--- title: Secondary breast cancer nursing toolkit url: https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit updated: 2025-11-27T01:16:31Z --- [Back to Healthcare professionals hub](https://breastcancernow.org/healthcare-professionals-hub) 1. [Home](https://breastcancernow.org/) 2. [Healthcare professionals hub](https://breastcancernow.org/healthcare-professionals-hub) # Secondary breast cancer nursing toolkit The updated toolkit includes many useful resources, and case studies on nurses in current practice. ![Kerry, a nurse with dark brown hair in blue scrubs, posing for portraits at the hospital, in conversation with a patient.](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/pink-hero-large/assets/16916) ## Welcome to your secondary breast cancer toolkit This has been developed in response to the members of our [Secondary Breast Cancer Nursing Group](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/secondary-breast-cancer-nursing-group "Secondary Breast Cancer Nursing Group"), who often contact us for guidance and support around developing and improving the nursing service they offer to their patients. Many nurses tell us that they have gained much from sharing good practice ideas and models with others specifically working with this patient group. Practical tools can also help individuals and teams when setting up and developing services and are useful to share. The updated toolkit contains different sections covering a range of issues - from the case for change, developing your personal knowledge, skills and ideas to [make the change](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/making-the-change "Making the change"), to improving the care of those with secondary breast cancer. As well as a number of resources, it also includes [case studies](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/secondary-breast-care-case-studies "Secondary breast care case studies") from nurses in current practice, so you can see what others have achieved. ![Kerry and Sarah, nurse and patient in conversation.](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/16923) ### The case for change Find out why we're campaigning to improve care for people with secondary (metastatic) breast cancer. [The case for change](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/the-case-for-change) ## Developing your service - ![Jo McGrath, a clinical nurse specialist, posing for photos outside Norfolk and Norwich hospital.](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/18597) ### [What excellent care looks like](https://breastcancernow.org/healthcare-professionals-hub/what-excellent-care-looks-like) Find out what the standards of care are for people living with secondary breast cancer, and how you can articulate them. - ![Yin, a woman with brown hair in a blue blouse, in conversation with a nurse in blue scrubs in a hospital consultation room.](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/16928) ### [Making the change](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/making-the-change) Understand how to demonstrate a need for change, and how to put it into practice. - ![Seth, a man with no hair and blue eyes in a lab coat, posing for portraits.](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/10120) ### [Developing and maintaining core competencies](https://breastcancernow.org/healthcare-professionals-hub/developing-and-maintaining-core-competencies) Find out about opportunities to develop your skills and knowledge. ## Guidelines ### International consensus guidelines for advanced breast cancer (ABC 1) [Download PDF (176 KB) for International consensus guidelines for advanced breast cancer (ABC 1)](https://breastcancernow.org/media-assets/ncfcck0c/abc1_guidelines.pdf) ### 2nd international consensus guidelines for advanced breast cancer (ABC 2) [Download PDF (270 KB) for 