Research shows that there could be over 175,000 people in the UK with the genetic condition Lynch syndrome (National Institute for Health and Care [NICE], 2016). As healthcare professionals, it is vital to follow the evidence to determine who may be affected by Lynch syndrome in order that they can have appropriate screening to decrease their risk of bowel cancer and other related cancers. Those leads are largely found in two ways. First, through testing those with bowel cancer to see if they have Lynch syndrome so that their relatives can be tested to see if they have also inherited the condition, this is done in secondary care. The second way is through identifying individuals with what are termed ‘high risk’ family histories so that they can be tested for Lynch syndrome. This can be achieved in primary or secondary care.