Young person and adult screening KPI data: Q4 summary factsheets (1 January to 31 March 2022)
Updated 23 March 2023
Applies to England
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This publication is available at https://www.gov.uk/government/publications/nhs-screening-programmes-kpi-reports-2021-to-2022/young-person-and-adult-screening-kpi-data-q4-summary-factsheets-1-january-to-31-march-2022
Please be aware that this data covers the time period through the COVID-19 pandemic. Provider performance should therefore be interpreted with caution.
In addition to this, some providers were justifiably not able to make timely data returns or validate their data in this period. We recommend looking at the historical trend data of services before the COVID-19 pandemic to help interpret the data.
This report should be read in conjunction with the full key performance indicator (KPI) data tables published each quarter.
1. Abdominal aortic aneurysm screening
1.1 KPI AA2: coverage: initial screen
National performance of AA2 (see standard AAA-S04) in Q4 was 59.5%. AA2 is an annual indicator and quarterly figures are cumulative from Q1 to Q4. England performance is shown in the trend graph below.
Due to the ongoing coronavirus response and restoration of screening this KPI has been impacted. Performance against the KPI has been affected by when providers restarted primary screening, increased appointment lengths, access to venues and availability of screening staff.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 184,493 | 310,089 | 59.5% | 100% |
| Region | Performance % |
|---|---|
| East of England | 56.5% |
| London | 47.8% |
| Midlands | 72.6% |
| North East and Yorkshire | 54.4% |
| North West | 34.3% |
| South East | 66.1% |
| South West | 79.6% |
| England | 59.5% |
1.2 KPI AA3: coverage: annual surveillance scan
National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022. This was due to the impact of the COVID-19 pandemic on screening activity that occurred during these periods.
The trend graph below shows that England AA3 in Q4 was 90.8%, above the acceptable threshold of 85%.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 2,677 | 2,948 | 90.8% | 100% |
| Region | Performance % |
|---|---|
| East of England | 92.0% |
| London | 87.6% |
| Midlands | 94.4% |
| North East and Yorkshire | 92.3% |
| North West | 85.6% |
| South East | 89.1% |
| South West | 90.6% |
| England | 90.8% |
1.3 KPI AA4: coverage: quarterly surveillance scan
National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity. The trend graph below shows that England AA4 in Q4 2021 to 2022 was 92.7%, lower than the previous quarter abut above the acceptable threshold of 90%.
Of 38 screening services, 29 met the acceptable threshold, and 11 met the achievable threshold of 95%.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 2,608 | 2,812 | 92.7% | 100% |
| Region | Performance % |
|---|---|
| East of England | 95.1% |
| London | 91.3% |
| Midlands | 93.8% |
| North East and Yorkshire | 93.9% |
| North West | 89.0% |
| South East | 90.7% |
| South West | 92.7% |
| England | 92.7% |
2. Diabetic eye screening
2.1 KPI DE1: uptake: routine digital screening
National performance of DE1 (see standard DES-S07) in Q4 was 78.4%, higher than the previous 7 quarters. The trend graph below shows that England DE1 performance has been above the acceptable threshold of 75% for 3 consecutive quarters. All 57 screening services submitted data. DE1 is an annual rolling figure.
Due to the ongoing coronavirus response and restoration of screening this KPI may be impacted. Local services should highlight this with their commissioners.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 2,245,339 | 2,863,056 | 78.4% | 100% |
| Region | Performance % |
|---|---|
| East of England | 83.0% |
| London | 78.5% |
| Midlands | 73.2% |
| North East and Yorkshire | 78.8% |
| North West | 75.0% |
| South East | 81.8% |
| South West | 83.2% |
| England | 78.4% |
2.2 KPI DE2: test: timeliness of results letters
National performance of DE2 (see standard DES-S10) in Q4 was 93.3%, lower than the previous quarter. The trend graph below shows that England DE2 performance fell below the achievable threshold of 95% for the first time since 1 July 2018. All 57 screening services submitted data; 54 services met the acceptable threshold of 70% and 44 met the achievable threshold of 95%.
Due to the ongoing coronavirus response and restoration of screening this KPI may be impacted. Local services should highlight this with their commissioners where they consider that this KPI has been impacted by the COVID-19 response.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 661,796 | 709,280 | 93.3% | 100% |
| Region | Performance % |
|---|---|
| East of England | 99.5% |
| London | 93.8% |
| Midlands | 89.2% |
| North East and Yorkshire | 88.2% |
| North West | 87.5% |
| South East | 99.8% |
| South West | 98.3% |
| England | 93.3% |
2.3 KPI DE3: intervention/treatment: timely consultation for people with diabetes who are screen positive
National performance of DE3 (see standard DES-S12) in Q4 was 65.5%, lower than the previous 7 quarters. The trend graph below shows that England DE3 performance has remained below the acceptable threshold of 80% since 1 April 2018. All 57 screening services submitted data and 15 met the acceptable threshold.
