ABSTRACT
This chapter outlines some of the new roles expected of organisations and individuals involved in cancer services. As described elsewhere, cancer networks are charged with the responsibility for implementing the NHS Cancer Plan. From the cancer patient's point of view, the changes being introduced into the NHS are long overdue and much to be welcomed. Primary care trusts have clinical cancer leads, like cancer units, centres and networks, and they have responsibilities for improving the role of primary care in cancer pathways, as well as for informing the commissioning and development of services in hospitals. The role of the clinician in cancer care is changing, too. In nursing and medicine, in radiography and medical physics, in psychology and the therapies and in non-surgical oncology, subject and site specialisation have become mandatory and specialist training programmes have narrowed.
