Asked by: Gregory Campbell (Democratic Unionist Party - East Londonderry)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many and what proportion of people aged 75 years and over have requested a bowel screening kit by phoning the free bowel cancer screening helpline in the last two years.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service bowel cancer screening programme’s published data for 1 April 2022 to 31 March 2024 shows that 396,325 people self-referred or opted back into the programme within the year. This includes ‘over-age self-referrals’, those aged 75 years old and over who are not invited routinely, and also ‘late responder self-referrals’ who have not responded to the initial invitation but have later chosen to participate. This data cannot be disaggregated into each of the categories listed. This data is provided in the Bowel cancer screening standards data report 2022/23 and the Bowel cancer screening standards data report 2023/24, which are available, respectively, at the following two links:
Additional unpublished data available to the programme shows that for this time period, from 1 April 2022 to 31 March 2024, 224,665 requests were made for self-referrals from individuals who are aged 75 years old and over. We are unable to identify if all of these requests were made via the bowel screening helpline. The total number of people aged 75 years old and over is 5,736,072, sourced from the Patients Registered at a GP Practice, October 2025 dataset, which is available at the following link:
Asked by: Joshua Reynolds (Liberal Democrat - Maidenhead)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department is taking steps to introduce an (a) diagnostic protocol for bowel cancer in patients under 50 and (b) a mandatory referral for colonoscopy after two presentations of unresolved rectal bleeding.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department is committed to ensuring that people of all ages with symptoms of bowel cancer are diagnosed as quickly as possible. Clinicians should use their judgment in line with National Institute for Health and Care Excellence (NICE) guidance to ensure that every patient receives timely and appropriate investigation for bowel cancer, including patients aged under 50 years old presenting with unresolved rectal bleeding.
Guidance on referral for suspected cancer is developed and maintained by NICE. The guideline NG12 sets out the symptoms which should prompt referral for urgent investigation. For lower gastrointestinal cancer, there are several indications for patients aged under 50 years old which would be expected to result in referral. Further information can be found on the NICE website at the following link:
Asked by: Ben Obese-Jecty (Conservative - Huntingdon)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress he has made in delivering the NHS Digital Transformation of Screening programme.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Digital Transformation of Screening programme is leading an ambitious, end-to-end transformation of screening services, rolling out in a test and learn way. New digital services will support screening participants to manage their screening appointments via the National Health Service App as well as delivering new, AI-ready services for staff, freeing up their time to focus on care.
Digital invitations along with some results and other routine communications, via the NHS App, have already been rolled out in cervical screening, with bowel cancer and breast screening invitations due to follow.
This winter, NHS England will begin rolling out a replacement digital service for the existing breast screening system (a legacy system called ‘the National Breast Screening Service’), which will provide an end-to-end service for frontline staff to manage breast screening in an easier, more efficient way. This follows the rollout of an improved IT system to support management of cervical screening, which went live last summer.
Work is also under way to put the IT and digital infrastructure in place to support the effective rollout of HPV self-testing for women and people with a cervix who have not come forward for their cervical screening appointments, due to go live in 2026.
Asked by: Jim Shannon (Democratic Unionist Party - Strangford)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how many women aged between (a) 50-60 and (b) 60-70 years olds have been diagnosed with bowel cancer in the last 12 months.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Using the Rapid Cancer Registration Data between June 2024 and May 2025, the most recent 12-month period available:
Further information is available at the following link:
https://digital.nhs.uk/ndrs/data/data-sets/rcrd
Asked by: Sarah Hall (Labour (Co-op) - Warrington South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he plans to take to improve early diagnosis of bowel cancer through the National Cancer Plan.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Early diagnosis of cancers, including bowel cancer, is a key focus of the National Cancer Plan. We are committed to transforming diagnostic services and will support the National Health Service to increase diagnostic capacity to meet the demand for diagnostic services through investment in new capacity, including magnetic resonance imaging and computed tomography scanners.
The National Cancer Plan, due to be published later this year, will build on the shifts in care set out in the 10-Year Health Plan to diagnose cancers earlier. Through the 10-Year Health Plan, we will make it easier for people to access cancer screening, diagnostic, and treatment in patients’ local areas, backed by the latest technology.
