Preparing for treatment and life afterwards
Cancer can have a long lasting impact on every aspect of your life. Your medical team at the hospital and your GP work together to care for your needs and worries as they come up. This helps you to live well after cancer treatment.
Healthcare teams use a number of interventions to support people living with cancer. You may hear this being called personalised care and support planning (PCSP) or cancer recovery package.
The PCSP aims to support people living with cancer to feel more in control and improve their quality of life. It has 4 parts:
holistic needs assessment (HNA)
end of treatment summary
primary care cancer review
health and wellbeing events
PCSP is available throughout England. There are similar programmes in Northern Ireland, Scotland and Wales.
The HNA is a simple questionnaire that you complete online or on paper. It looks at the following needs:
physical
practical
emotional
spiritual
social
Your team uses the questionnaire to discuss your needs and concerns with you. They then create a care and support plan. This can include advice and information on:
lifestyle
self management
local support
a referral to a specialist service
You have the HNA at diagnosis, the end of treatment, or whenever your needs change. You can also ask to have an HNA when you feel you need it.
HNAs are not available in all hospitals. Speak to your specialist nurse if you would like one.
The end of treatment summary tells your GP and other health professionals in the community:
what treatment you’ve had
what your needs might be
how they can help you
who to contact at the hospital if they have any questions or concerns
You will also get a copy of your end of treatment summary. You can share it with other health professionals if necessary.
Your end of treatment summary also helps your GP to do your primary care cancer review.
The primary care cancer review is a discussion between you and your GP or practice nurse. You usually have a primary care review within 3 and 12 months of your diagnosis.
During this review, you can discuss different topics with your GP. For example:
what information and support is available in your local area
the financial impact of cancer
free prescriptions for people with cancer
possible side effects of cancer and its treatment
Health and wellbeing events are sessions where you and your loved ones can learn about topics related to cancer. The events cover topics such as:
self management to help you feel more in control
a healthy lifestyle with information on diet, physical activity, sleep, fatigue and mental health
benefits and financial advice
coping with side effects of treatments
support groups
These events are usually run by your local hospital. Speak with your specialist nurse if you would like to take part in a health and wellbeing event.
Read about how preparing for treatment (prehabilitation) can help with life after treatment
Last reviewed: 24 Apr 2024
Next review due: 24 Apr 2027
Prehabilitation means getting ready for cancer treatment in whatever time you have before it starts. It is a programme of support and advice that some NHS hospitals are using.
You can help yourself to get ready for cancer treatment by trying to eat a varied diet. This means eating a wide range of foods in the right proportions.
You can help yourself to get ready for cancer treatment by increasing your physical activity. You can improve your fitness in as little as two weeks before the treatment starts.
You can help yourself to get ready for cancer treatment by looking after your mental wellbeing. This might mean reaching out for support if you can’t cope.
Coping with cancer can be difficult. There is help and support available. Find out about the emotional, physical and practical effects of cancer and how to manage them.
Search for the cancer type you want to find out about. Each section has detailed information about symptoms, diagnosis, treatment, research and coping with cancer.

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