Acute Oncology MIG (Members’ Interest Group)

Trusts throughout the UK are developing specialist acute oncology advice and assessment services. One common key factor in their development is YOU - the Acute Oncology Nurse - you are in many areas driving services forward, establishing communication systems, assessment and care protocols and providing education for the wider emergency care teams within trusts and at primary care level.

UKONS have established an Acute Oncology MIG to support this new dynamic group of specialist nurses. The aims of the MIG are:

• To offer a group voice and collective opinion on matters relating to Acute Oncology Nursing.
• To provide support and guidance by connecting acute oncology nurses across the UK.
• To promote and facilitate the sharing of good practice.
• To work together as a MIG to develop guidelines, practical tools and pathways to aid in the implementation of first class acute oncology services.
• To provide a resource for the health community by gathering a pool of expertise all can access.
• To support education and showcase excellent practice through workshops, study days etc.
• To support multi agency project working with professional organisations such as the Royal College of Nursing and Macmillan Cancer Support.

This is your MIG, please join us and contribute. You will be able to;

• Access a repository for useful tools and documents and links to relevant websites
• Ask questions of the MIG members if you are looking for information, advice or support.
• Use the experts for review of documents, pathways, guidelines that you have developed.
• Request examples of tools, guidelines that are already in use, from colleagues across the UK.
• Suggest acute oncology projects /research that may be undertaken or supported by UKONS

Thank you

Philippa Jones - UKONS Acute Oncology MIG Lead

To join the Acute Oncology MIG, please click HERE and complete the online form.


Resources available:


1. The UKONS 24 Hour Triage Tool   (V.2.0 2016)

The UKONS 24 Hour Triage Tool has been updated to include assessment of patients receiving Systemic Anti Cancer Therapy including immunotherapies and targeted agents. The links below will take you to the component parts of the tool, the original evaluation and a set of training slides. 

Please read the manual before starting to use the tool and ensure that competency framework has been completed.

Link to manual HERE           
Link to poster HERE
Link to pocket tool HERE
Link to log sheet HERE
Link to evaluation HERE
Link to Training slides HERE

We would recommend using professionally printed copies of the tool kit content to ensure quality. Telford Reprographics hold printing copies of the tool kit and will provide quotes on request:

Email:     Telephone  01952 670211

UKONS has no involvement whatsoever with the purchasing or printing of the tool kit.


2. The Acute Oncology Initial Management Guidelines  (V.2.0. 2018)

The updated version of the Acute Oncology Initial Management Guidelines are now available HERE

These guidelines focus on initial assessment at presentation and management for the first 24 hours for patients presenting with an acute problem, demonstrating symptoms deemed as having been caused by:

  • Systematic Anti-Cancer Therapy (SACT)
  • Radiotherapy
  • Malignant disease
  • A previously undiagnosed cancer where an urgent oncology/haematology assessment is required.

Each protocol follows a RAG (red, amber, green) format and quick reference assessment, which is in line with the UKONS Oncology/Haematology 24-Hour Triage Tool (V2, 2016). 

Intended audience

These guidelines are intended for use by all health care professionals who assess and/or manage acute oncology patients at presentation. 

You are welcome to use these guidelines personally or within your organisation, but we would ask you not change or amend them without permission from the authors (UKONS).


3.  The Primary Care Risk Assessment

UKONS and Macmillan have worked in partnership with health care professionals to develop an Oncology/Haematology Risk Assessment Tool for Primary Healthcare Professionals.

This reliable, easily used tool ensures that patients who suffer from complications/toxicities relating to systemic anti-cancer treatment (including chemotherapy) are identified and managed appropriately in order to achieve the best possible outcome.

This instruction booklet details:

  • The background and reasons for using such a risk assessment tool
  • The risk assessment process
  • Instructions for use

You should read the instruction book carefully before using the assessment tool.

Link to instruction booklet HERE
Link to pocket tool HERE
Link to poster HERE


4. The Oncology/Haematology Telephone Triage Tool Kit for Children and Young People

The Oncology/Haematology Telephone Triage Tool Kit for Children and Young People has been developed as a guideline for the provision of triage assessment and advice for staff answering telephone advice line calls.

This guideline provides recommendations for best practice for the appropriate treatment and management of children and young people (CYP) with cancer and serious blood disorders; it should be used in conjunction with the triage practitioners’ judgment.  This work has been developed collaboratively between The Children’s Cancer and Leukaemia Group (CCLG), CLIC Sargent, the RCN, and UKONS. The tool kit and supporting information is hosted on the CCLG website, please click HERE

These tools above contain information, advice and guidance, they are intended for use within the United Kingdom (UK) but readers are advised that practices may vary regionally and outside the UK. The information has been compiled from professional sources. It provides a guideline for practice and is dependent on the clinical expertise and professional judgement of the practitioner who uses it. Whilst every effort has been made to ensure the provision of accurate and expert information and guidance, it is impossible to predict all the circumstances in which the tools may be used. Accordingly, the authors shall not be liable to any person or entity with respect to any loss or damage caused or alleged to be caused directly or indirectly by what is contained in or left out of this information and guidance.

The tools above are subject to copyright and must not be amended or changed without the express permission of the authors/owners.