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Prospective analysis of screening for colorectal malignancy at a single screening centre over a 2 year period and its impact on the surgical work load. Comparing the results with the national standard.Bowel screening data over a 2 year period at a single screening centre wasprospectively entered into the national data base. The findings of screening uptake, FOB+, colonoscopy completion, cancer detection and perioperative mortality were compared to the national standard. Increase in work load was also analysed.Screening uptake, colonoscopy completion rate and cancer detection rate were more than the expected national standard. Two cancers were detected for every 1000 patients screened. The polyp detection rate was 51%. Increased work load was 15 resections/10 000 screened.Screening standards were satisfactorily achieved. The colonoscopy completion and polyp cancer detection rates were better than the expected national standard. Surgical units introducing screening have an increase in the colorectal resection work load due to both benign and malignant lesions.