Increasing the uptake of cervical and lung cancer screening with targeting

This study is looking for people who are already registered with one of the GP practices taking part.

For cervical screening, you would need to be a woman or person with a cervix aged between 25 and 64, who has been invited for screening but hasn't yet attended. Special attention will be given to those with learning disabilities, those aged 25-34 or 45-64 living in poorer areas, or those whose main language isn't English.

For lung screening, you need to be aged 55-74 and currently or previously smoked. The study will particularly focus on current or past smokers who live in more deprived areas. If you don't meet the standard NHS age and health criteria for these screenings, or your GP practice isn't involved, you won't be able to take part.

If you take part in this study, you won't have any extra appointments, tests, or changes to your medication. The study is simply looking at how you receive invitations for your regular cervical or lung cancer screening appointments, which are already part of the NHS. You'll be placed into one of three groups based on your GP practice:

* **Group 1 (Usual Care):** You will continue to receive screening invitations in the normal way, just as the NHS or your GP practice usually sends them. * **Group 2 (Appt Standard):** You will receive standard invitations from Appt Health. These might come as messages on the NHS App, emails, texts (SMS), or letters. These invitations will make it easy to book an appointment, sometimes with a direct link or a way to reply by text. * **Group 3 (Appt Targeted):** If you are in certain groups that find it harder to attend screening (for example, based on where you live or your preferred language), you will receive special invitations from Appt Health. These messages will be personalised to address common reasons why people in your group might miss screening, while still offering easy ways to book an appointment.

The study starts in April 2026 and will run until February 2028, but your involvement simply means receiving invitations in one of these ways as you become due for screening.