Supporting Cancer Patients and Health Professionals Following the Completion of Cancer Treatment

Primary Care and Cancer Care Integration: Leveraging a Suite of Existing Tools to Support Patients and Health Care Professionals in the Cancer Post‐treatment Transition Period

A Partnership Between:
BC Cancer Agency (incl. the Survivorship Program,
Research Centre, and Family Practice Oncology
Canadian Cancer Society (BC and Yukon Division)
Canadian Cancer Society (Nova Scotia Division)
Cancer Care Nova Scotia
BC Alliance on Telehealth Policy and Research
BC Ministry of Health Services’ Patient Reported
Experience Measures (BC PREMS) Steering Committee

Project at a Glance

-In this project we will develop and pilot two resources to support transition from cancer care to after treatment for breast and colorectal cancer patients.

1. Two models for a transition volunteer role:

- a centre‐based model where volunteers will be trained to connect with and support survivors as they approach the end of treatment and begin the transition to the “new normal”, and

- a “CancerConnection” based model where volunteers at the Canadian Cancer Society Nova Scotia Division will be trained to provide support to survivors as they approach the end of treatment and begin the transition to the “new normal”.

2. Evaluation of the use of cancer follow‐up guidelines in primary care

With advances in cancer prevention, early detection and treatment, the number of cancer survivors in Canada is growing. Survivors have expressed that they need support to be the healthiest they can be after completing their cancer treatment. Transitioning between Cancer Care and Primary Care has become a priority to ensure “continuity of care” for survivors.
These resources will support survivors of breast and colorectal cancers to be informed about and take an active role in their survivorship care, including surveillance for later health problems and engaging in healthy lifestyle/cancer prevention activities.

The cancer systems in BC and Nova Scotia excel in the screening, diagnosis and treatment of cancer. We can improve the ways in which we support patients to return to the “new normal” after cancer treatment.

For the transition between the cancer care setting and primary care setting to be successful, survivors need to be supported, educated and empowered to navigate their own transition so they can make decisions and set individualized goals. 

This is a three year project funded in part by Health Canada through Canadian Partnership Against Canada.

© 2017 Cancer Care Nova Scotia    Sitemap | Privacy                                                                                                        Report broken links and errors to