Cancer research cluster

Our mission is to improve cancer care for all. We work with experts from diverse disciplines - technology, science, engineering, psychology - alongside NHS professionals, and patients and their families, from the very young to the very old. When we work together, we create innovative ways of being diagnosed quicker and living well, with and beyond cancer. Our work helps optimise cancer outcomes and impacts positively on experiences of care.

Research interests

Evidence shows that people with cancer have unmet needs, particularly at the point of diagnosis, end of treatment and longer term. Whilst some people feel well, others are struggling with the consequences of cancer treatment, creating a burden of illness that impacts on quality of life, patient outcomes and family life. Early diagnosis is considered a cornerstone of improving cancer survival- and is importantly related to improved patient experience and quality of life.

Our work focuses on changing the way we diagnose and support people with cancer – and families managing cancer – in order to meet increasing demands and care needs. We work across the age span and disease course - from diagnosis to survivorship and palliative care.

Research areas

Early diagnosis
Cancer as a chronic condition
Influence of cancer treatment on people, informal carers, parents, siblings and other family members. Specific interests include:
- Symptom assessment and management
- Psychological support needs
- Decision-making
- Multi-morbidity
- Survivorship
- End-of-life care.
Digital health/connected health, supportive technologies and web-based programmes to support mental and physical health for people with cancer.

Research methodologies

Participant co-design
Mixed methods
Development and evaluation of complex interventions
Film technologies
Creative arts based approaches.

Areas of interest for doctoral study

We welcome approaches from people wishing to undertake postgraduate research with us. We particularly welcome enquiries in the following areas:

Prevention and early diagnosis
Supportive care and innovations
Cancer in children, teenagers and young adults
Digital health.

Please contact Freda Mold (freda.mold@surrey.ac.uk) and Jenny Harris (jen.harris@surrey.ac.uk), our postgraduate research directors, if you are considering postgraduate research.

Current PhD research

The psychosocial needs of siblings when a brother or sister is diagnosed with cancer (Zoe Polly; supervised by Faith Gibson and Anna Cox)
The role of illness-related rumination in psychological and physical health outcomes in those living with cancer (Sarah Beck; supervised by Mark Cropley, Simon Evans and Katriina Whitaker)
Understanding primary care nurses’ contribution to cancer early diagnosis (Hanna Skrobanski; supervised by Katriina Whitaker and Emma Ream)
Understanding breast cancer screening uptake among women of Black African descent in the UK- Individual and socio-cultural factors (Anietie Aliu; supervised by Afrodita Marcu and Robert Kerrison).
How, why, for whom and in which contexts does telemedicine work to meet the routine follow-up consultation needs of people with malignant and non-malignant haemato-oncological disorders? (Michelle Kenyon; supervised by Emma Ream and Cath Taylor).
Supporting psychological health for men living with and beyond prostate cancer (Jane Cockle-Hearne; supervised by Emma Ream and Debbie Cooke).
Understanding socioeconomic differences in breast cancer outcomes (Mar Estupinan; supervised by Katriina Whitaker, Emma Ream and Afrodita Marcu).
Improving supportive care during immunotherapy: co-design of a patient reported outcome measure to assess adverse events in people with renal and melanoma cancers (Alexandra Pritchard; supervised by Jo Armes and Jenny Harris).
Adaptation and pilot testing of the Registered Nursing Forecasting (RN4CAST) nurse survey for use in the ambulatory chemotherapy setting (Zhuming Bao; supervised by Jo Armes and Jenny Harris).
Improving predictive validity of tumour markers in pancreatic cancer: Developing and validating predictive models using a large United Kingdom primary care database (Claire Price; supervised by Agnieszka Lemanska, Nadia Smith (National Physics Laboratory) and Debbie Cooke).
Data-driven solutions to address healthcare inequalities of prostate cancer in the United Kingdom using routinely collected primary care data (Gayasha Somathilake; supervised by Agnieszka Lemanska, Sotiris Moschoiyannis and Elizabeth Ford (Brighton and Sussex Medical School)

Example projects

New projects

Advancing Canine Treatment In Oncology (ACTION): development of a Canine Oncology Proxy-Reported Outcome Measure (CO-PROM) for routine remote symptom-monitoring

Start date: 01 September 2022

End date: 31 May 2023

Development and validation of a blood cancer awareness measure

Start date: February 2021

End date: January 2023

University Global Partnership Network: Cancer INequalities Collaboration (UGPN CINC)

Publication highlights

Evans, J., Green, D., Connor, G.O., Lanigan, J., Gibson, F. (2022). Nutritional support practices and opinions toward gastrostomy use in pediatric bone marrow transplant centers: A national survey. Nutrition ;95:111556. doi: 10.1016/j.nut.2021.111556.

