PCRS supports the UK National Screening Committee’s recommendation that people at high risk of lung cancer have screening and encourage the committee to ensure that the screening programme maximises opportunities for diagnosis of lung disease beyond lung cancer and to ensure ongoing provision of smoking cessation services. We encourage the UK National Screening Committee to ensure that appropriate pathways are in place for people who are found to have non-cancer respiratory symptoms which need investigating, that the right pathway is in place and accessible in a timely fashion to support patients who may have a non-cancer respiratory illness and that patients are screened for the most common cause of death in this group – cardiovascular disease. We look forward to seeing a full analysis of the pilots and detailed proposals for a national screening programme.