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This webinar features a presentation by Andrea McIver and Dr Martin Ledson
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Please join Dr Martin Ledson and Andrea McIver to discuss how virtual working has transformed their service, not only for the patients they care for but the impact it has had on the CNS role.

The following topics will be covered during this presentation;

  • Background: The Liverpool Experience
  • Model Outline – Medical and CNS roles
  • Clinical Examples
  • Patient experience
  • CNS perceptions
  • Medical insights
  • CNS training needs
  • Other contexts
  • Top tips

This webinar has been instigated and organised by LCNUK. The support from our corporate sponsors has allowed us to provide this valuable educational meeting free of charge to all delegates. Sponsors have had no input into the agenda or the selection of speakers.


Andrea McIver has worked in Liverpool as a Macmillan Lung Cancer CNS since 2000, previous to this her first CNS post was within Specialist Palliative Care and prior to that she has a background in thoracic surgical nursing.
Over the past 20 years Andrea has led on the development of the CNS team along with the wider development of the diagnostic service in partnership with her MDT colleagues. Andrea is an enthusiastic advocate of the pivotal role/impact the CNS can have at the start and throughout the diagnostic pathway leading to improved outcomes for patients and the CNS fulfilling their unique role potential.
Andrea is an established member of the Network Clinical Group being the named member for patient and public involvement. Previously Andrea been part of the Transformational project to implement the NOLCP locally and continues be an advocate for reducing timeframes between events to improve outcomes for patients and has represented nursing on the NICE lung cancer guideline committee's.

Dr Martin Ledson is clinical lead for respiratory Medicine at Liverpool Heart and Chest Hospital. He has worked within the Liverpool Lung cancer Unit since its formation in 1999. He has pioneered straight to CT and virtual working. He began lung cancer screening in Liverpool in 2016 (Liverpool Healthy Lung Program), and leads the Targeted Lung Health Program in Merseyside and Cheshire.


Paula Shepherd currently works as a Lung Cancer CNS at Liverpool University Hospital Foundation Trust . She qualified as an RGN in 2001 and her main experience has been gained within respiratory medicine, with a particular interest being lung cancer. She has been a Respiratory CNS since 2009 and began her role as a Lung Cancer CNS in 2011, moving to her current Trust in 2013.
Paula has completed numerous role specific degree modules previously and became a Non-Medical prescriber in March 2017. She is currently undertaking a MSc in advanced clinic practice, with her completed modules including, context of advanced practice, acute oncology, cardiorespiratory/neurology clinical examination and diagnostics, leadership, research and interpretation of medical imaging.
Her role as a Lung Cancer CNS involves supporting patients throughout their pathway from pre-diagnosis through to palliative care.
Paula has previously presented at the LCNUK conferences and was delighted to become a member of the committee in 2020.

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Screening and diagnosis
Other clinical
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  • The views expressed by speakers or other thirds parties are those of the speaker or third party and not necessarily of LCNUK.
  • Whilst every effort has been made to ensure the information and guidance is accurate, it is impossible to predict all the circumstances in which it may be used and LCNUK assumes no responsibility or liability for any errors or omissions made in this content. All presentations are for informational and educational purposes only - content should not be considered applicable to all situations or patients.
  • The contents do not negate the requirement for comprehensive assessment, liaison and management of patients, their families and caregivers.
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