Changing the way people are supported after cancer treatment is a national priority to ensure they are helped to live well with and beyond the disease. At present, follow-up care is medically led, does not meet all people’s needs and has insufficient capacity to cope with increasing numbers of survivors. Implementing stratified follow up can improve after-care as it offers a personalised approach, promotes supported self-management and allocates more resources to those in greatest need.

This article proposes that, before implementation of stratified follow up, time is taken to embed the recovery package in mainstream after-care, thereby offering greater opportunities for support after cancer treatment. Practical considerations are discussed, informed by experience of running a pilot pathway for colorectal cancer survivors. To achieve this service redesign, a cultural shift is required by managers and commissioners to enable the necessary resource allocation.

Aim The aim of this study was to identify the effects of a clinical supervision group on the practice of biofeedback therapists.

Method Qualitative methods, including in-depth interviews, semi-structured interviews and non-participant observation were used to gather data to explore the experience and perceived impact of clinical supervision.

Results Group supervision provided a safe environment for practitioners to share experiences and test ideas about their practice. It increased their ability to set boundaries with clients and realise the limits of their practice.

Conclusion Clinical supervision in a group was found to enhance effectiveness, and professional and personal development.

A patient survey was conducted to determine satisfaction with information provision during pelvic radiotherapy and identify any unmet information needs. A questionnaire was designed that incorporated questions from the European Organisation for Research and Treatment of Cancer Quality of Life Group information questionnaire. Eligible patients were identified from a database of those who had received treatment at the cancer centre over an 18-month period. Eighty three patients were sent the questionnaire and 58 (70%) responded. Nearly half would have liked more information and none wanted less. More than two thirds of respondents stated they had received written information, which in half of cases was offered by a nurse. Information on potential late effects of radiotherapy was well received, with most indicating a preference to be offered it before treatment. Continuing review of an individual’s information prescription throughout the cancer pathway is recommended.