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Resources » National Bowel Screening Programme

National Bowel Screening Programme

Published: 17/11/2025 | 4 files | 1 link | Presentation | Video | Website

In the BPAC search bar type 'FIT' to display the correct referral (National Bowel Screening FIT Positive).

It is not only important to refer participants through to the hospital but just as important to do the same referral if the participant wants to be seen privately. This will ensure the participant receives suitable access to care, and means information can be updated and the loop closed knowing the participant has been followed up.

Using the correct eReferral also triggers the $69 (inc GST) payment to the practice.  

For more details on the Bowel Screening programme see your region's programme page (Waikato, Lakes, Taranaki, Tairāwhiti).

Updates

New bowel screening learning modules available for kaimahi

A new series of four learning modules has been released to support kaimahi who work in bowel screening. The modules are designed to help staff explain bowel screening clearly, confidently, and in a way that supports and empowers communities. They also feature advice, tips, and reflections from bowel screening colleagues throughout the motu, thanks to everyone who contributed their expertise and mahi.

The National Bowel Screening Programme (NBSP) is encouraging all bowel screening kaimahi to complete the modules, regardless of experience. Even for those who have worked in the programme for many years, the modules serve as an excellent refresher and include the latest, most up-to-date information.

The four modules offer simple, comprehensive content covering what bowel screening is, how it works, and how to have effective, supportive conversations with communities. A fun and informative group quiz is also available to help teams test and reinforce their learning.

  • Module one – Introduction to bowel screening covers what the bowel is, how bowel cancer develops, and how the screening process works – including who it’s for, why it matters, and what happens at each step. This module takes about 30 minutes to complete. 
  • Module two – Supporting bowel screening tests looks at how the faecal immunochemical test (FIT) used for bowel screening works – what it is, how to use it correctly, and how to support participants in the programme to complete it with confidence, preventing spoilt kits. This module takes about 15 minutes to complete. 
  • Module three – Bowel screening conversations helps build confidence in having effective, culturally safe conversations about bowel screening in the community. This module takes about 25 minutes to complete. 
  • Module four – Keep it sharp: Bowel screening conversations in action lets you put your learning into practice with quick refresher scenarios showing real-life questions, concerns, and hesitations — and how you might respond. This module takes about 5 minutes to complete.

Accessing the modules 

The new modules are available on the learning management systems (LMS) Ko Awatea. Log in and search for ‘bowel screening’. If you are not yet registered with Ko Awatea you will need to register the first time, before you can access the modules. If you have any difficulty accessing these modules, please contact bowelscreening@tewhatuora.govt.nz.

How the screening process works

The National Bowel Screening Programme will send out a faecal immunochemical test (FIT) kit in the mail every two years to those in the eligible age range. 

When it’s the participant’s turn to be screened, they will receive an invitation letter, a consent form, and a free bowel screening kit. 

The free test is quick, clean and simple for people to do by themselves at home. 

The kit will last up to six months if the seal is unbroken, giving people time to discuss it with friends, family or your doctor and to complete it in their own time. 

Once the seal is broken it should be used as soon as possible because it needs to arrive at the laboratory for testing within eight days of being completed. The kit can be sent in the post using the prepaid protective envelope. 

Participants will then be sent a letter with the result of the test. If negative, nothing further needs to be done until it's time to do the kit again in two years.

If positive, the participant's GP will be in contact to arrange a free appointment to discuss the result and the next steps. 

Most people with a positive test have a pre-cancer rather than a cancer and have a high chance of successful treatment. 

Bowel screening is not right for everyone, including those who: 

  • have symptoms of bowel cancer
  • have had a colonoscopy within the last five years
  • are on a bowel polyp or bowel cancer surveillance programme
  • have had, or are currently being treated for, bowel cancer
  • have had their large bowel removed
  • have ulcerative colitis or Crohn’s disease that is currently active
  • are seeing a doctor about bowel problems.

Clinical Zoom recording

Jo Scott-Jones, medical director outlines the National Bowel Screening Programme in his April clinical Zoom.

Te Aho o te Kahu reports on cancer outcomes

Te Aho o te Kahu reports on cancer outcomes, including bowel cancer, can be viewed via the link below. In summary the bowel cancer screening programme has led to an improvement in survival and higher rates of diagnosis, but there is more work to do to improve outcomes for Māori.

For more information

Jo Scott-Jones, Clinical Director
drjo@pinnacle.health.nz
027 475 0488

FILES AND LINKS
Download: Viewpoint journal article, Bowel cancer screening age range extension for Māori: what is all the fuss about?
pdf | 765 KB
Download: Waikato information for primary care newsletter: Waikato age extension to include 50-59 years for Māori and Pacific people
pdf | 3.7 MB
Download: FIT kit information for RACFS
pdf | 247 KB
Download: Patient Prompt for Bowel Screening tool July 2022
pdf | 276 KB
Visit: Te Aho o te Kahu reports
External | Te Aho
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