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Health Impact Assessments

Rapid participatory health impact assessment of the introduction of a national lung cancer screening programme in Wales

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Authors: Catrin Lyddon, Jen Sharp

Published on: 20th January 2026

Table of contents:

Summary:

This HIA report was undertaken by the Lung Cancer Screening Project Team, consisting of representatives from across the NHS, which was supported by the Wales Health Impact Assessment Support Unit (WHIASU), through the facilitation of a HIA participatory workshop. The project team was established in April 2024, with the final report being published in September 2025. The rapid participatory HIA, concentrated on gathering Welsh stakeholder knowledge and insight into the proposed introduction of a national lung cancer screening programme from the perspective of both the service users and those involved with the delivery of the service.

This report gives a background to the project and to HIA itself, before looking at the Participatory HIA workshop in more detail, which was carried out in October 2024, showing what population groups were identified and the determinants of health individually, using WHIASUs Population Groups and Determinants of Health checklists. The report suggests that the National Lung Cancer Screening Programme has the potential to highly benefit the population of Wales, by identifying lung cancers early and through the integrated promotion of smoking cessation services. In addition, the report also highlights the work necessary to ensure that an accessible and equitable screening programme is delivered.

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