Research and analysis

Young person and adult screening KPI data: Q1 summary factsheets (1 April to 30 June 2023)

Updated 14 March 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 Q1 was 22.4%. AA2 is an annual indicator and quarterly figures are cumulative from Q1 to Q4. England performance is shown in the trend graph below.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 75,040 334,482 22.4% 100%
Region Performance %
East of England  29.9%
London 20.5%
Midlands 27.9%
North East and Yorkshire 14.8%
North West 19.4%
South East 14.9%
South West 32.3%
England 22.4%

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National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022.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 Q1 was 88.6%, above the acceptable threshold of 85%.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 1,379 1,557 88.6% 100%
Region Performance %
East of England  92.0%
London 84.1%
Midlands 86.9%
North East and Yorkshire 91.8%
North West 83.8%
South East 84.3%
South West 94.1%
England 88.6%

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National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity.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 Q1 2023 to 2024 was 91.8%, lower than the previous quarter and above the acceptable threshold of 90%.

27 out of 38 screening services met the acceptable threshold, and 11 of those met the achievable threshold of 95%.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 2,736 2,979 91.8% 100%
Region Performance %
East of England  95.4%
London 87.3%
Midlands 91.9%
North East and Yorkshire 92.6%
North West 90.8%
South East 88.2%
South West 93.9%
England 91.8%

2. Diabetic eye screening

2.1 KPI DE1: uptake: routine digital screening

National performance of DE1 (see standard DES-S07) in Q1 was 79.3%, higher than the previous quarter. The trend graph below shows that England DE1 performance has been above the acceptable threshold of 75% for eight consecutive quarters. All 57 screening services submitted data. DE1 is an annual rolling figure.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 2,402,543 3,029,880 79.3% 100%
Region Performance %
East of England  83.4%
London 78.7%
Midlands 75.1%
North East and Yorkshire 78.1%
North West 77.4%
South East 83.1%
South West 83.1%
England 79.3%

2.2 KPI DE2: test: timeliness of results letters

National performance of DE2 (see standard DES-S10) in Q1 was 97.8%, higher than the previous quarter. The trend graph below shows that England DE2 performance rose above the achievable threshold of 95%. 57 out of 57 screening services submitted data. All 57 services met the acceptable threshold of 70% and 49 met the achievable threshold of 95%.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 679,424 694,809 97.8% 100%
Region Performance %
East of England  99.8%
London 96.6%
Midlands 97.9%
North East and Yorkshire 98.7%
North West 97.3%
South East 99.8%
South West 94.0%
England 97.8%

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 Q1 was 67.9%, lower 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 13 met the acceptable threshold.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 1,908 2,812 67.9% 100%
Region Performance %
East of England  58.0%
London 76.5%
Midlands 67.9%
North East and Yorkshire 70.3%
North West 62.0%
South East 72.8%
South West 56.3%
England 67.9%

2.4 KPI DE4: uptake: repeat non-attenders

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

In Q1 2023 to 2024, national performance of DE4 was 11.0%.

All 57 screening services submitted data. 13 met the acceptable threshold of 8.0% and 3 of them met the achievable threshold of 5.0%.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 243,915 2,210,031 11.0% 100%
Region  Performance %
East of England  8.2%
London 9.8%
Midlands 14.6%
North East and Yorkshire 11.0%
North West 12.7%
South East 9.4%
South West 8.7%
England 11.0%

3. Bowel cancer screening

3.1 KPI BCS1: uptake

National performance of BCS1 (see standard BCSP-S02) in Q1 was 66.8%, 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 58 met the achievable threshold of 60%.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 1,099,598 1,646,311 66.8% 100%
Region Performance %
East of England  68.7%
London 57.6%
Midlands 67.3%
North East and Yorkshire 69.9%
North West 64.9%
South East 68.5%
South West 71.2%
England 66.8%

3.2 KPI BCS2: coverage

National performance of BCS2 (see standard BCSP-S01) in Q4 was 72.0%, 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 2019. There are no thresholds set for this KPI.

Q4 Coverage ranged from 63.5% in London to 75.6% in the South West.

Quarter 4 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 January to 31 March 2023 6,675,948 9,273,320 72.0% 100%
Region Performance %
East Midlands 73.5%
East of England 73.6%
London 63.5%
North East 74.0%
North West 70.6%
South East 74.3%
South West 75.6%
West Midlands 70.4%
Yorkshire and the Humber 73.9%
England 72.0%

4. Breast screening

4.1 KPI BS1: uptake

National performance of BS1 (see standard BSP-S03) in Q1 was 64.2%. 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 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 380,716 593,128 64.2% 100%
Region Performance %
East of England  66.9%
London 58.5%
Midlands 63.9%
North East and Yorkshire 64.8%
North West 66.9%
South East 66.3%
South West 63.8%
England 64.2%

4.2 KPI BS2: uptake: screening round length

National performance of BS2 (see standard BSP-S04) in Q1 was 89.9%. 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 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 364,534 405,356 89.9% 100%
Region Performance %
East of England  87.9%
London 75.8%
Midlands 98.4%
North East and Yorkshire 86.4%
North West 82.6%
South East 96.3%
South West 99.1%
England 89.9%

5. Cervical screening

5.1 KPI CS1: coverage under 50 years

National performance of CS1 (see standard CSP-S01) in Q1 was 67.0%, which was similar to 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 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 7,120,140 10,633,813 67.0% 100%
Region Performance %
East of England  70.0%
London 60.0%
Midlands 67.4%
North East and Yorkshire 70.0%
North West 67.4%
South East 68.6%
South West 71.1%
England 67.0%

5.2 KPI CS2: coverage 50 years and above

National performance of CS2 (see standard CSP-S02) in Q1 was 75.0%, 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 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 4,052,876 5,403,094 75.0% 100%
Region Performance %
East of England  76.6%
London 71.8%
Midlands 75.4%
North East and Yorkshire 76.3%
North West 73.8%
South East 75.3%
South West 76.5%
England 75.0%