NHS Cancer Screening Programmes

Screening and earlier diagnosis

NHS cancer screening programmes can help to diagnose cancer or risk of cancer earlier and improve the likelihood of successful treatment. There are three national cancer screening programmes in England.

If you are eligible, please make every effort to have your screening test. Screening tests can detect a problem early, before you have any symptoms. Finding out about a problem early can mean that treatment is more effective.

Cervical screening

The NHS cervical screening programme in England is offered to people with a cervix aged from 25 to 64. Routine screening is offered every three years up to 49 years of age and every five years from 50 to 64 years of age.  Depending on the result of the screen, people may be recalled earlier than these routine intervals.

As part of the NHS Cervical Screening Programme, all samples taken at cervical screening appointments are now being tested for high risk Human Papillomavirus (HPV) in the first instance. This is the virus which causes nearly all cervical cancers. Samples that test positive for HPV will then go on to be further analysed with Liquid Based Cytology to detect cell abnormalities.  The new test will identify more people at risk of cervical cancer earlier and could prevent around 600 additional cancers a year.

HPV is a very common virus which effects around 8 in 10 people; it is nothing to be embarrassed about, and in many cases, your immune system will naturally get rid of HPV.

Please see the video below for more information about cervical screening

For more information on the cervical screening programme, please visit the NHS cervical screening pages. Alternatively, visit the gov.uk website or Jo’s Cervical Cancer Trust’s website.

Breast screening

About 1 in 8 women in the UK are diagnosed with breast cancer during their lifetime. If it’s detected early, treatment is more successful and there’s a good chance of recovery.

Breast screening uses an X-ray test called a mammogram that can spot cancers when they’re too small to see or feel.

Breast screening is offered to women aged 50 to their 71st birthday in England. You’ll first be invited for screening within three years of your 50th birthday

There is also currently a trial to examine the effectiveness of offering some women one extra screen between the ages of 47 and 49, and one between the ages of 71 and 73.

You may be eligible for breast screening before the age of 50 if you have a very high risk of developing breast cancer.

If you are 71 or over, you will stop receiving screening invitations. You can still have screening once you are 71 or over if you want to and can arrange an appointment by contacting your local screening unit.

If you’re worried about breast cancer symptoms, such as a lump or an area of thickened tissue in a breast, or you notice that your breasts look or feel different from what’s normal for you, do not wait to be offered screening. See a GP.

Bowel screening

Bowel cancer survival is improving and has more than doubled in the last 40 years in the UK. If diagnosed early, more than 90% of bowel cancer cases can be treated successfully.

Screening programmes test to see if people show any early signs of cancer. By detecting bowel cancer at an early stage, treatment has a better chance of working.

As part of the NHS Bowel Cancer Screening Programme, men and women aged 60-74 are sent a home testing kit every two years to collect a small sample of poo to be checked for tiny amounts of blood which could be caused by cancer. In 2019, the home testing kit was changed from the guaiac Faecal Occult Blood Test (gFOBT) to the Faecal Immunochemical Test (FIT) because it is:

  • more accurate – it can detect smaller signs of blood hidden in poo samples, which can be an early sign of bowel cancer.
  • easier to use – only one sample is required. The gFOBt required three samples to be taken on three different days.

As part of the NHS Long Term Plan, there is also a commitment to lower the bowel screening age to 50 and improve the sensitivity of the screening test further. With support from Public Health England and Health Education England, the NHS is working on plans to safely implement these significant changes, which will include needing extra staff to be trained to undertake extra colonoscopies and other investigations.

For more information on the bowel cancer screening test, please visit the nhs.uk bowel cancer screening pages. You can also find information on the signs and symptoms of bowel cancer on the nhs.uk website.