ObjectivesThe aim of this study was to explore the barriers to accessing cancer services faced by adults with pre-existing physical disabilities.DesignCross-sectional, exploratory qualitative study. Data were collected by semistructured interviews and analysed thematically.SettingParticipants were recruited through statutory and third sector organisations in England and Wales between October 2017 and October 2018.Participants18 people with a diagnosis of cancer and a pre-existing physical disability.ResultsThe findings illustrate that people with physical disabilities in England and Wales face a variety of barriers to accessing cancer services. The overall theme that emerged was that participants experienced a lack of attitudinal and institutional preparation both from healthcare professionals and healthcare facilities. This overall theme is illustrated through three subthemes: lack of acknowledgment of disability, unseeing disability and physical inaccessibility.ConclusionsAs the population ages and increasing numbers of people live with cancer and disability, it is important to develop knowledge to respond to the needs of this population. The mere existence of services does not guarantee their usability. Services need to be relevant, flexible, and accessible and offered in a respectful manner. It is important that healthcare professionals work towards inclusive healthcare provision, enabling the utilisation of services by all. Necessary steps to be taken include better communication between the various professionals and across the different teams involved in patients’ care, raising awareness of how physical disability can affect or interact with cancer-related treatment and creating more accessible physical environments.

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Background:The number of adults diagnosed with cancer is increasing. Life beyond cancer poses many challenges for individuals and their families; many of those challenges are characterised by health uncertainties both physical and emotional. Evidence suggests that appropriate education improves care and patient outcomes specifically reducing the long-term adverse effects of cancer and its treatments and increasing adjustment. Less evidence exists as to how meeting holistic rehabilitation needs, monitoring those surviving cancer long-term, and supporting self-management are enabled by health care professional (HCP) education. Aims:The aims of this study were to explore the experiences of people affected by cancer (PABC) as a long-term condition and to use the themes emerging from their experiences to develop online bespoke educational resources/tools. Methods and Results:A project team of professionals and PABC worked together on a qualitative study to explore the challenges and consequences of life beyond cancer. This paper presents the data from the exploratory focus group, analysed using thematic analysis to identify both common and unique perspectives in PABC experiences. Four themes were identified: the meaning of "survivorship"; the impact of cancer; long-term needs/expectations; and the role of HCPs and education in meeting needs. These themes were compared with existing literature to enable understanding and "sense making" of the participants' life beyond cancer and to inform the development of the educational resources based on a fictitious patient story to be presented in a future publication. Conclusions:Derived from the PABC stories, a scripted story digitally recorded has been embedded with information and resources. Consultation with additional patient, professional, and public groups helped develop the work into an educational module for nurses and allied health care professionals. KEYWORDScancer as a long-term condition, health care professional education, patient involvement/partnership, qualitative, survivorship Abbreviations: PABC, people affected by cancer; HCP, health care professional