Research and analysis

Young person and adult screening KPI data: Q4 summary factsheets (1 January to 31 March 2023) HTML

Updated 16 January 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 72.8%. 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 2023 236,227 324,593 72.8% 100%
Region Performance %
East of England  75.9%
London 71.7%
Midlands 80.2%
North East and Yorkshire 67.1%
North West 61.9%
South East 68.8%
South West 83.9%
England 72.8%

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National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022.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 92.3%, above the acceptable threshold of 85%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 2,903 3,145 92.3% 100%
Region Performance %
East of England  93.4%
London 89.9%
Midlands 93.0%
North East and Yorkshire 93.0%
North West 90.5%
South East 90.4%
South West 94.1%
England 92.3%

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National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity.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 2022 to 2023 was 93.1%, higher than the previous quarter and above the acceptable threshold of 90%.

30 out of 38 screening services met the acceptable threshold, and 16 of those met the achievable threshold of 95%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 2,689 2,888 93.1% 100%
Region Performance %
East of England  96.4%
London 89.4%
Midlands 93.2%
North East and Yorkshire 94.4%
North West 87.6%
South East 93.4%
South West 93.4%
England 93.1%

2. Diabetic eye screening

2.1 KPI DE1: uptake: routine digital screening

National performance of DE1 (see standard DES-S07) in Q4 was 79.1%, higher than the previous quarter. The trend graph below shows that England DE1 performance has been above the acceptable threshold of 75% for seven consecutive quarters. All 57 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 2023 2,384,256 3,015,328 79.1% 100%
Region Performance %
East of England  83.5%
London 78.3%
Midlands 74.5%
North East and Yorkshire 78.7%
North West 77.5%
South East 82.7%
South West 82.6%
England 79.1%

2.2 KPI DE2: test: timeliness of results letters

National performance of DE2 (see standard DES-S10) in Q4 was 96.9%, higher than the previous quarter. The trend graph below shows that England DE2 performance rose above the achievable threshold of 95%. 54 out of 57 screening services submitted data. 53 services met the acceptable threshold of 70% and 47 met the achievable threshold of 95%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 681,144 703,239 96.9% 94.7%
Region Performance %
East of England  99.7%
London 98.0%
Midlands 96.4%
North East and Yorkshire 99.4%
North West 88.8%
South East 99.9%
South West 96.2%
England 96.9%

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 70.0%, 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 57 screening services submitted data and 12 met the acceptable threshold.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 1,900 2,714 70.0% 100%
Region Performance %
East of England  66.5%
London 77.3%
Midlands 67.6%
North East and Yorkshire 70.4%
North West 70.1%
South East 74.0%
South West 57.4%
England 70.0%

2.4 KPI DE4: uptake: repeat non-attenders

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

In Q4 2022 to 2023, national performance of DE4 was 12.1%.

All 57 screening services submitted data. 10 met the acceptable threshold of 8.0% and 3 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 2023 269,058 2,220,004 12.1% 100%
Region  Performance %
East of England  9.0%
London 10.6%
Midlands 16.2%
North East and Yorkshire 12.0%
North West 13.8%
South East 10.4%
South West 9.6%
England 12.1%

3. Bowel cancer screening

3.1 KPI BCS1: uptake

National performance of BCS1 (see standard BCSP-S02) in Q4 was 67.8%, 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, all of them met the acceptable threshold and 59 met the achievable threshold of 60%.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 1,119,734 1,650,745 67.8% 100%
Region Performance %
East of England  68.9%
London 60.1%
Midlands 67.9%
North East and Yorkshire 70.0%
North West 66.5%
South East 69.7%
South West 71.9%
England 67.8%

3.2 KPI BCS2: coverage

National performance of BCS2 (see standard BCSP-S01) in Q3 was 71.3%, the highest published level recorded for this KPI. See the corresponding data tables for Q3 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 2018. There are no thresholds set for this KPI.

Q3 Coverage ranged from 62.9% in London to 74.9% in the South West.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 6,594,221 9,245,500 71.3% 100%
Region Performance %
East Midlands 72.8%
East of England 73.0%
London 62.9%
North East 73.4%
North West 69.7%
South East 73.7%
South West 74.9%
West Midlands 69.7%
Yorkshire and the Humber 73.2%
England 71.3%

4. Breast screening

4.1 KPI BS1: uptake

National performance of BS1 (see standard BSP-S03) in Q4 was 62.0%. 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 2023 432,880 697,873 62.0% 100%
Region Performance %
East of England  65.4%
London 56.4%
Midlands 62.2%
North East and Yorkshire 60.3%
North West 64.3%
South East 66.6%
South West 58.5%
England 62.0%

4.2 KPI BS2: uptake: screening round length

National performance of BS2 (see standard BSP-S04) in Q4 was 73.5%. 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 2023 363,684 494,715 73.5% 100%
Region Performance %
East of England  71.7%
London 59.7%
Midlands 85.6%
North East and Yorkshire 67.6%
North West 56.4%
South East 80.4%
South West 88.1%
England 73.5%

5. Cervical screening

5.1 KPI CS1: coverage under 50 years

National performance of CS1 (see standard CSP-S01) in Q4 was 67.0%, which was 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 2023 7,097,011 10,586,146 67.0% 100%
Region Performance %
East of England  70.1%
London 60.2%
Midlands 67.6%
North East and Yorkshire 70.1%
North West 67.5%
South East 68.6%
South West 71.2%
England 67.0%

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 met the acceptable threshold.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 4,037,949 5,389,582 74.9% 100%
Region Performance %
East of England  76.4%
London 71.7%
Midlands 75.4%
North East and Yorkshire 76.2%
North West 73.7%
South East 75.2%
South West 76.4%
England 74.9%