Lesley Smith
@lesleysmith.bsky.social
Lead at NHS England for #LivingWithAndBeyondCancer.
Trustee of the Pelvic Radiation Disease Association PRDA.org.uk | Views my own | Quality of life really matters
Trustee of the Pelvic Radiation Disease Association PRDA.org.uk | Views my own | Quality of life really matters
Pinned
Lesley Smith
@lesleysmith.bsky.social
· Jan 14
Reposted by Lesley Smith
💡 For women with BRCA1/2 mutations facing surgical menopause: new prospective data suggest menopausal hormone therapy can be used without increasing #breastcancer risk.
Joanne Kotsopoulos, PhD | #SABCS25
Learn more: https://ow.ly/Pcs250XKAqj
Joanne Kotsopoulos, PhD | #SABCS25
Learn more: https://ow.ly/Pcs250XKAqj
December 17, 2025 at 9:25 PM
💡 For women with BRCA1/2 mutations facing surgical menopause: new prospective data suggest menopausal hormone therapy can be used without increasing #breastcancer risk.
Joanne Kotsopoulos, PhD | #SABCS25
Learn more: https://ow.ly/Pcs250XKAqj
Joanne Kotsopoulos, PhD | #SABCS25
Learn more: https://ow.ly/Pcs250XKAqj
Reposted by Lesley Smith
After 6 months of hormone therapy, men with prostate cancer showed worsening lipid profiles, with 21% showing increased risk of cardiovascular disease based on general population tools.
ascopubs.org/doi/abs/10.1...
ascopubs.org/doi/abs/10.1...
Evaluating Clinical Tools to Monitor Cardiovascular Risk in Men With Prostate Cancer Receiving Hormone Therapy | JCO Oncology Practice
PURPOSEMen with prostate cancer face considerable cardiovascular (CV) comorbidity. Androgen
deprivation therapy (ADT) and androgen receptor pathway inhibitors (ARPIs) elevate
this risk, yet no prostat...
ascopubs.org
December 17, 2025 at 1:29 PM
After 6 months of hormone therapy, men with prostate cancer showed worsening lipid profiles, with 21% showing increased risk of cardiovascular disease based on general population tools.
ascopubs.org/doi/abs/10.1...
ascopubs.org/doi/abs/10.1...
Reposted by Lesley Smith
LCNUK Small Grants Scheme is now open for 2026!
Members can apply for up to £5,000 to support research, evaluation or audit projects that improve lung cancer nursing practice.
Start your application today www.lcnuk.org/lcnuk-small-...
Members can apply for up to £5,000 to support research, evaluation or audit projects that improve lung cancer nursing practice.
Start your application today www.lcnuk.org/lcnuk-small-...
December 17, 2025 at 8:44 PM
LCNUK Small Grants Scheme is now open for 2026!
Members can apply for up to £5,000 to support research, evaluation or audit projects that improve lung cancer nursing practice.
Start your application today www.lcnuk.org/lcnuk-small-...
Members can apply for up to £5,000 to support research, evaluation or audit projects that improve lung cancer nursing practice.
Start your application today www.lcnuk.org/lcnuk-small-...
Reposted by Lesley Smith
As part of the World Cancer Day 2026 campaign, IPOS is hosting an insightful webinar to spotlight the key findings from the recently published Lancet Oncology Commission report, “The Human Crisis in Cancer.”
Free for everyone ipos-society.org/event-6480465
Free for everyone ipos-society.org/event-6480465
December 16, 2025 at 9:07 PM
As part of the World Cancer Day 2026 campaign, IPOS is hosting an insightful webinar to spotlight the key findings from the recently published Lancet Oncology Commission report, “The Human Crisis in Cancer.”
Free for everyone ipos-society.org/event-6480465
Free for everyone ipos-society.org/event-6480465
Reposted by Lesley Smith
🚨Missed our recent webinar with @livewellwithpain.bsky.social
? Catch up now 👇
youtu.be/sxVvte8ed_I?...
