1. Detect Cancer Early

2. February 2012 The Scottish Government Announced...........

3. “ Increase the proportion of people diagnosed and treated in the first stage of breast, colorectal and lung cancer by 25% by 2014/15”

4. Breast : screening Colorectal : Screening Lung !!!!!

5. “How can we detect lung cancer earlier?”

6. Target those people most at risk!

7. “ Smoking is the cause of around 86% of all lung cancers” “Those living in areas of socioeconomic deprivation are 2.5 times more likely to be diagnosed with lung Cancer”

8. How can we tackle those most at risk?

9. .....work with services who have a proven track record of engaging with people from areas of deprivation Keep Well & Stop Smoking Practitioners

10. .........engage with those living in SIMD class 1 & 2 areas.......engage with smokers

11. ........work closely with GP’s and Consultants........all GP’s and Consultants

12. .......gain support from our colleagues in radiology

13. ......and our colleagues in information technology

14. Community Based Keep Well/Stop Smoking Clinic Aged 35 years or above Not Currently Diagnosed with Lung Cancer Any Signs & Symptoms? A Haemoptysis (Any) Unexplained or persistent (i.e. >3 weeks): B Cough (persistent/changed) C Chest**/shoulder pain D Hoarseness E Dyspnoea F Finger Clubbing (new) G Weight loss H Fatigue in smoker >50 yrs Any urgent symptoms including: Haemoptysis; Chest pain; Acute Shortness of Breath should be investigated immediately, speak to Duty GP or for out of hours contact NHS 24 for advice: 08454 242424 **Sudden onset of chest pain – call 999 Suspicion Refer for chest x-ray to open access clinic Refer to GP requesting appointment within 7 working days Further Investigation YES NO Patient DCE-Lung Cancer Screening Tool & Pathway 2013 Incorporating The Scottish Referral Guidelines for Suspected Cancer 2013 Current or Ex-Smoker Suspicion Remains YES Refer to GP requesting appointment for 5 working days following x-ray Practitioner Non-Medical Referrer? Complete parts A,B &C of XP form: email to Project Manager Provide patient with information leaflet Complete parts A&B of XP form Provide x-ray card & Pt Info Send XP form to Project Manager NO Complete part A of XP form & send to Project Manager NO Refer YES Refer Fiona Duff DCE Lung Cancer Strand Project Manager. Tel: 01383-565162 Email: f.duff@nhs.net YES Project manager will generate referral to radiology & GP

15. Lung Cancer It’s not all black & white Fiona Duff DCE Lung Cancer Strand Project Manager f.duff@nhs.net 01383 565161/565456