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The intervention in this study is holistic needs assessment (HNA).
In the intervention group, the patient completes a holistic needs assessment prior to consultation.
There are no data on the specific effects of the holistic needs assessment technique proposed here.
Those in the intervention group will then complete a holistic needs assessment titled the 'Concerns Checklist' (figure 1).
13 33 Yet, only around 25% of cancer survivors in the UK receive a holistic needs assessment and care plan.
The holistic needs assessment will be documented and shared with patients and, following consent, with their GP.
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In this context, we welcome Young et al's discussion of holistic needs assessments (HNAs) and how they can facilitate information sharing.
In our exploratory work on holistic needs assessments (HNAs) we have seen that a significant proportion of patients have unanswered questions and unmet needs relating to sexuality and fertility.
34 43 Additionally, through the Macmillan network, the nurse will complete three training modules routinely recommended for clinical staff delivering holistic needs assessments: 'Maguire Advanced Communication Skills' training, 44 'Motivational Interviewing' and '10-min CBT'.
Undertaking holistic needs assessments [ 29] at appropriate time points along the pathway of care, and ensuring that sharing of such information is prioritised in MDT meeting discussions is likely to improve the patient-centredness of the decision-making process.
Risk stratification should, however, only be undertaken for outcomes where there are effective interventions, and a holistic approach to needs assessment remains important.
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