? Catch up now 👇
youtu.be/sxVvte8ed_I?...
BPS joint webinar with & Live Well with Pain: Integrating Supportive self-management into services
YouTube video by British Pain Society
youtu.be
December 15, 2025 at 3:19 PM
🚨Missed our recent webinar with @livewellwithpain.bsky.social
? Catch up now 👇
youtu.be/sxVvte8ed_I?...
? Catch up now 👇
youtu.be/sxVvte8ed_I?...
Reposted by Lesley Smith
Health systems must protect all people with dignity, safety and respect.
Discrimination, racism and inequality have no place in healthcare EVER.
Speaking up for safe and quality care for yourself and others bring us closer to #HealthForAll.
Learn more 👉bit.ly/4pkCSM6
Discrimination, racism and inequality have no place in healthcare EVER.
Speaking up for safe and quality care for yourself and others bring us closer to #HealthForAll.
Learn more 👉bit.ly/4pkCSM6
December 14, 2025 at 10:55 AM
Health systems must protect all people with dignity, safety and respect.
Discrimination, racism and inequality have no place in healthcare EVER.
Speaking up for safe and quality care for yourself and others bring us closer to #HealthForAll.
Learn more 👉bit.ly/4pkCSM6
Discrimination, racism and inequality have no place in healthcare EVER.
Speaking up for safe and quality care for yourself and others bring us closer to #HealthForAll.
Learn more 👉bit.ly/4pkCSM6
I’ve donated to the @theguardian.com Christmas charity appeal guardian.ctdonate.org
which is supporting grassroots charities at the heart of local neighbourhoods that bring hope through practical initiatives to change communities for the better.
which is supporting grassroots charities at the heart of local neighbourhoods that bring hope through practical initiatives to change communities for the better.
The Guardian Charity Appeal 2025
guardian.ctdonate.org
December 14, 2025 at 5:25 PM
I’ve donated to the @theguardian.com Christmas charity appeal guardian.ctdonate.org
which is supporting grassroots charities at the heart of local neighbourhoods that bring hope through practical initiatives to change communities for the better.
which is supporting grassroots charities at the heart of local neighbourhoods that bring hope through practical initiatives to change communities for the better.
Reposted by Lesley Smith
It’s the Treatment that Fails the Patient, Not the Patient Who Fails the Treatment - Olubukola Ayodele
@bookiephronesis.bsky.social
oncodaily.com/voices/olubu...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews
@bookiephronesis.bsky.social
oncodaily.com/voices/olubu...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews
Olubukola Ayodele: It's the Treatment that Fails the Patient, Not the Patient Who Fails the Treatment - OncoDaily
Olubukola Ayodele: It's the Treatment that Fails the Patient, Not the Patient Who Fails the Treatment / cancer, MBC, metastatic breast cancer, Olubukola
oncodaily.com
December 13, 2025 at 1:07 AM
It’s the Treatment that Fails the Patient, Not the Patient Who Fails the Treatment - Olubukola Ayodele
@bookiephronesis.bsky.social
oncodaily.com/voices/olubu...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews
@bookiephronesis.bsky.social
oncodaily.com/voices/olubu...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews
Reposted by Lesley Smith
Menopause-related side effects are common in young women with HR+ early breast cancer on ovarian suppression + endocrine therapy. Hot flashes, night sweats, sleep issues & anxiety worsen over time, especially in women <40. Clinical care must address QoL. #BreastCancer
buff.ly/6mZJSAr
buff.ly/6mZJSAr
December 12, 2025 at 8:15 AM
Menopause-related side effects are common in young women with HR+ early breast cancer on ovarian suppression + endocrine therapy. Hot flashes, night sweats, sleep issues & anxiety worsen over time, especially in women <40. Clinical care must address QoL. #BreastCancer
buff.ly/6mZJSAr
buff.ly/6mZJSAr
Reposted by Lesley Smith
In this study, tamoxifen and anastrozole appear to be equally effective.
