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Blood in your pee
Press release date19/07/2018
Lives in East Midlands at risk by not looking for an essential sign of bladder and kidney cancer.
Press release
• Blood in pee is a crucial symptom of bladder and kidney cancer, yet only 14% of those most at risk in East Midlands – aged 50 or over – check the colour of their pee every time they go to the toilet 


• ‘Be Clear on Cancer’ campaign launches in East Midlands to encourage people to ‘look before they flush’ and tell their doctor if they notice blood in their pee, even if it’s just once 

• Every year around 19,100 new cases of bladder and kidney cancer are diagnosed in England; causing around 8,000 deaths


• A new film featuring Dr Dawn Harper highlights what blood in pee might look like 


Public Health England (PHE) launches new ‘Be Clear on Cancer’ campaign in the East Midlands to highlight blood in pee as a key symptom of bladder and kidney cancers. The campaign will encourage everyone to ‘look before they flush’ and visit their GP without delay if they notice blood in their pee, even if it’s just once.

A new survey reveals that only 14% of adults aged 50 and over (those most at risk of these cancers) in East Midlands say they check the colour of their pee every time they go to the toilet.1 If people don’t look before they flush, they may not notice blood in their pee. 


A new short film is featuring the TV doctor, Dr Dawn Harper, is being released as part of the campaign. The film shows what to look out for as the colour of blood in your pee can vary – from very diluted, to bright red or even dark brown, like the colour of weak black tea. Blood in pee is a symptom in almost two thirds (64%) of all bladder cancers and around a fifth (18%) of kidney cancers. 


Blood might not appear every time, so it is important that people seek medical help even if they notice it just once. Worryingly, around 50% of those surveyed in East Midlands said they would not seek medical advice if they saw blood in their pee only once. 1 However, 45% of those surveyed said they would wait and see if it happened again, potentially putting off a vital diagnosis.1 

When asked why they would not go to the GP straight away if they noticed blood in their pee, some concerning delays for seeking help were uncovered; 19% in East Midlands say they would be worried about wasting the GP’s time and 31% would only book an appointment sooner if they had other symptoms.1 


Latest figures show that every year in England, approximately 19,100 people are diagnosed with bladder or kidney cancer. Sadly, nearly 8,000 people die from these diseases. Early diagnosis is critical; 84% of those diagnosed with kidney cancer and 77% of those diagnosed with bladder cancer at the most initial stage (stage 1) will live for at least five years.4,5,† At a late stage (stage 4), this drops to 10% and 9% respectively.4,5, 


Ben Anderson, Deputy Director for Healthcare Public Health at PHE East Midlands, said: “Cancer survival rates are improving and we know finding cancer early saves lives, but there is still more to do to make people aware of the warning signs and to act on them. 

“Many people in our region are unaware that blood in their pee could be a sign of bladder or kidney cancer and are hesitant to see their GP if they have them – for example only 14% of adults say that they check their pee and only 50% would seek medical advice if they saw blood in their pee only once. 


“Our message is simple - please don’t hesitate. If you have blood in your pee your doctor will want to see you, you won’t be wasting their time.” 


Paul Protheroe lives in Leicester and in 2017 he was diagnosed with kidney cancer. 


“I noticed I had started passing blood in my pee, so I went to see my doctor. The blood was thick clots and bright. At first the thoughts were that it could be kidney stones but further investigations took place and I was diagnosed with kidney cancer. 

“I had one of my kidneys removed. Within four days of my operation I was back at home and I am enjoying living life. What I want to say to anyone experiencing blood in their pee is don’t be afraid. Go and see your doctor. It could be a life-saver. This year I am off on three holidays – it’s what I like to call recuperation!” 


Mr Roger Kockelbergh, Consultant Urologist at the University Hospitals of Leicester NHS Trust and trustee of Action Bladder Cancer UK, said: “Public Health England’s latest campaign is urging people to tell their doctor straight away if they notice blood in their pee, even if it is just once. The chances are it’s nothing serious, but blood in pee is a key symptom for both bladder and kidney cancers and these cancers are more treatable if they are found early. 


“The simple act of remembering to look before you flush and going to see the doctor if you see any blood, could save your life.” 

Dr Dawn Harper, TV Doctor and GP, said: “I’m urging people to be vigilant to changes in their body and to check their pee. I hear all too often about people who have delayed seeking medical advice if they have worrying symptoms – like blood in pee – because they are afraid of what the doctor might find or what the treatment might be. 


“If you do notice blood in your pee, it’s probably nothing serious, but it’s always worth checking with a health professional – you won’t be wasting their time. It’s vital that people don’t put off getting help; if it is cancer, early diagnosis saves lives.” 


Professor Chris Harrison, National Clinical Director (Cancer), NHS England, said: “The earlier people are diagnosed, the better their chances, which is why it is vital people understand what to look out for and when to visit the GP. This campaign has the important aim of helping raise awareness of the signs and symptoms of bladder and kidney cancer and encouraging people to visit their GP after seeing blood in their pee.” 


The ‘Be Clear on Cancer’ ‘Blood in Pee’ campaign runs until 23rd September and includes advertising on TV, radio and in washrooms and online. For further information about the signs and symptoms of bladder and kidney cancer, search ‘Be Clear on Cancer’. 