2nd international consensus guidelines for advanced breast cancer (ABC 2)](https://breastcancernow.org/media-assets/5mnhrzud/abc2thebreast_2014.pdf) ### NICE clinical guidelines for advanced breast cancer 2014 [Download PDF (1.8 MB) for NICE clinical guidelines for advanced breast cancer 2014](https://breastcancernow.org/media-assets/0l1dqeun/nice_addendum_clinical_guideline_81_advanced_breast_cancer_2014.pdf) ### NICE guidelines for advanced breast cancer: diagnosis and treatment [Download PDF (119 KB) for NICE guidelines for advanced breast cancer: diagnosis and treatment](https://breastcancernow.org/media-assets/laknihqj/nice_guidance_advanced-breast-cancer-diagnosis-and-treatment_0.pdf) ### UK Chemotherapy Board guidance on medication-related osteonecrosis of the jaw [Download PDF (2.2 MB) for UK Chemotherapy Board guidance on medication-related osteonecrosis of the jaw](https://breastcancernow.org/media-assets/tkim21ce/ukcb_medication-related_osteonecrosis_of_the_jaw_mronj_guidance_dec_2019_0_5.pdf) ### NICE Metastatic spinal cord compression overview [Download PDF (268 KB) for NICE Metastatic spinal cord compression overview](https://breastcancernow.org/media-assets/lbfjmoov/metastatic-spinal-cord-compression-metastatic-spinal-cord-compression-overview.pdf) ### Acute Oncology Initial Management Guidelines [Acute Oncology Initial Management Guidelines to Acute Oncology Initial Management Guidelines](https://ukons.hosting.sundownsolutions.co.uk/) ### ESMO Interactive Guidelines for Advanced Breast Cancer [ESMO Interactive Guidelines for Advanced Breast Cancer to ESMO Interactive Guidelines for Advanced Breast Cancer](https://interactiveguidelines.esmo.org/esmo-web-app/home/gl_home.php?GL=81) ### ESMO Clinical Practice Guidelines [Download PDF (772 KB) for ESMO Clinical Practice Guidelines](https://breastcancernow.org/media-assets/npfpbjjj/esmo_guidance_2021.pdf) ### 3rd ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 3) [Download PDF (199 KB) for 3rd ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 3)](https://breastcancernow.org/media-assets/tfnk3ljy/abc3_guidelines_2016.pdf) ### 4th ESO–ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 4) [Download PDF (293 KB) for 4th ESO–ESMO International Consensus Guidelines for Advanced Breast Cancer (ABC 4)](https://breastcancernow.org/media-assets/rppmqkil/abc4_guidelines_2018.pdf) ### NICE clinical guidelines for advanced breast cancer 2017 [Download PDF (4.8 MB) for NICE clinical guidelines for advanced breast cancer 2017](https://breastcancernow.org/media-assets/hz0g4ud5/nice_addendum_to_clinical_guideline_81_advanced_breast_cancer_2017.pdf) ### NICE clinical guidelines for managing advanced breast cancer 2019 [Download PDF (262 KB) for NICE clinical guidelines for managing advanced breast cancer 2019](https://breastcancernow.org/media-assets/jpcbsnww/advanced-breast-cancer-managing-advanced-breast-cancer.pdf) ### 5th International consensus guidelines for advanced breast cancer (ABC 5) [Download PDF (384 KB) for 5th International consensus guidelines for advanced breast cancer (ABC 5)](https://breastcancernow.org/media-assets/x23lqzwo/abc_5_guidelines_0.pdf) ## Secondary, Not Second Rate reports ### Current best practice [Download PDF (1014 KB) for Current best practice](https://breastcancernow.org/media-assets/flckckrk/current_best_practice.pdf) ### Part 1: Diagnosis [Download PDF (1.6 MB) for Part 1: Diagnosis](https://breastcancernow.org/media-assets/jxnpk01m/diagnosis.pdf) ### Part 2: Who's counting? [Download PDF (2.2 MB) for Part 2: Who's counting?](https://breastcancernow.org/media-assets/yzqirzpo/whos_counting.pdf) ### Manifesto for change [Download PDF (1.1 MB) for Manifesto for change](https://breastcancernow.org/media-assets/wz3pbf2t/secondary_not_second_rate_policy_manifesto_oct_2017.pdf) ### Part 3: Support and impact [Download