Quality statement 15: Palliative interventions

Quality statement

People with lung cancer have access to all appropriate palliative interventions delivered by expert clinicians and teams.

Quality measure

Structure: Evidence of local arrangements and written clinical protocols to ensure that people with lung cancer have access to all appropriate palliative interventions delivered by expert clinicians and teams.

Process:

a) Proportion of people with lung cancer and bronchial obstruction who receive endobronchial treatments.

Numerator – the number of people in the denominator who receive endobronchial treatments.

Denominator – the number of people with lung cancer and bronchial obstruction.

b) Proportion of people with lung cancer and pleural effusion who receive pleural aspiration or drainage.

Numerator – the number of people in the denominator who receive pleural aspiration or drainage.

Denominator – the number of people with lung cancer and pleural effusion.

What the quality statement means for each audience

Service providers ensure that systems are in place for people with lung cancer to have access to all appropriate palliative interventions delivered by expert clinicians and teams.

Healthcare professionals provide access to all appropriate palliative interventions delivered by expert clinicians and teams, for people with lung cancer.

Commissioners ensure they commission services for people with lung cancer to have access to all appropriate palliative interventions delivered by expert clinicians and teams.

People with lung cancer can access appropriate palliative treatments and care (palliative treatment and care helps with pain, discomfort and other symptoms and improves quality of life), from expert clinicians and healthcare teams.

Source guidance

Lung cancer: diagnosis and management (2019) NICE guideline NG122, recommendations 1.5.1–1.5.19

Data source

Structure: Local data collection.

Process: a) and b) Local data collection.

Definitions

Appropriate palliative interventions include:

  • palliative chemotherapy

  • palliative radiotherapy

  • endobronchial treatments (including radiotherapy, brachytherapy, photodynamic therapy, electrocautery, cryotherapy, laser, stenting and debulking)

  • pleural aspiration or drainage

  • non‑drug interventions (psychosocial support, breathing control and coping strategies).

Expert clinicians and teams refer to specialist palliative care teams that should include palliative medicine consultants and palliative care nurse specialists together with a range of expertise provided by physiotherapists, occupational therapists, pharmacists, social workers and those able to give spiritual and psychological support.