AQW 42865/22-27 Written question to the Minister of Health

To ask the Minister of Health whether his Department has issued any guidance in relation to the combined use of a blood test and ultrasound to detect early-stage ovarian cancer, in Health and Social Care Trusts.

Asked by Connie Egan MLA on 20 March 2026

  • Answered
  • Written
  • After due date
Tabled
20 March 2026
Answer due by
8 April 2026
Answered
5 May 202646 days after tabling
Department
Department of Health
Priority question
No

Answer

The Northern Ireland Referral Guidance for Suspected Cancer (Red Flag Criteria) draws on national evidence, including National Institute for Health and Care Excellence (NICE) guidance, alongside local clinical expertise to provide GPs with standardised, evidence‑based criteria that support consistent decision‑making for red flag referrals.

In respect of ovarian cancer, the Northern Ireland Referral Guidance recommends measuring CA125 (a blood test) in primary care in women with symptoms that suggest ovarian cancer and, if levels are raised, arranging an ultrasound scan of the abdomen and pelvis and/or referring to gynaecology as a red flag. This is consistent with NICE Clinical Guideline (CG122) Ovarian Cancer: Recognition and Initial Management.

To support early detection, the Northern Ireland Cancer Network (NICaN) also provides ongoing primary care education on red flag symptoms, including a dedicated ovarian cancer session delivered in 2022, with materials available online.

Official sources