Using the quality standard
It is important that the quality standard is considered by commissioners, healthcare professionals and patients alongside current policy and guidance documents, including Improving outcomes in lung cancer: the manual (Department of Health, 1998) and the Manual for cancer services: lung measures (National Cancer Peer Review Programme, 2008), listed in the development sources section.
The quality measures accompanying the quality statements aim to improve the structure, process and outcomes of healthcare. They are not a new set of targets or mandatory indicators for performance management.
Expected levels of achievement for quality measures are not specified. Quality standards are intended to drive up the quality of care, and so aspirational achievement levels are likely to be 100% (or 0% if the quality statement states that something should not be done). However, it is recognised that this may not always be appropriate in practice taking account of patient safety, patient choice and clinical judgement and therefore desired levels of achievement should be defined locally.
See NICE's how to use quality standards for further information, including advice on using quality measures.
During the development of this quality standard, equality issues have been considered and equality assessments are published on the NICE website.
Good communication between health and social care professionals and people with lung cancer is essential. Treatment and care, and the information given about it, should be culturally appropriate. It should also be accessible to people with additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English. People with lung cancer should have access to an interpreter or advocate if needed.