Introduction The Calman-Hine report highlighted the need for a close relationship between primary care and secondary care services for cancer, built upon partnership and good communication. Similarly it is essential for the patients themselves, together with their carers, to be fully informed.
Most cancer care takes place in community and primary care.
Unfortunately communications between different sectors is generally poor and requires improvement. One reason is a lack of appropriate systems, but another is the fact that working practices are not aligned to the aims of integrated care. Informal discussions with leading GP software suppliers suggested that the concept was consistent with developments in the field. Its findings and the associated issues are described in this article. The overall aim of the project was to develop a specification of what information would enable a GP appropriately and effectively to manage the care of cancer patients, in conjunction with primary and secondary care colleagues.