Most deprived communities more likely to receive early lung cancer diagnosis thanks to NHS trucks

People in deprived areas are now more likely to be diagnosed with lung cancer at an earlier stage, thanks to the success of NHS lung trucks.


For the first time ever, new data shows more than a third of people diagnosed with lung cancer from the most deprived fifth of England were diagnosed at stage one or two in 2022 (34.5%) – up from 30% in 2019.


Lung MOTs, located in mobile trucks in supermarket carparks, launched in 2018 in areas of the country with the lowest lung cancer survival rates – and they have already made an impact on earlier diagnoses.


As part of the biggest programme to improve earlier cancer detection in health history, the NHS has now teamed up with the Roy Castle Lung Foundation on a new campaign encouraging the hundreds of thousands of people who are invited each month to take up the potentially lifesaving scan.


The campaign will be running over the coming months across social media, through online advertising and on posters in areas where lung checks are operating.


More than 300,000 (313,387) people have already taken up the offer and the trucks have diagnosed more than 1,750 (1,779) people with lung cancer. Over three-quarters (76%) were caught at stage one or two, compared with just a third caught at early stages in 2018.


People diagnosed with lung cancer at the earliest stage are nearly 20 times more likely to survive for five years than those whose cancer is caught late.


Now at 43 sites across the country, the mobile trucks scan those most at risk from lung cancer, including current and ex-smokers, inviting them for an on-the-spot chest scan for those at the highest risk. Advice to help people stop smoking is also provided to those who attend.


Cancer survival is at an all-time high in England and the latest data shows the NHS is diagnosing more patients with cancer at an earlier stage than ever before, when it is easier to treat – over 100,000 (104,012) patients were diagnosed with cancer at stages one or two when it is easier to treat – the highest proportion on record.


National Director for Cancer, Dame Cally Palmer, said: “These findings are incredibly important – they show the power behind targeted health programmes with the NHS continuing its drive to detect cancers earlier by going into the heart of communities that may be less likely to come forward.


“While early diagnosis rates for cancer have traditionally been lower for deprived groups, thanks to the rollout of lung trucks, the NHS has turned a huge corner – and is now finding and treating those who would otherwise have been undetected.


“The NHS will not stop in its efforts to go out and find more cancers at an earlier point, when easier to treat, so if you have had an invite, please take it up, and as ever, if you are showing any signs of cancer, please come forward to your GP – getting checked could save your life”.


Health Minister Helen Whately said: “Catching lung cancer early saves lives, which is why we’re prioritising early diagnosis for those most at risk.


“These figures show how care closer to home for 300,000 people, using NHS lung trucks, has potentially saved over 1,750 lives.


“We’re laser-focused on fighting cancer on all fronts – prevention, diagnosis, and treatment, backed up with funding and research – and alongside these mobile trucks we have also opened 100 community diagnostic centres, which have delivered over 3.6 million additional tests, checks and scans, including lung checks”.


Chief Executive of Roy Castle Lung Cancer Foundation, Paula Chadwick, said: “It is truly heartening to see the wonderful progress being made in the early detection of lung cancer because of the targeted lung health check programme and these checks are allowing us to get ahead of lung cancer for the first time, catching the disease at the earliest opportunity, often before symptoms even start, and treating it with an aim to cure.


“So many people have already benefitted from having a lung health check but there are also a lot of people who have been invited and not taken up the opportunity, so I urge anyone who receives an invitation to have the check – even if you feel well, even if you have no symptoms, even if you’re convinced there’s nothing wrong! You have been invited for a reason and when it comes to lung cancer, it is always best to check”.


Cancer Research UK’s Chief Executive, Michelle Mitchell, said: “It’s really encouraging to see these positive results from the rollout of the NHS lung trucks programme, around 14,300 cases of lung cancer each year in England are linked with deprivation and sadly, people living in England’s most deprived areas are more likely to die from the disease than those in less deprived areas.


“Lung cancer is an area where significant progress needs to be made which will improve cancer inequalities, it’s also the most common cause of cancer death in the UK, but spotting it early – when treatment is more likely to be successful – can save lives”.


One person who required early lung cancer surgery following a quick CT scan was Sandra, who said if it was not for the Targeted Lung Health Check programme she may not be here now.


Sandra, 72, from Cheshire is an ex-smoker who was invited for a lung check. Following a scan in a mobile unit in a supermarket car park, a nodule was found in her lung and she received an early diagnosis of lung cancer.


Sandra said: “It was after this scan that I went to see the doctor and she explained that I had very early-stage lung cancer and would need surgery to remove it.


“They said it would be keyhole surgery, which was a big relief. They also said that from what they could see, it hadn’t spread. I was still obviously very frightened. It was scary and, even though it had been caught early, all kinds of things go through your head. But I felt so fortunate that it had been caught so early.


“I went into the hospital in March 2022, had the surgery the next day and was back home on Mother’s Day. Less than a week after my operation, I went out for a meal with my daughter to the pub. Within two weeks, I was doing my own cooking and just getting back to normal. That’s how quick my recovery was”.


Fran White, from Newcastle, also attended her TLHC and in May 2022, she was diagnosed with stage one lung cancer. Five weeks after diagnosis, she had surgery and is fully recovered.


Fran said: “I’m very well aware having smoked on and off all my life, it’s important to make sure your lungs are ok. I’ve always been for bowel and breast checks, so I just saw the lung health check as another check-up.


“It was all very straightforward, I had a call with a nurse first. She asked me a series of questions about my general health. Had I lost any weight? Did I have any breathing problems?


“I then had the CT scan in a mobile unit in a nearby health centre. It was very quick. I was only there for about 10 minutes and then I had the results very quickly too.


“I recovered quickly too and now I just have check-ups every few months. Other than that, you wouldn’t even know I had lung cancer! That’s why I want everyone who is invited to go because it’s helped me, and it could help you”.


Smoking causes more than seven in ten lung cancer cases in the UK. Previous trials have shown that CT screening reduced lung cancer mortality by 26% in men and between 39% and 61% in women.


Not only do the lung trucks scan for cancer, but they have also identified thousands of people with other undiagnosed conditions including respiratory and cardiovascular disease, enabling them to access the treatment they need earlier, and helping to prevent potential hospitalisations.


Thanks to awareness campaigns and early diagnosis drives, the NHS has been seeing and treating record numbers of people for cancer, with over 2.8 million getting checked for cancer in 2022, and over 320,000 people received treatment for cancer in the same year – up on 2.35 million checks and 8,000 treatments in the same period before the pandemic.


The NHS has also made considerable strides in bringing down the 62-day wait cancer backlog with 4,868 fewer people (19,027) waiting in March 19 compared to the same period the month before (23,874).


The main symptoms of lung cancer include:

  • a cough that does not go away after three weeks
  • a long-standing cough that gets worse
  • chest infections that keep coming back
  • coughing up blood
  • an ache or pain when breathing or coughing
  • persistent breathlessness
  • persistent tiredness or lack of energy
  • loss of appetite or unexplained weight loss