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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 1  The National Cancer Control Programme (NPK) published the 'NPK Vision and Summary

2005 - 2010' in 2005. A progress report was published in 2010.^5

 There is no mention of an implementation plan; the plan states that implementation of the

action plans will be assessed annually.

 The proposed plan is said to be "budgetary neutral" and that it will be "financed by

reallocation of existing resources and from efficiency gains." We are unsure how fiscally

sound this could be. Additionally, this does not take into account the time lag between

attaining efficiencies and the funds being made available to invest in cancer.

 A specific lung cancer control plan has not been published by the government or health

ministry.

2 Comprehensive clinical

guidelines for lung

cancer

0 – 6 6  National Working Group on Lung Tumours published Niet kleincellig longcarcinoom

Landelijke richtlijn, Versie: 2.2, the national guidelines in 2015.^6

 Guidelines mention screening with low-dose CT. Specifically, the guidelines state "lung

carcinoma screening is advised in high-risk groups, by centres that have one low-dose

CT and specific software. In addition, there must be knowledge and skills for screening

present. Stopping smoking is an integral part of screening." Yet, the guidelines go on

to state there are "uncertainties about the value of these recommendations for clinical

practice."

 Guidelines cover diagnosis, treatment, supportive / palliative care and shared decision

making.

Lung cancer is a public health issue

3 Tobacco control policies

and public health

measures

0 – 9 6  Government objectives on tobacco control and a national agency for tobacco control

exists.^7

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

Tobacco Control (FCTC).

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

 Advertising is banned on national TV and radio.

 Law mandates that health warnings appear on tobacco packages.

 According to WHO, national smoke-free legislation does not exist for indoor offices,

restaurants/cafes/pubs/bars or public transportation because smoking rooms are

permitted.

4 E-cigarettes regulation

and public health

measures

0 – 4 2  E-cigarettes are regulated by law: safety, quality standards and regulation are in place.

 The sale of nicotine-containing and non-nicotine e-cigarettes and e-liquids is prohibited to

people under 18 years of age.

 No complete ban exists for e-cigarette advertising: while e-cigarette and e-liquid

advertisement is prohibited, there are exceptions (e.g. advertising is permitted in tobacco

or e-cigarette specialist shops). It is prohibited to give away free samples of e-cigarettes.

 E-cigarette use is not banned in one or more public areas when the e-cigarettes do not

contain tobacco.

5 National policies

and programmes for

environmental exposure

control

0 – 2 2  The Dutch National Air Quality Cooperation Programme (NSL) established to ensure the

Netherlands met EU standards.

 WHO states that the Netherlands has a radon control programme..

6 Evidence-based

approach to lung cancer

screening

0 – 1 1 Netherlands is a vital part of a key study in lung cancer screening, the NELSON study, a Dutch

Belgian randomised lung cancer screening trial.

7 Patient organisations

involvement in policy

development

0 – 3 3  A specific lung cancer patient organisation has been identified in the Netherlands.

 Patient representative included in clinical guideline development.

 Civil society has the opportunity to comment on HTA recommendations