Over 10 years, in low-risk patients,
equal overall survival (OS) and locoregional recurrence (LRR) rates!
#oncology #breastcancer #medication #research #pharmaceuticals
Over 10 years, in low-risk patients,
equal overall survival (OS) and locoregional recurrence (LRR) rates!
#oncology #breastcancer #medication #research #pharmaceuticals
December 8, 2025 at 5:05 PM
In this study, tamoxifen and anastrozole appear to be equally effective.
Over 10 years, in low-risk patients,
equal overall survival (OS) and locoregional recurrence (LRR) rates!
#oncology #breastcancer #medication #research #pharmaceuticals
Over 10 years, in low-risk patients,
equal overall survival (OS) and locoregional recurrence (LRR) rates!
#oncology #breastcancer #medication #research #pharmaceuticals
Reposted by Lesley Smith
🧨New Simply Oncology Episode out today on Sexual Health in Cancer 🚨
We talk to @lorrainegrover.bsky.social - a sexual health nurse specialist in cancer to ⬇️ taboos.
🗣️ erectile dysfn, self-image, confidence from a cancer diagnosis and treatment.
This contains adult themes ‼️
@oncoalert.bsky.social
We talk to @lorrainegrover.bsky.social - a sexual health nurse specialist in cancer to ⬇️ taboos.
🗣️ erectile dysfn, self-image, confidence from a cancer diagnosis and treatment.
This contains adult themes ‼️
@oncoalert.bsky.social
December 5, 2025 at 10:33 AM
🧨New Simply Oncology Episode out today on Sexual Health in Cancer 🚨
We talk to @lorrainegrover.bsky.social - a sexual health nurse specialist in cancer to ⬇️ taboos.
🗣️ erectile dysfn, self-image, confidence from a cancer diagnosis and treatment.
This contains adult themes ‼️
@oncoalert.bsky.social
We talk to @lorrainegrover.bsky.social - a sexual health nurse specialist in cancer to ⬇️ taboos.
🗣️ erectile dysfn, self-image, confidence from a cancer diagnosis and treatment.
This contains adult themes ‼️
@oncoalert.bsky.social
Reposted by Lesley Smith
Re: running groups for people living with long term conditions. Most groups are *group education* (‘expert’ leads group) and full of content. In contrast *group activation* relies on facilitation and learning from each other with little formal content. See Irvine Yalom’s common factors.
December 4, 2025 at 11:18 AM
Re: running groups for people living with long term conditions. Most groups are *group education* (‘expert’ leads group) and full of content. In contrast *group activation* relies on facilitation and learning from each other with little formal content. See Irvine Yalom’s common factors.
Please consider a small donation to the @prda.org.uk Festive Fundraiser 🙏 Just visit the Christmas washing line where you can pick a very jazzy jumper or snazzy socks and leave your own message for people affected by PRD - thank you so much 😊 visufund.com/prdas-2025-f...
visufund.com
December 2, 2025 at 5:28 PM
Please consider a small donation to the @prda.org.uk Festive Fundraiser 🙏 Just visit the Christmas washing line where you can pick a very jazzy jumper or snazzy socks and leave your own message for people affected by PRD - thank you so much 😊 visufund.com/prdas-2025-f...
Reposted by Lesley Smith
Tumour growth is reduced by exercise due to a shift in the body’s metabolism that means muscle cells outcompete cancer cells in the race to get sugar to grow
We now have a greater understanding of how exercise slows cancer
Tumour growth is reduced by exercise due to a shift in the body’s metabolism that means muscle cells outcompete cancer cells in the race to get sugar to grow
www.newscientist.com
December 1, 2025 at 10:37 PM
Tumour growth is reduced by exercise due to a shift in the body’s metabolism that means muscle cells outcompete cancer cells in the race to get sugar to grow
Reposted by Lesley Smith
For everyone in the Reading area.. can you help to find a lost space bear!