Notes to Editors 


1. The campaign launches across England on Thursday 19th July 2018 and runs until 23rd September 2018. The campaign activity includes TV, print, radio, digital and out of home advertising 

2. Public Health England exists to protect and improve the nation's health and wellbeing and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. Website: www.gov.uk/phe. Twitter: @PHE_uk, Facebook: www.facebook.com/PublicHealthEngland 

3. Be Clear on Cancer campaigns are run by Public Health England in partnership with the Department of Health and NHS England and with the support of Cancer Research UK  

4. Early diagnosis of cancer is a major priority for the Government in helping us to improve cancer survival. Be Clear on Cancer campaigns, which aim to raise public awareness of the symptoms of cancer and encourage earlier presentation, are included in the Report of the Independent Cancer Taskforce “Achieving World-Class Cancer Outcomes: A Strategy for England 2015 – 2020”.  

5. Interview opportunities with Public Health England spokespeople, a range of urologists from across the country, Dr Dawn Harper, charity supporters and case studies are available upon request  

6. Video assets for the campaign, and still images, with Dr Dawn Harper, can be found via this dropbox link: https://www.dropbox.com/sh/lx12u99yf63pbrz/AAB3w6La7Soq7ZWaqZ53w-FFa?dl=0 


7. Additional spokespeople quotes: 


Geraldine Sinfield, Bladder cancer survivor and supporter of the Urology Foundation, said: “I noticed blood in my pee in late 2013. I knew something was wrong and made an appointment to see my doctor straight away. He referred me to hospital for tests which showed I had bladder cancer. I’m so glad I acted quickly because my cancer was caught early and just six months after my treatment, my husband and I went sailing around Britain, something I never thought would be possible! Recently, at my last appointment, my doctor was so pleased with my progress that I was told I would no longer need to have annual checkups, which is a huge relief.” 


Louise de Winter, CEO OF The Urology Foundation, said: “We are very pleased to see Public Health England running this campaign. The Urology Foundation will always support campaigns that raise awareness of blood in pee, a symptom of a number of urological cancers. 


“We know cancer is so much easier to treat when it’s caught early, which means checking for blood in pee can be a small, but life-saving decision. Our goal is to lead the fight against urology disease and encouraging people to check for blood in their pee and to take action is an important step in that fight.” 


Andrew Winterbottom, founder and CEO of Fight Bladder Cancer and a bladder cancer patient himself, explained: “The Blood in Pee campaign is essential to let people know that they should go and see their GP if they have any sign of blood in their pee even if it is just on one occasion. Whatever the reason it’s important not to delay as getting it checked out straight away is really important if it turns out to be something serious.” 


Nick Turkentine, CEO of Kidney Cancer UK, said: “This is an incredibly important campaign as early diagnosis of kidney cancer offers greatly increased chance of a full recovery. One of the early signs something may be wrong is traces, or amounts, of blood in your pee, so if you see it, talk to your GP without fail. Also, look for other possible signs, these may not necessarily be kidney cancer but are worth being aware of including a pain that doesn’t go away, either in the tummy or in the side below the ribs, or loss of weight. See your GP if you have any concerns.” 


Allen Knight, CEO of Action Bladder Cancer UK, said: “Around 8,000 people die from bladder or kidney cancer each year in England. Many of these deaths could be avoided if patients saw a doctor as soon as they noticed a key symptom of these cancers – blood in pee – even if it’s only once. Bladder cancer is often diagnosed late, which means it can be even harder to treat. We are pleased to support the Be Clear on Cancer campaign and to help spread the message that if you do notice blood in your pee, you must take action and get checked by your GP – and go back again if it is not resolved.” 


8. Factors that increase the risk of bladder and/or kidney cancer include: 

 • Smoking 

 • Being overweight or obese 

 • Some jobs, because of exposure to certain chemicals 

 • Other medical conditions, such as kidney failure  

 • A family history of cancer 

 9. Blood in pee is a key symptom for both bladder cancer and kidney cancer. 


Other symptoms of bladder cancer include:  

 • Cystitis (a urinary tract infection) that is difficult to treat or comes back quickly after treatment 

 • Pain when peeing Other symptoms of kidney cancer include: 

 • A pain that doesn’t go away, either in the tummy or in the side, below the ribs 

 • Weight loss 


All figures, unless otherwise stated, are from YouGov Plc. Total sample size was 2484 adults aged 50+ in England. Fieldwork was undertaken between 7th - 13th June 2018. The survey was carried out online. The figures have been weighted and are representative of all England adults (aged 50+). 

Price SJ, Shephard EA, Stapley SA, et al. (2014) Non-visible versus visible haematuria and bladder cancer risk: a study of electronic records in primary care. The British Journal of General Practice. 64, pp584–589. 

Shephard, E.A., Neal, R.D., Rose, P., Walter, F.M and Hamilton, W.T. (2013) Clinical features of kidney cancer in primary care: a case-control study using primary care records. The British Journal of General Practice. 63 (609), pp250-255. 


Incidence data supplied by Public Health England based on the National Cancer Registration & Analysis Service dataset, 2018 Deaths data supplied by Public Health England based on the ONS mortality data, 2012–2016

Contact information:
Contact information
Nadine Hilliard
Regional Communications Manager – East Midlands
Public Health England
Tel: 0115 844 1498
Press release number