Faithfull, S., Cockle-Hearne, J., Lemanska, A. et al (2022) Randomised controlled trial to investigate the effectiveness of the symptom management after radiotherapy (SMaRT) group intervention to ameliorate lower urinary tract symptoms in men treated for prostate cancer. Support Care Cancer 30, 3165–3176. https://doi.org/10.1007/s00520-021-06749-x

Forster, A.S, Herbert, A., Koo, M.M., Taylor, R.M., Gibson, F., Whelan, J.S., Lyratzopoulos, G., Fern, L.A. (2022). Associations between diagnostic time intervals and health-related quality of life, clinical anxiety and depression in adolescents and young adults with cancer: cross-sectional analysis of the BRIGHTLIGHT cohort. British Journal of Cancer, doi: 10.1038/s41416-022-01698-6.

Hudson, L.D., Chapman, S., Street, K.N., Nicholls, D., Roland, D., Dubicka, B., Gibson, F., Mathews, G., Viner, R.M (2022). Increased admissions to paediatric wards with a primary mental health diagnosis: results of a survey of a network of eating disorder paediatricians in England. Archives of Diseases in Childhood;107(3):309-310. doi: 10.1136/archdischild-2021-322700.

Ip, A., Black, G., Vindrola-Padros, C., Taylor, C., Otter, S., Hewish, M., Bhuiya, A., Callin, J., Wong, A., Machesney., Fulop, N., Taylor, C., Whitaker, K.L. (2022). Socioeconomic differences in help-seeking experiences in primary care for symptoms related to colorectal cancer during COVID-19: A UK-wide qualitative interview study. British Journal of General Practice, https://bjgp.org/content/early/2022/03/24/BJGP.2021.0644

Lea, S., Taylor, R., Gibson, F. (2022). Developing, nurturing, and sustaining an adolescent and young adult-centered culture of care. Qualitative Health Research DOI: 10.1177/10497323221084910

Lemanska, A., Poole, K., Manders, R. et al (2022). Patient activation and patient-reported outcomes of men from a community pharmacy lifestyle intervention after prostate cancer treatment. Support Care Cancer 30, 347–358, https://doi.org/10.1007/s00520-021-06404-5

Oulton, K., Wray, J., Kelly, P., Khair, K., Sell, D., Gibson, F (2022). Culture, cognisance, capacity and capability: The interrelationship of individual and organisational factors in developing a research hospital. Journal of Clinical Nursing. ;31:362– 377. https://doi.org/10.1111/jocn.15867

Patel, V., Kerrison, R.S. (2022) Patients’ and physicians’ experiences with remote consultations in primary care, during the covid-19 pandemic: a multi-method rapid review of the literature. BJGP Open, https://bjgpopen.org/content/early/2022/04/14/BJGPO.2021.0192

Sipanoun, P., Oulton, K., Gibson, F., Wray, J (2022). The experiences and perceptions of users of an electronic patient record system in a pediatric hospital setting: a systematic review. International Journal of Medical Informatics. 19;160:104691. doi: 10.1016/j.ijmedinf.2022.104691.

van Os, S., Syversen, A., Whitaker, K.L., Quaife, S.L., Janes, S.M., Jallow, M., Black, G (2022). Lung cancer symptom appraisal, help-seeking and diagnosis - rapid systematic review of differences between patients with and without a smoking history. Psychooncology.;31(4):562-576. doi: 10.1002/pon.5846.

Bryan, G., Kelly, P., Chesters, H. Franklin, J. Griffiths, H. Langton, L. Langton, L. Wakefield, CE. Gibson, F (2021). Access to and experience of education for children and adolescents with cancer: a scoping review protocol. Systematic Reviews 10, 167

Byrne, J.V., Whitaker, K.L., Black, G.B (2021). How doctors make themselves understood in primary care consultations: A mixed methods analysis of video data applying health literacy universal precautions. PLoS One. 21;16(9):e0257312. doi: 10.1371/journal.pone.0257312.

