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Lung Cancer Pathways: Interim Report

This interim report highlights the findings and recommendations of the Lung Cancer Pathways project, an NHS England initiative supported by CRUK and Macmillan. The aim is to achieve earlier diagnosis through streamlined diagnostic pathways. The report identifies wide pathway variation across the UK and suggests solutions for improvement, including support from commissioners, dedicated project management, and clinical leadership from primary and secondary care.

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Lung Cancer Pathways: Interim Report

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  1. Lung Cancer Pathways: Interim Report Ed Nicolle, Cancer Services Manager, RUH

  2. ACE Programme • Accelerate, Coordinate, Evaluate • NHS England initiative • Supported by CRUK and Macmillan • Projects in several tumour sites • Aim of achieving earlier diagnosis through streamlined diagnostic pathways • Phase One to conclude by end of 2016: - Completion of six local project evaluations - Analysis of national data sets vs actual pathways

  3. Interim findings • Wide pathway variation across the UK • Scope for improvement requiring: - support from commissioners - dedicated project management - clinical leadership from primary and secondary care

  4. Interim findings • All patients to have CT before 2ww appointment • Patients discharged via letter following normal CT result – not requiring clinic appointment • Variation in scan turnaround times • Advice and guidance system for GPs – commissioned • Radiographers to report on CXR • Standardised image reporting tool, supporting radiologists and ensuring GPs understand recommended actions • One-stop diagnostic clinics

  5. Outputs • Radiology decision support tool • Days to Diagnosis pathway chart • Case studies • Best practice referral forms • Guidance for commissioners Contacts and information: ACEteam@cancer.org.uk www.cruk.org/ace

  6. Standard and Optimal Pathway • Feedback to Lung CRG: 1. To what extent are providers following current pathways? 2. What areas are not being met? Solutions? 3. What are the barriers to full implementation?

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