NHS Bowel Cancer Screening Programme
NHS Bowel Cancer Screening Programme
A national UK programme for detecting colorectal cancer at an early and more treatable stage through biennial testing for faecal occult blood (FOB).The patient receives a test kit by mail with simple instructions:
(1) Defecate;
(2) Select a sample;
(3) Put on FOB target ring;
(4) Mail to testing hub.
Downsides of FOB testing as a cancer screen
(1) It is relatively insensitive to early—i.e., the most treatable—cancers; postcode inequalities are common.
(2) Not all early colorectal cancers bleed. More elegant (and more expensive) tests which detect abnormal DNA in stool samples may be up to 4 times more sensitive than FOB testing to early bowel cancer.