PDF (564 KB) for Part 3: Support and impact](https://breastcancernow.org/media-assets/kvybh1z0/support_and_impact.pdf) ### Part 4: Nursing care [Download PDF (10.8 MB) for Part 4: Nursing care](https://breastcancernow.org/media-assets/s40fcqzt/nursing_care.pdf) ### The Case for Change summary report [Download PDF (574 KB) for The Case for Change summary report](https://breastcancernow.org/media-assets/1nijdr4q/the_case_for_change_summary_report.pdf) ## Our resources ### Holistic needs assessment checklist [Download PDF (603 KB) for Holistic needs assessment checklist](https://breastcancernow.org/media-assets/pj4dmrvy/bcc_holistic_needs_assessment_checklist.pdf) ### Standards of care for secondary breast cancer [Download PDF (567 KB) for Standards of care for secondary breast cancer](https://breastcancernow.org/media-assets/5kkf4itq/cool062_standards_of_care_a4_poster_bcn_update_v3_0.pdf) ### Current policies [Download PDF (193 KB) for Current policies](https://breastcancernow.org/media-assets/4phmhv1c/sbc_nursing_toolkit_policy_table_review_feb_2020.pdf) ### Menopausal symptoms checklist [Download PDF (55 KB) for Menopausal symptoms checklist](https://breastcancernow.org/media-assets/5k1dy2dv/menopausal_symptoms_checklist.pdf) ### Cancer alliance service pledge [Download PDF (572 KB) for Cancer alliance service pledge](https://breastcancernow.org/media-assets/ft3hhqsu/bcn_cancer_alliance_service_pledge.pdf) ### Signs and symptoms of possible disease progression [Download PDF (200 KB) for Signs and symptoms of possible disease progression](https://breastcancernow.org/media-assets/safjywrt/secondary_breast_cancer_progression_signs_and_symptoms_editable_2022.pdf) ### Ongoing patient involvement [Download PDF (279 KB) for Ongoing patient involvement](https://breastcancernow.org/media-assets/gftku4fl/ongoing_patient_involvement_2.pdf) ### Setting up patient focus groups [Download PDF (485 KB) for Setting up patient focus groups](https://breastcancernow.org/media-assets/dkniw0qz/setting_up_patient_focus_groups_3.pdf) ### Patient survey template [Download PDF (159 KB) for Patient survey template](https://breastcancernow.org/media-assets/mdsbioqp/patient_survey_editable_template.pdf) ### Facebook Live - Pain control [Facebook Live - Pain control to Facebook Live - Pain control](https://www.facebook.com/breastcancernow/videos/1850150481720175/) ### Facebook Live - Palliative care [Facebook Live - Palliative care to Facebook Live - Palliative care](https://www.facebook.com/breastcancernow/videos/488252328345331/) ### Facebook Live - Hair care during and after treatment [Facebook Live - Hair care during and after treatment to Facebook Live - Hair care during and after treatment](https://www.facebook.com/breastcancernow/videos/553697925461230/) ### Facebook Live - Importance of information [Facebook Live - Importance of information to Facebook Live - Importance of information](https://www.facebook.com/breastcancernow/videos/10156208299135306/) ### External resources 1. [BJN HER2-targeted therapies in breast cancer](https://breastcancernow.org/media-assets/2gade1i1/her2_therapies_in_breast_cancer_bjn_supplement_2017.pdf "BJN HER2 targeted therapies") 2. [The Christie Service Vision - creating a structured support pathway for SBC patients](https://breastcancernow.org/media-assets/4eniypjg/christie_service_vision_creating_a_structured_support_pathway_for_sbc_patients.pdf "The Christie Service Vision") 3. [Hospital Anxiety and Depression Scale](https://breastcancernow.org/media-assets/nsqf0puo/hospital_anxiety_and_depression_scale.pdf "Hospital Anxiety and Depression Scale") 4. [Cancer Coping Questionnaire](https://breastcancernow.org/media-assets/gxbnfd50/cancer_coping_questionnaire.pdf "Cancer Coping Questionnaire") 5. [RCN Framework: A Competency Framework for Nurses Providing Care to People with Breast