To ask the First Minister, in light of the rise in the number of people under 50 being diagnosed with bowel cancer, what proposals the Scottish Government has to extend the national bowel screening programme to those under 50 years old. (S6F-03699)

I thank Edward Mountain for raising this important issue and for the commendable commitment and leadership that he has shown on the issue inside and outside Parliament.

The Scottish Government, along with the rest of the United Kingdom, follows advice about screening programmes from the United Kingdom National Screening Committee, which is an independent expert advisory group. Scotland has fully adopted the National Screening Committee’s recommendation to invite everyone aged between 50 and 74 for bowel screening every two years. The recommendation was based on a thorough assessment of the risks and benefits of screening people at different ages. I assure Parliament that if the National Screening Committee recommended a lower age range, we would explore, as a matter of urgency, how that could be taken forward in Scotland.

I am proud that our national health service in Scotland and this Government have led the way in bowel screening since 2017. I am personally grateful for that. However, it is clear that, with the increasing number of young people getting bowel cancer, we need to do more work. One of the most cost-effective ways to do that is not necessarily to increase screening. Rather, it is to ensure that GPs are aware of the problem and refer people for further tests at the first sign that they may have bowel cancer. I probably agree with the First Minister on that.

Where I disagree, and where Bowel Cancer disagrees, relates to greater sensitivity in our screening programme. I have been pushing for that, but I have been told that there is a lack of capacity in colonoscopies to allow it to happen. The result is that that ignores the real costs of bowel cancer treatment, which could include radiotherapy, chemotherapy and surgery, all of which have a huge cost. Will the Government commit to carrying out a cost benefit analysis of increasing the sensitivity of bowel screening, in line with the National Screening Committee’s recommendation, to ensure that Scotland continues to lead the way in bowel cancer screening, as we should?

First, I thank Mr Mountain for his commendation of the steps that the Government is taking on bowel screening. The bowel screening programme is an excellent programme. It is very convenient for members of the public and it is very efficient. It is also very important for the management of individuals’ health. I am grateful for Mr Mountain’s comments in that respect.

I will consider all the points that Mr Mountain has put to me about the bowel screening programme and will ask the Cabinet Secretary for Health and Social Care to advise me on those points. It is important that we take all practical steps to act in accordance with the clinical advice that is available to us. Mr Mountain and I are probably in the same place on respecting that clinical advice, but if there are specific mechanisms that we can deploy that will make a difference, I will be happy to consider them.

It is welcome that, a number of years ago, Scotland—ahead of parts of the UK—fully adopted the UK National Screening Committee’s recommendation to screen all individuals between the ages of 50 and 74. Will the First Minister advise how the Scottish Government will continue to invest in screening services, alongside endoscopy and urology services, to support patients across Scotland?

That is principally taken forward through our endoscopy and urology diagnostic recovery and renewal plan, which is supported by £70 million-worth of investment. It is focused on bolstering endoscopy capacity through the recruitment of additional endoscopists. We have established a network of hubs to support us in that rapid access to diagnostic services. The points that Mr Torrance raises are important in enhancing the effectiveness of the services that we have available to us.

This week is less survivable cancers awareness week. Sixty-one per cent of people in Scotland who are diagnosed with less survivable cancers—that is, lung, liver, brain, oesophagus, pancreatic and stomach cancers—will die from their disease within one year. In common with bowel cancer cases, early diagnosis and treatment are key to improving survival rates for such patients. Although the cancer strategy is welcome, we need action to be taken more quickly if we are to save lives. What more will the First Minister do to improve early diagnosis of the cancers that I have mentioned, and to drive better outcomes for patients?

Jackie Baillie has raised an important issue. I reassure her that the Government is absolutely committed to that endeavour. We are treating more cancer patients on time, within both standards, than we did 10 years ago: 12 per cent more within the 31-day standard and 6 per cent more within the 62-day standard. The median wait for treatment within the 31-day standard is just four days. Ms Baillie’s point about rapidity is absolutely well made, and the Government is working hard to deliver that aim.

My principal answer to Jackie Baillie is that our focus is on developing rapid cancer diagnostic services, which are critical to ensuring that the earliest possible action and Intervention happen to address the circumstances that she has put to me. That will remain the focus of the Government’s intervention in that area of policy.