The aim of this service evaluation was to establish current activity levels of lung cancer survivors and determine whether having surgery influenced the likelihood of their attending exercise classes.

A survey was developed to include questions on activity levels pre- and post-treatment, and willingness to participate in post-treatment exercise. Results were reported using descriptive statistics.

Of 64 surveys distributed, 39 (61%) were returned. Of surgical survivors, 33% reported no limit on everyday activities and 81% a lack of willingness to participate in exercise classes during the three months post-surgery. Non-surgical survivors cited physiological symptoms of weakness (38%) and fatigue (38%) as barriers to exercise class attendance, whereas surgical survivors cited fatigue (22%), weakness (26%) and pain (22%). Contrary to hypothesis, most (81%) surgical survivors did not want to attend exercise classes during the three months after surgery compared with 40% of non-surgical survivors.

Pre-treatment activity levels were as predicted. Post?surgical care pathways require evaluation to promote effective symptom control and increased activity.