Together we are beating cancer
About cancer
Cancer types
- Breast cancer
- Bowel cancer
Lung cancer
- Prostate cancer
Cancers in general
- Clinical trials
Causes of cancer
Coping with cancer
- Managing symptoms and side effects
- Mental health and cancer
- Money and travel
- Death and dying
- Cancer Chat forum
Health Professionals
- Cancer Statistics
- Cancer Screening
- Learning and Support
- NICE suspected cancer referral guidelines
Get involved
- Make a donation
By cancer type
- Leave a legacy gift
- Donate in Memory
Find an event
- Race for Life
- Charity runs
- Charity walks
- Search events
- Relay For Life
- Volunteer in our shops
- Help at an event
- Help us raise money
- Campaign for us
Do your own fundraising
- Fundraising ideas
- Get a fundraising pack
- Return fundraising money
- Fundraise by cancer type
- Set up a Cancer Research UK Giving Page
- Find a shop or superstore
- Become a partner
- Cancer Research UK for Children & Young People
- Our We Are campaign
Our research
- Brain tumours
- Skin cancer
- All cancer types
By cancer topic
- New treatments
- Cancer biology
- Cancer drugs
- All cancer subjects
- All locations
By Researcher
- Professor Duncan Baird
- Professor Fran Balkwill
- Professor Andrew Biankin
- See all researchers
- Our achievements timeline
- Our research strategy
- Involving animals in research
Funding for researchers
Research opportunities
- For discovery researchers
- For clinical researchers
- For population researchers
- In drug discovery & development
- In early detection & diagnosis
- For students & postdocs
Our funding schemes
- Career Development Fellowship
- Discovery Programme Awards
- Clinical Trial Award
- Biology to Prevention Award
- View all schemes and deadlines
Applying for funding
- Start your application online
- How to make a successful application
- Funding committees
- Successful applicant case studies
How we deliver research
- Our research infrastructure
- Events and conferences
- Our research partnerships
- Facts & figures about our funding
- Develop your research career
- Recently funded awards
- Manage your research grant
- Notify us of new publications
Find a shop
- Volunteer in a shop
- Donate goods to a shop
- Our superstores
Shop online
- Wedding favours
- Cancer Care
- Flower Shop
Our eBay store
- Shoes and boots
- Bags and purses
- We beat cancer
- We fundraise
- We develop policy
- Our global role
Our organisation
- Our strategy
- Our Trustees
- CEO and Executive Board
- How we spend your money
- Early careers
Cancer news
- Cancer News
- For Researchers
- For Supporters
- Press office
- Publications
- Update your contact preferences
ABOUT CANCER
GET INVOLVED
NEWS & RESOURCES
FUNDING & RESEARCH
You are here
Consent forms for SACT (Systemic Anti-Cancer Therapy)
Useful links
Patient information about cancer drugs
Immunotherapy and its side effects
About cancer registration
Patient information about your type of cancer
We are working with Guy’s and St. Thomas’ NHS Foundation Trust to produce national standardised SACT regimen-specific consent forms.
We want to support clinicians in ensuring all patients are fully informed when consenting to SACT. These forms are endorsed by the UK Systemic Anti-Cancer Therapy Board (UK SACT Board).
Who has approved the content in these forms?
The programme is being led by a dedicated Cancer Research UK funded oncology pharmacist at Guys’ and St. Thomas’ NHS Foundation Trust.
All forms are independently checked by an oncology/haematology pharmacist, oncology/haematology consultant and member of the UK SACT Board.
The consent forms and guidance document are available to download in PDF format. Forms are grouped by tumour-site.
If you have specific queries or are looking for something not covered here, please email the pharmacist.
SACT Form update
SACT consent forms are currently being reviewed on a rolling schedule. Please see FAQs for order of roll-out. Republication dates may exceed the date of review indicated on each form. All forms are valid until new versions are available.
What's new?
- 27th March 2024: Sarcoma – New consent forms uploaded
- 22nd March 2024: Acute Lymphoblastic Leukaemia (ALL) – New consent forms uploaded
- 21st March 2024: Guidance on electronic consent for SACT reviewed and updated
- 15th March 2024 : Skin cancer (non-melanoma) SACT consent forms updated
- 29th December 2023 : Updates to Lenvatinib and Atezolizumab + Bevacizumab for HPB
- 20th December 2023 : Updates to Venetoclax + Ibrutinib and Ibrutinib for CLL
- 7th December 2023: New form added for Pembrolizumab
- 14th November 2023 : Updates to CLL, Generic SACT consent and Generic checkpoint inhibitor immunotherapy forms
- 14th September 2023 : New form added for Pazopanib
- 18th August 2023 : Updated lung, breast, GIST and AML Azacitidine SACT consent forms
- 10th August 2023 : Updated Children and Young People, Kaposi sarcoma and CML SACT consent forms
- 25th July 2023 : Updated Temozolomide and Temozolomide + RT for brain and CNS
- 12th May 2023: Brain and CNS SACT consent forms updated and a new form added for Ibrutinib
Frequently Asked Questions (FAQs)
Which tumour site group’s forms are available and when will they be reviewed.
