In primary care	In specialist units
• Need for agreed local protocols	• Training in psychological aspects of care for all staff
• Multidisciplinary skills and resources	• Regular review of all individual treatment plans
• Individually agreed collaborative care for each patient	• Protocols for routine management of “at risk” patients (such as relapse after chemotherapy)
• Regular liaison with specialist units and local agencies	• Involvement of specialist nurses and other staff with psychological expertise
• Local training for all involved	• Access to psychiatrists and clinical psychologists with special interest in managing cancer  problems for consultation and supervision
	• Use of self help methods and voluntary agencies