🧪🌎🛰📡
@bbowt.bsky.social @ncas-uk.bsky.social
www.bbc.co.uk/news/article...
🧪🌎🛰📡
@bbowt.bsky.social @ncas-uk.bsky.social
www.bbc.co.uk/news/article...
Search for missing Walhampton School teddy bear after space flight
The school uniform-wearing bear was attached to a weather balloon and launched from the New Forest.
www.bbc.co.uk
November 24, 2025 at 7:59 PM
For everyone in the Reading area.. can you help to find a lost space bear!
🧪🌎🛰📡
@bbowt.bsky.social @ncas-uk.bsky.social
www.bbc.co.uk/news/article...
🧪🌎🛰📡
@bbowt.bsky.social @ncas-uk.bsky.social
www.bbc.co.uk/news/article...
Reposted by Lesley Smith
Insights From SIOG 2025: Managing Toxicities and Surgical Decision-Making in Older Adults With Cancer
@siogorg.bsky.social
oncodaily.com/oncolibrary/...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #SIOG25Years #SIOG25th #SIOG25 #SIOG2025 #GeriatricOncology #GeriOnc
@siogorg.bsky.social
oncodaily.com/oncolibrary/...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #SIOG25Years #SIOG25th #SIOG25 #SIOG2025 #GeriatricOncology #GeriOnc
Insights From SIOG 2025: Managing Toxicities and Surgical Decision-Making in Older Adults With Cancer - OncoDaily
Insights from SIOG 2025 on managing immunotherapy toxicities, surgical risks, nursing care, and wearable monitoring in older adults with cancer.
oncodaily.com
November 24, 2025 at 8:44 PM
Insights From SIOG 2025: Managing Toxicities and Surgical Decision-Making in Older Adults With Cancer
@siogorg.bsky.social
oncodaily.com/oncolibrary/...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #SIOG25Years #SIOG25th #SIOG25 #SIOG2025 #GeriatricOncology #GeriOnc
@siogorg.bsky.social
oncodaily.com/oncolibrary/...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #SIOG25Years #SIOG25th #SIOG25 #SIOG2025 #GeriatricOncology #GeriOnc
This is a really helpful article about under and over treatment in older adults with cancer
Redefining Over- and Undertreatment in Older Adults at SIOG 2025
@siogorg.bsky.social
oncodaily.com/library/over...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #SIOG25Years #SIOG25th #SIOG25 #SIOG2025 #GeriatricOncology #Ghent2025 #GeriOnc
@siogorg.bsky.social
oncodaily.com/library/over...
#OncoDaily #Oncology #Cancer #Health #Medicine #MedEd #MedOnc #MedNews #SIOG25Years #SIOG25th #SIOG25 #SIOG2025 #GeriatricOncology #Ghent2025 #GeriOnc
Over- and Undertreatment in Older Adults: SIOG 2025 Insights
Preventing over- and undertreatment in older adults through geriatric assessment and patient-centered decision-making. SIOG 2025
oncodaily.com
November 25, 2025 at 8:51 AM
This is a really helpful article about under and over treatment in older adults with cancer
Reposted by Lesley Smith
👵👴 Older adults often face frailty, sarcopenia, falls, multimorbidity and polypharmacy.
This new framework—published in The Lancet Healthy Longevity (2025)—shows how integrating exercise prescription with medication management can transform care.
🔗 www.thelancet.com/journals/lan...
This new framework—published in The Lancet Healthy Longevity (2025)—shows how integrating exercise prescription with medication management can transform care.
🔗 www.thelancet.com/journals/lan...
November 4, 2025 at 8:25 PM
👵👴 Older adults often face frailty, sarcopenia, falls, multimorbidity and polypharmacy.
