GP Direct Access for low dose CT in the Lung Cancer Diagnostics Pathway.

Patient meets Red Flag criteria to Respiratory Service.

Aged over 40 years if they have 2 or more of the following unexplained symptoms:

• Unexplained persistent cough (>3 weeks)
• Fatigue
• Shortness of breath
• Chest pain

Aged over 40 years and have a history of smoking and have 1 or more of the following:

• Unexplained persistent cough (>3 weeks)
• Fatigue
• Shortness of breath
• Chest pain
• Weight loss
• Appetite loss
• Persistent or recurrent chest infection

GP refers via NIPACS with 24 hour pathway recorded on reason for referral, Patient attends X-Ray and Examination reported within 24 hours so that patients can be managed in the community