ABSTRACT
Traditionally, the focus of cancer services has been on cancer as an acute illness with an emphasis on the acute treatment phase. The “Health and Well-Being Survey” by Macmillan Cancer Support in 2008 found that cancer survivors reported poorer health and well-being than the general population. Survivorship is a confusing term that can be interpreted differently by different people. An approach to survivorship that is focused on rehabilitation may be a more effective way of understanding and managing this cohort of patients. New paradigms of assessment and care must be considered to manage optimally this population. This chapter focuses on the cancer alone but there is a need to assess people holistically and develop strategies that address the complexity of their needs. The Model of Care involves assessing and directing patients into different pathways: self-management, shared care, or complex care. Self-management is encouraged and facilitated by: health and well-being clinics, supported self-management, physical activity programmes, and vocational rehabilitation.
