RT Journal Article
SR Electronic
T1 Implementation and outcomes of the RAPID programme: Addressing the front end of the lung cancer pathway in Manchester
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 401
OP 405
DO 10.7861/clinmed.2019-0218
VO 20
IS 4
A1 Matthew Evison
A1 Kath Hewitt
A1 Judith Lyons
A1 Phil Crosbie
A1 Haval Balata
A1 Caroline Gee
A1 Rebecca Duerden
A1 Melanie Greaves
A1 Anna Sharman
A1 Richard Booton
YR 2020
UL http://www.rcpjournals.org/content/20/4/401.abstract
AB Introduction Patients with suspected lung cancer require computed tomography (CT), specialist interpretation of the CT and a consultation with a specialist. Significant time savings could be made with rapid access to these components in the front end of the lung cancer pathway.Methods The RAPID programme was launched at Manchester's Wythenshawe Hospital in April 2016. This pathway offers next working day CT for patients with suspected lung cancer, immediate ‘hot’ reporting of CT images and a same day consultation with a diagnostic specialist.Results From April 2016 to January 2019, 1,027 patients were referred to the RAPID programme. The median time from referral to CT was 3 days. The CT was hot reported in 94% of patients. The median time from CT to triage and consultation with a diagnostic specialist was 0 days. Overall 56% and 90% of patients had completed a CT and consultation within 3 and 7 days of referral, respectively (0% and 24% prior to implementation).Conclusion Through simple reorganisation of workload, we have significantly reduced the pathway for patients with suspected lung cancer to meet a specialist with a reported CT, something we firmly believe is replicable across all hospitals.