Fund an annual cancer screening programme for adults aged 40 and over who have Down syndrome or severe learning difficulties. This should include appropriate tests based on clinical risk, proactive NHS recall, and reasonable adjustments to ensure full accessibility.

Adults with Down syndrome and severe learning difficulties face major barriers to early cancer detection. Higher pain thresholds, atypical symptoms, and communication challenges mean signs are often missed. Diagnostic overshadowing and inconsistent health checks delay diagnosis. Annual screening from age 40 could support earlier detection, fair access, and better outcomes.