Research and analysis

Young person and adult screening KPI data: Q3 summary factsheets (1 October to 31 December 2022) HTML

Updated 21 September 2023

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 53.2%. 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 2022 173,760 326,314 53.2% 100%
Region Performance %
East of England  54.8%
London 52.9%
Midlands 63.8%
North East and Yorkshire 45.6%
North West 37.7%
South East 47.2%
South West 70.9%
England 53.2%

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National performance of AA3 (see standard AAA-S05) was withdrawn from publication in Q1 and Q2 2020 to 2021, and also Q1 2021 to 2022.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 90.4%, above the acceptable threshold of 85%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 3,139 3,474 90.4% 100%
Region Performance %
East of England  91.6%
London 86.6%
Midlands 91.4%
North East and Yorkshire 89.6%
North West 87.8%
South East 88.8%
South West 93.4%
England 90.4%

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National performance of AA4 (see standard AAA-S06) was withdrawn from publication in Q1 and Q2 2020 to 2021 due to the impact of the COVID-19 pandemic on screening activity.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 2022 to 2023 was 92.2%, lower than the previous quarter and above the acceptable threshold of 90%.

29 out of 38 screening services met the acceptable threshold, and 9 of those met the achievable threshold of 95%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 2,690 2,916 92.2% 100%
Region Performance %
East of England  92.7%
London 86.4%
Midlands 92.6%
North East and Yorkshire 94.5%
North West 87.3%
South East 92.6%
South West 94.1%
England 92.2%

2. Diabetic eye screening

2.1 KPI DE1: uptake: routine digital screening

National performance of DE1 (see standard DES-S07) in Q3 was 78.3%, similar to the previous quarter. The trend graph below shows that England DE1 performance has been above the acceptable threshold of 75% for six consecutive quarters. All 57 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 2022 2,356,894 3,009,511 78.3% 100%
Region Performance %
East of England  82.8%
London 78.2%
Midlands 72.5%
North East and Yorkshire 79.3%
North West 76.1%
South East 81.9%
South West 82.2%
England 78.3%

2.2 KPI DE2: test: timeliness of results letters

National performance of DE2 (see standard DES-S10) in Q3 was 95.1%, lower than the previous quarter. The trend graph below shows that England DE2 performance rose above the achievable threshold of 95%. All 57 screening services submitted data. 55 services met the acceptable threshold of 70% and 47 met the achievable threshold of 95%.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 642,762 675,596 95.1% 100%
Region Performance %
East of England  99.7%
London 96.1%
Midlands 98.7%
North East and Yorkshire 87.0%
North West 87.3%
South East 99.8%
South West 97.9%
England 95.1%

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 65.5%, 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 14 met the acceptable threshold.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 1,666 2,542 65.5% 100%
Region Performance %
East of England  59.9%
London 74.9%
Midlands 62.3%
North East and Yorkshire 69.9%
North West 57.7%
South East 69.3%
South West 58.4%
England 65.5%

2.4 KPI DE4: uptake: repeat non-attenders

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

In Q3 2022 to 2023, national performance of DE4 was 12.2%.

All 57 screening services submitted data. 8 met the acceptable threshold of 8.0% and 3 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 2022 269,925 2,211,710 12.2% 100%
Region  Performance %
East of England  9.2%
London 10.8%
Midlands 16.2%
North East and Yorkshire 11.7%
North West 13.9%
South East 10.8%
South West 9.7%
England 12.2%

3. Bowel cancer screening

3.1 KPI BCS1: uptake

National performance of BCS1 (see standard BCSP-S02) in Q3 was 66.5%, 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, 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 2022 1,047,650 1,575,627 66.5% 100%
Region Performance %
East of England  69.1%
London 57.6%
Midlands 66.0%
North East and Yorkshire 69.0%
North West 64.2%
South East 69.0%
South West 70.8%
England 66.5%

3.2 KPI BCS2: coverage

National performance of BCS2 (see standard BCSP-S01) in Q2 was 71.1%, the highest published level recorded for this KPI. See the corresponding data tables for Q2 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.

Q2 Coverage ranged from 62.4% in London to 74.8% in the South West.

Quarter 2 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 July to 30 September 2022 6,556,387 9,221,777 71.1% 100%
Region Performance %
East Midlands 72.6%
East of England 72.7%
London 62.4%
North East 73.2%
North West 69.5%
South East 73.5%
South West 74.8%
West Midlands 69.5%
Yorkshire and the Humber 73.0%
England 71.1%

4. Breast screening

4.1 KPI BS1: uptake

National performance of BS1 (see standard BSP-S03) in Q3 was 58.0%. 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 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 421,823 726,954 58.0% 100%
Region Performance %
East of England  60.5%
London 48.0%
Midlands 55.6%
North East and Yorkshire 59.0%
North West 65.4%
South East 63.1%
South West 56.1%
England 58.0%

4.2 KPI BS2: uptake: screening round length

National performance of BS2 (see standard BSP-S04) in Q3 was 72.9%. 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 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 390,585 535,441 72.9% 100%
Region Performance %
East of England  72.6%
London 64.3%
Midlands 83.0%
North East and Yorkshire 66.4%
North West 60.4%
South East 76.2%
South West 79.9%
England 72.9%

5. Cervical screening

5.1 KPI CS1: coverage under 50 years

National performance of CS1 (see standard CSP-S01) in Q3 was 66.4%, which was 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.

On April 1 2021, 38 CCGs merged creating 9 new ones, resulting in a total of 106 CCGs in England. None of the 106 CCGs met the acceptable threshold.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 6,999,201 10,537,796 66.4% 100%
Region Performance %
East of England  69.5%
London 59.5%
Midlands 67.0%
North East and Yorkshire 69.5%
North West 66.7%
South East 67.9%
South West 70.7%
England 66.4%

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.

On April 1 2021, 38 CCGs merged creating 9 new ones, resulting in a total of 106 CCGs in England. None of the 106 CCGs met the acceptable threshold.

Quarter 3 performance

Reporting period Numerator Denominator Performance % Completeness of data %
1 October to 31 December 2022 4,014,647 5,377,619 74.7% 100%
Region Performance %
East of England  76.2%
London 71.3%
Midlands 75.1%
North East and Yorkshire 76.0%
North West 73.4%
South East 74.9%
South West 76.2%
England 74.7%