Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to HCWS1271 on Improving Cancer Care and Early Diagnosis, when bowel cancer screening invitations will be issued via the NHS App; what proportion of eligible patients currently use the App; what steps he is taking to help ensure that digitally excluded groups will continue to be supported; what assessment he has made of the adequacy of the trend in the levels of uptake in digital screening; and what safeguards exist to help ensure no eligible patients miss screening invitations.

Whilst there is an increasing move towards digital National Health Service communications, NHS letters remain crucial for many patients, particularly those who may be digitally excluded, therefore, they will always be included in the screening offer. For bowel screening, NHS England currently uses NHS Notify which sends pre-invitations via the NHS App first, and if that message isn't read or the person doesn't have the app, a paper letter is sent. Everyone will still get sent a bowel cancer screening home testing kit through the post after pre-information, with information on completing the kit.

National roll out of digital pre-invitations is planned over the next couple of months, following a regional pilot last year. From that pilot, NHS England saw approximately 30% of people receive these communications via the NHS app. Based on other similar services, NHS England expects this to increase when other digital communications such as SMS are introduced.

National rollout has already been completed in cervical screening with positive results, where approximately 90% of invites are received via the NHS App or SMS.

Impact on the uptake of screening will be monitored over at least a six-month period to allow people time to take up their screening offer. To date, no negative impact has been indicated, but NHS England is monitoring closely to assess.