Cancer](https://breastcancernow.org/media-assets/54epwkb1/rcn_framework.pdf "RCN Framework") 6. [Framework for Band 7 CNS Development](https://breastcancernow.org/media-assets/520nby2w/framework_for_band_7_cns_development.pdf "Framework for Band 7 CNS Development") 7. [LCA metastatic breast cancer service specification](https://breastcancernow.org/media-assets/bgikogse/lca_metastatic_breast_service_specification_feb_2016.pdf "LCA metastatic breast cancer service specification") 8. [Global Status of Advanced/Metastatic Breast Cancer 2005 - 2015 Decade Report: full report](https://breastcancernow.org/media-assets/254mzawc/global_status_of_metastatic_breast_cancer_2005_to_2015_decade_report_full_report.pdf "Global Status of Advanced Metastatic Breast Cancer 2005-2015 full report") 9. [Global Status of Advanced/Metastatic Breast Cancer 2005 - 2015 Decade Report: summary](https://breastcancernow.org/media-assets/amhnsawf/global_status_of_metastatic_breast_cancer_2005_to_2015_decade_report_summary.pdf "Global status of advanced breast cancer 2005-2015 summary") 10. [RM Partners: Tips for Managing Symptoms of Chemotherapy-induced Peripheral Neuropathy](https://breastcancernow.org/sites/default/files/rm-partners-cipn-tips-for-managing-symptoms-june-2019_0.pdf) ### Nursing resources 1. [Account of practice-related visit template](https://breastcancernow.org/media-assets/dgsp1sbw/account_of_practice_related_visit_template.pdf "Account of practice-related visit template") 2. [Editable CNS data collection spreadsheet template](https://breastcancernow.org/media-assets/nhuifwao/editable_cns_data_collection_spreadsheet_template.xlsx "Editable CNS data collection spreadsheet template") 3. [Serious Diagnosis Information Communication template](https://breastcancernow.org/media-assets/1lzf3qge/serious_diagnosis_information_communication_editable_template.docx "Serious diagnosis information communication - editable template") 4. [Editable Exam letter](https://breastcancernow.org/media-assets/yvbhfxw5/editable_exam_letter.docx "Editable exam letter") 5. [Support Stratification Guide](https://breastcancernow.org/media-assets/2akdc1kh/support_stratification_guide_with_acknowledgment.pdf "Support Stratification Guide") 6. [Business case tips](https://breastcancernow.org/media-assets/xxubplfj/bcn_new_0429_nurses_business_case_v2.pdf "Business case tips") 7. [Introduction to service editable template](https://breastcancernow.org/media-assets/l1hpi3cf/introduction_to_service_editable_template_3.docx "Introduction to service editable template") 8. [Introduction to service - nursing support](https://breastcancernow.org/media-assets/uyoccxvh/introduction_to_service_nursing_support_editable_insert_2.pdf "Introduction to service - nursing support") 9. [Editable treatment and progression summary](https://breastcancernow.org/media-assets/tz3fzmf2/treatment_and_progression_summary.docx "Editable treatment and progression summary") ### Patient support resources 1. [Support for secondary breast cancer](https://breastcancernow.org/information-support/secondary-metastatic-breast-cancer) 2. [Living with Secondary Breast Cancer locations](https://breastcancernow.org/media-assets/3grhxs4d/lwsbc_locations_updated_june_2022.pdf "Living with Secondary Breast Cancer locations") 3. [Support for you](https://breastcancernow.org/media-assets/4xibp3mc/support_for_you_sbc_leaflet.pdf "Support for you pdf") 4. [Other secondary breast cancer groups](https://breastcancernow.org/media-assets/rn0kfa3z/other_sbc_support.pdf "Other secondary breast cancer groups") 5. [Make 2nds Count 2nds Support Hub](https://www.make2ndscount.co.uk/support/2ndssupporthub/) 6. [Publications about secondary breast cancer](https://breastcancernow.org/information-support/publications/download-order?field_category_tid%5B%5D=160) ### Talking to children 1. [Support for telling children - Fruitfly