The regimen-specific forms have been published for the following tumour site groups. Each group of forms will be reviewed on a rolling schedule every three years. The process by which each group of forms is revalidated may result in the republication dates exceeding the date of review indicated on each group of forms. All forms are valid until new versions are made available.
Please check the website regularly (e.g. once a month) for new forms and updates.
What happens when a new regimen is commissioned before the consent form group is due to be revalidated?
We are working to develop and publish consent forms in time with publication of positive NICE (England), AWMSG (Wales), SMC (Scotland) and HSCNI (Northern Ireland) determinations.
What should I do if I cannot find the regimen-specific form that I need?
We encourage Trusts to use the generic SACT or immunotherapy forms where a regimen-specific form is not available. Please get in touch with the project lead pharmacist so that this can be discussed with the tumour-specific lead consultant for development. Contact details for the project lead pharmacist are found at the end of this document.
When will consent forms for the haematology groups be available?
CML, CLL, MPN, and AML consent forms have now been published. ALL, lymphoma and myeloma consent forms are in development.
How have the forms been developed and what is the governance process?
The forms are based on the Department of Health consent form 1. The template form has been approved by the UK Systemic Anti-Cancer Therapy Board. Each hospital/Trust will need to ensure that the forms are approved for use locally by their governance or consent committee, whichever is most appropriate for the individual organisation. Please refer to the Guidance on Consent for SACT available on this website here .
Are the consent forms a legal document?
The consent form is not a legal document, but it represents best practice and conforms with and complements the guidance documents available to clinicians taking consent. Several guidance documents have described best practice in the area of consent with respect to law, ethics, training and experience required and the need for documentation that consent has taken place.
We explored informal counsel with a medico-legal advisor, in response to the issue of the Montgomery judgement. The following has been taken from their reply:
The consent forms are developed to ensure a high level of consistency in the information giving and discussion with the patient. Your Trust Governance and/or consent committee must agree before you use these forms.
How do I give a copy of the completed form to the patient?
The patient can be given a photocopy or print out of the completed form. For trusts using electronic consent systems, there may be different mechanisms for providing the patient with a completed form depending on the system used, such as through secure email or a mobile application. We recommend retaining the original form in the patient’s records, or a scanned copy in the patient’s electronic records.
Will the consent forms be made available electronically?
Due to the complexity of the IT infrastructure, numerous electronic patient records and SACT prescription systems across the NHS, the project team cannot provide one single national electronic consent solution. An electronic consent working group was subsequently formed as part of the project. The working group developed and published the ‘Guidance for the Implementation of CRUK SACT Consent Forms Electronically’. It is intended for use by NHS SACT providers wishing introduce electronic consent to decide which electronic consent solution would be the most appropriate for their individual needs. Guidance for the configuration and maintenance of electronic consent forms, including adoption of the CRUK consent forms electronically, is provided in this document. The document can be found on the CRUK SACT consent form webpage under the accordion ‘Guidance on Electronic Consent for SACT’ here .
Can I use the CRUK consent forms, branding and footer on our local electronic consent system?
The CRUK regimen-specific consent forms may be used within local electronic consent systems. As the forms have been through a robust governance process to ensure their consistency and quality, the following disclaimers should be used depending on the applicable scenario. The following disclaimers will be included in the next version of the Guidance on Electronic Consent along with CRUK brand guidelines for logo use.
Use of the consent forms without amendments:
The CRUK logo and consent form footer can be included in electronic consent forms where the content of the forms is used unamended in its entirety. The format, font or colours can be changed if necessary, but the text and CRUK logo should be unamended. The footer at the bottom of each page of the consent form includes the names of those who have prepared, checked and approved the forms, as well as the details of version and date.
In this instance, please include the following disclaimer:
When amendments are made to the consent form contents:
Where providers base their electronic consent forms on the CRUK consent forms but change some of the content for technical or clinical reasons, the CRUK logo and consent form footer should not be used.
The following disclaimer should be included within the e-consent system in a way that makes it clearly visible to both clinician and patient.
Will the consent forms be made available in Welsh and/or other languages?
The generic SACT and generic immunotherapy consent forms have been translated to Welsh. It is recommended that these forms are used to supplement the English regimen-specific consent forms when a Welsh language accompaniment is required. The project team continues to investigate avenues through which the translation of consent forms can be achieved.
