Bowel Cancer Screening service
A national programme for bowel cancer screening was introduced in 2006. The Bowel Cancer Screening Centre went live in June 2009, serving the Exeter, Mid, East and North Devon population and operates from two sites:
Royal Devon and Exeter Wonford Hospital
The national programme aims to detect bowel cancer at an early stage, when treatment is more likely to be effective. Bowel cancer screening can also detect polyps. These are not cancers, but may develop into cancers over time and can be removed easily, reducing the risk of bowel cancer developing.
Why is screening important?
- 1 in 15 men and 1 in 18 women in the UK will develop bowel cancer during their lifetime
- It is the fourth most common cancer in the UK, and the second biggest cancer killer - over 16,000 people die each year (Cancer Research UK 2019 statistics)
- Regular bowel cancer screening has been shown to reduce the risk of dying from bowel cancer by 16% (Cochrane Database of Systematic Reviews, 2006)
Information and about us
Screening is available to men and women aged 50 to 74, who are registered with a GP. Anybody above the age of 74 can choose to 'opt in'. An invitation will be sent to subjects, followed by their Faecal Immunochemical Test (FIT) which they will do in the privacy of their own homes.
The FIT, pictured on the right, is designed to detect tiny amounts of blood invisible to the human eye which can be the indication for polyps and bowel cancer.
If an abnormal result is detected, you will be invited to attend a clinic appointment where a specialist screening practitioner will assess your health and suitability for an investigation. This could be one of two types:
- Colonoscopy
- CT virtual colonoscopy (CT pneumocolon)
The FIT does not diagnose bowel cancer and there are a number of bowel abnormalities which can cause bleeding, some of these include: polyps, diverticulitis, haemorrhoids, anal fissures, ulcerative colitis and Crohn's disease.
Contact us
Call the helpline on 01392 404645 or email rduh.BCS@nhs.net, Monday to Friday, 8am to 4pm.
Where to find us
Northern Services
North Devon District Hospital
Raleigh Park
Barnstaple
Devon
EX31 4JB
Eastern services
Royal Devon and Exeter Hospital (Wonford)
Barrack Road
Exeter
EX2 5DW
Meet the team
The team consists of a programme manager and two lead administrators, a lead nurse and seven full/part-time specialist screening practitioners.
Clinical Service Director & Accredited Bowel Cancer Screening Consultant Gastroenterologist
Dr Tarek Shirazi
Lead Bowel Cancer Screening Pathologist
Dr Tanwen Wright
Lead Bowel Cancer Screening Radiologist
Dr Rajinder Virdi
Accredited Bowel Cancer Screening Consultant Gastroenterologists
Dr Christopher Calvert
Dr Alistair Cairns
Dr Andrew Davis
Miss Katie Yeadon
Dr Richard Appleby
Bowel Cancer Screening Programme Manager
Harj Dhaliwal
Bowel Cancer Screening Lead Specialist Screening Practitioner
Thomas Mulazzani
Bowel Cancer Screening Specialist Screening Practitioners
Catherine Gillespie
Becca Luckie
Michaela Simm
Jo Dalton
Bhupinder Kaur
Laura Hinegk
Molly Baker
Tom Castle
Nicola Nye
Bowel Cancer Screening Lead Administrator
Louise Lowe
Anne-Marie Godbeer
Services and treatments
Following a positive FIT, you will be invited to meet with a specialist nurse to discuss your FIT result and to complete a health assessment to ascertain fitness for a colonoscopy or CT colonoscopy. A specialist nurse follows you through the bowel cancer screening service and is with you when you have your colonoscopy, followed up with a courtesy call to ensure you have recovered well.
The specialist nurse will inform you of your result. If nothing is found, then you will receive a FIT every two years until your 75th birthday. Any person that has polyps, depending on the type and amount, may be offered surveillance. Any person found to have a cancer will be discussed at a multi-disciplinary meeting and will be handed over to the hospital symptomatic service for any treatment that is required.
From October 2023, people diagnosed with Lynch syndrome will be invited for a pre-colonoscopy consultation under the Bowel Cancer Screening Programme. These identified individuals will be automatically invited for colonoscopy surveillance every 2 years.
Patient information leaflets
We produce a wide range of leaflets which provide information about our services and about the treatment you might receive in our clinics or during your stay in hospital.
We also produce these in different formats including large print, please contact the department you are visiting for more information.