Faecal immunochemical test (FIT)

The Faecal Immunochemical Test (FIT) is an important test in helping to improve the diagnosis of bowel cancer.

The test looks for microscopic amounts of blood in a stool sample collected at home using a special FIT collection kit. This kit can be given out by the GP or may have been sent to you as part of the bowel screening programme.

Traces of blood in the stool can be caused by other medical conditions and doesn’t necessarily mean you have cancer. But if it is cancer, finding it at an early stage means there are more treatment options available.

Fit tests are a non-invasive and simple diagnostic test for colorectal cancer. This video shows how to perform the test in the comfort of your own home.

FIT Patient Packs

Patient packs have been in use for some time for the referral of patients from Primary Care. Patient Packs are bespoke sampling kits that the GP or hospital can send directly to patients. They enable the sample for the FIT test to be taken at home, are can be returned via post to the laboratory, or to the GP office. The packs reduce the amount of face to face contact; helping to keep people safe during the pandemic.

The bespoke instruction leaflets direct the patient through their pathway: how to take the test, advice on collecting their sample, and instructions on how to return the completed kit.

By rolling out the patient packs into both primary and secondary care, FIT has been instrumental in reducing endoscopy waiting lists by increasing patient access.

The packs can be customised for secondary care, primary care, Vague Symptoms Pathways (VSPs), or Rapid Diagnostics Centres (RDCs)- making sure the pack guides the patient accurately on their pathway and outlining what they expect in terms of follow-up.

Communication with patients is key for the continued compliance: the packs can be used to help guide patients on safety netting services, highlight what other diagnostic services are currently offered, or what to do if they remain concerned following the test result.

A well structured, patient-centric approach is key to maximising the benefits of FIT in these difficult times.