Overview of domain 2
Domain 2 helps you to assess the workforce and technical capacity in your health system and identify what additional resources are needed to implement your IPN management programme effectively.
Why workforce and technical capacity matters
IPN management programmes, like all health system programmes, need adequate resourcing to function effectively. To sustain a programme over the long term, it is vital to understand which infrastructure and workforce can be leveraged for implementation, and what additional assets are needed. It is equally important to understand the programme’s impact on the wider health system, so that implementation does not place unsustainable demands on existing services.
What this domain covers
Domain 2 guides you through:
Technical resource availability
- Understand what technical resources the selected IPN management programme type needs to function within the health system.
- Assess what existing infrastructure could be leveraged for the programme.
- Identify the level of technical infrastructure the programme requires, based on existing health system usage.
- Consider how the programme will interoperate with the wider health system, including identifying and mitigating issues with ageing infrastructure and siloed workflows.
Workforce capacity for delivery
- Assess the workforce required for the programme to function effectively, including approaches to leverage the existing workforce.
- Identify workforce roles and responsibilities within the programme.
Wider health system capacity
- Consider the downstream impact of the programme on wider health system capacity, including approaches to mitigate additional demand.
Resources
Using data from your health system to demonstrate the need for an IPN management programme
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Technical resources and tools to help support an IPN programme
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An expert's perspective: Professor David Baldwin
Watch videoFurther reading
- BTS guidelines for the investigation and management of pulmonary nodules (British Thoracic Society, 2015)
- BTS quality standards for the investigation and management of pulmonary nodules (British Thoracic Society, 2018)
- Guidelines for management of incidental pulmonary nodules detected on CT images: from the Fleischner Society (MacMahon et al.,2017)
- Incidentally detected indeterminate pulmonary nodule (American College of Radiology)
- Evaluation of individuals with pulmonary nodules: when is it lung cancer? Diagnosis and management of lung cancer, 3rd edn: evidence-based clinical practice guidelines (Gould et al., 2013)
- Initial pulmonary nodule management for the generalist: a brief review (Friesen et al., 2025)
- Evaluation of pulmonary nodules: clinical practice consensus guidelines for Asia (Bai et al., 2016)
- The Thoracic Society of Australia & New Zealand (TSANZ) practical guide for clinicians in the management of screen- and incidentally-detected nodules (Brims et al., 2025)
- Incidental pulmonary nodules: what should we do in 2026? (Schmid-Bindert et al., 2026)
- Best practice guide for building lung cancer early detection programs (American Cancer Society & National Lung Cancer Roundtable)
- ACR Appropriateness Criteria® incidentally detected indeterminate pulmonary nodule (Expert Panel on Thoracic Imaging, 2023)
- Managing incidental findings on thoracic CT: lung findings: a white paper of the ACR Incidental Findings Committee (Munden et al., 2021)