National Lung Cancer Screening Programme
House of Commons · Westminster Hall · 25 Jun 2026 · 15 speeches · Official Report
I beg to move, That this House has considered the national lung cancer screening programme. It is a pleasure to serve under your chairship, Sir Alec. I declare an interest as a governor of the Royal Berkshire hospital. A family member also holds shares in a medical company. Lung cancer is a rapidly fatal disease that kills nearly 33,000 people in the UK every year. Fortunately, targeted lung cancer screening has become one of the NHS’s real success stories, with Lord Darzi highlighting it as the only initiative across all cancers that has improved rates of early-stage diagnosis in recent years. Screening is without doubt the single biggest intervention in improving lung cancer survival. When the UK Lung Cancer Coalition was launched in 2005, five-year survival stood at around 8% which was among the lowest rates in Europe. The UKLCC has now set an ambition of 35% of patients surviving five years after diagnosis by 2035-a target once thought to be impossible, but now within reach thanks to screening. The Government’s decision to roll out fully the targeted national lung cancer screening programme in England for people aged 55 to 74 with a smoking history was a major milestone. To date, that programme has identified more than 10,600 lung cancers, with over 75% diagnosed at an early, treatable stage, compared with just 28% before screening was introduced. Without doubt, lung cancer screening is saving lives. It is cancer prevention in action and exemplifies the shift toward...
It is a pleasure to serve under your chairship, Sir Alec. We will be together all afternoon if you are here for the next debate as well. I welcome this debate on the national lung cancer screening programme. I thank the hon. Member for Wokingham (Clive Jones) for securing it, and for his dedication to anything to do with cancer. The hon. Gentleman has made a name for himself in this House for putting forward these topics. I thank him for his knowledge and for his interest. The lung cancer screening programme was set up to find lung cancer early, before symptoms appear, especially in people with a history of smoking, who are the group with the highest risk. The UK’s biggest ever early diagnosis initiative for lung cancer, the programme is delivered through targeted lung health checks. The hon. Gentleman referred to how the scheme delivers checks. They take place in local hospitals and in the community, and in vans in settings such as supermarket car parks, so nobody can say they have not had the opportunity to have the check done. The checks are designed to target those aged 55 to 74 who are current or former smokers, as identified from their GP records, who are registered with a GP and who live in an area where the programme has been rolled out. I understand that the programme is expanding rapidly, region by region and is expected to be fully rolled out across England by 2030. That is welcome. Indeed it is, I would say, almost there. We do not know how many people have...
It is a pleasure to serve under your chairship, Sir Alec. I commend my hon. Friend the Member for Wokingham (Clive Jones) on securing this debate, and on his tireless campaigning both on lung cancer and on cancer more widely. I also thank the hon. Member for Strangford (Jim Shannon) for his passionate contribution to the debate. Lung cancer is a devastating disease that has caused suffering in every single community in our country. The symptoms are horrific, aggressive and deadly. Although treatments for lung cancer and understanding of its causes have improved, lung cancer still accounts for more deaths in the UK than any other type of cancer. It is the third most common type of cancer and kills 35,000 people a year in Britain. Identifying lung cancer early through screening saves lives, and the current targeted screening programme in the UK has been world leading. Screening is the single biggest intervention we can make to improve lung cancer survival rates. Of course we were all delighted when my hon. Friend’s campaigning helped to ensure that the national cancer plan came into being, including a commitment to complete the roll-out of the lung cancer screening programme by 2030. The screening programme is welcome and it is already delivering results. However, there is not enough clarity about how it will be funded going forward. Funding will be central to any success on the ground, so perhaps the Minister can address that issue when he responds to the debate. Equally, we...
It is a pleasure to be here in an air-conditioned room while we continue this debate. It is poignant that it is so hot today, because we know how that can impact people with respiratory illnesses; we are probably talking about this issue at a very useful time. I too thank the hon. Member for Wokingham (Clive Jones) for securing this important debate. As has been said, lung cancer remains a leading cause of cancer death in the UK, but it is also one of the cancers where early detection can make the biggest difference. I know that at first hand from my first year as a junior doctor working on a respiratory ward. It was eye-opening and harrowing, but also sometimes successful. I urge anyone who has the chance to visit a respiratory ward to see how important it is-and I believe that would make a difference to smoking rates. It is great that the hon. Member for Wokingham secured the debate, and great to see the hon. Member for Strangford (Jim Shannon) secured the debate, because it is a good debate-it is a good day. This is really a success story. The Liberal Democrat spokesperson, the hon. Member for Didcot and Wantage (Olly Glover), rightly told us John’s story; because of the screening that has been put in place, there will be plenty more Johns in the future, which is exactly what we want to hear. Often we talk about the problems, but this is a really good example of something positive that has come forward, and it all started under the previous Conservative Government. The...
It is a real pleasure to serve under your chairmanship, Sir Alec. I congratulate the hon. Member for Wokingham (Clive Jones) on securing this important debate and on his continued and relentless advocacy for people affected by lung cancer. I am grateful to the hon. Member for Strangford (Jim Shannon); to the Liberal Democrat spokesman, the hon. Member for Didcot and Wantage (Olly Glover); and to the shadow Minister, the hon. Member for Hinckley and Bosworth (Dr Evans), for their comprehensive and constructive contributions. I pay tribute to my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson), the lead Minister on this policy area. There is a great deal of consensus across the House on this issue. We all want to see more lung cancers diagnosed earlier, more lives saved and fewer families affected by the devastating consequences of a late diagnosis. Lung cancer remains one of the greatest cancer challenges that we face. More than 42,000 people were diagnosed with lung cancer in England in 2023, and about 35,000 people lose their life to the disease across the United Kingdom each year. Lung cancer is also one of the cancers most strongly associated with deprivation. People living in the most deprived communities experience higher rates of smoking, a higher incidence of lung cancer and poorer health outcomes. That is why tackling lung cancer is about not only improving cancer survival, but reducing some of the most persistent health inequalities in our...
