1. Lung Cancer Pathway Dr Heather Harris - Consultant Radiologist
Dr Mohamed Abdulla - Consultant Respiratory Medicine

2. Why we need to do better?

3. CRHFT data for stage at diagnosis

4. CRHFT 1 Year Survival vs National

5. Early diagnosis is the key

7. Who to refer to 2wk lung clinic
patients over 40 years and have unexplained haemoptysis
CXR Suspicious of Lung Cancer (Use NICE guidance to assess risk)
If CXR is normal or not suggestive of Lung cancer, avoid using the 2wwk wait Lung cancer referral pathway  
After CXR is not suggestive of cancer and If it is felt patient still needs to be seen by a chest physician, refer as urgent or routine depending on the need but NOT as 2wwk wait.

8. Imaging in the Lung Cancer Pathway

9. ICE screenshots for CXR

10. ICE screenshots for CXR

11. ICE screenshots for CXR

12. ICE screenshots for CXR

13. Chest Xray Risk stratification
Request as URGENT CXR ‘suspicion for lung cancer’
Identified in imaging as ‘suspicion of lung cancer’
Xray & Report within 3 days of request
If abnormal, report will be sent back as UER to GP and MDT coordinator
Advice on report to inform patient, request CT and refer to lung 2ww clinic

14. CT Scan

15. ICE screenshot for lung cancer CT

16. CT scan Staging CT of Chest and Abdomen with contrast
Aim - Scan done within 3 days of CT request
Aim - Scan reported within 7 days of sending CXR report out
Relies on prompt CT request from GP