This new framework—published in The Lancet Healthy Longevity (2025)—shows how integrating exercise prescription with medication management can transform care.
🔗 www.thelancet.com/journals/lan...
This new framework—published in The Lancet Healthy Longevity (2025)—shows how integrating exercise prescription with medication management can transform care.
🔗 www.thelancet.com/journals/lan...
Reposted by Lesley Smith
What is your best advice for a health care provider just starting out, learning Supported Self Management skills?
The Pain Toolkit Academy is a good starting point
paintoolkit.thinkific.com
#InspireSelfMgt
#paintoolkitacademy
#livingwellskillz
#prehab
#selfmgtliving
#pssmw26
The Pain Toolkit Academy is a good starting point
paintoolkit.thinkific.com
#InspireSelfMgt
#paintoolkitacademy
#livingwellskillz
#prehab
#selfmgtliving
#pssmw26
November 22, 2025 at 5:43 AM
What is your best advice for a health care provider just starting out, learning Supported Self Management skills?
The Pain Toolkit Academy is a good starting point
paintoolkit.thinkific.com
#InspireSelfMgt
#paintoolkitacademy
#livingwellskillz
#prehab
#selfmgtliving
#pssmw26
The Pain Toolkit Academy is a good starting point
paintoolkit.thinkific.com
#InspireSelfMgt
#paintoolkitacademy
#livingwellskillz
#prehab
#selfmgtliving
#pssmw26
Reposted by Lesley Smith
Many breast cancer survivors face diminished quality of life due to estrogen deprivation.
This review provides updated guidance on vulvovaginal health, safe treatments, and strategies to support endocrine therapy adherence. Full article 👉 buff.ly/RmCbexo #CancerResearch #BreastCancer #Survivorship
This review provides updated guidance on vulvovaginal health, safe treatments, and strategies to support endocrine therapy adherence. Full article 👉 buff.ly/RmCbexo #CancerResearch #BreastCancer #Survivorship
November 20, 2025 at 8:15 AM
Many breast cancer survivors face diminished quality of life due to estrogen deprivation.
This review provides updated guidance on vulvovaginal health, safe treatments, and strategies to support endocrine therapy adherence. Full article 👉 buff.ly/RmCbexo #CancerResearch #BreastCancer #Survivorship
This review provides updated guidance on vulvovaginal health, safe treatments, and strategies to support endocrine therapy adherence. Full article 👉 buff.ly/RmCbexo #CancerResearch #BreastCancer #Survivorship
Reposted by Lesley Smith
Having been involved in the roll out of social prescribing it’s good to see that there is indeed an impact. This team used sensible outcome measures and showed a small but definite change in multiple indicators.
Time to stop trying to answer daft questions about SP tho (eg reductions in admissions)
Time to stop trying to answer daft questions about SP tho (eg reductions in admissions)
ICYMI: A #mustread on #socialprescribing. First - at-scale - quant evaluation of effect in general practice i've seen. Small individual impacts, scaling significantly at population level. Congrats to @lukemunford.bsky.social and colleagues bjgp.org/content/earl...
Impact of the rollout of the national social prescribing link worker programme on population outcomes: evidence from a repeated cross-sectional survey
Background Social prescribing link workers have been rolled out nationally through the Additional Roles Reimbursement Scheme. Link workers connect people to advice and support to address the non-medic...
bjgp.org
November 19, 2025 at 9:11 AM
Having been involved in the roll out of social prescribing it’s good to see that there is indeed an impact. This team used sensible outcome measures and showed a small but definite change in multiple indicators.
Time to stop trying to answer daft questions about SP tho (eg reductions in admissions)
Time to stop trying to answer daft questions about SP tho (eg reductions in admissions)
Reposted by Lesley Smith
CPOC Fellow Alex Isted outlines to the Advisory Group how the @england.nhs.uk 10-Year Plan aims to shift care from sickness to prevention.
