Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department plans to (a) review and (b) update the automatic breast screening programme policy for women aged 70 and above as part of his National Cancer Plan.

The Department is not planning a review and update of the policy on breast screening for women aged over 70 as part of the National Cancer Plan. The UK National Screening Committee (UK NSC) is an independent scientific advisor to Ministers and the National Health Service about all aspects of population and targeted screening.

The NHS breast screening programme does not automatically invite women for breast screening if they are 71 or over because there is a lack of evidence around the balance of benefit versus harm of screening women above this age. Women can still have breast screening every three years if they want to, by calling their local breast screening service to ask for an appointment.

The UK NSC recognises that screening programmes are not static and that, over time, they may need to change to be more effective.  Work is underway within the breast screening programme to investigate the possibility of routinely screening above the currently recommended age. The AgeX research trial has been looking at the effectiveness of offering some women one extra screen between the ages of 47 and 49, and one between the ages of 71 and 73. It is the biggest trial of its kind ever to be undertaken and will provide robust evidence about the effectiveness of screening in these age groups, including the benefit and harms. The UK NSC will review the publication of the age extension trial when it reports.

Furthermore, early diagnosis is a key focus of the National Cancer Plan, which will build on the three shifts in care set out in the 10-Year Health Plan to diagnose cancers earlier. Through the 10-Year Health Plan, we will make it easier for people to access cancer screening, diagnostic and treatment services in patients’ local areas.