Data from the NELSON study (ISRCTN63545820) indicates that lung cancer screening reduces mortality; however, there is not yet a national screening programme in the UK. Here, Sara Hiom, BSc, from Cancer Research UK (CRUK), London, UK, discusses the status and potential implementation of lung cancer screening in the UK, referencing the UK National Screening Committee, Public Health England and NHS England. She highlights the importance of evidence-based decisions and learning from lung health check programmes. This interview took place at the British Thoracic Oncology Group (BTOG) 2019 Annual Conference in Dublin, Ireland.