1. 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