Guidance

Changes to the bowel cancer screening programme standards from 1 April 2025

Updated 15 April 2025

Applies to England

Introduction 

These revised screening standards for the NHS bowel cancer screening programme replace previous versions. They apply for data collected from 1 April 2025.

Summary of changes

BCSP-S01 FOBt coverage

  • Minor wording adjustments to make the definition clearer
  • Change to thresholds

BCSP-S02 FOBt uptake

  • Minor wording adjustments to make the definition clearer
  • Change to thresholds
  • Minor reporting changes

BCSP-S03 FOBt uptake inequalities standard (new)

  • Same as BCSP-S02, except calculated for deciles 1 and 2 (/ quintile 1)
  • Reporting changes and development

Previously BCSP-S03 related to FOBt test kit turnaround time, but this has now moved to BCSP-S04.

BCSP-S04 FOBt kit turnaround time

  • Minor wording adjustments to make the definition clearer
  • Change to thresholds
  • Minor reporting changes

Previously BCSP-04 related to bowel scope, which has now been removed.

BCSP-S05 FOBt CTC usage

  • Minor wording adjustments to make the definition clearer
  • Clarification added on why there are no performance thresholds
  • Minor reporting changes

BCSP-S06 FOBt time to first offered SSP

  • Major change to the definition: counting number of days from referral up to and including the first offered date, which means 1 less day for the standard (to be in line with other standard calculations)
  • Change to thresholds
  • Reporting changes and development

BCSP-S07 FOBt time to first offered diagnostic test

  • Minor wording adjustments to make the definition clearer
  • Change to thresholds
  • Minor reporting changes

BCSP-S08 FOBt time through pathway, 28day standard (new)

  • Major development to create a new report

Previously BCSP-S08 presented time from diagnostic test referral to attendance. The new standard now shows time through whole pathway following a test kit result of ‘further tests needed’.

BCSP-S09 pathology turnaround times

  • Wording adjustments to make the definition clearer
  • Change to account for R&D strategy
  • Change to include all programme arms
  • Thresholds maintained
  • Reporting changes and development

BCSP-S10 proportion helpline calls answered

  • Major change to the data source from BT dataset to hub call systems
  • Inclusion of all programme calls
  • Major reporting changes and development

BCSP-S11 FOBt diagnostic test uptake

  • Minor wording adjustments to make the definition clearer
  • Thresholds maintained
  • Minor reporting changes

BCSP-S12 FOBt serrated polyp and adenoma detection rate

  • Major change to the definition to include serrated polyps
  • Change to account for R&D strategy
  • Change to thresholds
  • Major reporting changes and development

BCSP-S13 caecal intubation rate

  • Wording adjustments to make the definition clearer
  • Change to include all programme arms
  • Thresholds maintained
  • Reporting changes and development

BCSP-S14 scope withdrawal time

  • Major definition change from ‘complete colonoscopy with a ‘normal’ (NAD) outcome’ to ‘complete colonoscopy where no therapy was performed’
  • Change to include all programme arms
  • Thresholds maintained
  • Major reporting changes and development

BCSP-S15 polyp retrieval rate

  • Wording adjustments to make the definition clearer
  • Change to account for implementation of R&D strategy
  • Change to include all programme arms
  • Change to thresholds
  • Reporting changes and development