Skip to main content
Article thumbnail
Location of Repository

The changing face of cancer care in the UK: can nurses help to structure new services?

By Marilyn Kirshbaum, K. Booth and K. Luker


The concept of the lead cancer nurse is relatively new; no models of practice are available. An evaluation of lead cancer nurses was undertaken to identify core elements of success associated with this role. A two-stage multiple case study was used. In stage one, information was collected about post holders, working contexts, strategic aims and evidence of achievements from lead nurses, lead clinicians and senior nurses. Stage two explored the processes that enhanced and inhibited development of the lead nurse role. Site-visits were made to 12 Macmillan lead cancer nurses throughout the UK. Detailed information from interviews, observations and documentary materials were analysed using a framework that emphasized four key areas: assessment of current service, promotion of evidence-based practice, contribution to strategic decision making and consumer perspectives. Results: Enhancing factors important to the lead cancer nurses were the ability to: utilize decision-making power, build alliances and accommodate to a changing environment. Factors found to hinder achievement were: major changes in service and policy, restricted resources and the cancer site-specific structure of health service provisions. Further and greater contributions to cancer care from lead nurses require influential partnerships within local health care organizations and wider networks

Topics: RT, RC0254
Publisher: Wiley
Year: 2004
OAI identifier:

Suggested articles


  1. (1994). Case Study Research. doi
  2. (1995). Department of Health and the Welsh Office
  3. (1996). Guidance for Purchasers: Improving Outcomes
  4. (2001). Guidance on commissioning cancer services: An investigation of the implications for nursing. Clinical Effectiveness in Nursing 5,73-80. doi
  5. Health (2000a) The NHS Cancer Plan. A Plan for Investment. A Plan for Reform
  6. Health (2000c) The Nursing Contribution to Cancer Care: A Strategic Programme of Action
  7. Health (2000d) Manual of Cancer Services Standards.
  8. (1998). Health Service Executive doi
  9. (2003). Measuring progress against cancer in Europe: Has the 15% decline targeted for
  10. (1994). Qualitative Data Analysis for Applied Policy Research Chapter 9 In: Analysing Qualitative Data (eds Bryman doi
  11. (1994). Qualitative Data Analysis, 2nd edition. doi
  12. (1964). The Theory of Social and Economic Organisation. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.