Cockle-Hearne, J., Aldiss, S., Gibson, F., Milne, S., Todd, J., Ream, E. (2021). Support interventions provided during palliative care to families with dependent children when a parent has terminal illness: a scoping review protocol. JBI Evidence Synthesis. 2021 Jun 7;19(11):3163-3173. doi: 10.11124/JBIES-20-00472.

Courtier, N,, Armes, J., Smith, A., Radley, L., Hopkinson, J.B (2021). Targeted self-management limits fatigue for women undergoing radiotherapy for early breast cancer: results from the ACTIVE randomised feasibility trial. Support Care Cancer, doi: 10.1007/s00520-021-06360-0.

Faithfull, S., Lemanska, A., Poole, K., Aning, J., Manders, R., et al (2021). Obesity and low levels of physical activity impact on cardiopulmonary fitness in older men after treatment for prostate cancer. European Journal of Cancer Care, 30( 6), e13476. https://doi.org/10.1111/ecc.13476

Gibson, F., Fern, L.A., Phillips, B., Gravestock, H., Malik, S., Callaghan, A., et al (2021). Reporting the whole story: Analysis of the 'out-of-scope' questions from the James Lind Alliance Teenage and Young Adult Cancer Priority Setting Partnership Survey. Health Expectations;24(5):1593-1606. doi: 10.1111/hex.13276.

Gordon, R., Fawson, S., Moss-Morris, R., Armes, J., Hirsch, C.R (2021). An experimental study to identify key psychological mechanisms that promote and predict resilience in the aftermath of treatment for breast cancer. Psychooncology. 2021; 1- 9. doi:10.1002/pon.5806

Maguire, R., McCann, L., Kotronoulas, G., Kearney, N., Ream, E., Armes, J. et al (2021). Real time remote symptom monitoring during chemotherapy for cancer: European multicentre randomised controlled trial (eSMART) BMJ; 374 :n1647 doi:10.1136/bmj.n1647

Morgan, J., Evans, C., Beresford, L., Bryan, G., Fulbright, H., Phillips, B (2021). A systematic review of early phase studies for children and young people with relapsed and refractory rhabdomyosarcoma. PROSPERO 2021 CRD42021266254 https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD4202126625….

Quinn-Scoggins, H.D., Cannings-John, R., Moriarty, Y., Whitelock, V., Whitaker, K.L., Grozeva, D., et al (2021). Cancer symptom experience and help-seeking behaviour during the COVID-19 pandemic in the UK: a cross-sectional population survey, BMJ Open, doi: 10.1136/bmjopen-2021-053095

Ream, E., Richardson, A., Lucas, G., Marcu, A., Foster, R., Fuller, G., Oakley, C. (2021). Understanding the support needs of family members of people undergoing chemotherapy: A longitudinal qualitative study. European Journal of Oncology Nursing, 50, 101861. https://doi.org/10.1016/j.ejon.2020.101861

Slade, A., Retzer, A., Ahmed, K., Kyte, D., Keeley, T., Armes, J., Brown, J. Calman, L., Gavin, A., Glaser, A., Greenfield, D., Lanceley, A., Taylor, R., Velikova, G., Turner, G., Calvert, M (2021). Review of the Use of Translated Patient Reported Outcome Measures in Cancer Trials. Trials 22, 306. https://doi.org/10.1186/s13063-021-05255-z

Tanay, M.A., Armes, J., Moss-Morris, R., Rafferty, A.M. & Robert, G (2021). A systematic review of behavioural and exercise interventions for the prevention and management of chemotherapy-induced peripheral neuropathy symptoms. Journal of Cancer Survivorship. https://doi.org/10.1007/s11764-021-00997-w

Tanay, M.A., Robert, G., Rafferty, A. M., Moss-Morris, R., & Armes, J. (2021). Clinician and patient experiences when providing and receiving information and support for managing chemotherapy-induced peripheral neuropathy: a qualitative multiple methods study. European Journal of Cancer Care. https://doi.org/10.1111/ecc.13517

Taylor, C., Harris, J., Stenner, K., Sevdalis, N. and Green, S.A.J. (2021),. Cancer Medicine. https://doi.org/10.1002/cam4.3719