Will chemo-radiotherapy consent forms be developed?
These forms are designed specifically for taking consent for SACT. For instances where the SACT is given in combination with radiotherapy, the radiation therapy will need to be consented for separately. The Royal College of Radiologists (RCR) have developed national site-specific radiotherapy consent forms. These can be found here . The RCR plan to develop chemo-radiotherapy consent forms, but this is an ongoing piece of work for which timelines have not yet been confirmed.
Do you have children and young people (CYP) SACT consent forms?
The Children and Young People Generic Form was published in 2021. The ALL in Children and Young People form was subsequently published in 2023. We subsequently plan to develop national SACT regimen-specific consent forms for TYA groups.
Where can I find more information about the regimen-specific consent forms?
Further information can be found on www.cruk.org/sact_consent . You can also email [email protected] or [email protected] if you have any queries and with any comments.
Download these FAQs
Last updated: 9 January 2024
Guidance on consent for SACT
Guidance on remote consent for SACT
Guidance for SACT by Healthcare Improvement Scotland
Guidance on Electronic Consent for SACT v02
Last updated: 7th September 2021
Generic forms
Generic SACT form
Generic checkpoint inhibitor immunotherapy form
Welsh Generic SACT form
Welsh Generic Immunotherapy form
Last updated: 14th November 2023
Children and Young People (age 0-24 years)
ALL in Children and Young People
Children and Young people generic form
Last updated: 10th August 2023
Acute Lymphoblastic Leukaemia (ALL)
Blinatumomab
Clofarabine, Cyclophosphamide and Etoposide
Inotuzumab Ozogamicin
Nelarabine, Cyclophosphamide and Etoposide
UKALL14 Consolidation 1,2 and 4
UKALL14 Consolidation 3
UKALL 14 Intensification CNS Prophylaxis
UKALL 14 Maintenance
UKALL 14 Phase 1 Induction
UKALL 14 Phase 2 Induction
UKALL 14 Intrathecal Systemic Anti-Cancer Therapy
UKALL 60+ Intensive (Philadelphia Negative)
UKALL 60+ Non-Intensive Intensive (Philadelphia Negative)
UKALL 60+ Philadelphia Positive
Download all Acute Lymphoblastic Leukaemia (ALL) forms
Last updated: 22 March 2024
Acute Myeloid Leukaemia (AML)
Azacitidine
Azacitidine + Venetoclax
AIDA (All- transretinoic acid and Idarubicin)
ATRA (All-transretinoic acid)
High dose cytarabine (ARA C) + Amsacrine
DA (Daunorubicin and Cytarabine)
Etoposide (po)
Gemtuzumab ozogamicin with daunorubicin and cytarabine
FLAG - Idarubicin
Gilteritinib
Gemtuzumab + chemotherapy
High dose cytarabine (ARA C)
Hydroxycarbamide
Liposomal daunorubicin + Cytarabine ( Vyxeos)
Low dose cytarabine ( ARA C)
Low dose cytarabine ( ARA C) + Venetoclax
Midostaurin + chemo (DA + HD Ara C)
Midostaurin (+/- chemotherapy)
Mitoxantrone
Download all AML cancer SACT forms
Last updated: 17th August 2023
Brain/CNS cancers
Carboplatin-Etoposide
Procarbazine-Lomustine-Vincristine (PCV)
Temozolomide
Temozolomide+Radiotherapy
Download all Brain/CNS cancers SACT forms
Last updated: 25th July 2023
Breast cancers
AC (Doxorubicin-Cyclophosphamide)
Abemaciclib
AC-Docetaxel
Atezolizumab - Paclitaxel albumin-bound
Bevacizumab
Capecitabine
Carboplatin
Cyclophosphamide-Methotrexate
Docetaxel-Capecitabine
Doxorubicin
EC (Epirubicin-Cyclophosphamide)
EC-Carboplatin-Paclitaxel
EC-Docetaxel
EC-Docetaxel-Trastuzumab
EC-Paclitaxel
EC-Paclitaxel-Trastuzumab
Epirubicin-CMF
FEC-Docetaxel-Trastuzumab
FEC-Paclitaxel-Trastuzumab
FEC-PPH (Paclitaxel-Pertuzumab-Trastuzumab)
FEC-TPH (Docetaxel-Pertuzumab-Trastuzumab)
Gemcitabine-Carboplatin
Gemcitabine-Paclitaxel
Kadcyla® (trastuzumab emtansine)
Liposomal doxorubicin (Myocet®)
Liposomal doxorubicin (Myocet®)-Cyclophosphamide
Paclitaxel albumin-bound
Paclitaxel albumin-bound - Carboplatin
Paclitaxel-Trastuzumab
Palbociclib
Pertuzumab-Trastuzumab
TC (Docetaxel-Cyclophosphamide)
TCarboH (Docetaxel-Carboplatin-Trastuzumab)
