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National Lung Cancer Screening Program Update: Eligibility and GP Role

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Australia's Lung Cancer Screening Program Sees Strong Uptake

Australia’s National Lung Cancer Screening Program (NLCSP) has reported a strong start, with over 90,000 patients completing a low-dose CT scan in the program's first 10 months as of June 2026.

The following guidance is provided for general practitioners (GPs) to help implement the program effectively.

Eligibility Criteria

To be eligible for the program, patients must meet all of the following criteria:

  • Aged 50–70 years
  • Asymptomatic for lung cancer
  • A tobacco smoking history of at least 30 pack-years
  • Currently smoking or have quit within the past 10 years

Required Forms

GPs must complete specific forms to register patients and initiate the screening process:

  • NLCSP Eligibility and Enrolment Form: Used to register the patient in the National Cancer Screening Register (NCSR).
  • NLCSP Low-dose CT Request Form: Issued for imaging. This form ensures bulk billing and a structured radiology report.
  • Generic Forms: If a standard referral form is used instead of the program-specific form, it must clearly identify the NLCSP and include details on family history, prior chest CTs, and the patient's cancer history.

GP Ongoing Role

The GP’s involvement continues after the initial referral:

  • Communicate Results: Explain the radiology report's findings and next steps to the patient after each screening round.
  • Urgent Follow-Ups: Complete a Specialist Referral Form for any findings requiring urgent specialist attention (categorized as Category 5 or 6).
  • Post-Follow-Up: Complete a Participant Management Form after follow-up visits are concluded.

Support Systems

Multiple support channels are available for both GPs and patients:

The National Cancer Screening Register (NCSR) actively sends patients invitations, reminders, and follow-up prompts to ensure continuity of care.

  • Integrated GP Software: Forms are fully integrated into major clinical software packages, including Best Practice and Medical Director.
  • NCSR Support Line: Healthcare professionals can call 1800 627 701 for assistance.