Cancer Pathway Coordination Software
CAREFUL is a coordination platform for clinical teams, used as cancer pathway coordination software. Across diagnosis, MDT, treatment and follow-up, three questions need constant answers: what's happening now, what's happening next, and who is responsible.
CAREFUL is a coordination platform for clinical teams, used as cancer pathway coordination software. Across diagnosis, MDT, treatment and follow-up, three questions need constant answers for every cancer patient: what's happening now, what's happening next, and who is responsible. CAREFUL turns MDT outcomes, referrals and treatment decisions into a single tracked plan that answers all three — and ensures no patient falls through the cracks.
Cancer coordination is part of the post-EMR coordination layer — the system that tracks what happens after the clinical record is written.
The problem
Up to 100,000 avoidable cancer deaths occur in Europe every year — not from a lack of treatments, but from failures of coordination, communication and follow-through. The tumour board meets. The actions do not follow.
Cancer pathways involve many teams over many months: surgeons, oncologists, radiologists, pathologists, clinical nurse specialists, GPs. Each MDT generates decisions. But tracking those decisions across teams, sites and time is where the system breaks down.
Tumour board platforms record what was discussed. They do not track what happened next.
How CAREFUL handles cancer coordination
CAREFUL bridges the gap between MDT decision and completed action. After a tumour board discussion, each decision becomes a tracked action in CAREFUL — assigned to a named clinician, visible to the whole pathway team, with a due date and audit trail.
If the action requires another team or organisation — a surgical referral, a radiology review, a GP follow-up — it travels as a structured referral with conversation thread and status tracking.
The cancer CNS or pathway coordinator has real-time visibility of every patient's action status. Outstanding items are visible at a glance. Follow-up is proactive, not reactive.
CAREFUL is a partner platform to C/Can (City Cancer Challenge), supporting cancer coordination across international settings.
Along the whole pathway
Cancer care does not stop at the hospital door. CAREFUL works across organisational boundaries, so the coordination plan can extend to primary care, community services and specialist centres. One shared plan, from diagnosis to survivorship.
Frequently asked questions
What is cancer pathway coordination?
Cancer pathway coordination is the process of tracking a patient's cancer care from diagnosis through treatment and follow-up, across every team involved. CAREFUL turns MDT decisions, referrals and treatment plans into tracked actions with named owners — so every step across every team is visible and accountable.
Why do cancer patients fall through gaps?
Cancer pathways involve many teams over many months: surgeons, oncologists, radiologists, pathologists, CNSs, GPs. MDT decisions are recorded in minutes but not actively tracked. Actions scatter between systems, people and organisations. CAREFUL turns every MDT decision into a tracked action that follows the patient across the whole pathway.
How is CAREFUL used in cancer care?
CAREFUL is used by cancer MDTs, tumour boards, pathway coordinators and clinical nurse specialists. After each MDT, decisions become tracked actions in CAREFUL — assigned to named clinicians, visible to the whole pathway team, with due dates and audit trails. Referrals between teams travel with conversation threads and accept/reject workflows.
Does CAREFUL track 62-day pathways?
CAREFUL provides real-time visibility of every patient's action status across the pathway, making it straightforward to monitor time-sensitive targets. The cancer CNS or pathway coordinator can see outstanding items at a glance and intervene before deadlines are missed.
Can CAREFUL coordinate cancer care across multiple hospitals?
Yes. CAREFUL works across organisational boundaries — between surgical centres, oncology units, GPs and community providers. One shared plan follows the patient across every institution involved in their care.