TCarboPH (Docetaxel-Carboplatin-Pertuzumab-Trastuzumab)
TPH (Docetaxel-Pertuzumab-Trastuzumab)
Trastuzumab
Trastuzumab Deruxtecan
Tucatinib, trastuzumab and capecitabine
Vinorelbine (IV)
Vinorelbine (Oral)
Vinorelbine-Capecitabine
Last updated: 18th August 2023
Chronic Lymphocytic Leukaemia (CLL)
Acalabrutinib
Bendamustine – Rituximab
Chlorambucil
Chlorambucil – Obinutuzumab
Chlorambucil – Rituximab
FCR (Fludarabine – Cyclophosphamide – Rituximab) 3 Days
FCR (Fludarabine – Cyclophosphamide – Rituximab) 5 Days
Idelalisib – Rituximab
Venetoclax – Ibrutinib
Venetoclax – Rituximab
Venetoclax – Obinutuzumab
Zanubrutinib
Download all chronic lymphocytic leukaemia cancer SACT forms
Last update: 20th December 2023
Chronic Myeloid Leukaemia (CML)
Interferon-Alfa
Peginterferon-Alfa
Download all chronic myeloid leukaemia cancer SACT forms
Colorectal cancer
Aflibercept irinotecan-fluorouracil folfiri, bevacizumab chemotherapy, capecitabine mitomycin, capecitabine-mitomycin radiotherapy.
Capecitabine and Radiotherapy
Carboplatin and Paclitaxel
Cetuximab +/- chemotherapy, cisplatin-capecitabine.
Cisplatin-Fluorouracil
Encorafenib and Cetuximab
Fluorouracil Modified de Gramont
Fluorouracil and folinic acid weekly, fluorouracil pvi +/- radiotherapy, irinotecan capecitabine (capiri), irinotecan fluorouracil (folfiri), mitomycin-fluorouracil radiotherapy, nivolumab and ipilimumab.
Oxaliplatin-Capecitabine (CAPOX)
Oxaliplatin-Fluorouracil_(FOLFOX)
Oxaliplatin-irinotecan-fluorouracil (folfoxiri), oxaliplatin-raltitraxed (tomox), panitumumab +/- chemotherapy.
Pembrolizumab
Raltitrexed
Regorafenib
Trifluridine and Tipiracil (lonsurf®)
Download all colorectal cancer SACT forms
Last updated: 14 July 2022
Gastrointestinal stromal tumors (GIST)
Download all gastrointestinal stromal tumours (GIST) SACT forms
Gynaecological cancers
BEP (5 day)
Carboplatin-Paclitaxel
Cisplatin + Radiotherapy
Cisplatin-Etoposide
Cisplatin-Fluorouracil + Radiotherapy
Cisplatin-Paclitaxel
Cisplatin-Topotecan
Doxorubicin-Cisplatin
EP (Etoposide-Cisplatin)
Etoposide (oral)
Gemcitabine
Gemcitabine-Cisplatin
Liposomal doxorubicin (Caelyx®)
Liposomal doxorubicin (Caelyx®) - Carboplatin
Paclitaxel (day 1, 8 & 15)
Topotecan (IV)
Download all gynaecological cancers SACT forms
Last updated: 16 February 2021
Head and neck cancers
Carboplatin + Radiotherapy
Carboplatin-Fluorouracil
Cetuximab - Carboplatin - Fluorouracil
Cetuximab - Cisplatin - Fluorouracil
Cetuximab + Radiotherapy
ECarboF (epirubicin-carboplatin-fluorouracil)
Methotrexate
TCarboF (docetaxel-carboplatin-fluorouracil)
TPF (docetaxel-cisplatin-fluorouracil)
Download all head and neck cancers SACT forms
Last updated: 5th September 2022
Hepato Pancreato Biliary (HPB) cancers
Atezolizumab and Bevacizumab
Capecitabine + Radiotherapy
Fluorouracil (Modified de Gramont)
Gemcitabine-Capecitabine
Gemcitabine-Paclitaxel albumin-bound (Abraxane®)
Oxaliplatin-Fluorouracil (FOLFOX)
Download all Hepato Pancreato Biliary (HPB) SACT forms
Last updated: 29th December 2023
Kaposi sarcoma
Pegylated Liposomal Doxorubicin (Caelyx)
Download all Kaposi Sarcoma SACT forms
Last updated 10th August 2023
Atezolizumab, bevacizumab, carboplatin and paclitaxel
Atezolizumab, carboplatin and etoposide
Atezolizumab
CAP (cyclophosphamide-doxorubicin-cisplatin)
Carboplatin, pemetrexed and pembrolizumab
Carboplatin, paclitaxel and pembrolizumab
Carboplatin-Pemetrexed
Carboplatin-Vinorelbine
CAV (cyclophosphamide-doxorubicin-vincristine)
Cisplatin-Pemetrexed
Cisplatin- pemetrexed - pembrolizumab
Cisplatin-Vinorelbine
Dacomitinib
Larotrectinib
Nintedanib-Docetaxel
Osimertinib
Pemetrexed (maintenance)
Ramucirumab-Docetaxel
Selpercatinib
Topotecan (oral)
Vinorelbine (oral)
Download all lung cancer SACT forms
Melanoma skin cancer
CVD (cisplatin-vinblastine-dacarbazine)
Dabrafenib-Trametinib
Dacarbazine
Encorafinib-Binimetinib
Ipilimumab-Nivolumab
Talimogene laherparepvec (Imlygic®)
