Research and analysis

Young person and adult screening KPI data: Q2 summary factsheets (1 July to 30 September 2023)

Published 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 Q2 was 42.5%. AA2 is an annual indicator and quarterly figures are cumulative from Q1 to Q4. England performance is shown in the trend graph below.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 141,831 333,514 42.5 100%
Region Performance %
East of England 54.7%
London 39.8%
Midlands 48.1%
North East and Yorkshire 32.3%
North West 36.9%
South East 35.7%
South West 53.8%
England 42.5%

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National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022.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 Q2 was 93.2%, above the acceptable threshold of 85%.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 3,815 4,092 93.2% 100%
Region Performance %
East of England 94.4%
London 89.4%
Midlands 94.8%
North East and Yorkshire 93.0%
North West 91.7%
South East 91.4%
South West 94.4%
England 93.2%

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National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity.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 Q2 2023 to 2024 was 92.9%, higher than the previous quarter and above the acceptable threshold of 90%.

32 out of 38 screening services met the acceptable threshold, and 14 of those met the achievable threshold of 95%.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 2,581 2,779 92.9% 100%
Region Performance %
East of England 92.5%
London 88.9%
Midlands 93.7%
North East and Yorkshire 94.4%
North West 90.7%
South East 91.7%
South West 94.4%
England 92.9%

2. Diabetic eye screening

2.1 KPI DE1: uptake: routine digital screening

National performance of DE1 (see standard DES-S07) in Q2 was 79.5%, 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 56 screening services submitted data. DE1 is an annual rolling figure.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 2,448,172 3,079,793 79.5% 100%
Region Performance %
East of England 83.6%
London 78.8%
Midlands 75.4%
North East and Yorkshire 78.6%
North West 76.9%
South East 83.2%
South West 84.1%
England 79.5%

2.2 KPI DE2: test: timeliness of results letters

National performance of DE2 (see standard DES-S10) in Q2 was 98.4%, higher than the previous quarter. The trend graph below shows that England DE2 performance rose above the achievable threshold of 95%. 55 out of 56 screening services submitted data. All 56 services met the acceptable threshold of 70% and 50 met the achievable threshold of 95%.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 721,219 732,838 98.4% 100%
Region Performance %
East of England 99.8%
London 95.6%
Midlands 99.6%
North East and Yorkshire 99.2%
North West 97.5%
South East 99.4%
South West 97.9%
England 98.4%

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 Q2 was 64.9%, 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 56 screening services submitted data and 14 met the acceptable threshold.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 1,847 2,844 64.9% 100%
Region Performance %
East of England 58.7%
London 74.9%
Midlands 65.7%
North East and Yorkshire 65.6%
North West 57.7%
South East 69.5%
South West 52.2%
England 64.9%

2.4 KPI DE4: uptake: repeat non-attenders

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

In Q2 2023 to 2024, national performance of DE4 was 10.5%. DE4 is a KPI where a lower performance is better.

All 56 screening services submitted data. 16 met the acceptable threshold of 8.0% and 4 of them met the achievable threshold of 5.0%.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 231,070 2,209,053 10.5% 100%
Region Performance %
East of England 7.8%
London 9.3%
Midlands 14.0%
North East and Yorkshire 10.4%
North West 12.1%
South East 8.8%
South West 8.0%
England 10.5%

3. Bowel cancer screening

3.1 KPI BCS1: uptake

National performance of BCS1 (see standard BCSP-S02) in Q2 was 67.4%, 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 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 1,185,706 1,759,112 67.4% 100%
Region Performance %
East of England 70.7%
London 57.6%
Midlands 68.0%
North East and Yorkshire 69.5%
North West 65.0%
South East 69.9%
South West 72.4%
England 67.4%

3.2 KPI BCS2: coverage

National performance of BCS2 (see standard BCSP-S01) in Q1 was 72.0%, the same as 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.

Q1 Coverage ranged from 63.1% in London to 75.7% in the South West.

Quarter 1 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 April to 30 June 2023 6,698,916 9,310,232 72.0% 100%
Region Performance %
East Midlands 73.3%
East of England 73.5%
London 63.1%
North East 74.0%
North West 70.9%
South East 74.3%
South West 75.7%
West Midlands 70.5%
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 Q2 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 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 423,392 635,959 66.6% 100%
Region Performance %
East of England 69.0%
London 59.3%
Midlands 68.2%
North East and Yorkshire 66.4%
North West 69.8%
South East 71.6%
South West 59.5%
England 66.6%

4.2 KPI BS2: uptake: screening round length

National performance of BS2 (see standard BSP-S04) in Q2 was 97.7%. 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 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 437,657 447,989 97.7% 100%
Region Performance %
East of England 97.6%
London 98.6%
Midlands 98.4%
North East and Yorkshire 96.4%
North West 95.7%
South East 98.3%
South West 98.6%
England 97.7%

5. Cervical screening

5.1 KPI CS1: coverage under 50 years

National performance of CS1 (see standard CSP-S01) in Q2 was 66.6%, lower 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 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 7,120,677 10,689,794 66.6% 100%
Region Performance %
East of England 69.8%
London 59.7%
Midlands 67.0%
North East and Yorkshire 69.7%
North West 67.1%
South East 68.4%
South West 70.8%
England 66.6%

5.2 KPI CS2: coverage 50 years and above

National performance of CS2 (see standard CSP-S02) in Q2 was 74.8%, 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 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2023 4,053,647 5,416,144 74.8% 100%
Region Performance %
East of England 76.5%
London 71.7%
Midlands 75.2%
North East and Yorkshire 76.1%
North West 73.5%
South East 75.2%
South West 76.3%
England 74.8%