This report is a review of relevant primary care services in London and West Essex over the past few years. It provides recommendations for policy makers, commissioners and primary care teams on how to increase bowel screening.
Our Transforming Cancer Services Team was approached by stakeholders across London requesting support for interventions to increase bowel screening participation.In particular, people asked for details of incentivised and enhanced services in primary care. We collected information relating to services in London since 2012.
Details of 19 services in 16 CCGs were accessed, including nine service evaluations. Service specifications were audited using a published review of evaluations of interventions to increase cancer screening participation.The review identified four interventions most likely to improve participation in cancer screening, including in underserved populations. Of the interventions, two could be wholly or partially undertaken at practice level (pre-screening reminders and personalised reminders to non-responders).The other two need to be actioned at national programme level (GP endorsed invitations and a more acceptable test).