Quality statement 14: Optimal follow‑up regime

Quality statement

People with lung cancer are offered a specialist follow‑up appointment within 6 weeks of completing initial treatment and regular specialist follow‑up thereafter, which can include protocol‑led clinical nurse specialist follow‑up.

Quality measure

Structure: Evidence of local arrangements and written clinical protocols to ensure that people with lung cancer are offered a specialist follow‑up appointment within 6 weeks of completing initial treatment and regular specialist follow‑up thereafter, which can include protocol‑led clinical nurse specialist follow‑up.

Process:

a) Proportion of people with lung cancer who receive a specialist follow‑up appointment within 6 weeks of completing initial treatment.

Numerator – the number of people who receive a specialist follow‑up appointment within 6 weeks of completing initial treatment.

Denominator – the number of people with lung cancer who complete initial treatment.

b) Proportion of people with lung cancer who receive regular specialist or protocol‑led clinical nurse specialist follow‑up after completing initial treatment.

Numerator – the number of people in the denominator who receive regular specialist or protocol‑led clinical nurse specialist follow‑up after completing initial treatment.

Denominator – the number of people with lung cancer who complete initial treatment.

Outcome: Patient satisfaction with follow‑up care.

What the quality statement means for each audience

Service providers ensure that systems are in place for people with lung cancer to be offered a specialist follow‑up appointment within 6 weeks of completing initial treatment and regular specialist follow‑up thereafter, which can include protocol‑led clinical nurse specialist follow‑up.

Healthcare professionals offer people with lung cancer a specialist follow‑up appointment within 6 weeks of completing initial treatment and regular specialist follow‑up thereafter, which can include protocol‑led clinical nurse specialist follow‑up.

Commissioners ensure they commission services for people with lung cancer to be offered a specialist follow‑up appointment within 6 weeks of completing initial treatment and regular specialist follow‑up thereafter, which can include protocol‑led clinical nurse specialist follow‑up.

People with lung cancer are offered a specialist follow‑up appointment within 6 weeks of completing initial treatment, and regular follow‑up appointments with a specialist or the lung cancer specialist nurse.

Source guidance

Lung cancer: diagnosis and management (2019) NICE guideline NG122, recommendations 1.6.1 and 1.6.2

Data source

Structure: Local data collection.

Process: a) and b) Local data collection.

Outcome: Local data collection.

Definitions

Regularity of further follow‑up will be determined by patient preference.

Protocol‑led follow‑up means that the indications for follow‑up by a clinical nurse specialist, the content of that follow‑up and the actions to be taken in response to findings, are agreed in writing in a structured format.