NHS Breast Screening

Clive Jones Excerpts

Monday 29th June 2026 Westminster Hall

[Clive Jones (Wokingham) (LD)]

It is a pleasure to serve under your chairship, Mr Vickers. I thank the hon. Member for North Ayrshire and Arran (Irene Campbell) for presenting this important debate and the Minister for attending. I congratulate Gemma Reeves on organising this well-supported petition and her campaigning on this very important issue. Being diagnosed with breast cancer is a bewildering and terrifying experience for far too many people, as many of us know. Breast cancer is the most common cancer in the UK. Around 60,000 people are diagnosed with breast cancer every year, and one in seven women will receive such a diagnosis during their lifetime. Early diagnosis is crucial. Detecting breast cancer sooner gives people the best chance of successful treatment and ultimately saves lives.

In my own case, I had to visit my GP twice before receiving a diagnosis. Between visits to the GP, the cancer spread to my lymph glands. The result of that spread still causes issues for me today, 18 years later. Thankfully my treatment was successful, but many others are not so fortunate because of delays in diagnosis. More than 95% of people diagnosed at stage 1 survive for at least five years compared with around 25% diagnosed at stage 4. That is why breast screening is so important.

The Marmot review estimated that the current screening programme prevents around 1,300 deaths every year, yet uptake remains too low, particularly in England, where rates lag behind the devolved nations and pre-pandemic levels. Almost 30% of eligible women are not attending screening appointments. Around 600,000 women are missing the opportunity for early detection. Cancer Research UK found that concerns about pain are the most common barrier to attending. Others miss invitations, struggle to find the time or remain unconvinced of the benefits. Uptake is even lower in deprived communities, worsening existing inequalities in cancer outcomes. In England in 2025, screening uptake was 65% in the most deprived areas, compared with 75% in the least deprived areas.

The Government need to work on ideas to improve access to screening, particularly where uptake is lowest. Simple measures such as follow-up invitations, culturally appropriate information and community-based pop-up screening services could make a real difference by meeting people where they are and at times that work for them. Will the Minister outline what plans the Government might have to increase screening uptake, particularly through community-based services?

Improving uptake alone, though, is not enough. Serious workforce shortages and outdated equipment continue to delay diagnosis and treatment. Too much diagnostic equipment is ageing or even no longer fit for purpose. Many areas face shortages of radiotherapy capacity, faulty mammography equipment and insufficient staff to operate machines consistently. I have long called for greater investment in the NHS workforce, including during a debate in Westminster Hall last year. Although I welcome the Government’s national cancer plan, the commitment to provide 28 new radiotherapy machines falls well short of what is actually needed. Instead, the Government should be looking to provide at least 200 additional machines; that is what is required to tackle the backlog and ensure timely diagnosis and treatment. That is why my Liberal Democrat colleagues and I have called for a 10-year capital investment programme so that every cancer patient can benefit from faster, more accurate diagnostics and treatment.

What further plans do the Government have to invest in both the workforce and the equipment needed to improve breast cancer outcomes? We know that breast cancer screening works and that early diagnosis saves lives. Now the Government must ensure that everyone can benefit by improving uptake and providing the investment that our cancer services urgently need.