Vemurafenib
Vemurafenib-Cobimetinib
Download all melanoma skin cancer SACT forms
Myeloproliferative Neoplasms (MPN)
Interferon alfa
Ruxolitinib
Thalidomide
Download all Myeloproliferative Neoplasms (MPN) SACT forms
Last updated: 21 June 2019
Neuroendocrine and adrenal cancers
Cyclophosphamide-Vincristine-Dacarbazine (CVD)
Etoposide-Doxorubicin-Cisplatin (EDP) +/- Mitotane
Irinotecan-Fluorouracil (FOLFIRI)
Streptozocin-Capecitabine
Streptozocin-Cisplatin-Fluorouracil
Temozolomide-Capecitabine
Download all Neuroendocrine and adrenal cancers SACT forms
The published forms listed here are not exhaustive for neuroendocrine cancers. They reflect mostly (but not exclusively) those regimens for gastroenteropancreatic neuroendocrine tumours. The regimen-specific consent forms for neuroendocrine cancers of other areas of the body can be found within their respective anatomical groups.
Last updated: 15 February 2019
Oesophago-gastric cancers
Capecitabine-Cisplatin + Radiotherapy
Cisplatin-Capecitabine-Trastuzumab
Cisplatin-Fluorouracil (+/- Radiotherapy)
Cisplatin-Fluorouracil-Trastuzumab
Docetaxel-Oxaliplatin-Fluorouracil (FLOT)
ECarboX (epirubicin-carboplatin-capecitabine)
ECF (epirubicin-cisplatin-fluorouracil)
ECX (epirubicin-cisplatin-capecitabine
EOF (epirubicin-oxaliplatin-fluorouracil)
EOX (epirubicin-oxaliplatin-capecitabine)
Fluorouracil PVI + Radiotherapy
Paclitaxel-Carboplatin + Radiotherapy
Download all oesophago-gastric cancers SACT forms
Last updated: 20 December 2018
Carboplatin - Etoposide
Cyclophosphamide - Etoposide
Cyclophosphamide - Oral prednisolone
Cyclophosphamide - Topotecan
Doxorubicin - Cisplatin
Doxorubicin - Dacarbazine
Doxorubicin - Ifosfamide
Etoposide (Oral)
Gemcitabine - Dacarbazine
Gemcitabine - Docetaxel
IE and Methotrexate
IVADo - IVA
Mifamurtide
Pegylated Liposomal Doxorubicin and Ifosfamide
Pegylated Liposomal Doxorubicin
Trabectedine
Vincristine and Cyclophosphamide
Vinorelbine and Cyclophosphamide
Download all Sarcoma forms
Last updated: 27 March 2024
Thyroid cancer
Cabozantinib
Dabrafenib and Trametinib
Entrectinib
Download all thyroid cancer SACT forms
Last updated: 5 April 2022
Urology-Bladder cancer
Accelerated M-VAC (methotrexate-vinblastine-doxorubicin-cisplatin)
Gemcitabine-Radiotherapy
Mitomycin-Fluorouracil +/- Radiotherapy
M-VAC (methotrexate-vinblastine-doxorubicin-cisplatin)
Download all urology-bladder cancers SACT forms
Last updated: 03 August 2022
Urology-Germ cell cancer
BEP (Bleomycin-Etoposide-Cisplatin)
Carboplatin (Etoposide-Bleomycin)
TIP (Paclitaxel-Ifosfamide-Cisplatin)
VIP (Etoposide-Ifosfamide-Cisplatin)
VeIP (Vinblastine-Ifosfamide-Cisplatin)
Download all urology-germ cell cancer SACT forms
Last updated: 20 April 2021
Urology-Prostate cancer
Abiraterone + Prednisolone
Apalutamide
Cabazitaxel + Prednisolone
Darolutamide
Docetaxel + Prednisolone
Enzalutamide
Download all urology-prostate cancer SACT forms
Last updated: 16th August 2022
Urology-Renal cell cancer
Generic TKI & IO
Avelumab - Axitinib
Gemcitabine-Doxorubicin
Lenvatinib-Everolimus
Nivolumab - Ipilimumab
Download all Urology-Renal cell cancer SACT forms
Last updated: 7th December 2023
Urology-Small cell cancer
Download all Urology-Small cell cancer SACT forms
Last updated: 10 August 2021
Skin cancer (non-melanoma)
Alemtuzumab
Capecitabine-Cisplatin
Chlorambucil +/- Prednisolone
CHOP 21 + Rituximab (CHOP-R)
CVP (Cyclophosphamide-Vincristine-Prednisolone)
Interferon alfa-2a (Roferon-A®)
Liposomal Doxorubicin (Caelyx®)
Methotrexate (Oral)
Pentostatin
Vismodegib
Download all skin cancer (non-melanoma) SACT forms
Last updated: 15 March 2024
Supportive medicines
Denosumab (Xgeva®)
Zoledronic acid
Download all supportive medicines forms
Last updated: 07 August 2020
Publishing, additions and updates
We are publishing forms by tumour site, the first were for breast cancer in May 2016. We will publish new forms for other tumour sites regularly.