Collective](https://fruitflycollective.com/) 2. [Preparing for loss - book list from Jigsaw South East](https://breastcancernow.org/media-assets/ycrd0ohy/preparing_for_loss_book_list_from_jigsaw_south-east-1.docx "Preparing for loss - book list from Jigsaw South East") 3. [Facebook live - Talking with children about secondary breast cancer](https://www.facebook.com/breastcancernow/videos/1017955885067935/?epa=SEARCH_BOX) 4. [Family-Centred Cancer Care: Conversations](https://training.cancerfocusni.org/) 5. [PIP's Kit for supporting children (5-10 years old) who have a parent with incurable cancer](https://www.fruitflycollective.com/pips-kit) 6. [The Little C Club Flash Cards](https://www.littlecclub.com/) 7. [‘Making Impossible Conversations Possible’ Talking to children about serious illness and death. Univ of Oxford Facebook Live](https://www.facebook.com/the.university.of.oxford/videos/257447469269719) 8. [Useful animations to share with children](https://breastcancernow.org/media-assets/ou0l1grq/useful_animations_for_children.pdf "Useful animations to share with children") 9. [The Ruth Strauss Foundation - supporting families facing the loss of a parent](https://ruthstraussfoundation.com/) 10. [Marie Curie - 10 tips to help parents and carers with a life-limiting illness have conversations with their children](https://breastcancernow.org/media-assets/dyeb213a/marie_curie_talking_to_children.pdf "Marie Curie - talking to children") 11. [Support for telling children - Talking, Telling, and Sharing framework](https://breastcancernow.org/media-assets/gdenwc1a/the_talking_telling_and_sharing_framework.pdf "Support for telling children - talking, telling, and sharing framework") 12. [How do I talk to my child? - guidance from Jigsaw South East](https://breastcancernow.org/media-assets/ck3ckleo/how_do_i_talk_to_my_child_jigsaw_south_east.pdf "How do I talk to my child? - guidance from Jigsaw South East") 13. [Resources for families](https://breastcancernow.org/media-assets/onok2qrj/secondary_breast_cancer_resources_for_families_final.pdf "Secondary breast cancer resources for families") ### Useful links 1. [ABC Global Alliance](https://www.abcglobalalliance.org/) 2. [ABC Consensus Conference](http://www.abc-lisbon.org/) 3. [YCBN Facebook Page for women under 45](https://www.facebook.com/YBCNs-Breast-Cancer-Realities-296547927483135/) 4. [Global Trials](https://clinicaltrials.gov/) 5. [Building Resilience in Breast Cancer Centre (BRiC)](https://briccentre.co.uk/research/) 6. [Working with Cancer](https://workingwithcancer.co.uk/) 7. [mytomorrows helping people access possible treatment options](https://mytomorrows.com/) 8. [Be Part of Research - National Institute for Health Research](https://bepartofresearch.nihr.ac.uk/) 9. [Find a Clinical Trial - Cancer Research UK](https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial) 10. [NICE website](https://www.nice.org.uk/) 11. [Apollo Specialist Nursing Resource](https://www.apollonursingresource.com/) ### MDT outcome forms - [Editable MDT Outcome template](https://breastcancernow.org/media-assets/1g5l0tmv/editable_mdt_outcome_template.docx "Editable MDT Outcome template") - [Editable Initial MDT Outcome template](https://breastcancernow.org/media-assets/1wddyec5/editable_initial_mdt_outcome_proforma_template.docx "Editable Initial MDT Outcome template") ### Difficult conversations 1. [Dying to talk - discussion starter](https://breastcancernow.org/media-assets/uripndyo/dying_to_talk_-_discussion_starter.pdf "Dying to talk - discussion starter") 2. [How to begin honest conversations about what lies ahead](https://breastcancernow.org/media-assets/ogfdayo2/royal_college_of_physicians_-_how_to_begin_honest_conversations.pdf "How to begin honest conversations about what lies ahead") 3. [Serious illness conversation