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

2. ACE Programme - Completion of six local project evaluations
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:

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?