The National Cancer Screening Register has been expanded to incorporate lung cancer as part of the long-awaited program to develop a national screening program for high risk individuals.
Lung cancer becomes the third ‘designated cancer’ along with bowel and cervical cancer to be included in the coverage following the passing of the National Cancer Screening Register Amendment Bill 2024 (Bill) this month.
The amendments provide the legislative basis for the Register to collect, use, disclose and record information of participants in the National Lung Cancer Screening Program (NLCSP) when it commences in July 2025 (link).
“By expanding the scope of the current operations of the Register to cover lung cancer screening, the Register will be able to generate advice and/or screening reminders for program participants and their nominated healthcare provider about when an individual is due to undergo lung cancer screening, or when an individual may need to take action after a lung cancer screening test, to support continuity of care,” the amendment notes.
“Expanding the scope of the Register will also support healthcare providers by providing them access to patients’ lung cancer screening information, for the purpose of providing healthcare, as well as enable program participants to access their lung cancer screening information in the Register.”
The impact assessment for adding lung cancer to the lung screening program concluded that there will be increased demand for the radiology workforce, particularly radiologists and radiographers undertaking the low-dose CT screening, interpreting the scan and reporting to the Register.
“Clinicians involved in the treatment of lung cancer are expected to experience an increase in demand,” it noted.
“The Program will not identify more people with cancer as those identified with cancer will have needed treatment in the longer term anyway, regardless of the stage of intervention. However, in the initial years, the Program will identify the prevalent, currently undiagnosed cases of lung cancer at all stages in the eligible cohort. It is difficult to estimate this impact on clinicians given some of these cases may now present at an earlier stage where their disease is less complex and more amenable to treatment.”
The move was welcomed by medical professional groups including the Lung Foundation and the RACGP.
“This is a smart public health decision,” said RACGP President Dr Nicole Higgins.