# Take lung screening scanners to supermarket car parks in the poorest areas

Source: https://onco.cc/ideas/idea-prev-mobile-lung-screening-deprived-areas/  
OnCo record `idea-prev-mobile-lung-screening-deprived-areas` (Idea). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

People most at risk of lung cancer are least likely to attend hospital screening. Manchester showed mobile scanners in car parks reach them. Make this the default model.

## Summary

The Manchester Lung Health Check found high uptake and a stage shift (about 80% stage I-II) using mobile CT in deprived communities. Propose that national lung screening programmes mandate mobile delivery with same-day cessation support in the most deprived quintile, with uptake and stage as performance metrics.

## Fields

- Kind: Idea
- Last checked: 2026-09-08
- Hypothesis: Mobile delivery in deprived areas raises uptake from about 30% to at least 50% and yields early-stage detection rates matching affluent fixed-site screening.
- Rationale: Travel, cost, and mistrust of hospitals are the barriers; the fix is logistics.
- Proposed test: Compare uptake and stage in mobile versus fixed-site delivery within the same programme.
- Maturity: being-tested-at-scale
- Actor: policy

## Sources

- Bottleneck evidence (The hardest cancers are found late): Crosby et al., Early detection of cancer (Science 2022): https://doi.org/10.1126/science.aay9040

## Connected records

- roadmaps: [Lung cancer roadmap: from Doll and Hill and the naming of tobacco, through the cytotoxic plateau, computed tomography screening, EGFR and ALK, immunotherapy by PD-L1, the perioperative trials and PACIFIC, to DLL3 in small-cell disease and a 2032 registry watch](https://onco.cc/roadmaps/lung-cancer-evidence-roadmap/)
- ideas: [Publish the four numbers the NHS lung cancer pathway does not currently measure: reflex testing rate, genomic turnaround, surgical access and a lung-specific waiting time in every nation](https://onco.cc/ideas/idea-lung-uk-screening-testing-and-access-gaps/), [Treat the deprivation gradient in lung cancer as a defect in delivery that can be fixed and measured](https://onco.cc/ideas/idea-lung-deprivation-gradient-treated-as-a-defect-in-delivery/)
- cancers: [Non-small-cell lung cancer](https://onco.cc/cancers/nsclc/)
- fronts: [Early Detection & Screening](https://onco.cc/fronts/early-detection/)
- technologies: [CT (computed tomography)](https://onco.cc/technologies/ct/)
- institutions: [The Christie NHS Foundation Trust](https://onco.cc/institutions/the-christie/)
- bottlenecks: [Prevention we already have is not deployed](https://onco.cc/bottlenecks/b-prevention-adoption/), [The hardest cancers are found late](https://onco.cc/bottlenecks/b-early-detection/)
- key papers: [Early detection of cancer](https://onco.cc/key-papers/paper-crosby-science/), [Evaluation of USPSTF Lung Cancer Screening Guidelines Among African American Adult Smokers](https://onco.cc/key-papers/paper-aldrich-uspstf-screening-african-american-smokers-jama-oncol-2019/), [NLST: yearly low-dose CT scans cut lung cancer deaths in heavy smokers](https://onco.cc/key-papers/paper-nlst-nejm-2011/), [Socioeconomic inequalities in lung cancer treatment: systematic review and meta-analysis](https://onco.cc/key-papers/paper-forrest-socioeconomic-inequalities-lung-cancer-treatment-plos-med-2013/)

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