FIT testing was introduced following a request by the Cancer Alliances using a unique delivery model. Work load increased to 1600 tests / month over 18 months. The most common indication being “aged over 50 with unexplained abdominal pain or weight loss”. Patient survey results were very positive. The positive predictive value of the test was 8% and the negative predictive value 99.8%. Significant savings from introduction of the service were predicated from early diagnosis and reduced referral.