How should I manage a patient who declines participation in a national cancer screening programme?

If a patient declines to participate in a national cancer screening programme, respect their right to make an informed decision about their care, ensuring they have been provided with clear, balanced information about the benefits and risks of screening.

Offer written information to support their understanding and encourage them to remain vigilant for symptoms related to the cancer being screened for.

Discuss the importance of early diagnosis and advise them on symptoms to watch for, with clear instructions on when to seek medical advice.

Document the discussion and the patient’s decision in their medical record.

Provide safety netting advice, including how to access care if symptoms develop or concerns arise in the future.

Maintain an open, non-judgmental approach to allow the patient to revisit their decision at any time.