Royal Free London NHS Foundation Trust
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Cancer services - therapies


The oncology/haematology dietetic team consists of two dietitians who aim to optimise the nutritional status and quality of life for individuals throughout their illness and treatment.

There is a monthly specialist dietetic out-patient clinic and there is also access to the dietetic department general out-patient service. Out-patient referrals are predominantly made by the medical team. In-patient referrals can be made by any member of the multidisciplinary team using the department’s guidelines. The relevant ward dietitian sees patients in other locations

Occupational therapist

An oncology and palliative occupational therapy (OT) care team sees all those in-patients whose cancer has affected their ability to be independent at home. They will advise on what help or strategies may be useful to promote a good quality of life for someone living with cancer.They work with the team to promote good symptom control. They have a holistic approach, which means thinking about how someone was before they were ill and where they are now. They encourage choice and work with the person plus their carers. They cover the following areas of the Royal Free

  • Palliative care
  • Oncology
  • Renal medicine and transplant units
  • In-patients at the Marie Curie Hospice, Hampstead
Referrals are received from the multi-disciplinary teams on the acute in-patient wards at the Royal Free Hospital and from Marie Curie Centre, Hampstead. The OT team aim to promote physical and psychosocial well-being of their patients.


The oncology/haematology and palliative care physiotherapy team provide in-patient treatment to patients at the Royal Free Hospital and a specialist out-patient service to those who have undergone breast surgery. They also provide in and out-patient service at Marie Curie Hospice Hampstead. The team consists of five members of staff working across the two sites.

Nursing staff, doctors or other members of the MDT can make in-patient referrals on 8 East. The physiotherapy team working in that location or speciality sees other oncology patients in the hospital.

Out-patient follow up for breast surgery patients is provided for when indicated.


Patients with breast cancer related lymphoedema can be referred to Cancerkin. Patients with non-breast cancer lymphoedema may be given advice and provided with garments from the surgical appliance department, but a comprehensive lymphoedema service is not available at present.
The oncology and palliative care physiotherapy service is available Monday to Friday, 9am – 5pm.

page last reviewed: 03 October 2012