step 1
☐ you're invited to take part
If you're eligible, you'll receive a letter and a bowel screening kit in the post. The invitation explains why you're being screened, how to complete the test, and where to get help if you have questions.
There's no need to book an appointment or visit a healthcare centre—the first stage of the screening is done entirely at home.
step 2
☐ complete the home test
The kit asks you to collect a very small stool sample using the equipment provided. The instructions are straightforward, and once you've completed the sample, you simply return it using the prepaid packaging.
The laboratory checks the sample for tiny traces of blood that aren't visible to the naked eye. These traces don't necessarily mean you have bowel cancer—they can have many causes—but they can be an early sign that further investigation is needed.
step 3
☐ if blood is detected
If the laboratory finds traces of blood, you'll be contacted and offered a colonoscopy. This allows doctors to examine the inside of your bowel more closely.
Most people who are invited for a colonoscopy do not end up being diagnosed with bowel cancer. However, the examination can detect polyps or other changes that can often be removed before they become cancerous.
step 4
☐ ongoing screening
If your test result is normal, you don't need to do anything else until you're invited again as part of the national programme. Regular screening helps detect changes early, often before symptoms develop, when treatment is usually simpler and more effective.