Bowel cancer screening programme
The Bowel Cancer Screening Programme Eastern Hub, based at the Queen's Medical Centre, is one of the five Hubs in the English NHS Bowel Cancer Screening Programme (BCSP) responsible for screening the population for bowel cancer in England.
The FOBt screening programme invites men and women aged 60-74 and who are registered with an NHS general practice to complete a guaiac based FOB test every two years. The testing kit is posted to them at their homes. People found to have abnormal tests are then referred to their local Screening Centre for further assessment with most going on to have a colonoscopy. The Eastern Hub currently refers people with abnormal tests to 14 Screening Centres in the Eastern region and occasionally to Screening Centres covered by other Hubs. People whose FOB test proves to be normal are written to and advised that they will be sent another kit in 2 years provided they are still under 75.
Description of service
The primary task for each of the 5 Hubs in England is to effectively and efficiently organise and manage the first stage of the programme pathway.
The Hub’s main responsibilities are:
- Sending out kits to invited subjects and the subsequent testing of returned kits.
- Calling and recalling subjects for screening.
- Providing a free telephone helpline for subjects.
- Booking appointments for subjects with an abnormal result with a Specialist Screening Practitioner.
- Sending out result letters to subjects and GPs.
- Providing reports and data analysis, including performance monitoring data, to Screening Centres, Commissioners, National Office and Screening Quality Assurance Services.
- Maintaining a UKAS accredited service that meets national standards.
- Supporting agreed BCSP research and development projects.
The Hub's normal opening hours are 8:00am to 5:00pm, Monday to Friday. A freephone helpline; 0800 707 60 60 provides additional support to those taking up the offer of Bowel Cancer Screening. An answerphone service is available for out of hours queries.
The Bowelscope programme invites people aged 55 to attend their local Screening Centre for a once only flexible sigmoidoscopy screening which can examine the lower bowel (rectum and sigmoid colon) where 60% of all bowel cancers occur. The aim of the programme is to identify and remove certain bowel polyps (adenomatous polyps) and in doing so prevent bowel cancer developing, in contrast to the FOBt programme which primarily aims to detect early cancer. The Hubs role is to organise the invitations and respond to the helpline enquiries.
Bowelscope screening is due to be followed by the replacement of guaiac faecal occult blood tests with the more accurate and sensitive faecal immuno-chemical tests in the next couple of years.
The Hub is a hive of activity, and for an average week:
- Sends out 17,500 invites.
- Sends out 19,000 test kits (includes retests and over age self referrals).
- Receives and tests 12,000 kits.
- Dispatches 11,000 subject results.
- Dispatches 11,000 GP results.
- Answers 2,500 helpline calls.
- Books 250 specialist screening practitioner (SSP) positive assessment appointments.
There are targets and standards around the testing and reporting of results which we have to meet. These are:
- Returned kits to be tested and reported within 3 calendar days of receipt in the laboratory.
- Abnormal results to be sent out within 1 working day of becoming available
- Normal test kit results to be sent to participants within 7 days of the result being available.
- Primary clinic bookings to be offered by the Hub to positive participants within 14 days of the positive FOBT test result.
The Hubs most recent comprehensive report covering the calendar years 2016/17 is available to download below.