Visser, R., Barber, AE., X, A., Mullen P. & Armes, J. (2021). Collaboration with people with lived experience of prison: reflections on researching cancer care in custodial settings. Research Involvement & Engagement 7, 48. https://doi.org/10.1186/s40900-021-00284-z

Archer, S., Holch, P., Armes, J., Calman, L., Foster, C., Gelcich, S., MacLennan, S. & Absolom, K. (2020) ‘No turning back’ Psycho-oncology in the time of COVID-19: Insights from a survey of UK professionals. Psycho-Oncology https://doi.org/10.1002/pon.5465

Cheevers, K., Armes, J., Harris, J. & Rafferty, A.M. (2020). Adaptation and preliminary testing of the registered nursing forecasting (RN4CAST) nurse survey for use in the ambulatory chemotherapy setting. European Journal of Oncology Nursing, 47:101794

Cheng, K.K-F., Siah, R.C-J., Ream, E., Kanesvaran, R., & Armes J. (2020). Protocol for a scoping review of digital health for older adults with cancer and their families. BMJ Open 10:e038876.doi: http://dx.doi.org/10.1136/bmjopen-2020-038876

Cockle-Hearne, J., Reed, E., Todd, J., Ream, E. (2020). The dying parent and dependent children: a nationwide survey of hospice and community palliative care support services. BMJ Supportive & Palliative Care. 2020;bmjspcare-2019-001947. doi:10.1136/bmjspcare-2019-001947

Green, R. (2020). The Forms and Uses of Acquired Prostate Cancer Expertise Among Prostate Cancer Survivors. Sociological Research Online. doi:10.1177/1360780420905840

Hannaford, P.C., Thornton, A.J, Murchie, P., Whitaker, K.L., Adam, R., et al. (2020) Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study. PLOS ONE 15(1): e0228033. https://doi.org/10.1371/journal.pone.0228033

Jones,D., Neal R.D., Duffy, S.R.G., Scott, S. E., Whitaker, K.L, Brain,K. (2020) Impact of the COVID-19 pandemic on the symptomatic diagnosis of cancer: the view from primary care. Lancet Oncology, doi: 10.1016/S1470-2045(20)30242-4

Koo, M.M., Lyratzopoulos, G., Herbert, A., Abel, G.A., Taylor, R.M. Barber, J.A., Gibson, F., Whelan, J., Fern, L.A. (2020) Association of self-reported presenting symptoms and timeliness of help-seeking among adolescents and young adults with cancer. JAMA Network Open. 2020;3(9):e2015437. doi:10.1001/jamanetworkopen.2020.15437

Lemanska, A., Byford, R.C., Cruickshank,C., Dearnaley, D.P., Ferreira, F., Griffin, C., Hall, E., Hinton, W., de Lusignan, S., Sherlock, J., Faithfull, S. (2020) Linkage of the CHHiP randomised controlled trial with primary care data. A study investigating ways of supplementing cancer trials and improving evidence-based practice. BMC Medical Research Methodology, doi: 10.1186/s12874-020-01078-9

McHale, C.T., Cruickshank, S., Torrens, C., Armes, J., Fenlon, D., Banks, E., Kelsey, T. and Humphris, G.M., (2020). A controlled pilot trial of a nurse-led intervention (Mini-AFTERc) to manage fear of cancer recurrence in patients affected by breast cancer. Pilot and Feasibility Studies, 6,1, 60. https://doi.org/10.1186/s40814-020-00610-4

Pearce, S., Gibson, F., Whelan, J., Kelly, D. (2020) Untellable tales and uncertain futures: the unfolding narratives of young adults with cancer. International Journal of Social Research Methodology, 23 (4), 377-390

Ream, E., Hughes, A.E., Cox, A., Skarparis, K., Richardson, A., Pedersen, V.H, Wiseman, T., Forbes, A., Bryant, A (2020. Telephone interventions for symptom management in adults with cancer. Cochrane Database of Systematic Reviews, Issue 6. doi: 10.1002/14651858.CD007568.pub2.

