A Mixed Methods Evaluation of Psychological Skills Training for Level 1 Cancer Care Staff

The need for psychological skills training among the cancer workforce has been recognised since NHS recommendations (2004) suggested that more holistic support is needed to address the psychosocial impact of cancer. Previous research has focused on the development of training for clinical staff, however with supportive roles (such as Care Navigators) developing to include increased patient contact. This service evaluation aims to address the gaps in training for this staff group.

We aimed to evaluate a one-day training package developed and delivered at Calderdale and Huddersfield NHS Foundation Trust to support the improvement of psychological skills and staff wellbeing among supportive and assistive staff.

The effectiveness of training was assessed using pre-post self-rated competency scales, standardised wellbeing measures, and semi-structured interview data analysed using thematic analysis.

Psychological skills training significantly improved staff's self-perceived competency in identifying and supporting psychological distress. Wellbeing measures indicated no change, although interview data suggested a positive impact on wellbeing. Thematic analysis indicated that the training was valued by staff, increasing their confidence, knowledge and skills, motivating them to develop further. Some staff remained less confident in their ability to address suicidality and would benefit from further support through extra training or supervision.

The findings from this service evaluation suggest this training package may benefit the psychological skills of those in supportive and assistive roles, and that this was experienced positively by staff. Further implementation and evaluation is warranted before generalising these findings to routine clinical practice.