Recent additions and updates will be highlighted on the "What's new?" section on this page, and details of when forms have been last updated is stated in each section. Please check for updated versions and ensure that you use the latest version of each form.
Join us on X (previously known as Twitter)
Read a world first population based study of 30-day mortality following SACT in England
Read our blog on the study’s findings and how the work will help improve patient case
View the NHS Trust and national SACT 30-day mortality data published by Public Health England
404 Not found
You are using an outdated browser. Please upgrade your browser or activate Google Chrome Frame to improve your experience.
- Discover pathology
National Guidance on consent for Systemic Anti-Cancer Therapy (SACT) - Chemotherapy
24 July 2016
The National Chemotherapy Board and Cancer Research UK are pleased to launch the Guidance on the consent for SACT and national SACT regimen-specific consent forms . The aim of the guidance and forms is to support clinicians to ensure that patients receiving SACT are fully informed when consenting to treatment.
The guidance document encompasses:
- Background to consent for SACT
- National Chemotherapy Board recommendations and the national regimen-specific consent forms
- Guidance for the introduction of the national regimen-specific consent forms by individual chemotherapy providers, e.g. gaining approval from your Trust governance/consent committees
- Guidance for the process of consent for SACT
- Recommendations for the audit of consent procedures
Documentation can be accessed and downloaded from the Cancer Research UK website: www.cruk.org/sact_consent .
Michelle Dominique
- Administrator
- ACP - Association of Cancer Physicians on Twitter
National Regimen-Specific Consent Forms - Publication Updates
Posted on 1 June 2020
Regimen-specific consent forms for many tumour types have been published on the Cancer Research UK website , more tumour-site and regimen specific and generic forms now released, including, as below:
- Breast cancer
- Colorectal cancer
- Upper Gastrointestinal cancer (OG, HPB and GIST)
- Gynaecology cancers
- Head & Neck cancers
- Lung cancer
- Melanoma skin cancer
- Thyroid cancer
- Urology cancers (bladder and prostate)
- Supportive therapies
SACT consent forms are reviewed and updated on a rolling basis. The most recent updates have been to the breast and gynae forms. Many of the new forms contain a combination of drugs so that in most instances only one consent form needs to be completed.
Changes have also been made to the individual regimen specific consent forms, in response to updated information or clinicians request for clarity.
For more detail please see our Resources section.
- 2024-02-29 National Clinical Impact Awards 2024 (England and Wales)
- 2024-02-29 BEST OF ASCO® 2024 UK LIVE Event 21 June, London
- 2024-02-29 SACT Capacity Crisis
- 2024-01-08 ACP New Consultants Group, Birmingham 1-2 March
- 2024-01-03 Webinar on Training in Medical Oncology
- 2023-08-25 ACP and UKAOS Acute Oncology Workshop 10 November
- 2023-08-03 Report and Recommendations of the Clinical Oncology and Medical Oncology Closer Working Group
- 2023-07-05 Best of ASCO® UK
- 2023-07-03 Webinar on Training in Medical Oncology
- 2023-06-16 REVISION BOOK - 500 SBAs for the SCE
- ©ACP - Association of Cancer Physicians
- Term & Conditions
- Privacy & Cookies
- Site by Plexus
404 Not found
SACT consent forms on Cancer Research UK website
National Systemic Anti-Cancer Therapy (SACT) consent forms – for urology (germ cell), breast and oesophago-gastric cancers published.
