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Quality improvement project addressing small cell lung cancer wait time from histological diagnosis to first treatment

A total of 235 lung cancer diagnoses were made in the 3-month period, of which 26 were confirmed by histology as small cell type. The standard of receiving their first treatment within 14 days of diagnosis was met in eight of these patients, which is 31%. Otherwise: two patients declined active treatment, two patients deteriorated or died before treatment was commenced and 14 received active treatments but after the 14-day target period. The process mapping revealed wide variations in the pathway. Key issues identified included the fact that two patients waited >14 days to be discussed in MDT after confirmed histology. Two patients went back to chest clinic before being discussed in MDT or referred to oncology. The range of wait time for outpatient chemotherapy after being reviewed in oncology clinic was 7–18 days and was a key factor in the breach for nine patients.