Holistic Needs Assessment

A Holistic Needs Assessment (HNA) can be offered at any time but you may be contacted after an initial diagnosis and/or after an acute period of treatment has been completed, for example, surgery, chemotherapy, radiotherapy.  It is a time to talk with a Macmillan Cancer Support Worker (CSW) to discuss any non-medical concerns you may have.

You can also contact your Cancer Support Worker direct at any time by telephone (list on our Cancer Support Workers page). Or email: livingwithandbeyond@somersetft.nhs.uk

A Holistic Needs Assessment is a structured approach using a checklist to help identify any questions or concerns you may wish to raise.  The checklist is here Holistic Needs Assessment

The focus is the person as a whole and not just their illness. Individuals decide how much information they would like to share about their current situation and with the support of their Macmillan CSW a care plan is agreed.

The following concerns are examples of what might be discussed in an HNA:

  • practical – finances and benefits, work, travel, household tasks, communication, equipment to help you
  • family or relationships – changes in your relationships, speaking with children, information for carers and those cared for
  • emotional – worry, anger, guilt, loneliness, loss of independence
  • spiritual or religious – faith,  meaning or purpose of life
  • physical – coping with symptoms and side effects, appearance, eating, fatigue, pain, problems sleeping
  • other concerns for example, advice on healthy lifestyle changes, such as stopping smoking, diet and cutting down on alcohol
  • local support groups and online forums available