To ask the Scottish Government what assessment it has made of research published in the Annals of Oncology journal, which reports an expected rise in bowel cancer death rates for adults aged 25 to 49 years in the UK by 26% for men and 39% for women, including (a) what data is available for Scotland, (b) what action it is taking to prevent bowel cancer and (c) how it will improve detection rates in people under the age of 50.
(a) There are a number of published data sets available in Scotland that help us understand bowel cancer. These are facilitated by Public Health Scotland and include data on incidence, mortality, staging, waiting times for cancer organised by tumour type.
Cancer Incidence
Public Health Scotland provides an annual update of cancer incidence statistics in Scotland from January 1997 to December 2021. All cancer types are included. Most recent data can be found here
Cancer Mortality
Public Health Scotland provides interpretations of the risk factors that cause cancer and changes in survival for the most common causes of cancer death. Most recent data can be found here
Cancer Staging
Public Health Scotland provides data examining the impact of COVID-19 on cancer staging distributions, with the focus of the report being on the 2022 data in comparison with the most recent pre-pandemic data (2018 and 2019). Most recent data can be found here
Cancer Waiting Times
Public Health Scotland provides quarterly updates of Cancer Waiting Times statistics, reporting two National Standards on how long patients waited for their first cancer treatment. The 62-day standard applies to patients urgently referred with a suspicion of cancer by a primary care clinician/general dental physician, patients referred by one of the national cancer screening programmes, and direct referrals to hospital where the signs and symptoms are consistent with the cancer diagnosed. The 31-day standard applies to all patients, regardless of the route of referral. The most recent data can be found here
(b) The research conducted by Cancer Research UK, published in the Annals of Oncology journal in January 2024, states that bowel cancer can be linked to diet and alcohol intake. The Scottish Government has introduced strong public health interventions to address these risk factors.
The Scottish Government’s Alcohol Framework sets out our priorities for preventing alcohol-related harm and introduced the Minimum Unit Pricing (MUP) to alcohol sales in Scotland. The Scottish Government’s Alcohol Framework, published 20 November 2018, sets out our priorities for preventing alcohol-related harm. It contains 20 actions building on existing measures to change Scotland’s relationship with alcohol, including our world-leading minimum unit pricing policy. The Scottish Government takes a whole population approach to tackling alcohol-related harms, in line with the World Health Organization’s focus on affordability, availability and attractiveness of alcohol.
Prior to the pandemic, the reduction in alcohol sales showed encouraging early signs that the introduction of MUP was having a positive impact. In the 12 months following the introduction of MUP and before the pandemic, there was a 2% decrease in alcohol sales for off premises consumption.
The Scottish Government continue to endorse a healthy balanced diet as represented by the Eatwell Guide . Food Standards Scotland has translated the Eatwell Guide into the Eat Well, Your Way resource. This provides meaningful, practical advice and tips to help people make healthier food and drink choices, whilst acknowledging the social, cultural and environmental influences on food choice.
Our Diet and Healthy Weight Delivery Plan sets out ambitious and wide-ranging action to deliver our vision for a Scotland where everyone eats well and has a healthy weight.
(c) The Scottish Government is committed to detecting cancer as early as possible. A new Detect Cancer Earlier campaign – Be The Early Bird - launched in March 2023, aiming to reduce fear of cancer and empower those with possible symptoms to act early. Following successful independent evaluation, the campaign re-ran in September 2023 to prompt health-seeking behaviour.
The wider Detect Cancer Early Programme works closely with the Scottish Cancer Coalition, including Bowel Cancer UK, to support awareness raising efforts and uses social channels to promote joint content and messages where possible.