There are “insufficient specialists’” to serve the UK’s multidisciplinary lung cancer teams (LCMDTs) and some healthcare professionals still hold a “pessimistic and outdated” view of what can be achieved for patients, according to a new, national report published by leading lung cancer experts. “The Dream MDT for lung cancer” sets out to challenge current lung cancer practices—and exceed current NICE guidelines —by setting out 30 aspirational but hard-hitting recommendations for LCMDTs across the country. According to the UK Lung Cancer Coalition (UKLCC), there are only around 70 specialist thoracic surgeons supporting over 200 LCMDTs; lung cancer nurses are overstretched; and many oncologists may not be fully up-to-date with the latest lung cancer management practices. Mr Richard Steyn, chair of the UKLCC and consultant thoracic surgeon, said: “Poor MDT performance is hindering patient survival. It’s imperative that every lung cancer patient’s case should be managed by a fully-equipped MDT—and closer, and more effective, working across clinical specialties is vital.” Among its detailed proposals are that all patients should have access to a lung cancer specialist nurse, GPs and hospitals must work more closely, and all cancer teams should have a thoracic surgeon as a core member. The report was developed following an extensive, nationwide consultation across the lung cancer community, which included cancer nurse specialists, GPs, medical and clinical oncologists, respiratory physicians, surgeons, radiologists and palliative care. Dr Mick Peake, NHS national clinical lead for lung cancer and consultant respiratory physician, who heads up the UKLCC’s clinical advisory group said: “This report identifies a gold-standard practice for lung cancer—the sort of care clinicians would wish for their own families. It is intended to stimulate discussion and sets out a number of standards for lung cancer MDTs to benchmark against their own current practices. As many as a third of UK lung cancer patients still do not have their case discussed by an MDT in some parts of the country. This simply isn’t good enough.” “The Dream MDT for lung cancer: delivering lung cancer care and outcomes” is available at