The latest report by Public Health Scotland (PHS) provides an annual update to key performance indicators for the Scottish Bowel Screening Programme. The report includes uptake, laboratory and clinical outcomes of screened individuals, for those invited from May 2023 to April 2025.
For the two-year period from 01 May 2023 to 30 April 2025, over 1.9 million people were invited to complete a home bowel screening test:
- Two-thirds of people successfully returned their kit (65.2% uptake), meeting the programme minimum uptake target of 60%. Uptake was higher in females (67.7%) than males (62.7%).
- There was a 22.1 percentage point gap between uptake in the most (52.3%) and least (74.4%) deprived population quintiles as measured by the Scottish Index of Multiple Deprivation (SIMD). Uptake for both men and women in the most deprived areas was below the programme target of 60%.
- 34,676 people (2.8% of the tests) had a positive result and were referred for a colonoscopy – a more detailed investigation. Three-quarters received a colonoscopy, while most of the remaining quarter either chose not to proceed or had medical reasons that made it unsuitable. This was similar to last year’s report.
- While waiting times for screening colonoscopies have improved generally, only four out of 10 (41.5%) people received their colonoscopy within four weeks of their positive referral. This was an increase of 12.7 percentage points since last year’s report. However, two out of 10 people (18.6%) waited more than eight weeks for their colonoscopy. This was a reduction of 10.0 percentage points since last year’s report.
- Overall, 5.0% (1,295 people) of those having a colonoscopy following a positive screen were found to have bowel cancer. Three out of five cancers (63.4%) were diagnosed at the earliest two stages, when treatment is most likely to be successful.
- In people eligible to participate, about one third of bowel cancers are identified through screening. These cancers are often at an earlier, more treatable stage which is why anyone sent a bowel screening test is encouraged to complete the test and return using the pre-paid envelope provided.
- For further information, visit NHS Inform.
Peter Hastie, Macmillan External Affairs Manager in Scotland, comments on the latest bowel screening figures issued by the Scottish government: “This latest data continues to show an extremely worrying picture – there is a gap of 22 percentage points in the take up of bowel screening between the most and least deprived areas of Scotland. This isn’t fair, and it has to change.
“Macmillan is committed to working to address the huge gaps and the unfairness that exists in cancer care in Scotland. But we need to see more joined up action, so everyone gets the early diagnosis and support they need, whoever they are and wherever they live.
“As the election looms, we need commitments from the next Scottish Government to work with the health system, professionals, sector partners, community organisations and most importantly, people living with cancer, to fix this unfairness. We deserve nothing less.”
See Macmillan’s Holyrood election manifesto below:
People living in Scotland aged 50 to 74 are sent a home bowel screening test every two years.
The test can be done in the privacy of your home and returned using the pre-paid envelope provided.
For more: http://nhsinform.scot/bowelscreening