The UK Bowel Cancer Screening Programme is undergoing several updates to its standards aimed at improving coverage, accessibility, and early detection. This includes updated performance thresholds, and improved accessibility of bowel cancer screening faecal immunochemical test kits for people who are blind or partially sighted.
Asked by: Sarah Hall (Labour (Co-op) - Warrington South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the annual number of bowel cancer patients diagnosed under the age of 50.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The latest available data, from 2022, showed that there were 2,648 diagnoses of bowel cancer in people under the age of 50 years old. It is a priority for the Government to support the National Health Service to diagnose cancer, including bowel cancer at all ages, as early as possible.
Beginning this year, the NHS expanded its bowel cancer screening program by lowering the eligibility age to 50 years old to ensure earlier diagnosis for those at risk. NHS England also runs the Help Us Help You campaigns to increase knowledge of cancer symptom and to address barriers to acting on them, encouraging people to come forward as soon as possible to see their general practitioner. The bowel cancer campaign urged people to take up the offer of bowel screening when invited.
Furthermore, an NHS testing programme is helping to diagnose thousands of people with a genetic condition, Lynch Syndrome, that increases the chance of developing certain cancers, including bowel cancer. The national programme ensures that all people diagnosed with bowel cancer are offered genomic testing, along with their relatives, to help detect any cancers early and start timely treatment as needed.
The National Cancer Plan will include further details on what will be done to improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, including for bowel cancer patients.
Asked by: Sarah Hall (Labour (Co-op) - Warrington South)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans he has to improve early diagnosis of bowel cancer in patients under 50.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The latest available data, from 2022, showed that there were 2,648 diagnoses of bowel cancer in people under the age of 50 years old. It is a priority for the Government to support the National Health Service to diagnose cancer, including bowel cancer at all ages, as early as possible.
Beginning this year, the NHS expanded its bowel cancer screening program by lowering the eligibility age to 50 years old to ensure earlier diagnosis for those at risk. NHS England also runs the Help Us Help You campaigns to increase knowledge of cancer symptom and to address barriers to acting on them, encouraging people to come forward as soon as possible to see their general practitioner. The bowel cancer campaign urged people to take up the offer of bowel screening when invited.
Furthermore, an NHS testing programme is helping to diagnose thousands of people with a genetic condition, Lynch Syndrome, that increases the chance of developing certain cancers, including bowel cancer. The national programme ensures that all people diagnosed with bowel cancer are offered genomic testing, along with their relatives, to help detect any cancers early and start timely treatment as needed.
The National Cancer Plan will include further details on what will be done to improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, ensuring patients have access to the latest treatments and technology, including for bowel cancer patients.
Asked by: Scott Arthur (Labour - Edinburgh South West)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help reduce alcohol related cancers.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Cancer Plan will build on the shift from sickness to prevention set out by the 10-Year Health Plan, and will seek to reduce risk factors. The plan will cover the entirety of the cancer pathway, from referral and diagnosis to treatment and ongoing care, as well as prevention. This will include alcohol consumption, alongside other risk factors, given alcohol is linked to an increased risk of seven types of cancer: mouth; pharynx; larynx; oesophagus; breast; liver; and bowel, which includes the colon and rectum.
In relation to ensuring public awareness of the link between alcohol and cancer, the Government has a responsibility to provide the most up to date health information to enable people to make informed choices about their drinking. Both the United Kingdom Chief Medical Officers’ low-risk drinking guidelines and the National Health Service’s webpage on alcohol clearly state that alcohol consumption can increase the risk of developing seven types of cancer.
On 3 July 2025, the Department published ‘Fit for the Future: 10 Year Health Plan for England’, which outlines plans to introduce mandatory alcohol labelling, to increase awareness of harms and enable people to make healthier choices. Details of the next steps will be shared in due course.
The 10-Year Health Plan also recognises that No and Low (NoLo) drinks may have the potential to help adults reduce their alcohol intake if consumed in place of a standard-strength alcohol drink. In the document, we outline plans to explore if there is a need to change the threshold at which products can describe themselves as alcohol free, to support growth of this sector. We will also explore options to restrict access to NoLo products, so they are treated in the same ways as all alcohol products, including banning sales to children under 18 years old. Alongside the plan, a large multi-year National Institute for Health and Care Research study is underway to examine the public health impacts of NoLo products, and we look forward to the findings of that being available in the coming year.
