Implementing a system-wide cancer prehabilitation programme: The journey of Greater Manchester's ‘Prehab4cancer’

Patients undergoing major cancer interventions such as surgical resection, chemotherapy, radiotherapy, and immunotherapy are prone to the adverse effects of their cancer, well side treatments designed cure them. The Prehabilitation process supports patients in preparing for physiological challenges treatments, whilst aiming shorten recovery time, reduce peri-operative complications improve compliance with non-surgical treatments. will be most useful older patients. Greater Manchester Integrated Care system is first regional UK introduce delivery system-wide, large scale physical activity supported multi-modal prehabilitation programme, Prehab4Cancer a standard care It builds upon successful implementation Enhanced Recovery After Surgery + programme Manchester. During this review we describe journey develop wide model cancer. date has focused on robust co-design, development, an effective service attention paid stakeholder engagement. This led receipt high numbers referrals from across all groups involved. P4C pathway GM presents best practice that might adopted by other local combined authority areas nationally.