Regimen-specific consent forms for the following tumour groups have been published on the Cancer Research UK website:
· Breast cancer – 3 forms added
o Palbociclib
o Pertuzumab-Trastuzumab version-2
o Ribociclib
· Urology-Germ Cell cancers – 6 forms
· Oesophago-gastric cancer – 1 form added
o Capecitabine-Cisplatin+Radiotherapy
Please visit www.cruk.org/sact_consent to view and download the forms. Other forms, national guidance on consent for SACT, and further information is also available via www.cruk.org/sact_consent .
Please do not hesitate to contact Victoria Fashina (Oncology Pharmacist – CRUK information lead, Guy’s and St. Thomas’ NHS Foundation Trust) if you have any queries: [email protected]
Victoria Fashina
12 April 2018
Latest News
Published: bopa delphi consensus guidelines.
The BOPA Guidelines, Advocacy And Publications Committee is pleased to announce that the British Oncology Pharmacy Association Delphi consensus guidelines is now published on the Journal of Oncology Pharmacy Practice.…
REGISTER NOW: #BOPA2024 Annual Conference @ICC Birmingham and AGM 2024
The 27th British Oncology Pharmacy Association (BOPA) Annual Conference, 11-13 October 2024, ICC Birmingham We are pleased to announced that the registration for the BOPA Annual Conference 2024 is now open. The…
CRUK Sarcoma regimen specific SACT consent forms are now available
I am very pleased to inform you that the Sarcoma regimen specific consent forms are now available on the CRUK website. The forms can be found at https://www.cancerresearchuk.org/health-professional/treatment-and-other-post-diagnosis-issues/consent-forms-for-sact-systemic-anti-cancer-therapy?1z Any questions,…
Apply now for the Cancer Research Transatlantic Development and Skills Enhancement Award
Are you a UK early to mid-career researcher focussed on cancer? You could gain new research skills and develop international collaborations with a funded placement at a world-class cancer institute…
27th BOPA Conference 2024
The 27th BOPA Annual Conference in 2024 will be held at the ICC Birmingham on 11-13 October.
Check out the latest information here: https://www.bopa.org.uk/latest-Conference-2024/
Recommended pages
- Undergraduate open days
- Postgraduate open days
- Accommodation
- Information for teachers
- Maps and directions
- Sport and fitness
Informed Consent Forms
Below is a link to the current Informed Consent Forms
- ParentGuardian_Trial Entry_1.0_07Aug2015 [.doc]
- ParentGuardian_Dose Finding Study_1.0_07Aug2015 [.doc]
- ParentGuardian_Trial Entry_plus One Dose of Mylotarg_1.0_20-Feb-2017 [.doc]
- ParentGuardian_Subsequent Randomisations_1.0_07Aug2015 [.doc]
- Patients Aged 16+ Years_Trial Entry_1.0_07Aug2015 [.doc]
- Patients Aged 16+ Years_Dose Finding Study_1.0_07Aug2015 [.doc]
- Patients Aged 16+ Years_Trial Entry_plus One Dose of Mylotarg_1.0_20-Feb-2017 [.doc]
- Patients Aged 16+ Years_Subsequent Randomisations_1.0a_07Aug2015 [.doc]
- IOCN Policies & Governance
- Disclaimer and Conditions of Use Policy
- IO Toxicity Guidelines
- Specialist Support
- Case Series
- Patient Information
- Consent Forms
- Videos for Patients
- National IO Education Forum
- Case of the Month
- Education Ethos
- Educational Events
- Immunobuddies Podcast
- Policy & Governance
- Translational Research
- Service Development
@IOClinicalNet
- Clinical Support
- Education & Training
- Research & Analysis
The Immuno-Oncology Clinical Network
Consent forms , cancer research uk (cruk) consent forms for systemic anti-cancer treatment (sact).
Immunotherapy regimens:
- Atezolizumab
- Ipilimumab and Nivolumab
- Pembrolizumab
Immunotherapy combination treatment:
- Atezolizumab, Bevacizumab, Caroplatin and Paclitaxel
- Atezolizumab, Caroplatin and Etoposide
- Avelumab and Axitinib
- Carboplatin, Paclitaxel and Pembrolizumab
- Carboplatin, Pemetrexed and Pembrolizumab
- Cisplatin, Pemetrexed and Pembrolizumab
Registered Charity Number:
Join Us: Become a Member of the IOCN
IOCN Disclaimer and Conditions of Use Policy
COMMENTS
These forms are designed specifically for taking consent for SACT. For instances where the SACT is given in combination with radiotherapy, the radiation therapy will need to be consented for separately. The Royal College of Radiologists (RCR) have developed national site-specific radiotherapy consent forms.
