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Written question asked by Scott Arthur (Labour) on Friday, 20 February 2026, in the House of Commons. It was due for an answer on Tuesday, 24 February 2026. It was answered by Stephen Kinnock (Labour) on Tuesday, 3 March 2026 on behalf of the Department of Health and Social Care.


Bowel Cancer: Screening

Question

To ask the Secretary of State for Health and Social Care, how his Department plans to support endoscopy services to ensure the increased test sensitivity in the Bowel Cancer Screening Programme to 80ug/g is rolled out by 2028 without impacting on colonoscopy waiting times.

Answer

NHS England has undertaken detailed modelling to understand the diagnostic and workforce capacity required to support a reduction in the faecal immunochemical test (FIT) threshold within the Bowel Cancer Screening Programme in England. NHS England has worked with early adopter sites to test the operational impact of lowering the FIT threshold in real‑world settings. These sites have provided evidence on changes in referral volumes, colonoscopy demand, cancer and polyp detection rates, and the implications for endoscopy services. The findings are being formally evaluated and are informing assumptions within the national capacity modelling. The timing of wider roll‑out is directly linked to the outcomes of this modelling and evaluation work, as well as the availability of trained endoscopy staff.

NHS England continues to develop the endoscopy workforce, including the expansion of the screening colonoscopist workforce through Advanced Training Skills Module.

Alongside this, NHS England is progressing a wider programme of endoscopy transformation focused on releasing capacity and improving productivity. This includes the intelligent use of FIT testing, including coloFIT, to support more effective risk stratification, reduce unnecessary colonoscopies, and ensure that available endoscopy capacity is targeted towards those at highest risk. Embedding FIT‑led pathways supports earlier reassurance for lower‑risk individuals while prioritising timely investigation for those most likely to benefit.


Secondary information

Type
Written question
Reference
114490
Session
2024-26
Grouped for answer
Yes
Subjects
Screening Bowel cancer Endoscopy
Link
View this Written question on www.parliament.uk