By using perioperative care and turning waiting lists into preparation lists we can help drive this change.
More info: shorturl.at/SrU6I
By using perioperative care and turning waiting lists into preparation lists we can help drive this change.
More info: shorturl.at/SrU6I
November 19, 2025 at 11:07 AM
CPOC Fellow Alex Isted outlines to the Advisory Group how the @england.nhs.uk 10-Year Plan aims to shift care from sickness to prevention.
By using perioperative care and turning waiting lists into preparation lists we can help drive this change.
More info: shorturl.at/SrU6I
By using perioperative care and turning waiting lists into preparation lists we can help drive this change.
More info: shorturl.at/SrU6I
Reposted by Lesley Smith
I was just a normal woman. The normalest woman in the world! Totally normal!
Then: breast cancer in my 30s. My reality changed forever.
Do you relate? Then you might enjoy my book. “This Might Surprise You: A Breast Cancer Story” is out now in the UK and USA.
Then: breast cancer in my 30s. My reality changed forever.
Do you relate? Then you might enjoy my book. “This Might Surprise You: A Breast Cancer Story” is out now in the UK and USA.
November 19, 2025 at 12:02 PM
I was just a normal woman. The normalest woman in the world! Totally normal!
Then: breast cancer in my 30s. My reality changed forever.
Do you relate? Then you might enjoy my book. “This Might Surprise You: A Breast Cancer Story” is out now in the UK and USA.
Then: breast cancer in my 30s. My reality changed forever.
Do you relate? Then you might enjoy my book. “This Might Surprise You: A Breast Cancer Story” is out now in the UK and USA.
Reposted by Lesley Smith
Diarrhoea, constipation, urgency or going often 💩 are common symptoms of #PelvicRadiationDisease
Our guide to diet, nutrition and PRD is a free, downloadable resource:
prda.org.uk/resources/
#LateEffects #RadiationEnteritis #RadiationProctitis #RadiationColitis #RadiationProctopathy
Our guide to diet, nutrition and PRD is a free, downloadable resource:
prda.org.uk/resources/
#LateEffects #RadiationEnteritis #RadiationProctitis #RadiationColitis #RadiationProctopathy
PRDA Resources
Resources available from the Pelvic Radiation Disease Association including symptom assessment and self management guides.
prda.org.uk
November 19, 2025 at 4:45 PM
Diarrhoea, constipation, urgency or going often 💩 are common symptoms of #PelvicRadiationDisease
Our guide to diet, nutrition and PRD is a free, downloadable resource:
prda.org.uk/resources/
#LateEffects #RadiationEnteritis #RadiationProctitis #RadiationColitis #RadiationProctopathy
Our guide to diet, nutrition and PRD is a free, downloadable resource:
prda.org.uk/resources/
#LateEffects #RadiationEnteritis #RadiationProctitis #RadiationColitis #RadiationProctopathy
Reposted by Lesley Smith
Join the International Thoracic Oncology Nursing Forum for a free global webinar, Living Your Life with Lung Cancer, on 19 November.
Covering surgery, adjuvant therapy, nutrition and intimacy.
Register ow.ly/S71I50Xt0xZ
#LCAM2025 #LungCancerAwarenessMonth
Covering surgery, adjuvant therapy, nutrition and intimacy.
Register ow.ly/S71I50Xt0xZ
#LCAM2025 #LungCancerAwarenessMonth
November 18, 2025 at 6:41 PM
Join the International Thoracic Oncology Nursing Forum for a free global webinar, Living Your Life with Lung Cancer, on 19 November.
Covering surgery, adjuvant therapy, nutrition and intimacy.
Register ow.ly/S71I50Xt0xZ
#LCAM2025 #LungCancerAwarenessMonth
Covering surgery, adjuvant therapy, nutrition and intimacy.
Register ow.ly/S71I50Xt0xZ
#LCAM2025 #LungCancerAwarenessMonth