Dependent on needs of patient Lung Cancer Follow-up: BTS Recommendations for MDTs 24 36 48 12 60 Time in months since completion of initial treatment Duration of specialist follow-up to detect complications of treatment Presumed curative treatment e.g. surgery/radical DXT +/- adjuvant treatment Nurse-led “stocktake” Nurse-led “stocktake” Protocol driven nurse-led follow-up * Frequency of follow-up dependent on individual patient needs Represent at MDT Relapse Follow-up to detect recurrence: Mainly symptom led May include joint clinics/virtual clinics/or nurse led MDT decision Duration of specialist follow-up to detect complications of treatment Relapse Represent at MDT Retreat – parallel clinic * (Oncologist/Nurse/Respiratory physician) Palliative care follow-up Nurse-led follow-up * Active palliative treatment e.g. chemotherapy/DXT Dependent on needs of patient Protocol driven nurse-led follow-up* Nurse-led “stocktake” Nurse-led “stocktake” Best supportive care Nurse-led “stocktake” Community palliative care follow-up Access back to secondary care on demand if required * Copy letters should be sent to all members of the MDT who have been involved in the patient’s management