Due to the ongoing coronavirus response and restoration of screening this KPI may be impacted. Local services should highlight this with their commissioners where they consider that this KPI has been impacted by the COVID-19 response.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 1,847 | 2,818 | 65.5% | 100% |
| Region | Performance % |
|---|---|
| East of England | 58.1% |
| London | 68.3% |
| Midlands | 67.7% |
| North East and Yorkshire | 68.0% |
| North West | 66.5% |
| South East | 69.3% |
| South West | 56.4% |
| England | 65.5% |
3. Bowel cancer screening
3.1 KPI BCS1: uptake
National performance of BCS1 (see standard BCSP-S02) in Q4 was 67.0%, higher than the previous quarter. Publication of BCS1 was withdrawn for Q1 2020 to 2021 due to the impact of COVID-19 on screening activity. The trend graph below shows that England BCS1 performance has remained above the acceptable threshold of 52% since 1 April 2018.
Out of 64 screening services, 62 of them met the acceptable threshold and 57 met the achievable threshold of 60%.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 937,369 | 1,398,500 | 67.0% | 100% |
| Region | Performance % |
|---|---|
| East of England | 68.7% |
| London | 56.7% |
| Midlands | 67.0% |
| North East and Yorkshire | 69.6% |
| North West | 66.3% |
| South East | 68.9% |
| South West | 71.4% |
| England | 67.0% |
3.2 KPI BCS2: coverage
National performance of BCS2 (see standard BCSP-S01) in Q3 was 70.1%, the highest published level recorded for this KPI. See the corresponding data tables for Q3 2021 to 2022 for full details.
BCS2 is available 6 months (2 quarters) in arrears. The trend graph below shows England BCS2 performance since 1 April 2018. There are no thresholds set for this KPI.
Activity for Q3 is presented by Public Health England (PHE) regions (valid at the time of data collection). Coverage ranged from 62.1% in London to 73.1% in the South.
Quarter 3 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 October to 31 December 2021 | 6,423,905 | 9,166,483 | 70.1% | 100% |
| Region | Performance % |
|---|---|
| London | 62.1% |
| Midlands and East | 70.5% |
| North | 70.0% |
| South | 73.1% |
| England | 70.1% |
4. Breast screening
4.1 KPI BS1: uptake
National performance of BS1 (see standard BSP-S03) in Q4 was 53.3%. The England trend graph below shows that publication of this KPI was withdrawn from Q1 to Q4 2020 to 2021 as there were issues with data quality due to the impact of the COVID-19 pandemic on screening services.
Provisional quarterly data should be used with caution to measure performance as it will contain a proportion of women who were invited but have not yet attended the appointment. Data on this indicator will only be accurate 6 months after the end of the reporting period.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 453,638 | 851,648 | 53.3% | 100% |
| Region | Performance % |
|---|---|
| East of England | 53.6% |
| London | 37.0% |
| Midlands | 54.1% |
| North East and Yorkshire | 58.3% |
| North West | 53.0% |
| South East | 61.9% |
| South West | 56.8% |
| England | 53.3% |
4.2 KPI BS2: uptake: screening round length
National performance of BS2 (see standard BSP-S04) in Q4 was 45.7%. The England trend graph below shows that publication of this KPI was withdrawn from Q1 to Q4 2020 to 2021 as there were issues with data quality due to the impact of the COVID-19 pandemic on screening services.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 294,220 | 644,230 | 45.7% | 100% |
| Region | Performance % |
|---|---|
| East of England | 64.1% |
| London | 26.4% |
| Midlands | 40.7% |
| North East and Yorkshire | 52.9% |
| North West | 37.2% |
| South East | 58.8% |
| South West | 43.7% |
| England | 45.7% |
5. Cervical screening
5.1 KPI CS1: coverage under 50 years
National performance of CS1 (see standard CSP-S01) in Q4 was 68.6%, which was above the previous quarter. The trend graph below shows that CS1 performance has remained below the acceptable threshold of 80% since 1 April 2018.
On April 1 2021, 38 clinical commissioning groups (CCGs) merged to form 9 new ones, resulting in a total of 106 CCGs in England. None of the 106 CCGs met the acceptable threshold.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 7,144,046 | 10,408,742 | 68.6% | 100% |
| Region | Performance % |
|---|---|
| East of England | 71.4% |
| London | 61.2% |
| Midlands | 69.6% |
| North East and Yorkshire | 71.8% |
| North West | 69.4% |
| South East | 70.2% |
| South West | 72.9% |
| England | 68.6% |
5.2 KPI CS2: coverage 50 years and above
National performance of CS2 (see standard CSP-S02) in Q4 was 75.0%, slightly higher than the previous quarter. The trend graph below shows that CS2 performance has remained below the acceptable threshold of 80% since 1 April 2018.
On April 1 2021, 38 CCGs merged to form 9 new ones, resulting in a total of 106 CCGs in England. None of the 106 CCGs met the acceptable threshold.
Quarter 4 performance
| Reporting period | Numerator | Denominator | Performance % | Completeness of data % |
|---|---|---|---|---|
| 1 January to 31 March 2022 | 3,987,479 | 5,315,681 | 75.0% | 100% |
| Region | Performance % |
|---|---|
| East of England | 76.3% |
| London | 71.8% |
| Midlands | 75.5% |
| North East and Yorkshire | 76.3% |
| North West | 74.0% |
| South East | 75.2% |
| South West | 76.5% |
| England | 75.0% |