Improving pathways for lung patients

New lung pathway group chair Dr Elizabeth Hadley hosted the recent clinical forum on 30 July. She invited attendees to express interest in becoming a member of the pathway group or becoming involved in the work on a task and finish basis.

The workstreams will include:

  • improving the lung cancer pathway for 'neglected' groups of patients, for example elderly or isolated patients, and patients with learning difficulties or mental health needs
  • developing an implementation pack for lung cancer MDTs, which will enable improvement of the 2 week wait CT and CT biopsy pathways
  • developing a simple model for lung cancer follow up which feeds into the lung specific treatment summary
  • developing and auditing an LCA best practice pathway for radiosurgery.

Dr Mary Roddie, consultant radiologist at Imperial College Healthcare NHS Trust, presented an outline of the biopsy protocols, quality of core biopsy and a draft pre-image guided biopsy/vascular intervention checklist. Attendees were consulted and they widely accepted its use. This was followed by a presentation on image guided lung biopsy and the practice of pre biopsy checks was debated.

Michael Sharpe from the National Cancer Registration Service provided an overview of the changes from LUCADA submissions and offered his support for any Trusts that needed help with their submissions. He can be contacted at

The forum concluded with a presentation on implementing the recovery programme for lung cancer patients and the results of a survey on the lung cancer HNA. The data analysis will help inform the development of patient information needs, lung specific treatment summary and planning of lung health and wellbeing events.

For more information on the work programme please contact LCA lung senior project manager

The presentations are available here

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