Imagine sitting in a chemotherapy ward, bracing yourself for the physical toll of treatment, only to be blindsided by a question you’ve never heard before. That’s exactly what happened to me when an NHS nurse asked a new patient if they wanted psychological support. It was a moment so unexpected, it left me stunned. After all, in the world of cancer care, conversations with nursing staff usually stick to the mundane—holiday gifts, dinner plans, or weekend errands. Even when we venture into the physical side effects of chemo, like nausea or fatigue, the emotional toll of the disease is rarely, if ever, addressed. But here’s where it gets controversial: should nurses in a busy chemo ward be the ones initiating these conversations, or is this a task better suited for private consultations with the medical team? And this is the part most people miss: while it’s commendable that this nurse took the initiative, it raises questions about the systemic support—or lack thereof—for cancer patients’ mental health. Let’s be clear: discussing emotional struggles in a crowded ward, with beeping machines and radio chatter in the background, hardly feels private. Patients deserve a safe, confidential space to express their fears, frustrations, and needs. This is why, as part of the Daily Express’s Cancer Care campaign, we’re advocating for a holistic needs assessment for every cancer patient—a dedicated conversation with their medical team to address everything from loneliness and financial worries to childcare and treatment side effects. Yes, psychological support is crucial, but not everyone needs it. Some might benefit more from practical help, like a benefits adviser or a peer support buddy. The key is personalization, not a one-size-fits-all approach. Now, here’s the bold question: Are hospitals doing enough to support patients beyond their physical treatment? And if not, what’s stopping them? Let’s start the conversation—share your thoughts in the comments. After all, cancer care isn’t just about treating the body; it’s about nurturing the soul.