Aim
To improve lung cancer detection and treatment outcomes by supporting implementation of the National Lung Cancer Screening Program (NLCSP) in NSW, with a focus on stakeholder collaboration, system readiness and equitable uptake among high-risk populations.
Methods
Implementation planning was informed by a rapid evidence review, NSW incidence and mortality data, and modelling of expected screening and follow-up activity by Local Health Districts (LHDs) and Primary Health Networks (PHNs). A multidisciplinary project team prioritised actions across communication, treatment, data, research and primary care workstreams, with governance provided by a Steering Committee.
Stakeholder engagement included communities of practice, an Operational Readiness Group, and targeted communication for multicultural, Aboriginal and primary care providers. Clinical pathways, guidelines, resources and practitioner roles were shared to support local implementation. NSW and ACT services were mapped to clarify referral pathways and access to specialist diagnostic services.
Collaboration with Rural Health, regional LHDs and NSW Aboriginal Peak informed a mobile CT service to improve access for disadvantaged communities. A PHN co-designed a lung screening HealthPathway, and a statewide referral form supported primary care-led referral and participant follow-up.
Results
Engagement with LHDs, clinicians and primary care improved awareness of the clinical pathway, provider roles and expected service impacts, informing LHD service models, rapid access services and local community promotion.
The Cancer Institute NSW established a dashboard to monitor LHDs and PHNs screening and follow-up activity, guide future improvement and support promotional activities. More than 30,000 people have been screened, with over 60 primary lung cancers detected.
Conclusion
Strategic planning, strong governance and coordinated engagement are critical to successful implementation of the NLCSP in NSW. Early identification of implementation risks and involvement of clinicians, primary care, Aboriginal and multicultural health services, LHDs and consumers support system readiness, equity and locally responsive uptake.