Context - What this means for Sarah

After three cycles of chemotherapy, Sarah’s oncologist breaks the news that they will no longer be actively treating her cancer. The specialist nurse talks to Sarah and a letter is sent from the Oncologist to Sarah’s GP.

The GP speaks to Sarah about starting the care and support planning process, and together they agree that Jane would be the best person to take this forward. Sarah previously had a difficult meeting with the GP and they do not have a very good relationship.

The community nurse, Jane, visits Sarah every week and information about her care needs and wishes are put on the Electronic Palliative Care Coordination System (EPaCCS).