer in the UK: A meta-ethnography of qualitative research . Journal of Public Health (United Kingdom). 2018.40(2):315–339. DOI: 10.1093/pubmed/fdx026 - Moffat J, Bentley A, Ironmonger L, Boughey A, Radford G, Duffy S. The impact of national cancer awareness campaigns for bowel and lung cancer symptoms on sociodemographic inequalities in immediate key symptom awareness and GP attendances. British Journal of Cancer. 2015;112:S14–S21. DOI: 10.1038/bjc.2015.31
- McCutchan G, Wood F, Edwards A, Richards R, Brain K. Influences of cancer symptom knowledge, beliefs and barriers on cancer symptom presentation in relation to socioeconomic deprivation: A systematic review. BMC Cancer. 2015;15(1). DOI: 10.1186/s12885-015-1972-8
- Aggarwal A, Choudhury A, Fearnhead N, Kearns P, Kirby A, Lawler M, Quinlan S, Palmieri C, Roques T, Simcock R, Walter F, Price P, Sullivan R. The future of cancer care in the UK-time for a radical and sustainable National Cancer Plan. The Lancet Oncology. 2024;25(1):e6–e17. DOI: 10.1016/S1470-2045(23)00511-9
- Ward Z, Atuna R, Aggarwal A, Lawlere M, Hricak H. Investing in cancer care in the UK: why aren’t we acting on the evidence? The Lancet Oncology. 2024;25(1):E6–E17. DOI: 10.1016/S1470-2045(24)00634-X
- World Health Organization. Community Engagement Framework for Quality, People-Centred and Resilient Health Services. Geneva, Switzerland: World Health Organization; 2017. [cited 2024 16 November]. Available from:
https://www.who.int/publications/i/item/WHO-HIS-SDS-2017.15 . - Edwards-Smith L, Hayes J. Community Asset Network – addressing Disparities in Outcomes. [webpage on the internet]. [cited 2024 November 20]. Available from:
https://www.plymouth.ac.uk/research/primarycare/public-health/devon-community-assets-research-collaborative . - Morales-Garzón S, Parker L, Hernández-Aguado I, González-Moro Tolosana M, Pastor-Valero M, Chilet-Rosell E. Addressing Health Disparities through Community Participation: A Scoping Review of Co-Creation in Public Health. Healthcare (Basel). 2023.4;11(7):1034. DOI: 10.3390/healthcare11071034
- Sezgin D, O’Caoimh R, O’Donovan M, Salem M, Kennelly S, Samaniego L, Carda C, Rodriguez-Acuña R, Inzitari M, Hammar T, Holditch C, Bettger J, Vernon M, Carroll Á, Gradinger F, Perman G, Wilson M, Vella A, Cherubini A, Tucker H, Fantini M, Onder G, Roller-Wirnsberger R, Gutiérrez-Robledo L, Cesari M, Bertoluci P, Kieliszek M, van der Vlegel-Brouwer W, Nelson M, Mañas L, Antoniadou E, Barriere F, Lindblom S, Park G, Pérez I, Alguacil D, Lowdon D, Alkiza M, Bouzon C, Young J, Carriazo A, Liew A, Hendry A. European Union Advantage Joint Action Work Package 7 partners in collaboration with the International Foundation for Integrated Care Special Interest Group on Intermediate Care. Defining the characteristics of intermediate care models including transitional care: an international Delphi study. Aging Clinical and Experimental Research. 2020;32(11):2399–2410. DOI: 10.1007/s40520-020-01579-z
- Vaz-Luis I, Masiero M, Cavaletti G, Cervantes A, Chlebowski R, Curigliano G, Felip E, Ferreira A, Ganz P, Hegarty J, Jeon J, Johansen C, Joly F, Jordan K, Koczwara B, Lagergren P, Lambertini M, Lenihan D, Linardou H, Loprinzi C, Partridge A, Rauh S, Steindorf K, van der Graaf W, van de Poll-Franse L, Pentheroudakis G, Peters S, Pravettoni G. ESMO Expert Consensus Statements on Cancer Survivorship: promoting high-quality survivorship care and research in Europe. Annals of Oncology. 2022;33(11):1119–1133. DOI: 10.1016/j.annonc.2022.07.1941
- Ziegler E, Hill J, Lieske B, Klein J, dem OV Knesebeck, Kofahl C. Empowerment in cancer patients: Does peer support make a difference? A systematic review. Psychooncology. 2022;31(5):683–704. DOI: 10.1002/pon.5869
- Office for Health Improvements and Disparities. Community-centred practice: applying All Our Health. Public Health England. [webpage on the internet]. [cited 2024 November 20]. Available from:
https://www.gov.uk/government/publications/community-centred-practice-applying-all-our-health/community-centred-practice-applying-all-our-health . - The King’s Fund. Volunteering in health and care: securing a sustainable future. [webpage on the internet]. [cited 2024 November 20]. Available from:
https://www.kingsfund.org.uk/insight-and-analysis/reports/volunteering-health-care . - Macmillan Community Cancer Champions. [webpage on the internet]. [cited 2024 November 14]. Available from:
https://www.macmillan.org.uk/donate/philanthropy/our-funding-priorities/macmillan-community-cancer-champions . - UK Parliament.
