NHS Breast Screening

Scott Arthur Excerpts

Monday 29th June 2026 Westminster Hall

[Dr Scott Arthur (Edinburgh South West) (Lab)]

You will not be surprised to hear, Mr Vickers, that it is a pleasure to serve under your chairship today. I thank my hon. Friend the Member for North Ayrshire and Arran (Irene Campbell) for the way in which she introduced the debate and engaged with the petitioners.

The UK’s breast screening programme is one of the greatest successes of our NHS. In Scotland, around 130 lives are saved each year through screening alone. The programme provides critical early diagnoses, improving treatment options and patient outcomes. Even in the worst cases, early diagnosis can give women precious extra time with their family and friends. However, the petition asks whether the current programme is enough. The screening used for those between the ages of 50 and 71 does not account for the fact that one in six people diagnosed with breast cancer each year are below the age of 50. Many more are diagnosed later, and tragically, diagnoses often come too late.

Studies from the USA show that women who are diagnosed with breast cancer when they are under 40 are 40% more likely to die from their cancer, and in the UK, breast cancer is the leading killer of women between the ages of 29 and 40. Worse still, the charity CoppaFeel! tells us that when women present to a healthcare professional with breast cancer symptoms, they are “routinely dismissed”—no doubt as menopausal, as often happens to women—creating missed opportunities for treatment. Sadly, those missed opportunities will only increase with the rate of breast cancer in young women, which, as we have heard, is already increasing. Although rates of breast cancer are increasing in all age groups, the incidence rates in younger women are growing faster than the rates in older women. Those facts should lead us to ask whether it is time to reconsider our current approach to screening.

I recognise that the petition’s proposal to transition to annual screening and to lower the screening age could present significant challenges for the NHS. Annual testing would require significant additional resources and patient buy-in, and younger women’s breasts are often denser and therefore harder to scan, which throws up more anxiety-inducing false positives. However, those challenges should not discourage us from doing more to support these women. Innovations such as the seven-minute risk assessments proposed by CoppaFeel! could help us to improve and expand targeted screening to younger women with a predisposition to breast cancer, and increased resources and publicity will drive up uptake among all women.

To close, I want to recognise the work of CoppaFeel! and Asda, as well as the House of Hope in my constituency. The report CoppaFeel! published on the impact of a breast cancer diagnosis on younger patients has informed many hon. Members in this debate, and I pay tribute to its partnership with Asda, in their Tickled Pink campaign. In Edinburgh South West last year, Asda Chesser donated £2,700 to the House of Hope in Gorgie. The House of Hope is Scotland’s first bespoke support centre for those living with cancer. It provides care rather than treatment, and supports women and their families. The centre provides life-enhancing support every day, and the impact it has had in just its first year of operation cannot be understated.

The House of Hope would not be what it is without the commitment of its founder, Lisa Fleming, who, since her diagnosis at age 33, has been a tireless advocate for the cancer community. I am proud to call her my constituent. This morning, she and her mother—both are formidable—were on my Facebook page, trying to influence this debate. When I met her mother a week or two ago, I was reminded that when a young woman gets breast cancer, her loved ones, including her children and parents, are affected by it. That wider economic impact should be taken into account in our decision making.

It is through work like Lisa’s and, I hope, a renewed commitment from the Minister to improve our screening processes that we can continue to take steps against this terrible disease. I feel obliged to put a question to the Minister, and I hope she will promise me this. The next time she visits Edinburgh, will she stop her ministerial limousine at the House of Hope and pay Lisa a visit?