The 10-Year Health Plan also commits to supporting community level innovation, and continued expansion of Individual Placement and Support schemes for people with alcohol addiction to find good work.
Asked by: Paul Davies (Labour - Colne Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help tackle inequalities in early diagnosis of bowel cancer caused by late presentation by patients to health services.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Reducing unwarranted variation in cancer treatment and diagnosing cancer, including bowel cancer, earlier are high priorities for the National Health Service. The National Cancer Plan will include further details on what will be done to improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, and ensuring patients have access to the latest treatments and technology, including for bowel cancer patients.
The bowel cancer screening standards have recently been reviewed by NHS England with representatives from the Department included, with changes taking effect from 1 April 2025. This will update the achievable and acceptable thresholds for both uptake and coverage. To further increase coverage across the population in England, NHS England is delivering new approaches to communicating with people about screening through the NHS App. NHS England is also working on improvements to the way eligible people are identified and invited for screening through the transformation of screening programme digital services.
NHS England runs Help Us Help You campaigns to increase knowledge of cancer symptoms and address barriers to acting on them, to encourage people to come forward as soon as possible to see their general practitioner. The campaigns run across England and are publicly accessible. The campaigns focus on a range of symptoms, as well as encouraging body awareness to help people spot symptoms across a wide range of cancers at an earlier point. Previous phases of the campaigns have focused on abdominal symptoms which, among other abdominal cancers, can be indicative of bowel cancer. It is the responsibility of local National Health Service organisations to consider whether they wish to run additional campaigns tailored to the needs of their local population and aligned to their service provision.
Reducing inequalities and variation in cancer care, including for bowel cancer, is a priority for the Government. The NHS England Cancer Programme commissions clinical cancer audits, which provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatment and outcomes for patients. Rather than a single audit, NHS England commissions ten audits, by tumour type, including for bowel cancer. On 31 December 2024, the National Cancer Audit Collaborating Centre published its State of the Nation Report on Bowel Cancer, and the initial recommendations are informing improvements in treatment and care.
Asked by: Paul Davies (Labour - Colne Valley)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps his Department is taking to increase the rates of early diagnosis of bowel cancer.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
Reducing unwarranted variation in cancer treatment and diagnosing cancer, including bowel cancer, earlier are high priorities for the National Health Service. The National Cancer Plan will include further details on what will be done to improve outcomes for cancer patients, as well as speeding up diagnosis and treatment, and ensuring patients have access to the latest treatments and technology, including for bowel cancer patients.
The bowel cancer screening standards have recently been reviewed by NHS England with representatives from the Department included, with changes taking effect from 1 April 2025. This will update the achievable and acceptable thresholds for both uptake and coverage. To further increase coverage across the population in England, NHS England is delivering new approaches to communicating with people about screening through the NHS App. NHS England is also working on improvements to the way eligible people are identified and invited for screening through the transformation of screening programme digital services.
NHS England runs Help Us Help You campaigns to increase knowledge of cancer symptoms and address barriers to acting on them, to encourage people to come forward as soon as possible to see their general practitioner. The campaigns run across England and are publicly accessible. The campaigns focus on a range of symptoms, as well as encouraging body awareness to help people spot symptoms across a wide range of cancers at an earlier point. Previous phases of the campaigns have focused on abdominal symptoms which, among other abdominal cancers, can be indicative of bowel cancer. It is the responsibility of local National Health Service organisations to consider whether they wish to run additional campaigns tailored to the needs of their local population and aligned to their service provision.
Reducing inequalities and variation in cancer care, including for bowel cancer, is a priority for the Government. The NHS England Cancer Programme commissions clinical cancer audits, which provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatment and outcomes for patients. Rather than a single audit, NHS England commissions ten audits, by tumour type, including for bowel cancer. On 31 December 2024, the National Cancer Audit Collaborating Centre published its State of the Nation Report on Bowel Cancer, and the initial recommendations are informing improvements in treatment and care.