Research and analysis

Young person and adult screening KPI data: Q3 summary factsheets (1 Oct to 31 Dec 2023)

Published 27 June 2024

Applies to England

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 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 Q3 was 62.6%. AA2 is an annual indicator and quarterly figures are cumulative from Q1 to Q4. England performance is shown in the trend graph below.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 208,278 332,916 62.6 100%
Region Performance %
East of England  72.5%
London 57.0%
Midlands 66.5%
North East and Yorkshire 53.1%
North West 58.0%
South East 60.7%
South West 73.4%
England 62.6%

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National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022.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 Q3 was 91.7%, above the acceptable threshold of 85%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 3,227 3,519 91.7% 100%
Region Performance %
East of England  91.8%
London 87.5%
Midlands 93.2%
North East and Yorkshire 91.4%
North West 89.5%
South East 91.4%
South West 93.5%
England 91.7%

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National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity.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 Q3 2023 to 2024 was 93.0%, higher than the previous quarter and above the acceptable threshold of 90%.

27 out of 38 screening services met the acceptable threshold, and 17 of those met the achievable threshold of 95%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 2,638 2,838 93.0% 100%
Region Performance %
East of England  95.0%
London 86.3%
Midlands 93.9%
North East and Yorkshire 92.4%
North West 90.0%
South East 93.1%
South West 94.9%
England 93.0%

2. Diabetic eye screening

2.1 KPI DE1: uptake: routine digital screening

National performance of DE1 (see standard DES-S07) in Q3 was 79.9%, higher than the previous quarter. The trend graph below shows that England DE1 performance has been above the acceptable threshold of 75% for ten consecutive quarters. All 56 screening services submitted data. DE1 is an annual rolling figure.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 2,478,081 3,102,348 79.9% 100%
Region Performance %
East of England  83.3%
London 79.6%
Midlands 76.9%
North East and Yorkshire 78.7%
North West 76.8%
South East 82.0%
South West 84.9%
England 79.9%

2.2 KPI DE2: test: timeliness of results letters

National performance of DE2 (see standard DES-S10) in Q3 was 98.0%, lower than the previous quarter. The trend graph below shows that England DE2 performance rose above the achievable threshold of 95%. All 56 screening services submitted data. 54 out of 56 services met the acceptable threshold of 70% and 49 met the achievable threshold of 95%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 699,136 713,485 98.0% 100%
Region Performance %
East of England  99.7%
London 99.8%
Midlands 99.1%
North East and Yorkshire 91.8%
North West 96.4%
South East 99.7%
South West 99.8%
England 98.0%

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 Q3 was 65.7%, higher than the previous quarter. The trend graph below shows that England DE3 performance has remained below the acceptable threshold of 80% since 1 April 2019. All 56 screening services submitted data and 21 met the acceptable threshold.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 1,809 2,752 65.7% 100%
Region Performance %
East of England  64.4%
London 74.9%
Midlands 73.1%
North East and Yorkshire 58.0%
North West 55.4%
South East 67.2%
South West 60.0%
England 65.7%

2.4 KPI DE4: uptake: repeat non-attenders

DE4 (see standard DES-S08) was introduced in 2022 to 2023.

In Q3 2023 to 2024, national performance of DE4 was 10.0%. DE4 is a KPI where a lower performance is better.

All 56 screening services submitted data. 18 met the acceptable threshold of 8.0% and 5 of them met the achievable threshold of 5.0%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 221,706 2,215,101 10.0% 100%
Region  Performance %
East of England  7.5%
London 9.1%
Midlands 12.4%
North East and Yorkshire 10.1%
North West 11.8%
South East 9.6%
South West 7.5%
England 10.0%

3. Bowel cancer screening

3.1 KPI BCS1: uptake

National performance of BCS1 (see standard BCSP-S02) in Q3 was 66.0%, lower 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 2019.

Out of 64 screening services, 63 of them met the acceptable threshold and 57 met the achievable threshold of 60%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 1,157,536 1,754,860 66.0% 100%
Region Performance %
East of England  69.3%
London 56.9%
Midlands 66.5%
North East and Yorkshire 67.5%
North West 63.9%
South East 67.9%
South West 70.5%
England 66.0%

3.2 KPI BCS2: coverage

National performance of BCS2 (see standard BCSP-S01) in Q2 was 71.8%, lower than the previous quarter. See the corresponding data tables for Q4 2022 to 2023 for full details.

BCS2 is available 6 months (2 quarters) in arrears. The trend graph below shows England BCS2 performance since 1 April 2019. There are no thresholds set for this KPI.

Q2 Coverage ranged from 63.2% in London to 75.5% in the South West.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 6,710,913 9,346,186 71.8% 100%
Region Performance %
East Midlands 73.0%
East of England 73.3%
London 63.2%
North East 73.8%
North West 70.8%
South East 74.0%
South West 75.5%
West Midlands 70.4%
Yorkshire and the Humber 73.6%
England 71.8%

4. Breast screening

4.1 KPI BS1: uptake

National performance of BS1 (see standard BSP-S03) in Q3 was 66.6%. 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 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 393,308 590,355 66.6% 100%
Region Performance %
East of England  69.1%
London 58.4%
Midlands 66.8%
North East and Yorkshire 65.7%
North West 69.1%
South East 71.4%
South West 65.0%
England 66.6%

4.2 KPI BS2: uptake: screening round length

National performance of BS2 (see standard BSP-S04) in Q3 was 96.7%. 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 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 406,400 420,064 96.7% 100%
Region Performance %
East of England  94.8%
London 99.2%
Midlands 97.9%
North East and Yorkshire 96.4%
North West 96.3%
South East 96.3%
South West 95.7%
England 96.7%

5. Cervical screening

5.1 KPI CS1: coverage under 50 years

National performance of CS1 (see standard CSP-S01) in Q3 was 67.2%, higher than the previous quarter. The trend graph below shows that CS1 performance has remained below the acceptable threshold of 80% since 1 April 2019.

None of the 106 sub-ICBs met the acceptable threshold.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 7,234,690 10,771,875 67.2% 100%
Region Performance %
East of England  70.3%
London 60.3%
Midlands 67.5%
North East and Yorkshire 70.2%
North West 67.6%
South East 69.0%
South West 71.2%
England 67.2%

5.2 KPI CS2: coverage 50 years and above

National performance of CS2 (see standard CSP-S02) in Q3 was 74.7%, lower than the previous quarter. The trend graph below shows that CS2 performance has remained below the acceptable threshold of 80% since 1 April 2019.

None of the 106 sub-ICBs met the acceptable threshold.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 4,053,405 5,426,665 74.7% 100%
Region Performance %
East of England  76.4%
London 71.6%
Midlands 75.0%
North East and Yorkshire 75.9%
North West 73.3%
South East 75.0%
South West 76.2%
England 74.7%