Eligible participants, identified through GP records, will be sent a letter informing them that they have been selected to receive a Lung Health Check (LHC).

Along with the letter, each participant will receive an information leaflet so that they can make an informed choice.

If the eligible participant has not responded to the letter, they will receive a reminder letter and a telephone call to help them to arrange a convenient LHC appointment date.

During this LHC appointment, which will be conducted via a telephone call, participants will be asked a series of questions about their lifestyle, breathing, family and medical history; they will also be asked to verify their height, weight and smoking status (past and current) – any participant identified as a current smoker will be offered a referral to their nearest Local Authority Stop Smoking Service.

From the information gathered at their LHC, a risk score will then be calculated for each participant.

Any participants receiving a low-risk score will exit the LCS programme at that point.

Those receiving a high-risk score (i.e. those more likely to have lung cancer now or in the future) will be invited to attend a face-to-face clinical review and receive a low dose CT scan. To find out more about CT scans, watch this short video: What is a CT scan

The result of the scan will then determine what happens next, i.e.:

• People with suspected cancer will be referred into the appropriate suspected cancer assessment and diagnosis pathway.
• If no abnormality is found a person will be invited back for subsequent scans every two years, until they are over the age of 74, at which point they will age-out of the programme.
• Some people may require further surveillance scans, e.g. to monitor the growth of a small nodule. They will be invited back for a scan at regular intervals (i.e. at 3 months and 12 months following the initial scan).
• Some people may have a scan that shows signs of another problem (not cancer) that requires medical advice. Depending on the type and severity of these findings, participants may either receive a referral to Secondary Care or be advised to contact their GP for further support.

Each Participant, along with their GP, will be informed of their LCS results and outcome by standard letter. If a condition is identified through the LCS programme that requires critical or urgent medical attention, the Participant will also be informed by telephone.

FAQs from Patients

Lung Cancer Screening is a relatively new initiative so some patients may, if they are a little confused or anxious about attending an appointment, seek reassurance from their GP practice. ​To assist with this, The Roy Castle Lung Cancer Foundation has put together the answers to some of the most commonly asked questions by patients, which can be accessed through the Roy Castle Lung Cancer Foundation’s website:

Lung Health Checks to Detect Lung Cancer Early | RCLCF

FAQs from GPs

Similarly, answers to some of the most commonly asked questions by GPs can be found using the following link:

FAQs from GPs

Information and Promotional Assets for all Stakeholders

Stakeholder Communications Toolkit

Below you can find a number of resources to support you in helping us to promote the Lung Cancer Screening Programme:

Lung Cancer Screening Flyer/Leaflet

Lung Cancer CT Scan Leaflet

Lung Cancer Screening Poster

Lung Cancer Screening Poster 2

Lung Cancer Screening Social Media Graphic Portrait

Lung Cancer Screening Social Media Graphic Portrait 2

Lung Cancer Screening Social Media Graphic Portrait 3

Lung Cancer Screening Social Media Graphic Portrait 4

Lung Cancer Screening Credit Card 1

Lung Cancer Screening Credit Card 2

Information and Promotional Assets for GPs

GP Communications Toolkit

Videos/Digital Assets for GP Practice Patients

• Why should you attend even if you feel well
• What is a CT scan
• Lung Cancer GP Screen

Videos for GP Practice Staff

Dr Jason Page and Dr Tina George discuss the Lung Cancer Screening programme, the benefits to patients and primary care and the requirements from GP practices. ​

Click the links to below to watch the full-length video, or to get answers to specific questions around LCS:

• Full length video​
• What are Lung Cancer Screening and what impact are they having? ​
• How are Lung Cancer Screening helping people affected by lung cancer? ​
• What are the benefits to GPs and practices? ​
• What is required from GPs when implementing a Lung Cancer Screening ? ​
• What are the main challenges? ​
• How are practices supported? ​
• What are your hopes for lung cancer screening in the future?

You can find more information about lung cancer and advice on quitting smoking by clicking on the following links:

Support to stop smoking - Shropshire

Help to stop smoking - Telford and Wrekin

NHS Lung Cancer Information

NHS Quit Smoking

Cancer Research Lung Health Checks

Cancer Research Lung Cancer

Cancer Research Causes of Cancer

Roy Castle Lung Cancer Foundation

Macmillan Cancer Support Lung Cancer