Quality statement 4: Lung cancer clinical nurse specialist

Quality statement

People with known or suspected lung cancer have access to a named lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

Quality measure

Structure: Evidence of local arrangements and written clinical protocols to ensure that people with known or suspected lung cancer have access to a named lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

Process:

a) Proportion of people with known or suspected lung cancer who have been given the name and contact number of a lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

Numerator – the number of people in the denominator who have been given the name and contact number of a lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

Denominator – the number of people with known or suspected lung cancer.

b) Proportion of people with lung cancer who had a lung cancer clinical nurse specialist present at diagnosis.

Numerator – the number of people in the denominator who had a lung cancer clinical nurse specialist present at diagnosis.

Denominator – the number of people with lung cancer.

c) Proportion of people with lung cancer who have been assessed by a lung cancer clinical nurse specialist.

Numerator – the number of people in the denominator who have been assessed by a lung cancer clinical nurse specialist.

Denominator – the number of people with lung cancer.

Outcome: Patient satisfaction with access to and support from a lung cancer clinical nurse specialist.

What the quality statement means for each audience

Service providers ensure there are systems in place for people with known or suspected lung cancer to have access to a named lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

Healthcare professionals ensure people with known or suspected lung cancer have access to a named lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

Commissioners ensure they commission services for people with known or suspected lung cancer to have access to a named lung cancer clinical nurse specialist who they can contact between scheduled hospital visits.

People with known or suspected lung cancer know how to contact a named lung cancer specialist nurse between hospital visits.

Source guidance

NICE guideline CG121 recommendations 1.2.2 (key priority for implementation), 1.3.34 and 1.6.3.

Data source

Structure: Local data collection.

Process:

a) Local data collection. The Department of Health National Cancer Patient Experience Survey report 2010 (data can be disaggregated for lung cancer) contained information on the proportion of patients given the name of a clinical nurse specialist and the proportion of patients reporting they found it easy to contact their clinical nurse specialist.

b) Health and Social Care Information Centre National Lung Cancer Data Audit collects data on the proportion of patients submitted to the audit who have had a lung cancer clinical nurse specialist present at diagnosis.

c) National Lung Cancer Data Audit collects data on the proportion of patients submitted to the audit who have seen a lung cancer clinical nurse specialist.

Data fields necessary for the calculation of the number of lung cancer patients who were seen by a clinical nurse specialist are available in the National Cancer Outcomes and Services dataset, which is available from the National Cancer Intelligence Network.

Outcome: Local data collection. The National Cancer Patient Experience Survey report 2010 (data can be disaggregated for lung cancer) contained information on the proportion of patients reporting they found it easy to contact their clinical nurse specialist.

Definitions

The National Cancer Peer Review Programme's Manual for Cancer Services defines the clinical nurse specialist in the lung measures 11‑2C‑113 and 11‑2C‑114 as:

A core member of the multidisciplinary team who has successfully completed a programme of study in their specialist area of nursing practice, which has been accredited for at least 20 credits at first degree level or equivalent.

Responsibilities include:

  • contributing to the multidisciplinary discussion and patient assessment/care planning decision of the team at their regular meetings

  • providing expert nursing advice and support to other health professionals in the nurse's specialist area of practice

  • involvement in clinical audit

  • leading on patient and carer communication issues and coordination of the patient pathway for patients referred to the team – acting as the key worker or responsible for nominating the key worker for the patient's dealings with the team

  • ensuring that results of patients' holistic needs assessment are taken into account in the decision‑making

  • contributing to the management of the service

  • utilising research in the nurse's specialist area of practice.