Ambulatory approach to cancer care. Part 2: the role of nurses and the multidisciplinary team and safety.

Ambulatory care (AC) involves providing inpatient chemotherapy and supportive care as an outpatient service. Nurses and the multidisciplinary team (MDT) have a major role in this. AC at a major London teaching hospital trust is a nurse-led service, headed by specialist cancer nurses with excellent knowledge of the needs and priorities of patients undergoing intensive treatment. An experienced MDT, including administrative support, maintains safety and continuity of care. The nurses, MDT and patient work closely to promote the patient's wellbeing, self-management and trust. A scenario is analysed in this article to illustrate potential concerns around a patient's safety and suitability for AC. This is the second article of a three-part series; the previous article discussed AC at a major London teaching hospital and improving the patient experience.