This debate is about lung cancer, but I noticed a story in the paper today about an increase of between 5% and 10% in the number of people who now have breast cancer. Does the Minister agree that that underlines the issue that while there are many advances in cancer, and we welcome all of them, there is still a long way to go?
The hon. Gentleman is absolutely right. There is a lot more work to be done, and it is a priority for the Government: it is right up there in the 10-year plan and the priorities. As he said in his excellent speech, we need to mobilise every one of the shifts-from analogue to digital, from hospital to community and from sickness to prevention-in the battle against cancer, because it is a formidable enemy and we need every single weapon we can deploy to defeat it. We are determined to break the historical pattern of slow progress and finally give people with less survivable cancers the focus, urgency and outcomes that they deserve. That commitment is already being translated into action through the NHS lung cancer screening programme. The programme is designed to identify cancers at an earlier stage among those at highest risk, particularly people aged 55 to 74 with a history of smoking. Smoking remains responsible for about 72% of lung cancers, which is why a targeted approach is both clinically effective and evidence-based. The results so far have been extremely encouraging: more than 1.8 million people have attended a lung health check through the programme, and more than 11,000 people have been diagnosed with lung cancer. Most importantly, 77% of cancers detected through the programme have been diagnosed at stage 1 or stage 2; outside the programme, the equivalent figure is about 30%. That means that thousands of people are receiving a diagnosis earlier, accessing...
I appreciate that this is not part of the Minister’s brief. The speed of the programme’s roll-out is fantastic, but there remains a concern that if 60% of people have taken it up, 40% have not done so, despite having had an offer that could have been given to someone else who wanted to go. Can the Department take that point away and work out what is being done to close that gap of more than a third? There is clearly a greater opportunity to get more people in and get them detected sooner.
The shadow Minister is right that promoting and maximising uptake is a crucial indicator of success for the programme. I thank him for giving me the opportunity to take that point away; I will discuss it with my hon. Friend the Member for Washington and Gateshead South, and we will get back to him in writing as soon as possible. Hon. Members have rightly raised the issue of inequalities. We know that lung cancer does not affect all communities equally: it remains one of the cancers most strongly associated with deprivation. People living in the most deprived communities experience significantly higher rates of smoking, a higher incidence of lung cancer and poorer health outcomes, which is why the lung cancer screening programme has prioritised roll-out in areas of greatest need. By targeting communities at highest risk first, the programme is helping to reduce long-standing inequalities in cancer outcomes and ensuring that those who are most likely to benefit from earlier diagnosis are reached as a priority. Reducing inequalities is therefore central to our approach. The national cancer plan includes a strong focus on reducing variation in cancer outcomes and ensuring that patients benefit from earlier diagnosis, regardless of where they live, their background or their circumstances. We are also conscious of the concerns that have been raised about access to services in rural and coastal communities. Through the continued expansion of diagnostic services, including community...
I would just like to mention a few of the things that hon. Members have spoken about. The hon. Member for Strangford (Jim Shannon) was absolutely right to pay tribute to the Government for their work on lung cancer screening. That is an outstanding success, but screening still needs more support from the Government because, as he says, screening saves lives. My hon. Friend the Member for Didcot and Wantage (Olly Glover) talked about lung cancer being horrific and deadly, and he spoke about his constituent John, who probably thought, when he got his diagnosis, “This is going to be horrific and deadly for me.” Because of the lung cancer screening programme, it looks like he might have a few good years ahead of him, so that is really good. My hon. Friend also talked about the speed and quality of treatment, and how important it is that we are quick with our diagnoses, that we are quick with our treatment and that our cancer patients have the support of specialist nurses. The hon. Member for Hinckley and Bosworth (Dr Evans) is absolutely right that early detection is crucial in lung cancer treatment, as he knows from being a junior doctor once upon a time. He is also right to say that the origin of the screening programme was under the Conservatives in 2023, and he is right to join other Members in asking for lung screening to be spread out to all parts of the United Kingdom. I thank the Minister for coming to the debate today and for answering an awful lot of the questions that...
I just want to briefly put on the record that I will discuss that with my hon. Friend the Under-Secretary of State and we will write to the hon. Gentleman with an update on the work we are doing across the regional Governments in Wales, Scotland and Northern Ireland.
Thank you for your intervention, Minister, and your clarification. But you did not need to intervene because I am sure-
Order. The hon. Gentleman has been here for quite a while now and knows that I am not responsible for anything. Please address the Minister through the Chair.
I apologise, Sir Alec. The Minister did not need to intervene. I am sure he will take that message back to his colleague. What we would like to see, which was not mentioned in the Minister’s speech, is a guarantee that lung cancer screening funding will be ringfenced and used only for lung cancer screening. There was no comment on the changes in the integrated care boards and NHS England or on what safeguards are in place to ensure continuity of leadership, data management and programme oversight during the organisational changes. I am sure the Minister and other Ministers know that is a big concern for a lot of charities. There was no mention of expanding radiology. A lot of people who talk about cancer, including Members of Parliament and cancer charities, know that there has to be a big expansion of radiography sooner rather than later. Finally, I would like to thank you for chairing the meeting, Sir Alec, and for pulling me up on my mistake. I shall endeavour to do better next time. Question put and agreed to . Resolved , That this House has considered the national lung cancer screening programme.
Sitting suspended.