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Scorecard results

Indicator Range Score Justification

Lung cancer is a strategic priority

1 Operational,

comprehensive, up to

date national cancer

control plan

0 – 5 3  An operational National Cancer Control Plan was published by the Department of Health

in 2015.^5

 NHS England will sponsor an independently chaired National Cancer Advisory Board to

oversee and advise on implementation of the national strategy. This body should prepare

an annual report for the CEOs of the seven Arm’s Length Bodies and the Secretary of State

for Health.

 The national cancer control plan does not identify a funding source.

 A specific lung cancer control plan has neither been published nor discussed by the

government or health ministry.

2 Comprehensive clinical

guidelines for lung

cancer

0 – 6 5  Lung cancer clinical guidelines published by the National Institute of Clinical Evidence in

March 2019.^6

 Guidelines mention diagnosis and treatment.

 Guidelines discuss supportive / palliative care. Additional guidance on supportive /

palliative care was published for all cancers in 2004.

 Guidelines include shared decision making as they mention discussing the benefits and

risks with the patient and note the importance of giving patients time to make an informed

choice.

 Guidelines do not mention screening.

Lung cancer is a public health issue

3 Tobacco control policies

and public health

measures

0 – 9 9  National objectives on tobacco control and a national agency for tobacco control exist.^7

 UK is party to World Health Organization (WHO) Framework Convention on Tobacco

Control (FCTC).

 Advertising is banned on national TV and radio.

 Law mandates that health warnings appear on tobacco packages.

 At least one national mass media campaign ran during the survey period (up to 2016).

 National smoke-free legislation exists for indoor offices, restaurants/cafes/pubs/bars and

public transportation.

4 E-cigarettes regulation

and public health

measures

0 – 4 2  Safety, quality standards and regulation are in place for e-cigarettes.

 The sale of e-cigarettes is prohibited to people under 18 years of age.

 Advertising is permitted in certain media directly to the general public, such as billboards,

posters on public transportation and cinema adverts.

 E-cigarette use is not covered by smoke-free legislation. Public Health England (PHE)

guidance (2015) specifically states that “it is not appropriate to prohibit e-cigarette use in

health trusts and prisons as part of smoke-free policies unless there is a strong rationale to

do so.”

5 National policies

and programmes for

environmental exposure

control

0 – 2 2  National Air Quality Strategy published in 2017.

 WHO states that the UK has a radon control programme and PHE guidance for newly built

homes was published in 2018.

6 Evidence-based

approach to lung cancer

screening

0 – 1 1  Building upon the success of a pilot study in Manchester, published in March 2019, England

has initiated an intervention targeting people at high risk for lung cancer in ten sites. People

(55-74 years of age) who are at increased risk of lung cancer will be invited for a lung health

check with chest scan, if appropriate. Scans will take place in a mobile unit or hospital

setting. The goal is to identify lung cancer earlier as well as other health conditions, i.e.

COPD. The pilot study quadrupled early detection of lung cancer.

7 Patient organisations

involvement in policy

development

0 – 3 3  A specific lung cancer patient organisation exists in the UK.

 Lung cancer clinical guidelines developed with direct participation of a patient

representative and carer.

 Civil society has the opportunity to comment on recommendations.