My 3 priorities for cancer in the next 10 years would be:
1) Empower users and ensure equity for all tumour sites to access the best available treatment for cancer
2) Develop research and education to get closer to a cancer cure
3) Provide quality care through employing the best cancer nurses in the world and working within a wider MDT

Prompt, equality of access to evidence based, economically viable treatments / supportive interventions for all cancer patients within the UK.
Increased investment in the health care professionals that deliver services to cancer patients.
Improvements in health promotional strategies (& cancer education) – focusing on the needs of local people / school children.

1. Health care delivery systems to offer equal access to all patients regardless of tumour site or locality rather than being target driven care.
2.Increase investment in facilities to enable staff to offer new treatments in a safe environment for all (patients, carers and staff)
3.Commitment from primary care and acute Trust to their staff who are delivering the care in terms of suport for studying and developing the service etc

1. Improving quality of care for all teenagers and young people by admission to Teenage cancer units.
2. For continued support and investment in staff working within this arena: maintaining and improving practice developments and outcomes for patients would be seen as an a priority
3. The economical burden for families and carers is ongoing during a cancer diagnosis, therefore loss of benefits due to long term hospitalisation of patients will often have a major detrimental effect on the family. The majority of families of children/Teenagers will have at least 1 parent/carer resident during hospital admission. Therefore a review of the current system is essential

1. Develop programmes of care for 'survivorship' so that each person who has had cancer can recover to fulfill their future potential.
2. Develop financial strategies that reflect the cancer services that the public need, which is not just 'front end' and secondary care focused. Payment by Results does not reflect quality supportive care.
3. Acknowledge the contribution of generalist nurses in cancer care, and develop appropriate & funded programmes of education.

1.Standardisation of supportive care across the tumour type specialties and increase the supportive care available to people at the point of developing secondaries.

2.Quicker review of/access to new drugs/treatment i.e. a process that facilitates all patients accessing them at the same time to prevent the 'lottery' effect

3.Standardisation of Multidisciplinary Team Meetings (MDTM) decisions i.e. more protocol driven services/treatments and effective MDTM audits to assess the achievements of individual meetings/teams

1) Creating one definative body acceptable to all nurses working in oncology responsible for disseminating "good practice" and clinical guidelines so that standards of care/practises are comparative across all oncology areas within the UK.

2) Investment in the basic nusing & cytotoxic manufacturing staffing infrastructure to allow better patient turnaround.

3) Adopt the creative role from Paediatric Oncology of a "Clincal Tutor" post in clinical oncology areas responsible for educational updates, training & the dissemination of best clinical practice.

1) Equitable access to evidence based cancer treatments rather than the existing post code lottery.
2) Focus on prevention of cances through health education and more innovative, locally centred strategies involving the wider community.
3) Acknowledgment hat some cancers are chronic diseases and developing inter agency working to improve the current benefit system, especially prescription charges,and rehabilitation to maximise people's independence.

1. Develop the communication skills teaching strategy to include all staff who come into contact with cancer patients rathere than senior professionals only

2. Enhance cancer prevention education

3. Improve care for patients with mental health problems and learning disability

1.Work more collaboratively with public health and ensure there is greater investment in cancer prevention strategies. This may take longer to get results and may be politically less favourable but will ultimately lead to a reduced incidence of cancer in the long-term.

2. Improve the scope of cancer and palliative care education in pre-registration education, through the development of cancer related competencies that can be achieved in generic settings. This will also lead to improved knowledge in non-specialist areas.

3. I echo the first point made my SJ Campbell above: 'Creating one definative body acceptable to all nurses working in oncology responsible for disseminating "good practice" and clinical guidelines so that standards of care/practises are comparative across all oncology areas within the UK'.

My top three cancer priorities are:
1. To ensure that supportive care is not just about medical supportive care (e.g. side effect management) but is truly about being supportive and having a holistic, person-centred approach to the whole care and treatment experience.

2. To articulate, explain and promote what nursing's true contribution to cancer care is.

3. To continue to give voice to patient's experiences so that attention will be given to symptoms that are currently ignored. The example would be fatigue - nurses through nursing research exploring patient experiences identified this symptom and now there is a huge research effort and practice application for this problem. Cognitive changes after chemotherapy is a developing area as is appetite and anorexia/cachexia. We need the experiencial research to reveal these patient needs.

My top 3 cancer priorities are:
1. Enhance the current funding, training and career development opportunities for cancer research conducted by the professions allied to medicine in order to improve the evidence base for our urgent supportive care agenda.

2. Improve the status and central funding of psychological and social support services / mechanisms for people affected by cancer to enable appropriate service development.
Psychological and psychosexual morbidity should be philosophically and practically considered of equal importance to patient recovery and adjustment as the clinical management of physical symptoms or treatment late effects.

3. Creation of a proactive and visible "survivorship" or Cancer Rehabilitation agenda and service development in the UK as recognition of living with this illness and its treatment sequelae over an indeterminate time trajectory.

1.Increased emphasis on and more research to find ways to help people live with the impact of cancer.

2. More rehabilitative and after care services in order to allow people to make full and speedy recovery.

3. Focus on older people with cancer. What this group want more than anything is to live disability free and so better social care is required, with improved links to secondary care, in order to enable this group to be better supported and enable them to take up optimal treatment.

My 3 priorities would be:
1) to enhance cancer services for the elderely and BEM.
2) Move to include complemetary therapies alongside mainstream tratments ie NHS funded posts.
3) bring haematolo-ocnology services into focus alonside cancer services so they truely can unite and therfore share , disseminate and educate together.

1. Ensure equitable care not only across the 4 countries of the UK but across Europe.Including adequate funding for the newer biological therapies

2. Acknowledge that follow up is not only about looking for recurrence but also aboutsurviving and living after cancer and is best done by specialist nurses, not GP's.

3. Team planning to ensure a true multidisciplinary team, to include psycho-social care. Not reliant on good will and team members meeting in unpaid lunch breaks. To include primary care.

equitable access

living with the experience of cancer and all that entails

evaluations of new roles for nurses