Written evidence submitted by the Health Inequalities Alliance (HIA) . London: UK Parliament; 2023. [cited 2024 Nov 28]. Available from:https://committees.parliament.uk/writtenevidence/119010/pdf/ . - Office of the Director of Public Health, Plymouth City Council. Index Of Multiple Deprivation (Imd) 2019 Plymouth Summary Analysis. [webpage on the internet]. [cited 2024 November 13]. Available from:
https://www.plymouth.gov.uk/sites/default/files/IMD%202019%20report%20Final%200.1.pdf . - Public Health England. Cancer incidence and mortality in Plymouth 2012–2016. 2012–2016. [webpage on the internet]. [cited 2024 November 13]. Available from:
https://www.plymouth.gov.uk/sites/default/files/media-uploads/Plymouth-Cancer-Report-2019.pdf . - Zebra Collective. [webpage on the internet]. [cited 2024 November 13]. Available from:
https://www.zebra.coop/ . - Kretzmann J, McKnight J. Building Communities from the Inside Out: A Path Toward Finding and Mobilizing a Community’s Assets. Chicago, IL: ACTA Publications; 1993.
- Jeder Institute. Asset-Based Community Development. [webpage on the internet]. [cited 2024 November 13]. Available from:
https://www.jeder.com.au/asset-based-community-development/ . - Ingleby F, Woods L, Atherton I, Baker M, Elliss-Brookes L, Belot A. An investigation of cancer survival inequalities associated with individual-level socio-economic status, area-level deprivation, and contextual effects, in a cancer patient cohort in England and Wales. BMC Public Health. 2022;22:90. DOI: 10.1186/s12889-022-12525-1
- Age UK Plymouth. [webpage on the internet]. [cited 2024 November 19]. Available from:
https://www.ageuk.org.uk/plymouth/ . - The Wolseley Trust. [webpage on the internet]. [cited 2024 November 19]. Available from:
https://www.wolseley-trust.org/ . - Waterside Health Primary Care Network. [webpage on the internet]. [cited 2024 November 19]. Available from:
https://westhoesurgery.nhs.uk/waterside-health-network-pcn/ . - Community Cancer Champions Project. [webpage on the internet]. [cited 2024 November 19]. Available from:
https://www.zebra.coop/community-cancer-champions-project . - Gradinger F, Elston J, Asthana S, Martin S, Byng R. Reflections on the Researcher-in-Residence model co-producing knowledge for action in an Integrated Care Organisation: a mixed methods case study using an impact survey and field notes. Evidence & Policy: A Journal of Research, Debate and Practice. 2019;15(2):197–215. DOI: 10.1332/174426419X15538508969850
- National Institute for Health Research. Embedded research design framework. [webpage on the internet]. [cited 2024 November 19]. Available from:
https://www.embeddedresearch.org.uk/ . - Lewis S, Russell A. Being embedded: A way forward for ethnographic research. Ethnography. 2011;12(3):398–416. DOI: 10.1177/1466138110393786
- Palinkas L, Horwitz S, Green C, Wisdom J, Duan N, Hoagwood K. Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research. Administration and Policy in Mental Health. 2015;42(5):533–44. DOI: 10.1007/s10488-013-0528-y
- Lumsden K, Goode J. Reflexivity and ethnography: Theory, Method, and Practice. London: Routledge; 2019. pp. 67–82. DOI: 10.4324/9781315692319-4
- Ploder A, Hamann J. Practices of Ethnographic Research: Introduction to the Special Issue. Journal of Contemporary Ethnography. 2021;50(1):3–10. DOI: 10.1177/0891241620979100
- Naeem M, Ozuem W, Ranfagni S. A step-by-step process of thematic analysis to develop a conceptual model in qualitative research. International Journal of Qualitative Methods. 2023;22. DOI: 10.1177/16094069231205789
- Roche P, Shimmin C, Hickes S, Khan M, Sherzoi O, Wicklund E, Lavoie J, Hardie S, Wittmeier K, Sibley K. Valuing All Voices: refining a trauma-informed, intersectional and critical reflexive framework for patient engagement in health research using a qualitative descriptive approach. Research Involvement and Engagement. 2020;42. DOI: 10.1186/s40900-020-00217-2
- Lansing A, Romero N, Siantz E, Silva V, Center K, Casteel D, Gilmer T. Building trust: Leadership reflections on community empowerment and engagement in a large urban initiative. BMC Public Health. 2023;23:1252. DOI: 10.1186/s12889-023-15860-z
- Newcome J. The role of faith organisations in cancer control and patient care. The Lancet Oncology. 2020;21(7):882–883. DOI: 10.1016/S1470-2045(20)30215-1
- Husk K, Elston J, Gradinger F, Callaghan L, Asthana S. Social prescribing: where is the evidence? British Journal of General Practice. 2019;69(678):6–7. DOI: 10.3399/bjgp19X700325
- NHS England.
Inclusive digital healthcare: A framework for NHS action on digital inclusion [Internet] . London: NHS England; 2024. [webpage on the internet]. [cited 2024 November 20]. Available from:https://www.england.nhs.uk/long-read/inclusive-digital-healthcare-a-framework-for-nhs-action-on-digital-inclusion/ . - Alderwick H, Hutchings A, Briggs A, Mays N. The impacts of collaboration between local health care and non-health care organizations and factors shaping how they work: a systematic review of reviews. BMC Public Health. 2021;21:753. DOI: 10.1186/s12889-021-10630-1
DOI: https://doi.org/10.5334/ijic.9054 | Journal eISSN: 1568-4156
Language: English
Submitted on: Nov 28, 2024
Accepted on: Sep 30, 2025
Published on: Oct 10, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
© 2025 Katy Stevenson, Felix Gradinger, Niqui Bond, Debbie Freeman, Richard Byng, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.