Abstract
In England, 30% of patients die within 90 days of diagnosis and late diagnosis is strongly implicated in comparatively poor survival shown by the International Cancer Benchmarking Partnership. UK guidance recommends the chest radiograph (CXR) for initial investigation of certain red-flag symptoms but CXRs are done for many indications and may pick up lung cancer as an incidental finding. Thus, the National Optimal Lung Cancer Pathway (NOLCP) was developed to address, amongst other issues, a rapid process from progress from abnormal CXR to CT and clinic.
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