Research and analysis

Young person and adult screening KPI data: Q4 summary factsheets (1 January to 31 March 2024)

Published 12 September 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 Q4 was 79.0%. AA2 is an annual indicator and quarterly figures are cumulative from Q1 to Q4. England performance is shown in the trend graph below.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 261,581 331,247 79.0 100%
Region Performance %
East of England  82.5%
London 73.6%
Midlands 82.1%
North East and Yorkshire 76.0%
North West 76.3%
South East 77.9%
South West 84.9%
England 79.0%

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National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022.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 91.0%, above the acceptable threshold of 85%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 2,877 3,163 91.0% 100%
Region Performance %
East of England  90.0%
London 89.2%
Midlands 92.5%
North East and Yorkshire 89.8%
North West 91.1%
South East 91.0%
South West 91.9%
England 91.0%

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National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity.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 2023 to 2024 was 93.9%, higher than the previous quarter and above the acceptable threshold of 90%.

31 out of 38 screening services met the acceptable threshold, and 18 of those met the achievable threshold of 95%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 2,716 2,891 93.9% 100%
Region Performance %
East of England  94.1%
London 92.1%
Midlands 94.7%
North East and Yorkshire 96.6%
North West 90.4%
South East 91.1%
South West 95.4%
England 93.9%

2. Diabetic eye screening

2.1 KPI DE1: uptake: routine digital screening

National performance of DE1 (see standard DES-S07) in Q4 was 80.8%, higher than the previous quarter. The trend graph below shows that England DE1 performance has been above the acceptable threshold of 75% for eleven consecutive quarters. All 56 screening services submitted data. DE1 is an annual rolling figure.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 2,520,323 3,119,795 80.8% 100%
Region Performance %
East of England  83.4%
London 80.5%
Midlands 77.2%
North East and Yorkshire 79.7%
North West 77.8%
South East 85.1%
South West 85.4%
England 80.8%

2.2 KPI DE2: test: timeliness of results letters

National performance of DE2 (see standard DES-S10) in Q4 was 98.5%, higher 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. All 56 services met the acceptable threshold of 70% and 52 met the achievable threshold of 95%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 778,642 790,569 98.5% 100%
Region Performance %
East of England  99.8%
London 99.3%
Midlands 99.7%
North East and Yorkshire 95.9%
North West 95.7%
South East 99.4%
South West 99.6%
England 98.5%

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 69.2%, 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 19 met the acceptable threshold.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 2,121 3,066 69.2% 100%
Region Performance %
East of England  57.2%
London 75.8%
Midlands 68.1%
North East and Yorkshire 72.4%
North West 70.7%
South East 68.2%
South West 63.5%
England 69.2%

2.4 KPI DE4: uptake: repeat non-attenders

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

In Q4 2023 to 2024, national performance of DE4 was 9.7%. 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 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 214,862 2,224,444 9.7% 100%
Region  Performance %
East of England  7.4%
London 8.6%
Midlands 12.2%
North East and Yorkshire 9.9%
North West 11.6%
South East 8.2%
South West 7.5%
England 9.7%

3. Bowel cancer screening

3.1 KPI BCS1: uptake

National performance of BCS1 (see standard BCSP-S02) in Q4 was 66.3%, 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 2019.

Out of 64 screening services, 62 of them met the acceptable threshold and 56 met the achievable threshold of 60%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 1,199,552 1,808,944 66.3% 100%
Region Performance %
East of England  68.9%
London 55.2%
Midlands 67.1%
North East and Yorkshire 69.1%
North West 64.3%
South East 68.7%
South West 71.1%
England 66.3%

3.2 KPI BCS2: coverage

National performance of BCS2 (see standard BCSP-S01) in Q3 was 71.7%, 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.

Q3 Coverage ranged from 63.4% in London to 75.3% in the South West.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2023 6,723,382 9,378,552 71.7% 100%
Region Performance %
East Midlands 72.9%
East of England 73.2%
London 63.4%
North East 73.7%
North West 70.6%
South East 73.9%
South West 75.3%
West Midlands 70.2%
Yorkshire and the Humber 73.5%
England 71.7%

4. Breast screening

4.1 KPI BS1: uptake

National performance of BS1 (see standard BSP-S03) in Q4 was 67.4%. 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 2024 453,229 672,129 67.4% 100%
Region Performance %
East of England  69.7%
London 59.2%
Midlands 67.1%
North East and Yorkshire 67.7%
North West 69.1%
South East 71.9%
South West 66.5%
England 67.4%

4.2 KPI BS2: uptake: screening round length

National performance of BS2 (see standard BSP-S04) in Q4 was 95.9%. This is the first time since the COVID-19 pandemic that the KPI has met the acceptable threshold. 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 2024 460,344 480,135 95.9% 100%
Region Performance %
East of England  95.0%
London 99.1%
Midlands 96.4%
North East and Yorkshire 93.9%
North West 95.9%
South East 95.0%
South West 96.6%
England 95.9%

5. Cervical screening

5.1 KPI CS1: coverage under 50 years

National performance of CS1 (see standard CSP-S01) in Q4 was 67.5%, 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 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 7,288,920 10,804,705 67.5% 100%
Region Performance %
East of England  70.5%
London 60.8%
Midlands 67.8%
North East and Yorkshire 70.5%
North West 67.8%
South East 69.3%
South West 71.2%
England 67.5%

5.2 KPI CS2: coverage 50 years and above

National performance of CS2 (see standard CSP-S02) in Q4 was 74.9%, higher 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 that submitted data, met the acceptable threshold.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2024 4,066,070 5,431,470 74.9% 100%
Region Performance %
East of England  76.6%
London 72.0%
Midlands 75.1%
North East and Yorkshire 76.0%
North West 73.5%
South East 75.2%
South West 76.2%
England 74.9%