2015/16 NHS STANDARD CONTRACTNHS Standard Contract • November 5th, 2015
Contract Type FiledNovember 5th, 2015Lung cancer is the leading cause of cancer mortality in England and the world. This is because it is common and the majority of people with lung cancer present late when treatment has a limited effect on mortality. Smoking tobacco causes around 85% of lung cancers, people in the most deprived socioeconomic quintile are twice as likely to develop lung cancer as those in the highest and about half of people are ex-smokers or never smokers at presentation. The diagnosis, staging, fitness assessment, treatment and supportive care of lung cancer are complex and require specialist expertise that is not always locally available. There is marked variation in treatment rates in England and marked variation in outcomes. It is important that all people have equal access to the best treatment rates if we are to achieve the outcomes seen in other European countries. The local commissioning structure offers flexibility but has the potential to increase variation if evidence based standards for servi