Taylor, R.M., Lobel, B., Thompson, K., Onashile, A., Croasdale, M., Hall, N., Gibson, F., Martins, A., Wright, D., Morgan, S., Whelan, J.S., Fern, L.A. (2020) BRIGHTLIGHT researchers as ‘dramaturgs: creating There is a Light from complex research data. Research Involvement and Engagement. 6: 48. 10. doi: 10.1186/s40900-020-00222-5

Aldiss, S., Fern, L.A., Phillips, B., Callaghan, A., Dyker, K., Gravestock, H., Groszmann, M., Hamrang, L., Hough, R., McGeachy, D., Morgan, S., Smith, S., Upadhyaya, S., Veitch, H., Veitch, L., Williamson, M., Whelan, J., Gibson, F. (2019) Research priorities for young people with cancer: a UK priority setting partnership with the James Lind Alliance. BMJ Open, 9(8):e028119.

Aldiss, S., Rose, L., McCutcheon, D., Cass, H., Ellis, J., Gibson, F. (2019) Gathering expert opinion to inform benchmarks to support transitional care. Journal of Child Health Care, 23(1):131-146.

Amelung, D., Whitaker, K.L, (joint first author), Lennard, D., Ogden, M., Sheringham, J., Zhou, Y., Walter, F.M., Singh, H., Vincent, C., Black G. (2019) The influence of doctor-patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: A video observation study. BMJ Quality Safety, doi.org/10.1136/bmjqs-2019-009485.

Bryan, G., Bluebond-Langner, M., Kelly, D., Kumpunen, S., Oulton, K., Gibson, F. (2019) Studying children’s experiences in interactions with clinicians: identifying methods fit for purpose. Qualitative Health Research, 29 (3): 393-403

Franklin, P., Arber, A., Reed, L. Ream, E. (2019) Health and social care professionals’ experiences of supporting parents and their dependent children during, and following, the death of a parent: A qualitative review and thematic synthesis, Palliative Medicine, 33(1), pp.49-65.

Kyte, D., Retzer, A., Ahmed, K., Keeley, T., Armes, J., Brown, J.M., Calman, L., Gavin, A., Glaser, A.W., Greenfield, D.M., Lanceley, A., Taylor, R.M., Velikova, G,. Michael D. Brundage., Efficace, F., Mercieca-Bebber, R., King, M.T., Turner, G., Calvert, M. (2019) Systematic evaluation of Patient-Reported Outcome protocol content and reporting in cancer trials, JNCI: Journal of the National Cancer Institute, jz038, doi.org/10.1093/jnci/djz038

Lea, S., Gibson, F., Taylor, R.M. (2019) The culture of young people's cancer care: A narrative review and synthesis of the UK literature. European Journal of Cancer Care 28 (3):e13099 doi.org/10.1111/ecc.13099

Lemanska, A., Poole, K., Griffin, B., Manders, R., Saxton, J.M., Turner, L., Wainwright, J., Faithfull, S. (2019) Community pharmacy lifestyle intervention to increase physical activity and improve cardiovascular health of men with prostate cancer: a phase II feasibility study, BMJ Open 9 (6) e025114 DOI: 10.1136/bmjopen-2018-025114

Marcu, A., Muller, C., Ream, E., Whitaker, K.L. (2019). Online information-seeking about potential breast cancer symptoms: Capturing online behaviour with an internet browsing tracking tool. Journal of Medical Internet Research, 21, e12400, doi.org/10.2196/12400.

Martin Payo, R., Harris, J., Armes, J. (2019) Prescribing fitness apps for people with cancer: a preliminary assessment of content and quality of commercially available apps, Journal of Cancer Survivorship, doi.org/10.1007/s11764-019-00760-2

Pearce. S., Whelan, J., Kelly, D., Gibson, F. (2019) Renegotiation of identity in young adults with cancer: a longitudinal narrative study. International Journal of Nursing Studies 102, 103465

Poole K., Ogden J., Gasson S., Lemanska A., Archer F., Griffin B., Saxton J., Lyons K. and Faithfull S. (2019) Creating a teachable moment in community pharmacy for men with prostate cancer: A qualitative study of lifestyle changes. Psycho-Oncology, doi.org/10.1002/pon.4983

Skrobanski, H., Ream, E., Poole, K., Whitaker, K.L. (2019) Understanding primary care nurses’ contribution to cancer early diagnosis: A systematic review. European Journal of Oncology Nursing, 41, 149-164, doi.org/10.1016/j.ejon.2019.06.007