Quality statement 2: Appointment with a cancer specialist

Quality statement

People with a chest X‑ray result suggesting lung cancer and people aged 40 and over with unexplained haemoptysis are offered an appointment to see a cancer specialist within 2 weeks.

Quality measure

Structure: Evidence of local arrangements and written clinical protocols to ensure that people with chest X‑ray results suggesting lung cancer and people aged 40 and over with unexplained haemoptysis are seen by a cancer specialist within 2 weeks.

Process:

a) Proportion of people with chest X‑ray results that suggest lung cancer who are seen by a cancer specialist within 2 weeks.

Numerator – the number of people in the denominator who are seen by a cancer specialist within 2 weeks.

Denominator – the number of people with chest X‑ray results that suggest lung cancer.

b) Proportion of people aged 40 and over with unexplained haemoptysis who are seen by a cancer specialist within 2 weeks.

Numerator – the number of people in the denominator who are seen by a cancer specialist within 2 weeks.

Denominator – the number people aged 40 and over with unexplained haemoptysis.

What the quality statement means for each audience

Service providers ensure there are systems in place for people with chest X‑ray results that suggest lung cancer and people aged 40 and over with unexplained haemoptysis to be seen by a cancer specialist within 2 weeks.

Healthcare professionals refer people with chest X‑ray results that suggest lung cancer and people aged 40 and over with unexplained haemoptysis for an appointment with a cancer specialist in cancer within 2 weeks.

Commissioners ensure they commission services to provide an appointment to see a cancer specialist within 2 weeks for people with chest X‑ray findings that suggest lung cancer and people aged 40 and over with unexplained haemoptysis.

People with signs of possible lung cancer on a chest X‑ray and people aged 40 and over who are coughing up blood (and there is no other cause) are offered an appointment to see a cancer specialist within 2 weeks.

Source guidance

Suspected cancer: recognition and referral (2015, updated 2017) NICE guideline NG12, recommendation 1.1.1

Data source

Structure: Local data collection.

Process: Local data collection. Data on cancer waiting times are available via NHS England.