D’Souza and colleagues underestimate GPs’ clinical judgement in selecting patients for a faecal immunochemical test (FIT).1 NICE may recommend FIT for ‘low- risk’ symptomatic patients ‘without rectal bleeding who have unexplained (abdominal) symptoms but do not meet the criteria for a suspected cancer’,2 but this has not led to the ‘deluge’ of referrals or worsening of the ‘endoscopy capacity crisis’ in the centres where FIT has been adopted.3 …