Lung Cancer

Services

Bedford Hospital

Lung Cancer Services

Lung cancer services at Bedford Hospital are provided by the Lung Team which consists of Consultants and Clinical Nurse Specialists. 

The Lung Team

The Consultants and Clinical Nurse Specialists are:

Consultants
Dr M Azher 01234 355 122 ext:5156 Mohammed.Azher@bedfordhospital.nhs.uk
Dr EC Thomas 01234 355 122 ext:2333 Enson.Thomas@bedfordhospital.nhs.uk

Nurses
Yvonne Jeffs 01234 355 122 ext: 2432 Yvonne.Jeffs@bedfordhospital.nhs.uk
Sue Jessop 01234 355 122 ext:2432 Susan.Jessop@bedfordhospital.nhs.uk

Outpatient Appointments

Following referral under the 2 week rule, patients will be seen in outpatients by a Consultant or another member of the team with 1-2 weeks

Outpatient clinics take place:

Day Morning Afternoon
Monday - -
Tuesday - -
Wednesday DR EC Thomas -
Thursday - Dr Azher
Friday - -

Who to Refer

All patients can be referred; particularly those covered by the Anglia Cancer Network area - NHS Bedfordshire residents in North and East Bedfordshire.

Immediate Referral (within a few hours, or even more quickly if necessary)

Consider immediate referral for patients with:

  • Signs of superior vena caval obstruction (swelling of the face/neck with fixed elevation of jugular venous pressure).
  • Stridor.

Urgent referral within 2 weeks (under 2 week rule)

Refer urgently patients with:

  • Persistent haemoptysis (in smokers or ex-smokers aged 40 years and older).
  • A chest X-ray suggestive of lung cancer (including pleural effusion and slowly resolving consolidation).
  • A normal X-ray where there is a high suspicion of lung cancer.
  • A history of asbestos exposure and recent onset of chest pain, shortness of breath or unexplained systemic symptoms where a chest X-ray indicates pleural effusion, pleural mass or any suspicious lung pathology.

Urgent chest X-ray

Refer urgently for Chest X-ray (the report should be returned within 5 days) for patients with any of the following:

  • Haemoptysis.
  • Unexplained or persistent (longer than 3 weeks)
    • Chest and/or shoulder pain.
    • Dyspnoea.
    • Weight loss.
    • Chest signs.
    • Hoarseness.
    • Finger clubbing.
    • Cervical or supraclavicular lymphadenopathy.
    • Cough.
    • Features suggestive of metastasis from a lung cancer (for example, secondaries in the brain, bone, liver, skin).
  • Underlying chronic respiratory problems with unexplained changes in existing symptoms.

Risk Factors

The following patients have a high risk of developing lung cancer:

  • All current or ex-smokers.
  • Patients with chronic obstructive pulmonary disease.
  • Patients who have been exposed to asbestos.
  • People with a previous history of cancer (especially head and neck).

An urgent referral for a chest X-ray or to a specialist can be considered sooner in these patients (for example, if signs and symptoms have lasted less than 3 weeks).

Macmillan Cancer Support Rapid Referral Guidelines

Macmillan Cancer Support Rapid Referral Guidelines

Who not to Refer

Patients outside of the Anglia Cancer Network area are usually referred to Hospitals within their Cancer Network area.  NHS Bedfordshire residents living in North and East Bedfordshire are included under the Anglia Cancer Network.

South Bedfordshire patients are included under the Mount Vernon Cancer Network and usually referred to the Luton & Dunstable Hospital.

Resources

Map of Medicine Patient Pathway

Map of Medicine Patient Pathway

NICE Guidelines:

CG27 Referral for suspected cancer: full guideline
http://guidance.nice.org.uk/CG27/Guidance
CG27 Referral for suspected cancer: quick reference guide
http://guidance.nice.org.uk/CG27/QuickRefGuide/pdf/English
CG27 Referral for suspected cancer: information for the public
http://guidance.nice.org.uk/CG27/PublicInfo/pdf/English
CG27 Referral for suspected cancer: NICE guideline
http://guidance.nice.org.uk/CG27/NICEGuidance/pdf/English

Website Resources

Lung Cancer NHS Choices:
http://www.nhs.uk/conditions/Cancer-of-the-lung/Pages/Introduction.aspx
NHS Smokefree:
http://www.smokefree.nhs.uk/
Cancer Research UK:
http://cancerhelp.cancerresearchuk.org/type/lung-cancer/
British Lung Foundation:
http://www.lunguk.org/
Macmillan Cancer Support
http://www.macmillan.org.uk/Cancerinformation/Cancertypes/Lung/Lungcancer.aspx
Health Talk Online
http://www.healthtalkonline.org/Cancer/Lung_Cancer
The Roy Castle Lung Cancer Foundation
http://www.roycastle.org/

Cancer Network

Anglia Cancer Network - for residents from Norfolk, Suffolk, Bedfordshire and Cambridgeshire
http://www.angliacancernetwork.nhs.uk/



Last updated: 24/01/2013

Update due: 24/01/2014