guide](https://breastcancernow.org/media-assets/0annxwqi/serious_illness_conversation-guide.pdf "Serious illness conversation guide") 4. [ReSPECT](https://www.resus.org.uk/respect/respect-healthcare-professionals) 5. [RED-MAP Guide for hospital professionals](https://breastcancernow.org/media-assets/gixi5vwh/red-map-guide-for-hospital-professionals-feb-2021.pdf "RED-MAP Guide for hospital professionals") 6. [Shared decision-making using DECIDE](https://breastcancernow.org/media-assets/mmbowpu1/decide-poster-dec-2020.pdf "Shared decision-making using DECIDE") 7. [Macmillan - Courageous Conversations - Useful words and phrases](https://breastcancernow.org/media-assets/vdjhqdsg/primary_care_training_workshop_-_useful_words_and_phrases.pdf "Macmillan - Courageous conversations") ### HNA prompt sheets 1. [Insomnia/difficulty sleeping](https://breastcancernow.org/media-assets/cw0je1jz/rmp-hna-insomnia-prompt-sheet-may-2018.pdf "Insomnia/difficulty sleeping") 2. [Physical activity](https://breastcancernow.org/media-assets/dxdmuyuu/rmp-hna-physical-activity-prompt-sheet-may-2018.pdf "Physical activity") 3. [Worry and fear](https://breastcancernow.org/media-assets/uzskqm22/rmp-hna-worry-and-fear-prompt-sheet-may-2018-1.pdf "Worry and fear") 4. [Distress thermometer](https://breastcancernow.org/media-assets/1npn0ltm/rmp-hna-distress-thermometer-prompt-sheet-may-2018.pdf "Distress thermometer") 5. [Diarrhoea](https://breastcancernow.org/media-assets/2m3df5ia/rmp-hna-diarrhoea-prompt-sheet-may-2018_-_copy.pdf "Diarrhoea") 6. [Constipation](https://breastcancernow.org/media-assets/sqtbcwwg/rmp-hna-constipation-prompt-sheet-may-2018.pdf "Constipation") 7. [Sexual consequences for women](https://breastcancernow.org/media-assets/1mxhxfz0/rmp-hna-sex-consequences-women-prompt-sheet-may-2018.pdf "Sexual consequences for women") 8. [Breathlessness](https://breastcancernow.org/media-assets/5oabztkf/rmp-hna-breathlessness-prompt-sheet-may-2018.pdf "Breathlessness") 9. [Fatigue](https://breastcancernow.org/media-assets/jccfgzew/rmp-hna-fatigue-prompt-sheet-may-2018.pdf "Fatigue") 10. [Memory and concentration](https://breastcancernow.org/media-assets/mm3j5zim/rmp-hna-memory-problems-prompt-sheet-may-2018.pdf "Memory and concentration") 11. [Pain and pain control](https://breastcancernow.org/media-assets/odzm00yb/rmp-hna-pain-prompt-sheet-may-2018.pdf "Pain and pain control") 12. [Preventing weight gain](https://breastcancernow.org/media-assets/urgcfdlm/rmp-hna-weight-gain-prompt-sheet-may-2018.pdf "Preventing weight gain") 13. [Sexual consequences for men](https://breastcancernow.org/media-assets/tezdszgi/rmp-hna-male-sexual-consequences-may-2018.pdf "Sexual consequences for men") ### Intimacy and relationships 1. [Intimacy and sexuality for cancer patients and their partners](https://breastcancernow.org/media-assets/u0oh5ohd/intimacy_and_sexuality_for_cancer_patients_and_their_partners.pdf "Intimacy and sexuality for cancer patients and their partners") 2. [My Viv (sexual-wellbeing brand)](https://www.annsummers.com/page/myviv.html?gclid=CjwKCAiAlO7uBRANEiwA_vXQ--Gykq8NukiX7w2sJVLtEhUhptFjNuynjFo-q_UkjNA36cKZ8k_4mxoCaJEQAvD_BwE&gclsrc=aw.ds) 3. [Facebook Live - Sex and Intimacy](https://youtu.be/x6mt-Cay1qY) 4. [Maximising Sexual Wellbeing - Signposting sheet - Breast Cancer](https://breastcancernow.org/media-assets/ibbnmthu/eassi_signposting_sheet.pdf "Maximising Sexual Wellbeing - signposting sheet") 5. [EASSi Framework to guide discussions (Engagement, Assessment, Support & Signposting)](https://breastcancernow.org/media-assets/ilkhplcs/eassi_guide_0.pdf "EASSi Framework to guide discussions") 6. [Breast Cancer Now - Your body, intimacy and sex](https://breastcancernow.org/media-assets/xrkfdddx/bcc110_your_body_intimacy_and_sex_web.pdf "Breast Cancer Now - Your body, intimacy and sex") 7. [Macmillan Cancer Support - Cancer and your sex