NHS Screening Programmes

What is screening?

Screening is a way of identifying apparently healthy people who may have an increased risk of a particular condition. The NHS offers a range of screening tests to different sections of the population. The aim is to offer screening to the people who are most likely to benefit from it. For example, some screening tests are only offered to newborn babies, while others such as breast screening and abdominal aortic aneurysm screening are only offered to older people.

Cervical screening

Cervical screening is offered to all women aged 25 to 64 to check the health of cells in the cervix. It is offered routinely every 3 years for those aged 25 to 49, and every 5 years from the ages of 50 to 64. More information on cervical screening can be found by clicking here.

Breast screening

Breast screening is offered to women aged 50 to 70 to detect early signs of breast cancer. Women over 70 can self-refer. More information on breast screening can be found by clicking here.

Bowel cancer screening

Everyone aged 60 to 74 is offered a bowel cancer screening home test kit every 2 years. If you’re 75 or over, you can ask for a kit every 2 years by phoning the free bowel cancer screening helpline on 0800 707 60 60. More information on bowel cancer screening can be found by clicking here.

Abdominal aortic aneurysm (AAA) screening

AAA screening is offered to men during the screening year (1 April to 31 March) that they turn 65 to detect abdominal aortic aneurysms (a dangerous swelling in the aorta). Men over 65 can self-refer. More information on AAA screening can be found by clicking here.

Making an informed choice

Before having any screening test, it’s worth finding out about the test itself and what would happen next if you found out you have a higher risk of a particular condition. Deciding whether or not to have a screening test is a personal choice and one which only you can make. When you are invited for screening, you will receive an information leaflet about the screening test.

You can discuss any aspect of the screening test with your health professional and decide whether or not it’s right for you.

Different types of screening have different benefits and risks.

The benefits of having a screening test include:

• Screening can detect a problem early, before you have any symptoms.
• Finding out about a problem early can mean that treatment is more effective.
• Finding out you have a health problem or an increased chance of a health problem can help people make better informed decisions about their health.
• Screening can reduce the chance of developing a condition or its complications.
• Some deaths from abdominal aortic aneurysms, bowel cancer, breast cancer and cervical cancer can be prevented.

The risks and limitations of screening include:

• Screening tests are not 100% accurate. You could be told you have a problem when you do not – this is called a “false positive” and may lead to some people having unnecessary further tests or treatment as a result of screening. A screening test could also miss a problem – this is called a “false negative” and could lead to people ignoring symptoms in the future.
• Some screening tests can lead to difficult decisions. For example, if a pregnancy screening test tells you your baby has a higher chance of having a particular condition, you may then be faced with a decision about having further diagnostic tests that involve a risk to your pregnancy. If the diagnostic test is positive, you may then need to decide whether to continue with your pregnancy.
• Finding out you may have a health problem can cause considerable anxiety.
• Even if your screening test result is normal or negative (meaning you are not at high risk), you could still go on to develop the condition.

How does the NHS decide which types of screening to offer?

An expert group called the UK National Screening Committee (UK NSC) advises the NHS on which screening programmes to offer. When considering who to screen and which conditions to screen for, the benefits of offering a screening programme are weighed up against the harms. The UK NSC only recommends screening when it believes the benefits to the group offered screening outweigh the harms.

The UK NSC regularly reviews its recommendations on screening for different conditions as new research becomes available. This is usually done every 3 years.

Find out how the UK NSC reviews evidence and monitors the quality of screening programmes by clicking here.

If you are eligible for screening and would like more information, please click here to visit the NHS screening page.