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<p>The National Bowel Screening Programme has been received positively since it commenced
in 2006 and has seen a steady rise in participation achieving over 55% engagement
over the last three years.</p><br /><p>Table: Bowel screening engagement of the last
three years</p><table><tbody><tr><td rowspan="2"><p><br></p></td><td colspan="3"><p>Year</p></td></tr><tr><td><p>2011
- 2012</p></td><td><p>2012 - 2013</p></td><td><p>2013 - 2014</p></td></tr><tr><td><p>Invited</p></td><td><p>3,623,950</p></td><td><p>3,839,325</p></td><td><p>3,976,616</p></td></tr><tr><td><p>Screened</p></td><td><p>1,996,701</p></td><td><p>2,246,893</p></td><td><p>2,206,435</p></td></tr><tr><td><p>Abnormal</p></td><td><p>41,707</p></td><td><p>40,983</p></td><td><p>40,698</p></td></tr><tr><td><p>Uptake</p></td><td><p>55.10%</p></td><td><p>58.52%</p></td><td><p>55.49%</p></td></tr></tbody></table><br
/><p>The programme expects that engagement will continue to increase following a positive
recommendation from the UK National Screening Committee to use Faecal Immunochemical
Test (FIT) as the primary screen test for bowel cancer. FIT has seen an increase in
participation especially amongst men and in deprived areas as well as help reduce
the number of deaths from bowel cancer.</p><br /><p>Following a positive screening
test approximately half (50%) of the patients, at colonoscopy will have either bowel
cancer or adenomas that require surgical intervention. An additional 25% of patients
will have another disease affecting the colon and may require medical attention outside
of the bowel screening programme, with the remaining 25% of colonoscopies having no
medical reason for a positive result.</p><br /><p>Bowel screening has increased colonoscopy
work and has subsequently helped to improve the quality of this service. False negatives
from the screening test have no direct impact on the waiting times since colonoscopy
is not undertaken.</p><br /><p><strong></strong></p>
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