Cancer Research UK furthermore Guy's and St Thomas' NHS Foundation Credit will not accept any responsibility for any claim when for pay or otherwise, with whatever sundry liability origin out of or in connection with the form or your use. ... Prostate cancer (urology) SACT consent forms updated. 10th August 2022: Small cell carcinoma ...
24 July 2016. The National Chemotherapy Board and Cancer Research UK are pleased to launch the Guidance on the consent for SACT and national SACT regimen-specific consent forms. The aim of the guidance and forms is to support clinicians to ensure that patients receiving SACT are fully informed when consenting to treatment. The guidance document ...
The consent forms for breast cancer SACT regimens are available to download now and forms for other tumour sites will be published throughout the year. The consent forms are being produced by Guy's and St. Thomas' NHS Foundation Trust in collaboration with Cancer Research UK. Systems are established to
National SACT consent forms. Regimen-specific consent forms for many tumour types have been published on the Cancer Research UK website, with more tumour-site and regimen specific and generic forms now released and updated, including, as below:. Brain/CNS cancers; Breast cancer; CLL; CML
to your cancer drug treatment record. When you're first diagnosed or start a new treatment, the amount of ... Research nurse Blood group Drug allergies Emergency contact Contact name ... Side effects Your consent form and information sheets will give you specific information about the treatment and possible side effects. Talk to the team ...
National regimen-specific consent forms continue to be regularly reviewed and updated, in addition to new forms being released. New forms have recently been added for LUNG CANCER. All available forms are available on the CRUK website here. The UK Chemotherapy Board has also recently issued new guidance on:
Regimen-specific consent forms for many tumour types have been published on the Cancer Research UK website, more tumour-site and regimen specific and generic forms now released, including, as below: Breast cancer; Colorectal cancer; Upper Gastrointestinal cancer (OG, HPB and GIST) ... 2024-02-29 BEST OF ASCO® 2024 UK LIVE Event 21 June, London ...
Standardised SACT regimen-specific consent order for Clinicians and healthcare professionals intricate with consenting and treating patients with SACT.
The CRUK SACT regimen-specific consent form project team is pleased to announce that a number of consent forms have been developed and published. ... Cancer Research UK Specialist Pharmacist - Cancer Information Lead . Guy's and St Thomas' NHS Foundation Trust. Guy's Hospital, Great Maze Pond, London, SE1 9RT.
This form should only be used if the patient is over 16 years old and has capacity to give consent. If the patient does not legally have capacity please use an appropriate alternative consent form from your hospital. Radiotherapy consent form for head and neck cancer (lower sites) Patient details Details of radiotherapy
Standardised SACT regimen-specific consent forms for Clinicians also healthcare professionals participating with consenting and treat patients with SACT.
This is a template to assist researchers in the design of their informed consent form. You must adapt this template to the requirements of your particular study, using the notes and suggestions provided. Before using this template, check whether your organisation provides a template consent form and if so, incorporate their requirements into ...
By Bryn Thomas on 3rd May 2018. National Systemic Anti-Cancer Therapy (SACT) consent forms - for urology (germ cell), breast and oesophago-gastric cancers published. Regimen-specific consent forms for the following tumour groups have been published on the Cancer Research UK website: · Breast cancer - 3 forms added. o Palbociclib.
This form should only be used if the patient is over 16 years old and has capacity to give consent. If the patient does not legally have capacity please use an appropriate alternative consent form from your hospital. Radiotherapy consent form for prostate cancer Patient details Patient name: Date of birth: Patient unique identifier: Name of ...
Standardised SACT regimen-specific consent forms for Practitioners and healthcare experts involved with consenting and treating patients using SACT.
This form should only be used if the patient is over 16 years old and has capacity to give consent. If the patient does not legally have capacity please use an appropriate alternative consent form from your hospital. Radiotherapy consent form for lung cancer (SABR) Patient details
Research; Cancer Research UK Clinical Trials Unit; Trials; MyeChild01; Informed Consent Forms; Explore Research; Research Spotlights. ... Below is a link to the current Informed Consent Forms. ParentGuardian_Trial Entry_1.0_07Aug2015 [.doc] ParentGuardian_Dose Finding Study_1.0_07Aug2015 [.doc]
Cancer Research UK (CRUK) Consent forms for Systemic Anti-Cancer Treatment (SACT) Immunotherapy regimens: Atezolizumab. Avelumab. Durvalumab. Ipilimumab. Ipilimumab and Nivolumab. Nivolumab. Pembrolizumab.
Prostate Cancer UK is a registered charity in England and Wales (1005541) and in Scotland (SC039332). Registered company number 02653887. Registered office: Fourth floor, The Counting House, 53 Tooley Street, London SE1 2QN.