Based on the provided NICE guidelines, there are no specific recommendations detailed for a lung cancer screening programme in asymptomatic high-risk populations NICE NG122,NICE CKS. The guidelines primarily focus on the recognition, referral, diagnosis, and management of suspected or confirmed lung cancer NICE NG122,NICE CKS.
For individuals with suspected lung cancer, the guidelines highlight the importance of early diagnosis and public awareness of characteristic symptoms and signs NICE NG122. Referral for suspected lung cancer is guided by specific criteria, including chest X-ray findings that suggest lung cancer, or unexplained haemoptysis in people aged 40 years and over NICE CKS. An urgent chest X-ray (to be performed within 2 weeks) is recommended for people aged 40 years and over if they have two or more unexplained symptoms, or if they have ever smoked and have one or more unexplained symptoms such as cough, fatigue, shortness of breath, chest pain, weight loss, or appetite loss NICE CKS. Additionally, an urgent chest X-ray may be considered for people aged 40 years and over with persistent or recurrent chest infection, finger clubbing, supraclavicular or persistent cervical lymphadenopathy, chest signs consistent with lung cancer, or thrombocytosis NICE CKS. All people with a suspected diagnosis of lung cancer should be referred to a member of a lung cancer multidisciplinary team NICE NG122.