life](https://breastcancernow.org/media-assets/0xxi25tl/macmillan_cancer_support_-_cancer_and_your_sex_life.pdf "Macmillan Cancer Support - Cancer and your sex life (1)") 8. [Further resources](https://breastcancernow.org/media-assets/i4ontbfd/sex_intimacy_and_breast_cancer_webinar_resources_sheet_final.pdf "Further resources - sex, intimacy and breast cancer") 9. [Pleasure & Intimacy: A guide for people living with cancer by the Fruitfly Collective](https://issuu.com/fruitflycollective/docs/sex_cancer_book) ### Until Things Change - The Unsurvivors Campaign - [Until Things Change (The Unsurvivors campaign) report](https://breastcancernow.org/media-assets/n2llrzqe/bcn_untilthingschange_final_300920_002.pdf "Until Things Change - The Unsurvivors Campaign") ### Fatigue 1. [Facebook Live - Fatigue and secondary breast cancer](https://www.facebook.com/breastcancernow/videos/vl.370362983432088/485231612061078/?type=1) 2. [RESTORE](https://macmillanrestore.org.uk/) 3. [FACIT Fatigue Scale](https://breastcancernow.org/media-assets/0spfk3p5/facit-fatiguescale_eng_final_ver4.doc "FACIT Fatigue Scale") 4. [Piper Fatigue Scale (PFS)](https://breastcancernow.org/media-assets/uctlmdao/piperfatiguescale.pdf "Piper Fatigue Scale (PFS)") ### Partners - [Cancer Caring Coping](https://www.qub.ac.uk/sites/CancerCaringCoping/) ### Health & Wellbeing 1. [Physical Activity Resources for Secondary Breast Cancer](https://breastcancernow.org/media-assets/1tih2ofm/physical_activity_resources_for_sbc_updated_2022.pdf "Physical activity resources for secondary breast cancer") 2. [Fighting Fit For Cancer - Return to Movement Programme Information](https://breastcancernow.org/media-assets/fync3j4n/return_to_movement_program_info_sheet_bc_programme.pdf "Fighting Fit For Cancer - Return to Movement Programme information") 3. [Managing Taste Changes - Buckinghamshire NHS Trust](https://breastcancernow.org/media-assets/ofwn0wqd/managing_taste_changes_06-01-21_final.pdf "Managing Taste Changes - Buckinghamshire NHS Trust") 4. [Diet Resources for Secondary Breast Cancer](https://breastcancernow.org/media-assets/ml2lfzlu/diet_updated_june_2022.pdf "Diet resources for secondary breast cancer") ![Kerry, a nurse with dark brown hair and glasses, in blue scrubs, posing for portraits at the hospital.](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/16898) ### Case studies Real examples of how hospitals across the UK have improved their services. [Secondary breast care case studies](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/secondary-breast-care-case-studies) ![_BCN0363_HCP_CHELTENHAM_THIRLESTANE_2022.jpg](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/14314) > > > The toolkit has everything you need in one place to ensure you're going in the right direction. It's really useful when teaching others too. > > Sue, Clinical Nurse Specialist, Scarborough ![_BCN0541_HCP_CHELTENHAM_THIRLESTANE_2022.jpg](https://d24otazn342w10.cloudfront.net/externalApps/06f289b5-a938-410c-a4c1-ec23427f38f5/conversion/card/assets/14347) ### Join the Secondary Breast Cancer Nursing Group Our Secondary Breast Cancer Nursing Group has been set up in response to requests from nurses working with patients affected by metastatic breast cancer. [Secondary Breast Cancer Nursing Group](https://breastcancernow.org/healthcare-professionals-hub/secondary-breast-cancer-nursing-toolkit/secondary-breast-cancer-nursing-group) ## We'd love your feedback We envision this toolkit to constantly evolve. Please tell us what you think. And let us know your ideas for resources or content that would be useful to add to it. Do tell us if you adapt or change your service so we can share your experience with others. By working together, we can ensure everyone affected by secondary breast cancer receives the highest standards of specialist nursing care. [Get in touch](mailto:hcpengagement@breastcancernow.org)