• Lung Cancer

The success of the United Kingdom Lung Screening (UKLS) trial and subsequent implementation projects in Liverpool, Manchester and London provided the springboard for the NHS Eng. Targeted Lung Health Check (TLHC) programme,1–6 which started in 2019 and has been recently pledged by the Prime Minister (Rishi Sunak)7 to become the National Lung Cancer screening programme in England and also, in time, in the devolved nations. Thus, the UK maybe considered one of the global leaders implementing lung cancer screening.

One has to be cognisant of the fact that despite the excellent protocol and quality assurance programme underlining the TLHC,8 9 there is a need for continued implementation research.10 Indeed, Goodley et al 11 have identified one of the fundamental issues which faces the TLHC; identification of the risk population from primary care patient records and furthermore, the issue that certain general medical practices are not providing this data. This has been exemplified by SUMMIT’s targeted approach, which found discordance between the primary care code and self-reported smoking status in a quarter of invitees.12 Indeed, the authors point out, that there is uncertainty regarding …