Cancer screening programmes reduce mortality, yet persistent inequities in access, participation, and outcomes remain across countries and cancer types. These patterns reflect limitations in how screening systems are designed, measured, and evaluated. This workshop brings together researchers, programme leaders, policymakers, data specialists, and people with lived experience to consider cancer screening inequity as a systems challenge. The focus is on strengthening the frameworks that shape screening practice, rather than on isolated interventions. Participants will work collaboratively to develop equity-sensitive metrics, inclusive design principles, and practical pathways for implementation, supporting screening systems that reach more people and do so in fairer and more responsive ways.