• Matthew Evison, Kath Hewitt, Judith Lyons, Phil Crosbie, Haval Balata, Caroline Gee, Rebecca Duerden, Melanie Greaves, Anna Sharman, and Richard Booton.
• Wythenshawe Hospital, Manchester, UK m.evison@nhs.net.
• Clin Med (Lond). 2020 Jul 1; 20 (4): 401405401-405.

IntroductionPatients with suspected lung cancer require computed tomography (CT), specialist interpretation of the CT and a consultation with a specialist. Significant time savings could be made with rapid access to these components in the front end of the lung cancer pathway.MethodsThe RAPID programme was launched at Manchester's Wythenshawe Hospital in April 2016. This pathway offers next working day CT for patients with suspected lung cancer, immediate 'hot' reporting of CT images and a same day consultation with a diagnostic specialist.ResultsFrom April 2016 to January 2019, 1,027 patients were referred to the RAPID programme. The median time from referral to CT was 3 days. The CT was hot reported in 94% of patients. The median time from CT to triage and consultation with a diagnostic specialist was 0 days. Overall 56% and 90% of patients had completed a CT and consultation within 3 and 7 days of referral, respectively (0% and 24% prior to implementation).ConclusionThrough simple reorganisation of workload, we have significantly reduced the pathway for patients with suspected lung cancer to meet a specialist with a reported CT, something we firmly believe is replicable across all hospitals.© Royal College of Physicians 2020. All rights reserved.

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