Virtual Library

Start Your Search

Andrea Vanessa McIver

Author of

  • +

    OA05 - Increasing the Impact of Nursing and Allied Health Professional Interventions in Lung Cancer Care (ID 130)

    • Event: WCLC 2019
    • Type: Oral Session
    • Track: Nursing and Allied Professionals
    • Presentations: 1
    • Now Available
    • +

      OA05.05 - Transforming the Patient Experience in Lung Cancer Through the Use of Clinical Nurse Specialist Virtual Clinics - The Liverpool Experience (Now Available) (ID 2130)

      15:15 - 16:45  |  Presenting Author(s): Andrea Vanessa McIver

      • Abstract
      • Presentation
      • Slides


      To improve the patient experience in lung cancer, in 2014 we introduced to the UK the concept of “virtual” clinic working, where following secondary care review of suspicious CT scans taken in the community a lung cancer nurse specialist (LCNS) conducts a clerking/holistic assessment via telephone and offers an investigation plan where appropriate.

      In 2017, this model of care was adopted into UK National Lung Cancer Optimal Pathway guidance.

      We were interested to review the effect of our innovative service on patient experience.


      We looked at patient feedback, staff perceptions and impact on the lung cancer pathway of our virtual clinic 2016-18.


      Of the 1498 patients with a suspicious CT scan, over 75% were diagnosed with cancer.

      Overall 802 (70%) were diagnosed via the outpatient service and 705 (88%) chose virtual clinic assessment and diagnostic test facilitation.

      Qualitative audit has shown an overwhelmingly positive feedback, where 98% of users felt that the virtual clinic was a better option, and patients felt well informed and supported.

      In addition the LCNSs feel they are utilising their knowledge and skills in a more timely fashion with an appropriate population. The early assessment facilitates the start of that therapeutic relationship that leads to patient needs being addressed, symptom management advice, reducing distress and optimising patient performance status and quality of life.

      Furthermore ‘virtual’ working has seen a dramatic reduction in medical outpatient activity, allowing that resource to be used more efficiently for the benefit of cancer patients.


      This service review has shown that the data and patient and staff experience all support this new model of care delivery.

      The benefits are multifocal: care is patient-centred , appropriate skill-set use improves staff morale, and the freeing up of infrastructure allows organisational resource reallocation and cost saving.

      We have advocated the role of the LCNS to take the lead in this model of working across the UK, as we feel the LCNS are best placed to do these sensitive and complex assessments.

      We welcome the opportunity to share our experience worldwide.

      Only Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login, select "Add to Cart" and proceed to checkout. If you would like to become a member of IASLC, please click here.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.