In this special BTOG podcast, we partner with the National Lung Cancer Audit (NLCA) to explore the latest State of the Nation data and what it means for lung cancer care across the UK. Host Tom Newsom-Davis is joined by leading experts including John Conibear, Douglas West, Lauren Dixon, and Sarah Cook to unpack the trends shaping modern practice—from the rise in early-stage diagnosis and expanding surgical capacity, to the growing complexity of systemic therapies and the role of data in driving improvement. The discussion highlights how routinely collected NHS data is transformed into actionable insight, revealing variation in care, identifying opportunities for improvement, and ultimately helping teams deliver better outcomes for patients. Key themes include: The impact of lung cancer screening and earlier diagnosis Increasing surgical activity and evolving techniques Advances in systemic treatments and access challenges The importance of accurate data capture in MDTs How the NLCA is driving quality improvement across the NHS This episode is essential listening for anyone involved in lung cancer care—offering practical insight into how data can be used to benchmark performance, reduce variation, and improve patient outcomes nationwide.